NCLEX Review Questions-PharmacologyStudy online at https://quizlet.com/_4xzmbn1.Following administration of phenylephrine (Neo-Synephrine), the nurse would assess for which of the following adverse drug effects? a-Insomnia, nervousness, and hypertensionb-Nausea, vomiting, and hypotensionc-Dry mouth, drowsiness, and dyspnead-Increased bronchial secretions, hypotension, and bradycardiaa-Insomnia, ner-vousness, and hy-pertension2.Anticholinergics may be ordered for which of the fol-lowing conditions? (Select all that apply.)a-Peptic ulcer diseaseb-Bradycardiac-Decreased sexual functiond-Irritable bowel syndromee-Urine retentiona-Peptic ulcer dis-easeb-Bradycardiad-Irritable bowel syndrome3.Propranolol (Inderal) has been ordered for a client with hypertension. Because of adverse effects related to this drug, the nurse would carefully monitor for which adverse effect?a-Bronchodilationb-Tachycardiac-Edemad-Bradycardiad-Bradycardia4.Older adult clients taking bethanechol (Urecholine) need to be assessed more frequently because of which of the following adverse effects?a-Tachycardiab-Hypertensionc-Dizzinessd-Urinary retentionc-Dizziness5.b-Constipation1 / 18
NCLEX Review Questions-PharmacologyStudy online at https://quizlet.com/_4xzmbnThe client taking benztropine (Cogentin) should be provided education on methods to manage which common adverse effect?a-Heartburnb-Constipationc-Hypothermiad-Increased gastric motility6.The client or family of a client taking tacrine (Cognex) should be taught to be observant for which of the fol-lowing adverse effects that may signal that a possible overdose has occurred? a-Excessive sweating, salivation, and droolingb-Extreme constipationc-Hypertension and tachycardiad-Excessively dry eyes and reddened scleraa-Excessive sweating, salivation, and drooling7.The nurse should assess a client who is taking lo-razepam (Ativan) for the development of which of these adverse effects?a-Tachypneab-Astigmatismc-Ataxiad-Euphoriac-Ataxia8.A client is receiving temazepam (Restoril). Which of these responses should a nurse expect the client to have if the medication is achieving the desired effect?a-The client sleeps in 3-hour intervals, awakens for a short time, and then falls back to sleep.b-The client reports feeling less anxiety during activi-ties of daily living.c-The client reports having fewer episodes of panic attacks when stressed.d-The client re-ports sleeping 7 hours without awakening.2 / 18
NCLEX Review Questions-PharmacologyStudy online at https://quizlet.com/_4xzmbnd-The client reports sleeping 7 hours without awaken-ing.9.A 32-year-old female client has been taking lorazepam (Ativan) for her anxiety and is brought into the emer-gency department after taking 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case?a-Epinephrineb-Atropinec-Flumazenild-Naloxonec-Flumazenil10.A 17-year-old client has been prescribed escitalopram (Lexapro) for increasing anxiety uncontrolled by other treatment measures. Because of this client's age, the nurse will ensure that the client and parents are taught what important information?a-Cigarette smoking will counteract the effects of the drug.b-Signs of increasing depression or thoughts of sui-cide should be reported immediately.c-The drug causes dizziness and alternative school-ing arrangements may be needed for the first two months of use.d-Anxiety and excitability may increase during the first two weeks of use but then will have significant improvement.b-Signs of increas-ing depression or thoughts of suicide should be reported immediately.11.Zolpidem (Ambien) has been ordered for a client for the treatment of insomnia. What information will the nurse provide for this client? (Select all that apply.)a-Be cautious when performing morning activities be-cause it may cause a significant "hangover" effect with drowsiness and dizziness.b-Take the drug with food; this enhances the absorp-c-Take the drug immediately be-fore going to bed; it has a quick onset of action.e-Alcohol and other drugs that cause 3 / 18
NCLEX Review Questions-PharmacologyStudy online at https://quizlet.com/_4xzmbntion for quicker effects.c-Take the drug immediately before going to bed; it has a quick onset of action.d-If the insomnia is long-lasting, this drug may safely be used for up to one year.e-Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug.CNS depression (e.g., antihista-mines) should be avoided while tak-ing this drug.12.Education given to clients about the use of all drugs to treat insomnia should include an emphasis on what important issue?a-They will be required long-term to achieve lasting effects.b-They require frequent blood counts to avoid adverse effects.c-They are among the safest drugs available and have few adverse effects.d-Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound in-somnia when stopped.d-Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound insomnia when stopped.13.An 8-year-old boy is evaluated and diagnosed with ab-sence seizures. He is started on ethosuximide (Zaron-tin). Which information should the nurse provide the parents?a-After-school sports activities will need to be stopped because they will increase the risk of seizures.b-Monitor height and weight to assess that growth is progressing normally.c-Fractures may occur, so increase the amount of vitamin D and calcium-rich foods in the diet.d-Avoid dehydration with activities and increase fluid intake.b-Monitor height and weight to as-sess that growth is progressing nor-mally.14.4 / 18