Pharmacology Exam 1 Test Questions, Exams of Nursing

Download Pharmacology Exam 1 Test Questions and more Exams Nursing in PDF only on Docsity! Pharmacology Exam 1 Test Questions Mr. Smith presents to the Emergency Department in cardiac arrest. His wife is concerned about the cost of his treatment because they do not have medical insurance. When deciding on the emergent medication to give her husband, Mrs. Smith requests for all generic medications to be prescribed. The medical team insist that the patient receives the brand name emergent drugs because of the brand name drug's: A. Bioavailability. B. First-pass effect. C. Half-life (t ½). D. Pro drug metabolism. - AnswerA. Bioavailability. Mrs. Kline has been started on Enbrel for her treatment of rheumatoid arthritis. The medication is to be given in an injection form once per week. Mrs. Kline asks the nurse why she cannot receive the medication daily. Your best response to Mrs. Kline is based on the dosing interval knowledge of the drug's: A. Efficacy B. Excretion C. Half-life (t ½) D. Bioavailability - AnswerC. Half-life (t ½) Miss. Parker is prescribed morphine for her chronic back pain. She request for the medication to be phoned into her local pharmacy. The nurse informs the client that her request cannot be honored and she will need deliver a paper copy of the prescription to her pharmacy based on morphine being listed as a DEA monitored: A. Pro drug. B. Scheduled drug. C. Brand name drug. D. Generic name drug. - AnswerB. Scheduled drug. Mr. Green presents to his Cardiology appointment to discuss starting on a new anti-hypertensive medication. The client is prescribed a 10mg anti-hypertensive tablet and within a month his blood Pharmacology Exam 1 Test Questions pressure is normotensive. He asks the nurse if he can be switched to a different antihypertensive 50mg tablet instead because his friend has been prescribed this different drug. The nurse explains to the client that the 10mg anti-hypertensive was prescribed and it is best not to change medications because the original order is considered more: A. Efficacious. B. Bioavailable. C. Potent. D. Metabolized. - AnswerA. Efficacious. Jackie is a 27 year-old female who is admitted to the Digestive Health Unit with painful pancreatitis and cirrhosis of the liver. The medical team reduces the client's pain medication due to the decrease ability of her liver to: A. Absorb the pain medication. B. Metabolize the pain mediation. C. Distribute the pain medication. D. Excrete the pain medication. - AnswerB. Metabolize the pain mediation. Mayer is a 30 year-old male who presents to the outpatient nephrology unit with renal insufficiency. The nurse explains that his current prescribed medication dosage may need to be reduced due to the decrease in: A. Metabolism. B. Excretion. C. Absorption. D. Distribution. - AnswerB. Excretion. Usually expected and inevitable effect of the drug when a medication is given at a therapeutic dose is known as a(n): A. Side effect. Pharmacology Exam 1 Test Questions D. The DEA process. - AnswerC. The nursing process. Some PO medications are inactivated through the liver and may require a higher dose to achieve a therapeutic effect. This process is referred to the: A. Therapeutic response. B. Pro drug process. C. Half-life (t ½). D. First-pass effect. - AnswerD. First-pass effect. The emergency department nurse is caring for a patient who is having the onset of an aura prior to developing a severe migraine. Which drug would the nurse anticipate administering to abort the patient's migraine symptoms: A. Morphine. B. Sumatriptan (Imitrex). C. Tramadol. D. Fentanyl. - AnswerB. Sumatriptan (Imitrex). Factors influencing the rate of medication metabolism includes: A. Age. B. Smoking. C. Allergies. D. Half-life (t ½). - AnswerA. Age. The nurse is caring for several patients who are receiving opioids for pain relief. Which patient is at the highest risk of developing hypotension, respiratory depression, and mental confusion? A. A 23-year-old female with acne who has a ruptured appendix. Pharmacology Exam 1 Test Questions B. A 16-year-old male with a sunburn who has a fractured humerus. C. A 54-year-old female with high cholesterol who had a myocardial infarction. D. An 86-year-old male, with emphysema who has a femur fracture. - AnswerD. An 86-year-old male, with emphysema who has a femur fracture. The nurse is scheduled to give medications to residents who live at a nursing home facility. The nurse enters the room to administer medications and discovers there are 3 nursing home residents in the room. The best way for the nurse to verify the correct client is to: A. Ask the clients, "Which one of you is Cindy?" B. Verify the client's name on the door and assume the client in the bed is the correct patient. C. Ask the clients, "What is your name and date of birth?" And check the medical record number on the armband with the medication administration record. D. Ask the clients, "Are any of you scheduled to have medication this morning?" - AnswerC. Ask the clients, "What is your name and date of birth?" And check the medical record number on the armband with the medication administration record. Dosing intervals-timing of medications are determined by the medication's: A. Half-life (t ½). B. Therapeutic response. C. First-pass effect. D. Pro drug effect. - AnswerA. Half-life (t ½). Fred is a 65 year-old male who presents to his primary care office for a routine physical exam. The nurse completes a medication reconciliation of all his home medications and discovers the client has been taking his medications right after consuming large dinners. The nurse explains to the client that some medications may need to be taken on an empty stomach due to the affect food can have on medication: