Advanced Pharmacology for Nurses
Midterm Exam
Course Introduction
Advanced Pharmacology for Nurses provides an in-depth exploration of pharmacological principles and their clinical applications in nursing practice. The course covers the mechanisms of action, therapeutic uses, side effects, interactions, and contraindications of major drug classes. Emphasis is placed on evidence-based medication management, safe administration, dosage calculations, patient education, and monitoring. The curriculum also addresses the impact of genetics, age, and comorbidities on drug therapy, preparing nurses to make informed decisions in complex clinical settings and to collaborate effectively with interdisciplinary teams for optimal patient outcomes.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Linda E. McCuistion
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59 Chapters
928 Verified Questions
928 Flashcards
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Chapter 1: Drug Action: Pharmaceutic, pharmacokinetic, and Pharmacodynamic Phases
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36408
Sample Questions
Q1) The nurse prepares to change a patient's medication from an intravenous to an oral form and notes that the oral form is ordered in a higher dose.The nurse understands that this is due to differences in A)bioavailability. B)pinocytosis.
C)protein binding.
D)tachyphylaxis.
Answer: A
Q2) The nurse administers albuterol to a patient who has asthma.The albuterol acts by stimulating beta?-adrenergic receptors to cause bronchodilation.The nurse understands that albuterol is a beta-adrenergic A)agonist.
B)antagonist.
C)inhibitor.
D)depressant.
Answer: A
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3
Chapter 2: The Drug Approval Process
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A patient receives a prescription on which the provider has noted that a generic medication may be given.The patient asks the nurse what this means.What will the nurse tell the patient about generic drugs?
A)They contain the same inert ingredients as brand-name drugs.
B)They have chemical structures that are identical to proprietary drugs.
C)They tend to be less expensive than brand-name drugs.
D)They undergo extensive testing before they are marketed.
Answer: C
Q2) The nurse administers a drug and miscalculates the dose by placing the decimal place one space to the right,resulting in a 10-fold overdose and the death of the patient.What offense does this represent?
A)Malfeasance
B)Malpractice
C)Misfeasance
D)Nonfeasance
Answer: C
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4
Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The nurse is preparing to discuss long-term care needs with a patient newly diagnosed with a chronic disease.The patient is of Latin American descent.The nurse will plan to take which action when teaching this patient?
A)Discussing long-term outcomes associated with compliance of the prescribed regimen
B)Highlighting various traditional healing practices that will not be effective for this patient's care
C)Providing factual information and answering all questions as they arise
D)Providing teaching in increments,allowing periods of silence to allow assimilation of information
Answer: C
Q2) The nurse is caring for an African-American patient who is taking warfarin (Coumadin)to prevent blood clots.The nurse will monitor this patient carefully for which effect?
A)Decreased therapeutic effects
B)Heightened risk for hemorrhage
C)Increased risk of hypersensitivity
D)Potential risk of paradoxical effects
Answer: A
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Chapter
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient is taking phenytoin to prevent seizures.The nurse knows that phenytoin is highly protein-bound and has sedative side effects.The nurse reviews the patient's chart and notes a low serum albumin.The nurse will notify the provider and observe the patient for which effects?
A)Decreased sedative effects
B)Increased sedative effects
C)Increased seizures
D)No change in effects
Q2) The nurse is preparing to administer erythromycin to a patient who takes digoxin.The nurse will plan to monitor the patient for A)digoxin toxicity.
B)decreased digoxin effects.
C)erythromycin toxicity.
D)decreased erythromycin effects.
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Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A patient with asthma has been using a nicotine transdermal 24-hour patch for 3 weeks to quit smoking.The patient reports having difficulty sleeping.What action will the nurse take?
A)Ask the provider for a prescription for Nicotrol NS.
B)Recommend removing the patch at bedtime.
C)Suggest using an 18-hour patch instead.
D)Tell the patient to stop the patch and join a support group.
Q2) The nurse is caring for a patient who is being treated for chronic alcohol intoxication.The nurse notes that the patient's serum alcohol level is 0.40 mg%.The patient is awake and talkative even though this is a potentially lethal dose.The nurse recognizes this as alcohol
A)addiction.
B)dependence.
C)misuse.
D)tolerance.
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Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is providing preoperative education to a patient who will have surgery in several weeks.The patient denies taking anticoagulant medications but reports using herbal supplements.Which herb would cause the nurse to be concerned?
A)Echinacea
B)Ginkgo biloba
C)Kava
D)Sage
Q2) The spouse of a patient who is an alcoholic asks the nurse about dietary supplements that may help prevent liver disease.Which herb will the nurse suggest the patient discuss with a provider who has prescriptive authority?
A)Ginkgo biloba
B)Kava
C)Milk thistle
D)Sage
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Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer a medication to a 6-month-old infant.The nurse will monitor closely for signs of drug toxicity based on the knowledge that,compared to adults,infants have
A)an increased percentage of total body fat.
B)immature hepatic and renal function.
C)more protein receptor sites.
D)more rapid gastrointestinal transit time.
Q2) The nurse is preparing to give a 7-year-old child a bitter-tasting oral medication.The child asks the nurse if the medicine tastes bad.To help the child take this medication,which action will the nurse take?
