NCLEX Pharmacology Quiz 50 Immunological Medications

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Santepro
S
Santepro
Community Contributor
Quizzes Created: 468 | Total Attempts: 2,581,569
| Attempts: 1,409
SettingsSettings
Please wait...
  • 1/10 Questions

    Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to report which of the following symptoms immediately?

    • Muscle pain.
    • Constipation.
    • Fatigue.
    • Hearing loss.
Please wait...
About This Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

NCLEX Pharmacology Quiz 50 Immunological Medications - Quiz

Quiz Preview

  • 2. 

    A post-kidney transplant client went to the health care facility to ask the nurse regarding vaccinations while on Tacrolimus (Prograf) a medication used to prevent organ rejection. Which of the following is an appropriate response of the nurse? 

    • “Do not skip due doses of vaccination for this can help in your treatment”.

    • “You can have live vaccinations even without the approval of the physician”.

    • “Influenza can happen anytime. so a flu vaccine is a must.”

    • “Do not receive any live vaccinations while on this treatment”.

    Correct Answer
    A. “Do not receive any live vaccinations while on this treatment”.
    Explanation
    Tacrolimus may lower your body’s resistance and the vaccine may not work as well or the client may get the infection the vaccine is meant to prevent.

    Rate this question:

  • 3. 

    A nurse is giving instructions to a client taking Ciprofloxacin (Cipro) for the treatment of gonorrhea. The nurse tells the client to?

    • Report any history of tendon problems.

    • Resume daily exercise such as biking.

    • Take an antacid 30 minutes prior.

    • Take it with a yogurt as part of the treatment.

    Correct Answer
    A. Report any history of tendon problems.
    Explanation
    Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body). especially in the Achilles’ tendon of the heel. This can happen during treatment or up to several months after the client stop taking ciprofloxacin.Option B: This medication can cause dizziness so avoid any activity that requires alertness until the client is sure to perform such activities safely.Option C: Take ciprofloxacin at least 2 hours before or 6 hours after taking an antacid.Option D: Eating dairy products such as yogurt will impair the effectiveness of ciprofloxacin.

    Rate this question:

  • 4. 

    A nurse is giving instructions to a client who is receiving Mycophenolate mofetil (CellCept) and Mycophenolic acid (Myfortic) after undergoing a heart transplant. The nurse tells the client to anticipate the following side effects. except?

    • Insomnia.

    • Vomiting.

    • Hypertension.

    • Diarrhea.

    Correct Answer
    A. Insomnia.
    Explanation
    These medications can cause diarrhea. vomiting. sepsis. back pain. neutropenia and hypertension.

    Rate this question:

  • 5. 

    A client went to the emergency room with complaints of abdominal pain. nausea. diarrhea and mucoid stools. Upon the interview of the nurse. the client stated that he is taking Cefixime (Suprax) for the treatment of urinary tract infection. The nurse determines that the client is most likely suffering from?

    • Crohn’s disease.

    • Acute Gastroenteritis.

    • Acute appendicitis.

    • Pseudomembranous colitis.

    Correct Answer
    A. Pseudomembranous colitis.
    Explanation
    Pseudomembranous colitis also called antibiotic-associated colitis or C. difficile colitis. is the inflammation of the colon associated with an overgrowth of the bacterium Clostridium difficile. This overgrowth of C. difficile is most often related to recent antibiotic use such as ampicillin. clindamycin. fluoroquinolones. and cephalosporins.Options A. B. and C may have the symptoms of the client but are not likely due to this case.

    Rate this question:

  • 6. 

    Amphotericin B (Fungizone) IV is given to a client with aspergillosis. a fungal infection. In order to prevent its side effects. the nurse anticipate administering which of the following prior. except?

    • Hydrocortisone.

    • Ketoconazole.

    • Diphenhydramine.

    • Meperidine.

    Correct Answer
    A. Ketoconazole.
    Explanation
    Azole antifungals (eg. ketoconazole) decreases the effectiveness of amphotericin b.Options A and C: Fever. shaking. chills. flushing. loss of appetite. dizziness. nausea. vomiting. headache. shortness of breath. or fast breathing may occur 1 to 3 hours after the infusion is started. Medications such as acetaminophen. diphenhydramine. corticosteroids such as hydrocortisone) may be necessary to prevent these side effects.Option D: Meperidine (25 to 50 mg IV) has been shown in some patients to decrease the duration of shaking chills and fever that may accompany the infusion of amphotericin B.

    Rate this question:

  • 7. 

    A client is recently diagnosed with HIV and a highly antiretroviral therapy is started. After the first week of therapy. the patient complains of headaches. dizziness. and nightmares. Which one of the following anti-retroviral drugs is most likely associated with these symptoms?

    • Lamivudine.

    • Efavirenz.

    • Tenofovir.

    • Saquinavir.

    Correct Answer
    A. Efavirenz.
    Explanation
    Efavirenz is a non-nucleoside reverse transcriptase inhibitor. Side effects include rash. dizziness. confusion. headache. and nightmares.Options A and C: Lamivudine and Tenofovir side effects includes headache. dizziness. nausea. diarrhea. or trouble sleeping.Option D: Saquinavir can cause headache. nausea. diarrhea. and photosensitivity.

    Rate this question:

  • 8. 

    The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet (Foscavir). The nurse carefully monitors which of the following laboratory test during the treatment with this medication. except?

    • Serum creatinine.

    • Serum calcium.

    • Serum magnesium.

    • Serum sodium.

    Correct Answer
    A. Serum sodium.
    Explanation
    Renal impairment is the major toxicity involve in Foscarnet (Foscavir); This medicine also may cause decreased levels of calcium. magnesium. phosphorous. and potassium.

    Rate this question:

  • 9. 

     Sirolimus (Rapamune) is prescribed to a post-renal transplantation client. Upon the review of the chart. the nurse expects which of the following laboratory results?

    • Elevated serum potassium.

    • Decreased cholesterol level.

    • Elevated platelet count.

    • Elevated triglyceride level.

    Correct Answer
    A. Elevated triglyceride level.
    Explanation
    Sirolimus (Rapamune) raises cholesterol and triglyceride levels. This medication also causes a decrease in potassium and platelet count.

    Rate this question:

  • 10. 

    Tetracycline has been prescribed for a client with Chlamydia trachomatis infection. Select the side effect of the medication. Select all that apply?

    • Glossitis.

    • Tremors.

    • Urinary frequency.

    • Discoloration of the nails.

    • Photosensitivity.

    Correct Answer(s)
    A. Glossitis.
    A. Discoloration of the nails.
    A. Photosensitivity.
    Explanation
    Side effects of tetracycline include glossitis. discoloration of the nails. photosensitivity. anorexia. nausea. vomiting. diarrhea. bulky loose stools. stomatitis. sore throat. black hairy tongue.dysphagia.and hoarseness.

    Rate this question:

Quiz Review Timeline (Updated): Aug 19, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Aug 19, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 17, 2017
    Quiz Created by
    Santepro
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.