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Pharmacology for Nurses

Review Questions

Pharmacology for NursesReview Questions
1.
The nurse is caring for a client receiving morphine 4 mg IV every 15 minutes for chest pain. Which assessment finding is of most concern to the nurse?
  1. Heart rate 68 beats/min
  2. Respiratory rate 8 breaths/min
  3. Blood pressure 118/68 mm Hg
  4. Oxygen saturation 95% on room air
2.
The nurse has administered sublingual nitroglycerin to a client with chest pain. Which assessment finding does the nurse anticipate for this client?
  1. An increase in respiratory rate
  2. An increase in heart rate
  3. A decrease in blood pressure
  4. A decrease in oxygen saturation
3.
At what rate should the nurse administer adenosine 6 mg IV to a client with supraventricular tachycardia?
  1. Over 1–2 seconds
  2. Over 1 minute
  3. Over 5–10 minutes
  4. Slowly over 1–2 hours
4.
Which question should the nurse ask a client before administering nitroglycerin for chest pain?
  1. Do you have lupus erythematosus?
  2. Do you have a history of asthma?
  3. Do you take any medications for erectile dysfunction?
  4. Do you have Wolff–Parkinson–White syndrome?
5.
The nurse in the emergency department is caring for a client who reports chest pain that is relieved at rest. Which diagnosis should the nurse anticipate?
  1. Stable angina
  2. Unstable angina
  3. Myocardial infarction
  4. Ventricular dysrhythmia
6.
The health care provider has ordered diltiazem IV bolus 0.25 mg/kg for a client with atrial fibrillation with rapid ventricular response. The client weighs 176 lb (80 kg). What is the correct dose of diltiazem for the nurse to administer?
  1. 15 mg
  2. 20 mg
  3. 25 mg
  4. 30 mg
7.
Which therapeutic response would the nurse anticipate when administering epinephrine to a client in anaphylaxis?
  1. Bronchodilation
  2. Bradycardia
  3. Hypotension
  4. Hypokalemia
8.
Which adverse effect should the nurse monitor for in the client receiving dopamine by peripheral IV infusion?
  1. Dizziness
  2. Skin sloughing at the IV site
  3. Electrolyte abnormalities
  4. Facial flushing
9.
The nurse in the cardiology clinic is caring for a client taking an antidysrhythmic medication for ventricular dysrhythmia who develops a positive antinuclear antibody test. Which antidysrhythmic medication does the nurse anticipate this client is taking?
  1. Amiodarone
  2. Diltiazem
  3. Lidocaine
  4. Procainamide
10.
What is the preferred route for administering epinephrine to a client with anaphylaxis who is in sinus tachycardia?
  1. Intramuscular
  2. Intravenous
  3. Sublingual
  4. Inhalation
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