PHARM NCLEX ALL QUESTIONS Test Bank-

PHARM NCLEX ALL QUESTIONS (Test Bank- Answered) Fall 2022 For the client taking epinephrine, the nurse realizes there is a possible drug interaction with which drug?

• albuterol (Proventil)
• metoprolol (Lopressor)
• bethanechol (Urecholine)
• tolterodine tartrate (Detrol) - b. metoprolol (Lopressor)

The nurse will monitor the client taking albuterol (Proventil) for which condition?

• Palpitations
• Hypoglycemia
• Bronchospasm
• Uterine contractions - a. Palpitations

A client is prescribed metoprolol (Lopressor) to treat hypertension. It is important for the nurse to monitor the client for which condition?

• Bradycardia
• Hypertension
• Ankle edema
• Decreased respirations - a. Bradycardia

Atenolol (Tenormin) is prescribed for a client. The nurse realizes that this drug is a beta- adrenergic blocker and that this drug classification is contraindicated for clients with which condition?

• Hypothyroidism
• Angina pectoris
• Cardiogenic shock
• Liver dysfunction - c. Cardiogenic shock

The nurse realizes that beta1 receptor stimulation is differentiated from beta2 stimulation in that stimulation of beta1 receptors leads to which condition?

• Increased bronchodilation
• Decreased uterine contractility
• Increased myocardial contractility
• Decreased blood flow to skeletal muscles - c. Increased myocardial contractility

A client is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The nurse should monitor the client for which condition?

• Decreased pulse
• Pupil constriction
• Bronchial constriction
• Increased blood pressure - d. Increased blood pressure 1 / 4

The nurse is administering atenolol (Tenormin) to a client. Which concurrent drug does the nurse expect to most likely cause an interaction?

• ginseng herb
• An NSAID, such as aspirin
• methyldopa (Aldomet)
• haloperidol (Haldol) - b. An NSAID, such as aspirin

Chapter 19 A client is receiving bethanechol (Urecholine). The nurse realizes that the action of this

drug is to treat:

• Glaucoma
• Urinary retention
• Delayed gastric emptying
• Gastroesophageal reflux disease - b. Urinary retention

The nurse teaches the client receiving atropine to expect which side effect?

• Diarrhea
• Bradycardia
• Blurred vision
• Frequent urination - c. Blurred vision

When benztropine (Cogentin) is ordered for a client, the nurse acknowledges that this drug is an effective treatment for which condition?

• Parkinsonism
• Paralytic ileus
• Motion sickness
• Urinary retention - a. Parkinsonism

Dicyclomine (Bentyl) is an anticholinergic, which the nurse realizes is given to treat which condition?

• Mydriasis
• Constipation
• Urinary retention
• Irritable bowel syndrome - d. Irritable bowel syndrome

The nurse realizes that cholinergic agonists mimic which parasympathetic neurotransmitter?

• dopamine
• acetylcholine
• cholinesterase
• monoamine oxidase - b. acetylcholine

The nurse is administering a cholinergic agonist and should know that the expected cholinergic effects include which of the following?

• Increased heart rate 2 / 4

• Decreased peristalsis
• Decreased salivation
• Increased pupil constriction - d. Increased pupil constriction

When the client has a cholinergic overdose, the nurse anticipates administration of which drug as the antidote?

• atropine
• bethanechol
• ambenonium
• metoclopramide - a. atropine

Chapter 20 When a 12-year-old child is prescribed methylphenidate, which is most important for the nurse to monitor?

• The child's temperature
• The child's respirations
• The child's intake and output
• The child's height and weight - d. The child's height and weight

Several children are admitted for diagnosis with possible attention deficit/hyperactivity disorder. Which is most important for the nurse to observe?

• A girl who is lethargic
• A girl who lacks impulsivity
• A boy with smooth coordination
• A boy with an inability to complete tasks - d. A boy with an inability to complete tasks

A client is taking benzphetamine. The nurse teaches the client which information about this drug?

• That it may cause drowsiness
• That it may lead to hypotension
• That it is a respiratory stimulant
• That it is safe during pregnancy - b. That it may lead to hypotension

The nurse monitoring a client for methylphenidate withdrawal should observe the client for which condition?

• Tremors
• Insomnia
• Weakness
• Tachycardia - c. Weakness

The nurse teaches a client about which common side effect of analeptics?

• Bradycardia
• Constipation
• Nervousness
• Urinary retention - c. Nervousness 3 / 4

The nurse who is teaching the client to self-administer medications explains to the client that which drug treats narcolepsy?

• modafinil
• atomoxetine
• lisdexamfetamine
• methylphenidate - a. modafinil

A newborn client is in respiratory distress. The nurse anticipates preparation for which medication to be given?

• modafinil
• armodafinil
• theophylline
• amphetamine - c. theophylline

Chapter 21 It is important for the nurse teaching the client regarding secobarbital (Seconal) to include which information about secobarbital?

• It is a short-acting drug that may cause one to awaken early in the morning.
• It is an intermediate-acting drug that frequently causes REM rebound.
• It is an intermediate-acting drug that frequently causes a hangover effect.
• It is a long-acting drug that is frequently associated with dependence. - a. It is a short-

acting drug that may cause one to awaken early in the morning.A client taking lorazepam (Ativan) asks the nurse how this drug works. The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism?

• Depressing the central nervous system (CNS), leading to a loss of consciousness
• Depressing the CNS, including the motor and sensory activities
• Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid

(GABA) to GABA receptors

• Creating an epidural block by placement of the local anesthetic in the outer covering

of the spinal cord - c. Increasing the action of the inhibitory neurotransmitter gamma- aminobutyric acid (GABA) to GABA receptors A client is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that includes monitoring of the client for side effects/adverse reactions of this drug. Which is a side effect of zolpidem?

• Insomnia
• Headache
• Laryngospasm
• Blood dyscrasias - b. Headache

A client received spinal anesthesia. Which is most important for the nurse to monitor?

• Loss of consciousness
• Hangover effects and dependence
• Hypotension and headaches
• Excitement or delirium - c. Hypotension and headaches
• / 4