Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
Pharmacology Scenario 5 Questions And Answers (Verified Answers ) Latest Update 2025 - Mary Richards Vsim Feedback
Typology: Exams
1 / 20
This page cannot be seen from the preview
Don't miss anything!
Question 1: Scenario: A patient has been prescribed a new medication, lisinopril, for hypertension. The nurse is educating the patient about the potential side effects. Which of the following is a common side effect of lisinopril? A) Hypoglycemia B) Dry cough C) Diarrhea D) Dizziness upon standing Answer: B) Dry cough
Question 2: Scenario: A 70-year-old female patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed albuterol for acute bronchospasm. Which of the following side effects should the nurse monitor for in this patient? A) Bradycardia B) Hyperglycemia C) Hypokalemia D) Tremors Answer: D) Tremors Question 3: Scenario: A patient with Type 2 diabetes is prescribed metformin to manage their blood sugar levels. The nurse is assessing the patient for any contraindications. Which of the following conditions would be a contraindication for using metformin? A) Renal impairment B) Hypertension C) Hyperthyroidism D) Asthma Answer: A) Renal impairment Question 4: Scenario: A patient is prescribed warfarin for the prevention of thromboembolic events. The nurse explains to the patient that they must have regular monitoring of which of the following lab values to assess the therapeutic effect of warfarin? A) Complete blood count (CBC) B) International normalized ratio (INR)
Scenario: A 45-year-old male patient is prescribed atorvastatin to manage hyperlipidemia. The nurse should advise the patient to report which of the following symptoms that could indicate a serious side effect of the medication? A) Muscle pain or tenderness B) Headache C) Nausea D) Mild dizziness Answer: A) Muscle pain or tenderness Question 8: Scenario: A pregnant patient is diagnosed with a urinary tract infection (UTI) and is prescribed amoxicillin. The nurse should provide which of the following instructions to the patient regarding the medication? A) "Take the medication with a full glass of milk to reduce stomach irritation." B) "It is safe to take this medication in the second and third trimesters, but avoid it during the first trimester." C) "If you develop a rash, contact your healthcare provider as this could indicate an allergic reaction." D) "Discontinue the medication as soon as symptoms improve." Answer: C) "If you develop a rash, contact your healthcare provider as this could indicate an allergic reaction." Question 9: Scenario: A patient who has been taking prednisone for chronic asthma management is suddenly experiencing weight gain, swelling, and moon face. Which of the following is the most likely cause of these symptoms? A) Prednisone-induced Cushing's syndrome
B) Allergic reaction to prednisone C) Anemia from prednisone therapy D) Dehydration due to corticosteroid use Answer: A) Prednisone-induced Cushing's syndrome Question 10: Scenario: A nurse is preparing to administer a dose of furosemide (Lasix) to a patient with heart failure. Which of the following assessments should the nurse prioritize before giving the medication? A) Blood pressure B) Temperature C) Oxygen saturation D) Blood glucose level Answer: A) Blood pressureQuestion 11: Scenario: A patient is receiving chemotherapy and is prescribed ondansetron to prevent nausea and vomiting. The nurse should monitor for which of the following potential side effects of this medication? A) Drowsiness B) Tachycardia C) Prolonged QT interval D) Increased appetite Answer: C) Prolonged QT interval Question 12: Scenario: A patient has been prescribed lithium for the treatment of bipolar disorder. The nurse is educating the patient about the signs of lithium toxicity. Which of the following symptoms is associated with lithium toxicity?
Question 15: Scenario: A patient with chronic kidney disease (CKD) is prescribed epoetin alfa to treat anemia. The nurse should monitor for which of the following potential adverse effects of epoetin alfa therapy? A) Hyperkalemia B) Seizures C) Hypertension D) Hypotension Answer: C) Hypertension Question 16: Scenario: A patient is prescribed azithromycin for a respiratory infection. The nurse should educate the patient on the potential side effects. Which of the following is a common side effect of azithromycin? A) Gastrointestinal upset B) Tinnitus C) Photosensitivity D) Hypotension Answer: A) Gastrointestinal upset Question 17: Scenario: A 55-year-old female patient with a history of osteoporosis is prescribed alendronate. The nurse should provide which of the following instructions to ensure the medication is taken safely? A) "Take the medication with a full glass of water and remain upright for at least 30 minutes after taking it." B) "Take the medication with food to prevent stomach irritation."