A. Absorption. B. Distribution. C. Metabolism. Pharmacology Exam 1 Test Questions D. Excretion. - AnswerA. Absorption. The client with renal insufficiency experiences toxicity to morphine following the administration of several doses. This adverse reaction may have been prevented if the nurse had followed which phase of the nursing process? A. Assessment of kidney function lab test. B. Evaluation for toxic effects of the drug. C. Planning of when to draw liver enzyme labs. D. Assessment of liver function lab test. - AnswerA. Assessment of kidney function lab test. The nurse on the Orthopedic Unit is scheduled to administer morning medications through the gastrointestinal (GI) both orally (PO) and through nasogastric and gastrostomy tubes. The nurse understands that this route is considered: A. Parenteral route. B. Enteral route. C. Rectal route. D. Intramuscular route. - AnswerB. Enteral route. Tretinoin (Retin-A), by mouth, is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? A. Liver function/enzyme level. B. Potassium level. C. Calcium level. D. Blood glucose level. - AnswerA. Liver function/enzyme level. Mr. Jones is prescribed to take ibuprofen 800mg tablet PO every 12 hours for chronic back pain. The client asks the nurse if he can also take Motrin or Advil to help with break-through pain? The nurse's best response is: Pharmacology Exam 1 Test Questions 31. A 50-year-old woman has cerebrovascular disease. She has received treatment for migraine headaches in the past. Which of the following patient teaching guidelines is a priority on her discharge from the rehabilitation facility? A. Take estrogen to prevent a menstrual migraine. B. Take gabapentin (Neurontin) for neuropathic pain. C. Do not take sumatriptan (Imitrex) for migraine headache. D. Take zolmitriptan (Zomig) because it has a more rapid onset of action. - AnswerC. Do not take sumatriptan (Imitrex) for migraine headache. 32. Permethrin 5% (Elimite) is prescribed for a 4-year-old child with a diagnosis of scabies. The nurse instructs the mother regarding the use of this treatment. Which instruction is appropriate? A. Apply the lotion and leave it on for 4 hours. B. Apply the lotion to the hair, the face, and the entire body. C. The child should wear no clothing while the lotion is in place. D. Apply the lotion from the neck down and leave on for 8-14 hours. - AnswerD. Apply the lotion from the neck down and leave on for 8-14 hours. 33. A nurse is teaching a group of nursing students about local anesthetics (lidocaine). Which statement by a student reflects an understanding of the teaching? A. "Local anesthetics affect large myelinated neurons first." B. "Local anesthetics affect motor and sensory nerves." C. "Local anesthetics do not block temperature perception." D. "Local anesthetics do not cause systemic effects." - AnswerB. "Local anesthetics affect motor and sensory nerves." 34. Vasoconstrictors are combined with local anesthetics for which reasons? (Select all that apply.) A. To enhance absorption. Pharmacology Exam 1 Test Questions B. To decrease the risk of toxicity. C. To prevent bradycardia. D. To decrease the duration of action. E. To prolong anesthesia. - AnswerB. To decrease the risk of toxicity. E. To prolong anesthesia. 35. A nurse is teaching a patient who has a second-degree burn on one arm about the use of the topical anesthetic, benzocaine, for pain. Which statement by the patient indicates understanding of the teaching? A. "I will spray a small amount of the medication to a small area of skin." B. "I will cover the burn with a dressing after applying the medication." C. "I will make sure to apply the medication to the entire burn area." D. "I will use the medication only on the most painful, blistered areas." - AnswerA. "I will spray a small amount of the medication to a small area of skin." 36. A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse checks the client for: A. Sudden episodes of constipation. B. Sudden increase in pain. C. Scattered lung wheezes. D. Sudden episodes of diarrhea. - AnswerB. Sudden increase in pain. 37. The nurse has provided instructions to a client regarding the use of tretinoin (Retin-A). Which statement, if made by the client, indicates the need for further instructions? A. I will apply a very small, thin layer to one area on the skin. B. Optimal results could be seen after 6 weeks. C. I will wash my hands thoroughly after applying the medication. Pharmacology Exam 1 Test Questions D. I will cleanse the skin thoroughly before applying the medication. - AnswerA. I will apply a very small, thin layer to one area on the skin. 38. A patient is admitted with the following vital signs: 37.6 °C, P 96, R 16, 140/90 mm Hg. If the patient is scheduled for a dose of an opioid, which vital sign parameter would require an immediate intervention? A. Pulse rate of 110 beats per minute. B. Temperature of 38.0C C. Respiratory rate of 10 breaths per minute. D. Blood pressure of 160/86 mmHg. - AnswerC. Respiratory rate of 10 breaths per minute. 39. A patient with multiple partial-thickness burns is ordered tramadol prn. The nurse assesses the effectiveness of this medication by monitoring the patient's: A. Oxygen saturation. B. Anxiety and restlessness. C. Pain rating. D. Wound healing. - AnswerC. Pain rating. 40. The nurse is discussing the System to Manage Accutane (tretinoin) Related Teratogenicity (SMART) with a client who has severe acne. Which statement by the female client would cause the healthcare provider to Not Prescribe PO tretinoin (Accutane)? A. "The only contraception I use is birth control pills." B. "My menstrual cycles have been regular and heavy." C. "I hope this works because I am so tired of being ugly." D. "I will have to come in every month for a pregnancy test." - AnswerA. "The only contraception I use is birth control pills."