A)Allow the child to delay taking the medication until the parent arrives.
B)Enlist the assistance of other staff to help restrain the child.
C)Tell the child that it doesn't taste bad if it is swallowed quickly.
D)Tell the child that it tastes bad and offer a choice of beverages to drink afterwards.
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Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is caring for an older patient who is taking 25 mg per day of hydrochlorothiazide.The nurse will closely monitor which lab value in this patient?
A)Coagulation studies
B)White blood count
C)Liver function tests
D)Serum potassium
Q2) The nurse is caring for an 82-year-old patient who takes digoxin to treat chronic atrial fibrillation.When caring for this patient,to monitor for drug side effects,what will the nurse will carefully assess?
A)Blood pressure
B)Heart rate
C)Oxygen saturation
D)Respiratory rate
Q3) To assist an older,confused patient to adhere to a multidrug regimen,the nurse will provide which recommendation?
A)Avoid the use of over-the-counter medications.
B)Bring all medications to each clinic visit.
C)Review the manufacturer's information insert about each medication.
D)Save money by getting each drug at the pharmacy with the lowest price.
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Page 10
Chapter 9: Collaboration in Community Settings
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The parent of a school-age child tells the nurse that the child often misses the midday dose of a medication because the child forgets to take it to school.What will the nurse suggest?
A)Asking the pharmacist to divide the prescription into two labeled packages
B)Discussing a different medication with the child's provider
C)Putting the bottle of pills in the child's lunchbox
D)Requesting permission for the child to come home from school during the day
Q2) A patient calls the clinic and tells the nurse that a newly prescribed medication isn't working.What is the nurse's next action?
A)Notify the provider and discuss increasing the dose.
B)Question the patient about compliance with the regimen.
C)Review the drug information with the patient.
D)Suggest the patient discuss changing medications with the provider.
Q3) The school nurse happens to observe a child pulling a pill out of a backpack and preparing to take it.What action will the nurse take?
A)Ask the child to describe the medication,dose,and reason for taking it.
B)Ask the child to keep all pills in the nurse's office.
C)Call the child's provider for a telephone order to give the medication.
D)Contact the child's parent to request a properly labeled prescription.
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Page 11
Chapter 10: The Role of the Nurse in Drug Research
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is assisting with data collection in a study of drug effects in healthy subjects.The nurse assists with blood and urine collection to determine serum drug levels and the presence of metabolites in the urine.Which phase of a drug study does this represent?
A)Phase I
B)Phase II
C)Phase III
D)Phase IV
Q2) The nurse is obtaining signatures on consent forms for participation in a clinical drug trial.One patient says,"I'm not sure I want to do this,but I need the cash." The nurse will take which action?
A)Ask the patient to clarify concerns.
B)Reinforce that cash is given to all subjects equally.
C)Report this statement to the party named on the consent.
D)Review the elements of the study and obtain consent.
Q3) Which is characteristic of preclinical in vivo testing?
A)A comparison of experimental and control data in animals
B)A study conducted in a test tube in a laboratory
C)A study that determines the parameters of safe therapeutic doses
D)A study to assess the seriousness of the disease to be treated
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Chapter 11: The Nursing Process in Patient-Centered
Pharmacotherapy
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension.Which nursing diagnosis is appropriate for this patient?
A)Deficient knowledge related to drug side effects
B)Ineffective health maintenance related to age
C)Readiness for enhanced knowledge related to medication side effects
D)Risk for injury related to side effects of the medication
Q2) The nurse is preparing to administer a medication and reviews the patient's chart for drug allergies,serum creatinine,and blood urea nitrogen (BUN)levels.The nurse's actions are reflective of which phase of the nursing process?
A)Assessment
B)Evaluation
C)Implementation
D)Planning
Q3) Which assessment is categorized as objective data?
A)A list of herbal supplements regularly used
B)Lab values associated with drugs the patient is taking
C)The ages and relationship to the patient of all household members
D)Usual dietary patterns and intake
Page 13
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Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who will begin taking a thiazide diuretic to treat hypertension.The patient says,"I know this will lower my blood pressure,but how does it work?" How will the nurse respond?
A)"It can cause orthostatic hypotension,so be careful."
B)"It reduces the volume of fluid in your blood stream to lower blood pressure."
C)"The actions are complicated,but it's an effective drug."
D)"Your provider should explain this medication to you."
Q2) Which is a violation of a nurse's right when administering medications?
A)A hospital policy for off-label drug uses
B)A medication preparation area at the unit secretary's desk
C)A multiple-dose drug vial requiring the nurse to calculate and measure the dose
D)A new drug ordered that the nurse must look up in a drug manual
Q3) When the nurse practices the "5-plus-5" rights of medication administration,what does it ensure?
A)Adequate information is given
B)Cost-effective use of medications
C)Informed consent for drug administration
D)Safe administration of medications
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Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size.The nurse will perform which action?
A)Contact the provider to discuss an alternate form of the medication.
B)Crush the tablet and put it in applesauce to help the patient swallow it.
C)Cut the tablet in half so the patient can take it more easily.
D)Dissolve the tablet in liquid.