C) "Take the medication at bedtime to minimize side effects." D) "It is best to take the medication with a calcium supplement." Answer: A) "Take the medication with a full glass of water and remain upright for at least 30 minutes after taking it." Question 18: Scenario: A patient is prescribed atenolol for hypertension. The nurse is educating the patient on how to manage the medication. Which of the following should the nurse include in the education? A) "Do not suddenly stop taking this medication, as it may cause rebound hypertension." B) "You should take atenolol on an empty stomach for maximum absorption." C) "This medication can cause significant weight gain, so monitor your weight closely." D) "Atenolol is best taken before meals to reduce side effects." Answer: A) "Do not suddenly stop taking this medication, as it may cause rebound hypertension." Question 19: Scenario: A patient has been prescribed nifedipine for the management of hypertension and angina. The nurse should monitor for which of the following potential side effects of nifedipine? A) Bradycardia B) Peripheral edema C) Hypokalemia D) Hyperglycemia Answer: B) Peripheral edema
C) High-fat foods D) Antihistamines Answer: B) Nonsteroidal anti-inflammatory drugs (NSAIDs) Question 23: Scenario: A 60-year-old female patient with a history of osteoporosis is prescribed raloxifene. The nurse should educate the patient about the potential risk of which of the following complications while on this medication? A) Pulmonary embolism B) Hypertension C) Hyperglycemia D) Liver dysfunction Answer: A) Pulmonary embolism Question 24: Scenario: A patient is prescribed hydrocodone with acetaminophen for pain management after surgery. The nurse should monitor for which of the following adverse effects of hydrocodone? A) Hypertension B) Respiratory depression C) Diarrhea D) Weight loss Answer: B) Respiratory depression Question 25:
Scenario: A patient who is HIV-positive is prescribed tenofovir/emtricitabine as part of their antiretroviral therapy. The nurse should educate the patient about which of the following potential adverse effects? A) Liver toxicity B) Peripheral neuropathy C) Kidney dysfunction D) Weight gain Answer: C) Kidney dysfunctionQuestion 26: Scenario: A 50-year-old male patient is prescribed sildenafil for erectile dysfunction. The nurse should caution the patient about which of the following potential interactions? A) Concurrent use with nitrates B) Concurrent use with diuretics C) Concurrent use with antihistamines D) Concurrent use with aspirin Answer: A) Concurrent use with nitrates Question 27: Scenario: A patient is receiving intravenous morphine for pain management following surgery. The nurse should closely monitor the patient for which of the following adverse effects of morphine? A) Tachypnea B) Respiratory depression C) Hypotension D) Hyperglycemia Answer: B) Respiratory depression
B) Hypothyroidism C) Bradycardia D) Ototoxicity Answer: A) HepatotoxicityQuestion 31: Scenario: A patient is prescribed omeprazole for gastroesophageal reflux disease (GERD). The nurse should advise the patient to take this medication at what time of day for optimal effectiveness? A) With meals to enhance absorption B) Just before bedtime to reduce nighttime symptoms C) 30 minutes before breakfast on an empty stomach D) Immediately after meals to reduce stomach irritation Answer: C) 30 minutes before breakfast on an empty stomach Question 32: Scenario: A patient is receiving heparin therapy for deep vein thrombosis (DVT). The nurse is monitoring the patient's activated partial thromboplastin time (aPTT) to ensure the medication is at the correct therapeutic level. What is the typical target range for aPTT while on heparin? A) 20-30 seconds B) 30-40 seconds C) 60-80 seconds D) 100-120 seconds Answer: C) 60-80 seconds Question 33:
