BSN Pharmacology and Medication Administration

Question 1

A nurse is preparing to administer digoxin to a patient. Which assessment finding should prompt the nurse to withhold the medication and notify the provider?

Accepted Answer

Apical pulse of 58 bpm

Answer

Blood pressure of 118/76 mmHg

Answer

Respiratory rate of 16 breaths/min

Answer

Temperature of 98.8°F

Question 2

Which electrolyte imbalance increases a patient's risk for digoxin toxicity?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypercalcemia

Question 3

A patient is receiving IV heparin and the aPTT result is 120 seconds (normal therapeutic range 60–100 seconds). What is the nurse's priority action?

Accepted Answer

Notify the provider and anticipate a dose reduction

Answer

Increase the infusion rate per sliding scale

Answer

Administer protamine sulfate immediately

Answer

Draw a repeat aPTT in 2 hours

Question 4

The nurse is teaching a patient about warfarin therapy. Which food should the patient be instructed to consume consistently rather than avoid entirely?

Accepted Answer

Foods high in vitamin K such as leafy green vegetables

Answer

Foods high in vitamin C such as citrus fruits

Answer

High-fiber foods such as whole grains

Answer

High-protein foods such as lean meats

Question 5

A patient with type 2 diabetes is prescribed metformin. Which condition is an absolute contraindication to metformin use?

Accepted Answer

Renal impairment with GFR below 30 mL/min

Answer

Mild hypertension controlled with diet

Answer

A history of seasonal allergies

Answer

BMI greater than 30 kg/m²

Question 6

Which statement by a patient indicates correct understanding of taking oral iron supplements?

Accepted Answer

'I will take my iron pill with a glass of orange juice.'

Answer

'I will take my iron with a glass of milk to prevent stomach upset.'

Answer

'I should take my iron right before bed with antacids.'

Answer

'I can take my iron at the same time as my calcium supplement.'