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6. Physiological Integrity: Pharmacological and Parenteral Therapies

Pharmacological and Parenteral Therapies: Managing medications and intravenous treatments safely
13–19%

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Question 1 of 20

1. The nurse is preparing to administer the antidote for a client experiencing excessive bleeding due to Heparin therapy. Which of the following medications is the antagonist used to reverse the effects of Heparin?

A

Warfarin

B

Vitamin

C

Protamine sulfate

D

Naloxone

Question 2 of 20

2. The nurse is monitoring a client receiving a medication with anticholinergic properties. Which of the following findings is a common anticholinergic adverse effect?

A

Increased taste perception

B

Increased salivation

C

Urinary retention

D

Diarrhea

Question 3 of 20

3. The nurse is evaluating the effectiveness of intravenous Heparin therapy. The therapeutic goal is to maintain the partial thromboplastin time (PTT) within which of the following ranges of the control value?

A

1.0 to 1.5 times

B

1.5 to 2.5 times

C

2.5 to 3.0 times

D

3.0 to 4.0 times

Question 4 of 20

4. The nurse is assessing the adverse effects of Morphine sulfate administration. Which of the following is a potential respiratory adverse effect of this medication?

A

Increased respiratory rate

B

Increased cough reflex

C

Decreased cough reflex

D

Bronchospasm

Question 5 of 20

5. The nurse is monitoring a client for adverse drug reactions affecting the Central Nervous System . Which of the following is an assessment finding associated with impairment caused by medications?

A

Orthostatic hypotension

B

Hallucinations

C

Tinnitus

D

Anaphylaxis

Question 6 of 20

6. The nurse is administering the antidote for a client experiencing excessive bleeding due to Warfarin (Coumadin) therapy. Which of the following medications is the antidote for Warfarin?

A

Protamine sulfate

B

Epinephrine

C

Vitamin K

D

Sodium bicarbonate

Question 7 of 20

7. The nurse is providing education regarding the medication . Which of the following is the primary use of related to tuberculosis ?

A

To treat active disease only

B

To prevent disease in person exposed to the organism

C

To diagnose latent tuberculosis

D

To treat multidrug-resistant tuberculosis

Question 8 of 20

8. The nurse is reviewing the medication classification used to treat iron deficiency anemia. Which of the following medications is commonly used for this condition?

A

Vitamin B12 replacement

B

Folic acid

C

Ferrous sulfate

D

Hydroxyurea

Question 9 of 20

9. The nurse is reviewing the medical history of a client prior to administering . Which of the following client populations requires the nurse to administer with particular caution?

A

Clients with asthma

B

Clients with renal insufficiency

C

Clients with severe constipation

D

Clients who have elevated potassium levels

Question 10 of 20

10. The nurse is preparing to administer intravenous fluids to a client who needs volume restoration. Which of the following intravenous fluids is categorized as isotonic?

A

5% dextrose in water

B

3% NaCl

C

0.45% NaCl

D

0.9% NaCl

Question 11 of 20

11. The nurse is monitoring a client receiving therapy. The nurse knows that carries a high risk of which of the following adverse effects?

A

Tissue necrosis

B

Hemorrhage

C

Leukocytosis

D

Hyperkalemia

Question 12 of 20

12. The nurse is teaching a client about the action of Angiotensin-Converting Enzyme  inhibitors. inhibitors work by blocking in the lungs from converting angiotensin to which substance?

A

Angiotensin II

B

Renin

C

Aldosterone

D

Bradykinin

Question 13 of 20

13. The nurse is instructing a client taking Warfarin  about dietary restrictions. Which of the following dietary components should the nurse advise the client to limit?

A

Green vegetables (high in Vitamin K)

B

Citrus fruits

C

Red meat

D

Dairy products

Question 14 of 20

14. The nurse is preparing a client to receive a non-tunneled percutaneous central catheter. This type of device is typically utilized for intravenous  therapy lasting less than which of the following durations?

A

2 weeks

B

6 weeks

C

3 months

D

6 months

Question 15 of 20

15. The nurse is administering a urinary tract analgesic to a client experiencing painful urination. Which of the following medications is known to cause the client's urine to turn bright orange?

A

Nitrofurantoin

B

Phenazopyridine

C

Oxybutynin

D

Hyoscyamine

Question 16 of 20

16. The nurse is monitoring a client receiving a high dose of intravenously. Which of the following is the primary pharmacological action of high-dose ?

A

Dilates renal arteries

B

Acts as a vasoconstrictor

C

Decreases blood pressure

D

Reduces myocardial oxygen consumption

Question 17 of 20

17. The nurse observes Trousseau’s sign (carpopedal spasm) when assessing a client. This finding indicates the presence of which of the following electrolyte imbalances?

A

Hyperkalemia

B

Hypernatremia

C

Hypocalcemia

D

Hypomagnesemia

Question 18 of 20

18. The nurse is caring for a client with increased intracranial pressure . Which classification of medication is administered as an osmotic diuretic to reduce fluid volume in this setting?

A

Loop diuretic

B

Thiazide diuretic

C

Osmotic diuretic

D

Potassium-sparing diuretic

Question 19 of 20

19. The nurse is educating parents about over-the-counter medications. is contraindicated in children younger than due to the risk of developing which of the following conditions?

A

Osteomyelitis

B

Hepatitis

C

Reye’s syndrome

D

Anaphylaxis

Question 20 of 20

20. The nurse is performing a medication reconciliation and notes a client is taking the herbal supplement . is known to have activity similar to which classification of scheduled medication?

A

Antidepressants

B

Benzodiazepines

C

Antihistamines

D

Opioids

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