Q2) The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler.To help with site selection for this injection,what will the nurse ask the child's parent?
A)"How long has your child been walking?"
B)"How much does your child weigh?"
C)"Is your child afraid to look at needles?"
D)"Is your child right- or left-handed?"
Q3) A patient asks the nurse why the provider has ordered a transdermal form of a medication.How will the nurse respond?
A)"The patch can always be cut when dosage adjustments are needed."
B)"Drug levels fluctuate less with the patch."
C)"There are fewer systemic side effects with transdermal patches."
D)"There is less risk of toxicity when using a patch."
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Page 15
Chapter 14: Medications and Calculations
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Order: cefuroxime axetil (Ceftin)200 mg,PO, b.i.d.
Available: Ceftin 250 mg/5 mL
How many mL will the patient receive per dose?
Q2) Order: digoxin (Lanoxin),PO,62.5 mcg,daily
Available: Lanoxin 0.125-mg tablets
How many mg will the patient receive per day?
Q3) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
Q4) Order: trimethoprim-sulfamethoxazole (Bactrim)160/800 mg,PO, b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets will be given per dose?
Q5) Order: erythromycin 350 mg,PO,q8h.
Available: erythromycin estolate 250 mg/5 mL
How many mL will be given per dose?
Q6) Order: amoxicillin (Amoxil)300 mg,PO,b.i.d.
Available: Amoxil 400 mg/5 mL
How many mL will be given per dose?
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Chapter 15: Vitamin and Mineral Replacement
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient is taking nicotinic acid (Niacin)to treat hyperlipidemia.The patient reports a flushing sensation along with gastrointestinal irritation.The nurse will perform which action?
A)Contact the provider to discuss possible thromboembolism.
B)Discuss decreasing the patient's dose of nicotinic acid with the provider.
C)Reassure the patient that these effects will decrease over time.
D)Suggest that the patient take niacin with a full glass of cool water.
Q2) A child is brought to the emergency department after ingesting a grandparent's warfarin (Coumadin)tablets.The nurse will anticipate administering which form of vitamin K?
A)K? (phytonadione)
B)K? (menaquinone)
C)K? (menadione)
D)K? (menadiol)
Q3) A patient reports wanting to take vitamin A to prevent blindness.Which response by the nurse is correct?
A)"Vitamin A can be taken prophylactically without serious adverse effects."
B)"Vitamin A does not have any effects on vision."
C)"Vitamin A is difficult to obtain through dietary intake alone."
D)"Vitamin A is stored in the liver for up to 2 years,and toxicity can occur."
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Chapter 16: Fluid and Electrolyte Replacement
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient whose serum sodium level is 140 mEq/L and serum potassium level is 5.4 mEq/L.The nurse will contact the patient's provider to discuss an order for
A)a low-potassium diet.
B)intravenous sodium bicarbonate.
C)Kayexalate and sorbitol.
D)salt substitutes.
Q2) A patient is suspected of having severe hypocalcemia.While waiting for the patient's serum electrolyte results,the nurse will assess for which symptoms? (Select all that apply. )
A)Laryngeal spasms
B)Fatigue
C)Muscle weakness
D)Nausea and vomiting
E)Numbness of fingers
F)Twitching of the mouth
Q3) A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?
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Page 18
Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution.What information will the nurse include when teaching this patient?
A)How to perform the Valsalva maneuver
B)The need to consume extra fluids between feedings
C)The need to decrease dietary fiber
D)The need to remain supine during infusion of the enteral solution
Q2) The provider calculates the enteral nutrition needs for a nonambulatory patient and determines that the patient will need 300 mL of Ultracal every 4 hours.Which method of delivery will the nurse use to administer these feedings?
A)300 mL every 4 hours given via syringe as a 10-minute bolus
B)300 mL every 4 hours given via enteral pump as a 45-minute infusion
C)75 mL per hour via enteral pump as a continuous infusion
D)150 mL every 2 hours via gravity infusion
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Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The patient has been ordered to receive Sudafed to treat nasal congestion.The nurse performing an admission assessment learns that the patient has diabetes mellitus.What action is appropriate for the nurse to take?
A)Administer the medication as ordered.
B)Contact the provider to discuss a lower dose.
C)Give the medication and monitor serum glucose closely.
D)Hold the medication and contact the provider.
Q2) A patient will be discharged on beta blockers.Which skill is essential for the nurse to teach the patient's family?
A)How to prepare a low-sodium diet
B)Assessments to detect fluid retention
C)How to monitor heart rate and blood pressure
D)Early signs of changing level of consciousness
Q3) A patient will begin taking albuterol (Proventil)to treat asthma.When teaching the patient about this drug,the nurse will make which recommendation?
A)Report rapid or irregular heart rate.
B)Drink 8 to 16 extra ounces of fluid each day.
C)Monitor serum glucose daily.
D)Take a calcium supplement.
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Page 20
Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer tolterodine tartrate (Detrol LA)to a patient who has incontinence.Which symptom would be a contraindication for this drug?
A)Decreased bowel sounds
B)Drooling
C)Gastric upset
D)Pain
Q2) The nurse is caring for a male patient with myasthenia gravis who will begin taking ambenonium chloride (Mytelase).When performing a health history,the nurse will be concerned about a history of which condition in this patient?