Scenario: A 40-year-old female patient is prescribed methotrexate for rheumatoid arthritis. The nurse should monitor for which of the following potential adverse effects of methotrexate? A) Gastrointestinal bleeding B) Bone marrow suppression C) Hyperkalemia D) Pulmonary edema Answer: B) Bone marrow suppression Question 34: Scenario: A patient has been prescribed levodopa/carbidopa for Parkinson's disease. The nurse should educate the patient to avoid which of the following foods that can interfere with the absorption of levodopa? A) High-fat foods B) High-protein foods C) High-fiber foods D) High-sugar foods Answer: B) High-protein foods Question 35: Scenario: A patient is prescribed vancomycin for a severe bacterial infection. The nurse should monitor for which of the following potential side effects associated with vancomycin? A) Ototoxicity and nephrotoxicity B) Hyperkalemia and hypotension C) Hypertension and hyperglycemia D) Leukopenia and thrombocytosis
B) The patient should avoid sun exposure as the medication can cause photosensitivity. C) The medication can cause permanent discoloration of teeth. D) The patient may develop a metallic taste in the mouth. Answer: A) The urine, sweat, and tears may turn a red-orange color. Question 39: Scenario: A 45-year-old male patient is prescribed ciprofloxacin for a urinary tract infection. The nurse should educate the patient on the importance of avoiding which of the following while on this medication? A) Dairy products B) High-fat foods C) Antacids or multivitamins with calcium, magnesium, or aluminum D) Foods high in potassium Answer: C) Antacids or multivitamins with calcium, magnesium, or aluminum Question 40: Scenario: A patient with asthma is prescribed montelukast. The nurse should educate the patient about which of the following common side effects of this medication? A) Weight gain B) Insomnia C) Headache D) Muscle cramps Answer: C) HeadacheQuestion 41:
Scenario: A patient is prescribed acetaminophen for pain management. The nurse should advise the patient to avoid which of the following while taking this medication? A) Taking more than the recommended dose to relieve pain B) Consuming alcohol, as it increases the risk of liver toxicity C) Taking it on an empty stomach for faster absorption D) Using it with aspirin to increase its effectiveness Answer: B) Consuming alcohol, as it increases the risk of liver toxicity Question 42: Scenario: A patient is receiving epoetin alfa to treat anemia due to chronic kidney disease. The nurse should monitor the patient for which of the following adverse effects associated with this medication? A) Hypotension B) Hypertension C) Hypokalemia D) Weight loss Answer: B) Hypertension Question 43: Scenario: A 75-year-old patient is prescribed donepezil for the management of Alzheimer's disease. The nurse should educate the patient about which of the following potential side effects? A) Insomnia B) Weight gain C) Dizziness and lightheadedness D) Dry mouth
C) Bradycardia, lethargy, and confusion D) Muscle cramps, blurred vision, and dizziness Answer: A) Nausea, vomiting, and restlessness Question 47: Scenario: A patient is being treated with phenytoin for seizure management. The nurse should monitor the patient for which of the following long-term side effects? A) Gingival hyperplasia B) Hypoglycemia C) Weight gain D) Visual disturbances Answer: A) Gingival hyperplasia Question 48: Scenario: A 50-year-old male patient with a history of hypertension and type 2 diabetes is prescribed lisinopril. The nurse should monitor for which of the following adverse effects that are common with angiotensin-converting enzyme (ACE) inhibitors? A) Hypokalemia B) Hyperkalemia C) Hyperglycemia D) Hypoglycemia Answer: B) Hyperkalemia Question 49:
Scenario: A patient is prescribed warfarin for anticoagulation therapy. The nurse should instruct the patient to avoid which of the following foods that may interfere with the effectiveness of warfarin? A) Spinach and kale B) Bananas and apples C) Chicken and turkey D) Whole grains Answer: A) Spinach and kale Question 50: Scenario: A 60-year-old female patient is prescribed raloxifene for osteoporosis. The nurse should instruct the patient to be aware of which of the following potential complications while on this medication? A) Risk of deep vein thrombosis (DVT) B) Increased risk of hypoglycemia C) Decreased risk of infection D) Weight gain Answer: A) Risk of deep vein thrombosis (DVT)
