MSNCB Pharmacology & Medication Management 3

Question 1

A post-op patient is prescribed ketorolac (Toradol). The nurse should assess which organ system most closely during therapy?

Accepted Answer

Renal function

Answer

Ketorolac is an NSAID that can cause renal vasoconstriction and acute kidney injury, particularly in hypovolemic or older patients.

Question 2

Which medication used for type 2 diabetes is associated with the highest risk of hypoglycemia when used as monotherapy?

Accepted Answer

Glipizide (Glucotrol)

Answer

Sulfonylureas like glipizide stimulate insulin release independent of blood glucose levels, making hypoglycemia the most common serious adverse effect.

Question 3

A patient prescribed furosemide should be monitored for which electrolyte disturbance?

Accepted Answer

Hypokalemia

Answer

Furosemide is a loop diuretic that causes significant potassium loss in the urine, requiring routine monitoring for hypokalemia.

Question 4

A nurse administers insulin glargine at 0800. When should the nurse assess the patient for peak hypoglycemic effect?

Accepted Answer

Glargine has no pronounced peak

Answer

Insulin glargine (Lantus) is a long-acting insulin with a flat pharmacokinetic profile and no pronounced peak, providing stable 24-hour basal coverage.

Question 5

Which medication requires the nurse to hold it if the patient's heart rate is below 60 bpm?

Accepted Answer

Metoprolol

Answer

Metoprolol is a beta-blocker that decreases heart rate and should be withheld and the provider notified if the apical pulse is below 60 bpm.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Pharmacology & Medication Management 3