A)Benign prostatic hypertrophy
B)Chronic constipation
C)Erectile dysfunction
D)Upper respiratory infection
Q3) Which cholinesterase inhibitor would be prescribed for a patient who has Alzheimer's disease?
A)Ambenonium chloride (Myletase)
B)Benztropine (Cogentin)
C)Donepezil HCl (Aricept)
D)Neostigmine methylsulfate (Prostigmin)
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Page 21
Chapter 20: Central Nervous System Stimulants
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse about long-term adverse effects of this type of medication.The nurse will explain to the patient that these drugs
A)can cause cardiac dysrhythmias.
B)contribute to the development of narcolepsy.
C)do not have severe effects when used properly.
D)will cause orthostatic hypotension.
Q2) The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention deficit/hyperactivity disorder (ADHD)brings the child to clinic for evaluation of a recent onset of nausea,vomiting,and headaches.The parent expresses concern that the child seems less focused and more hyperactive than before.What will the nurse do next?
A)Ask the child whether the drug is being taken as prescribed.
B)Contact the provider to discuss increasing the dose to 30 mg/day.
C)Recommend taking the drug with meals to reduce gastrointestinal side effects.
D)Report signs of drug toxicity to the patient's provider.
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Chapter 21: Central Nervous System Depressants
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Sample Questions
Q1) A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop taking the medication.The nurse will suggest that the patient taper the dose gradually to avoid which effect?
A)Depression
B)Hangover
C)Hypnotic rebound
D)Withdrawal
Q2) A patient reports difficulty falling asleep most nights and is constantly fatigued.The patient does not want to take medications to help with sleep.What nonpharmacologic measure will the nurse recommend?
A)"Exercise in the evening to promote bedtime fatigue."
B)"Get out of bed at the same time each morning."
C)"Have a glass of wine at bedtime to help you relax."
D)"Take daytime naps to minimize daytime fatigue."
Q3) Children who experience nightmares have these during which stage of sleep?
A)Early morning sleep
B)Nonrapid eye movement sleep
C)Rapid eye movement sleep
D)Sleep induction
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Page 23
Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A parent of a child who has been taking valproic acid (Depakote)for several years calls the clinic to report a recent recurrence of seizures and states that the child is having 3 or 4 seizures per week.The nurse will perform which action?
A)Ask the parent about to describe the child's drug regimen.
B)Request an order for a serum valproic acid level.
C)Suggest that the parent take the child to the emergency department.
D)Tell the parent that the provider will increase the child's dose of Depakote.
Q2) The nurse is caring for a patient who has a seizure disorder.The nurse notes that the patient has reddened gums that bleed when oral care is given.The nurse recognizes this finding as
A)an adverse effect of the phenytoin.
B)a drug interaction with aspirin.
C)a symptom of hepatotoxicity.
D)a sign of poor self-care.
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Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimers
Disease
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Sample Questions
Q1) The nurse is preparing to administer a first dose of benztropine (Cogentin)to a patient diagnosed with parkinsonism.The nurse would notify the patient's provider if the patient had a history of which condition?
A)Asthma
B)Glaucoma
C)Hypertension
D)Irritable bowel disease
Q2) An older patient exhibits a shuffling gait,lack of facial expression,and tremors at rest.The nurse will expect the provider to order which medication for this patient?
A)Carbidopa-levodopa (Sinemet)
B)Donepezil (Aricept)
C)Rivastigmine (Exelon)
D)Tacrine (Cognex)
Q3) Which antiviral medication improves symptoms of Parkinson's disease in some patients?
A)Acyclovir (Zovirax)
B)Amantadine HCl (Symmetrel)
C)Interferon (INF)
D)Zanamivir (Relenza)
Page 25
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Chapter 24: Drugs for Neuromuscular Disorders:
Myasthenia Gravis, multiple Sclerosis, and Muscle Spasms
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Sample Questions
Q1) Which muscle relaxant is used in surgery as a skeletal muscle relaxant?
A)Baclofen (Lioresal)
B)Chlorzoxazone (Parafon forte)
C)Pancuronium bromide (Pavulon)
D)Methocarbamol (Robaxin)
Q2) The nurse is performing a health history on a patient who has multiple sclerosis.The patient reports episodes of muscle spasticity and recurrence of muscle weakness and diplopia.The nurse will expect this patient to be taking which medication?
A)Adrenocorticotropic hormone (ACTH)
B)Cyclophosphamide (Cytoxan)
C)Cyclobenzaprine (Flexeril)
D)Interferon-B (IFN-B)
Q3) A patient reports weakness of the extremities and diplopia.The nurse knows that these symptoms are characteristic of which condition?
A)Cerebral palsy (CP)
B)Multiple sclerosis (MS)
C)Myasthenia gravis (MG)
D)Parkinson's disease (PD)
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Chapter 25: Antiinflammatory Drugs
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20 Flashcards
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Sample Questions
Q1) A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL.The nurse will perform which action?
A)Assess the patient for tinnitus.
B)Monitor the patient for signs of Reye's syndrome.
C)Notify the provider of severe aspirin toxicity.
D)Request an order for an increased aspirin dose.
Q2) A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-the-counter ibuprofen (Motrin).What will the nurse tell this patient?
A)"It may take several weeks to achieve therapeutic effects."
B)"Unlike aspirin,there is no increased risk of bleeding with ibuprofen."
C)"Take ibuprofen twice daily for maximum analgesic benefit."
D)"Combine ibuprofen with acetaminophen for best effect."
Q3) Which antigout medication is used to treat chronic tophaceous gout?
A)Allopurinol (Zyloprim)
B)Colchicine
C)Probenecid (Benemid)
D)Sulfinpyrazone (Anturane)
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Chapter 26: Nonopioid and Opioid Analgesics
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Sample Questions
Q1) The nurse checks on a patient who has received sumatriptan (Imitrex)for treatment of a migraine headache.The patient reports moderate improvement in headache pain and reports feeling dizzy.The nurse notes a blood pressure of 160/85 mm Hg.Which action by the nurse is correct?
A)Notify the provider of the dizziness.
B)Notify the provider of the increased blood pressure.
C)Plan to administer a second dose in 1 hour.
D)Request an order for intranasal sumatriptan.
Q2) A postoperative patient has a history of opioid abuse.Which analgesic medication will the nurse expect the provider to order for this patient?
A)Buprenorphine (Buprenex)
B)Butorphanol tartrate (Stadol)
C)Naloxone (Narcan)
D)Pentazocine (Talwin)
Q3) Which patient may require a higher than expected dose of an opioid analgesic?
A)A patient with cancer
B)A patient with a concussion
C)A patient with hypotension
D)A patient 3 days after surgery
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Page 28
Chapter 27: Antipsychotics and Anxiolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36434
Sample Questions
Q1) A patient arrives in the emergency department complaining of difficulty breathing,dizziness,sweating,and heart palpitations.The patient reports having had similar episodes previously.The nurse will expect the provider to order which medication?
A)Flumazenil (Romazicon)
B)Haloperidol (Haldol)
C)Lorazepam (Ativan)
D)Propranolol (Inderal)
Q2) The nurse is assessing a young adult patient with schizophrenia who recently began taking fluphenazine (Prolixin).The patient is exhibiting spasms of facial muscles along with grimacing,and the nurse notes upward eye movements.The nurse suspects which side effect?
A)Acute dystonia
B)Akathisia
C)Pseudoparkinsonism
D)Tardive dyskinesia
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Chapter 28: Antidepressants and Mood Stabilizers
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36435
Sample Questions
Q1) A patient who has a major depressive disorder has been taking fluoxetine (Prozac)20 mg daily for 3 months and reports improved mood,less fatigue,and an increased ability to concentrate.The patient's side effects have diminished.What will the nurse counsel this patient to discuss with the provider?
A)Changing to once-weekly dosing
B)Decreasing the dose to 10 mg daily
C)Discontinuing the medication
D)Increasing the dose to 30 mg daily
Q2) A patient who has been diagnosed with a major depression disorder has been ordered to take doxepin (Sinequan).The nurse will contact the provider if the patient's medical history reveals a history of which condition?
A)Asthma
B)Glaucoma
C)Hypertension
D)Hypoglycemia
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36436
Sample Questions
Q1) The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection.Which action is most important prior to administering the antibiotic?
A)Administering a small test dose to determine whether hypersensitivity exists
B)Having epinephrine available in the event of a severe hypersensitivity reaction
C)Monitoring baseline vital signs,including temperature and blood pressure
D)Obtaining a specimen for culture and sensitivity
Q2) The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication.The patient will begin taking cefaclor for treatment of an acute infection.The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?
A)Decreased effectiveness of cefaclor.
B)Increased effectiveness of cefaclor.
C)Decreased effectiveness of erythromycin.
D)Increased effectiveness of erythromycin.
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Fluoroquinolones
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection.The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan)with the antibiotic being prescribed.Which macrolide order would the nurse question for this patient?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Erythromycin (E-Mycin)
D)Fidaxomicin (Dificid)
Q2) The nurse is caring for a 7-year-old patient who will receive oral antibiotics.Which antibiotic order will the nurse question for this patient?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Clindamycin (Cleocin)
D)Tetracycline (Sumycin)
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36438
Sample Questions
Q1) The nurse is caring for a patient who is receiving sulfadiazine.The nurse knows that this patient's daily fluid intake should be at least which amount?
A)1000 mL/day
B)1200 mL/day
C)2000 mL/day
D)2400 mL/day
Q2) The nurse is caring for a patient who is ordered to receive PO trimethoprim-sulfamethoxazole (TMP-SMX)160/800 QID to treat a urinary tract infection caused by E.coli.The nurse will contact the provider to clarify the correct A)dose.
B)drug.
C)frequency.
D)route.
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Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36439
Sample Questions
Q1) A client is being treated for tuberculosis.Which medications are used to treat this condition? (Select all that apply. )
A)Streptomycin sulfate
B)Amoxicillin (Amoxil)
C)Ethambutol (Myambutol)
D)Gentamicin (Garamycin)
E)Rifabutin (Mycobutin)
F)Ethionamide (Trecator-SC)
G)Pyrazinamide
Q2) A patient is diagnosed with histoplasmosis and will begin taking ketoconazole.What information will the nurse include when teaching this patient about this medication?
A)"Take the medicine twice daily."
B)"Take the medication with food."
C)"You may consume small amounts of alcohol."
D)"You will not need lab tests while taking this drug."
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Chapter 33: Antivirals, antimalarials, and Anthelmintics
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36440
Sample Questions
Q1) The nurse is teaching a patient who is receiving chloroquine (Aralen)for malaria prophylaxis.Which statement by the patient indicates a need for further teaching?
A)"I may experience hair discoloration while taking this drug."
B)"I should not take this drug with lemon juice."
C)"I should use sunscreen while taking this drug."
D)"If I have gastrointestinal upset,I should take an antacid."
Q2) A patient calls the clinic in November to report a temperature of 103° F,headache,a nonproductive cough,and muscle aches.The patient reports feeling well earlier that day.The nurse will schedule the patient to see the provider and will expect the provider to order which medication?
A)Amantadine HCl (Symmetrel)
B)Influenza vaccine
C)Rimantadine HCl (Flumadine)
D)An over-the-counter drug for symptomatic treatment
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Chapter 34: Drugs for Urinary Tract Disorders
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15 Flashcards
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Sample Questions
Q1) A male patient reports urinary urgency and pain with burning on urination.The nurse understands that this patient will be treated for which condition?
A)Cystitis
B)Prostatitis
C)Pyelonephritis
D)Urethritis
Q2) The nurse is preparing to administer methenamine (Hiprex)to a patient who has pyelonephritis.Which action will the nurse perform?
A)Increase fluid intake to 2000 mL per day.
B)Monitor the patient's urine for dark brown color.
C)Order alkaline foods 3 times daily.
D)Request an order for a sulfonamide antibiotic.
Q3) A patient will begin taking a urinary antimuscarinic medication.Which symptom should the patient report immediately?
A)Dry mouth
B)Fatigue
C)Increased heart rate
D)Urinary retention
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Chapter 35: Hiv- and Aids-Related Drugs
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11 Flashcards
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Sample Questions
Q1) A patient will begin taking the protease inhibitor combination Kaletra (lopinavir/ritonavir).What information will the nurse include when teaching the patient about dietary changes?
A)Consume a low-cholesterol diet.
B)Consume more acidic foods.
C)Take the pill on an empty stomach.
D)Take the pill with fatty foods.
Q2) A patient who is newly diagnosed with HIV infection after a recent exposure calls to report fever,sore throat,myalgia,and night sweats.The nurse will notify the provider that this patient is most likely experiencing A)acute retroviral syndrome. B)AIDS.
C)an increased viral load.
D)an opportunistic infection.
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Chapter 36: Vaccines
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11 Flashcards
Source URL: https://quizplus.com/quiz/36443
Sample Questions
Q1) A provider has ordered Gardasil to be given to a prepubertal 9-year-old female.The parent asks the nurse if this vaccine can be postponed until the child is in high school.The nurse will tell the parent that Gardasil
A)is less effective in older adolescents.
B)is more effective if given before sexual activity begins.
C)is more effective if given prior to the hormonal changes of puberty.
D)is not effective if given after the onset of menses.
Q2) The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine.The mother,who is pregnant,tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is "not that serious" in older children.What information will the nurse include when discussing this with the mother?
A)If she gets the vaccine,both she and her 4 year-old child will be protected.
B)If the 4-year-old child contracts pertussis,it can be passed on to her newborn.
C)The vaccine will not be given to her child while she is pregnant.
D)Vaccinating the 4-year-old will provide passive immunity for her unborn child.
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Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is receiving vincristine (Oncovin),a plant alkaloid chemotherapeutic agent,to treat non-Hodgkin's lymphoma.The nurse observes that the patient has difficulty walking.What action will the nurse take?
A)Ask about numbness or tingling in the fingers and toes.
B)Assess heart rate and blood pressure to evaluate for orthostatic hypotension.
C)Assess the temperature to evaluate for infection.
D)Request an order for a complete blood count and electrolytes.
Q2) A patient is receiving the antitumor antibiotic doxorubicin (Adriamycin)to treat lung cancer.The patient is experiencing shortness of breath and palpitations.The nurse is concerned that the patient has developed which condition?
A)Anemia
B)Cardiotoxicity
C)Hypersensitivity
D)Pulmonary infection
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Chapter 38: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36445
Sample Questions
Q1) The nurse is teaching a patient who will begin receiving targeted therapy for cancer.The patient asks how targeted therapy differs from other types of chemotherapies.The nurse will explain that targeted therapy
A)damages cancer cell DNA to prevent cell replication.
B)directly kills or damages cancerous cells.
C)interferes with specific molecules in cancer cells.
D)prevents metastasis of cancer cells.
Q2) The nurse is performing a history on a patient who will begin taking bevacizumab (Avastin).Which aspect of the patient's history should be reported to the oncologist treating this patient?
A)History of hepatitis
B)Hypertension
C)Recent surgical history
D)Weight loss
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Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36446
Sample Questions
Q1) A patient is receiving the erythropoietin-stimulating agent epoietin alfa (Procrit).Which assessment finding would cause the nurse to notify the patient's provider?
A)Blood pressure of 90/65 mm Hg
B)Headache and nausea
C)Hemoglobin > 12 g/dL
D)Infiltration of the IV
Q2) A patient is receiving interferon alpha (Roferon-A)subcutaneously.The patient experiences chills,fatigue,and malaise,and the nurse assesses a temperature of 102°
F.The nurse will notify the provider of the temperature and will anticipate which order?
A)Administer acetaminophen (Tylenol).
B)Change to intravenous interferon alpha.
C)Give diphenhydramine (Benadryl).
D)Obtain a serum BUN and creatinine level.
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Chapter 40: Drugs for Upper Respiratory Disorders
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12 Flashcards
Source URL: https://quizplus.com/quiz/36447
Sample Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD)who has a persistent nonproductive cough asks about a medication that will not cause sedation.The nurse will encourage the patient to discuss which medication with the provider?
A)Benzonatate HCl (Tessalon Perles)
B)Dextromethorphan hydrobromide (Benylin DM)
C)Guaifenesin and codeine
D)Promethazine with dextromethorphan
Q2) A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose.The nurse will suggest the patient talk to the provider about which medication?
A)Azelastine (Astelin)
B)Cetirizine (Zyrtec)
C)Chlorpheniramine maleate (Chlor-Trimeton)
D)Diphenhydramine (Benadryl)
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Chapter 41: Drugs for Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent)for a patient who has chronic obstructive pulmonary disease (COPD).The nurse explains that this combination product is prescribed primarily for which reason?
A)To be more convenient for patients who require both medications
B)To improve compliance in patients who may forget to take both drugs
C)To increase forced expiratory volume,an indicator of symptom improvement
D)To minimize the side effects that would occur if the drugs are given separately
Q2) The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair).The patient reports sensitivity to aspirin.Which statement by the patient indicates a need for further teaching?
A)"I will need to have periodic laboratory tests while taking this medication."
B)"I will not take ibuprofen for pain or fever while taking this drug."
C)"I will take one tablet daily at bedtime."
D)"I will use this as needed for acute symptoms."
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43
Chapter 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36449
Sample Questions
Q1) The nurse is teaching a patient about sublingual nitroglycerin administration.What information will the nurse include when teaching this patient?
A)Call 911 if pain does not improve after three doses.
B)If pain persists after one dose,administer a second dose.
C)Swallow the tablet with small sips of water.
D)Take the first tablet while sitting or lying down.
Q2) The nurse provides teaching for a patient who has a ventricular dysrhythmia who is prescribed acebutolol (Spectral)200 mg twice daily.Which statement by the patient indicates understanding of the teaching?
A)"Diuretics may decrease the effectiveness of this drug."
B)"Dizziness,nausea,and vomiting indicate a severe reaction."
C)"I should eat fruits and vegetables to increase potassium intake."
D)"I should not stop taking this drug abruptly to avoid palpitations."
Q3) A patient who uses transdermal nitroglycerin reports having headaches.The nurse will counsel the patient to perform which action?
A)Call 911 when this occurs.
B)Notify the provider.
C)Reapply the patch three times daily.
D)Take acetaminophen as needed.
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Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36450
Sample Questions
Q1) The nurse is caring for a patient who has metabolic alkalosis and is experiencing fluid overload.The provider orders acetazolamide (Diamox).The patient reports right-sided flank pain after taking this medication.The nurse suspects that this patient has developed which condition?
A)Gout
B)Hemolytic anemia
C)Metabolic acidosis
D)Renal calculi
Q2) The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure.Which medication will the nurse expect the provider to order for this patient?
A)Digoxin (Lanoxin)
B)Furosemide (Lasix)
C)Hydrochlorothiazide (HydroDIURIL)
D)Spironolactone (Aldactone)
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Chapter 44: Antihypertensives
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16 Flashcards
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Sample Questions
Q1) The nurse is caring for an 80-year-old patient who has just begun taking a thiazide diuretic to treat hypertension.What is an important aspect of care for this patient?
A)Encouraging increased fluid intake
B)Increasing activity and exercise
C)Initiating a fall risk protocol
D)Providing a low potassium diet
Q2) The nurse is caring for a 70-year-old patient who has recently begun taking amlodipine (Norvasc)5 mg/day to control hypertension.The nurse notes mild edema of the patient's ankles,a blood pressure of 130/70 mm Hg,and a heart rate of 80 beats per minute.The patient reports flushing and dizziness.The nurse will notify the provider and A)ask to decrease the dose to 2.5 mg/day.
B)discuss twice daily dosing.
C)request an order for a diuretic.
D)suggest adding propranolol to the regimen.
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Chapter 45: Anticoagulants, Antiplatelets, and Thrombolytics
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18 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer a first dose of clopidogrel (Plavix)to a patient.As part of the history,the nurse learns that the patient has a previous history of peptic ulcers,diabetes,and hypertension.The nurse understands it will be necessary to notify the provider and obtain an order for A)a proton pump inhibitor (PPI)medication.
B)frequent serum glucose monitoring.
C)increased antihypertensive medications.
D)nonsteroidal antiinflammatory medications.
Q2) A patient experiences a blood clot in one leg,and the provider has ordered a thrombolytic medication.The patient learns that the medication is expensive and asks the nurse if it is necessary.Which response by the nurse is correct?
A)"The drug will decrease the likelihood of permanent tissue damage."
B)"This medication also acts to prevent future blood clots from forming."
C)"You could take aspirin instead of this drug to achieve the same effect."
D)"Your body will break down the clot,so the drug is not necessary."
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Page 47
Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A patient begins taking nicotinic acid (Niacin)and reports dizziness and flushing of the skin.The nurse will perform which action?
A)Contact the provider to discuss decreasing the dose.
B)Counsel the patient to increase fluid intake.
C)Request an order for renal function tests.
D)Schedule the medication to be taken with meals.
Q2) A patient will begin taking simvastatin (Zocor)to decrease serum cholesterol.When teaching the patient about this medication,the nurse will counsel the patient to take which action?
A)Return to the clinic annually for laboratory testing.
B)Take care when rising from a sitting to standing position.
C)Take the medication in the evening for best effect.
D)Use ibuprofen as needed for muscle aches and pain.
Q3) A patient has a serum cholesterol level of 270 mg/dL.The patient asks the nurse what this level means.Which response by the nurse is correct?
A)"You have a high risk for coronary artery disease."
B)"You have a moderate risk for coronary artery disease."
C)"You have a low risk for coronary artery disease."
D)"You have no risk for coronary artery disease."
Page 48
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Chapter 47: Drugs for Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36454
Sample Questions
Q1) The child who is a candidate for treatment with syrup of ipecac after ingestion of a toxic substance or overdose is the child who has ingested which substance?
A)Acetaminophen elixir
B)Chlorine bleach
C)Kerosene
D)Toilet cleanser
Q2) A child is brought to the emergency department after ingestion of a toxic substance.The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior.The nurse will anticipate administering
A)activated charcoal.
B)an anticholinergic antiemetic.
C)gastric lavage.
D)syrup of ipecac.
Q3) An appropriate goal when teaching a patient who has diarrhea is that the patient
A)will have less frequent,more formed stools.
B)will not have a stool for 1 to 2 days.
C)will receive adequate intravenous fluids.
D)will receive appropriate antibiotic therapy.
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Chapter 48: Antiulcer Drugs
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15 Flashcards
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Sample Questions
Q1) A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac)300 mg daily at bedtime.The patient calls the clinic 1 week later to report no relief from discomfort.What action will the nurse take?
A)Contact the provider to discuss changing to cimetidine (Tagamet).
B)Notify the provider to discuss increasing the dose.
C)Reassure the patient that the drug may take 1 to 2 weeks to be effective.
D)Suggest that the patient split the medication into twice daily dosing.
Q2) A patient who takes propantheline bromine (Pro-Banthine)and omeprazole (Prilosec)for an ulcer will begin taking an antacid.The nurse will give which instruction to the patient regarding how to take the antacid?
A)Take the antacid 2 hours after taking the propantheline.
B)Take the antacid along with a meal.
C)Take the antacid with milk.
D)Take the antacid with the propantheline bromine.
Q3) Which antacid is likely to cause acid rebound?
A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate
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Page 50
Chapter 49: Drugs for Eye and Ear Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36456
Sample Questions
Q1) The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin)0.5 inches 3 times daily.The patient currently uses pilocarpine HCl (Isopto Carpine)drops to treat glaucoma.Which statement by the patient indicates a need for further teaching?
A)"I should apply the third dose of tobramycin at bedtime each day."
B)"I should instill the drops in the conjunctival sac of the lower eyelid."
C)"I should not stop the medications without consulting my provider."
D)"I should put the ointment on first and then instill the eyedrops."
Q2) The nurse is preparing to administer dipivefrin (Propine)drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?
A)Blood pressure of 140/90 mm Hg
B)Heart rate of 60 beats per minute
C)Respiratory rate of 12 breaths per minute
D)Temperature of 37.9° C
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Chapter 50: Drugs for Dermatologic Disorders
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13 Flashcards
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Sample Questions
Q1) A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants.The patient asks the nurse how to minimize these episodes.The nurse will counsel this patient to perform which action?
A)Apply topical glucocorticoid medication prior to exposure.
B)Cleanse the skin immediately after any contact with plants.
C)Take systemic diphenhydramine (Benadryl)after being outdoors.
D)Use calamine lotion prior to working outdoors.
Q2) The nurse is providing teaching for an adolescent who has acne vulgaris.In addition to teaching about correct administration of the prescribed medications,the nurse will instruct this patient to
A)apply topical vitamin D?.
B)cleanse the skin gently several times a day.
C)scrub the affected skin vigorously twice daily.
D)take supplemental vitamin A.
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Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient has hypocalcemia caused by parathyroid hormone deficiency.Which medication will the nurse anticipate giving to this patient?
A)Calcitonin
B)Calcitriol
C)Calcium
D)Vitamin D
Q2) The nurse administers intravenous corticotropin (Acthar)to a patient.A serum cortisol level drawn 60 minutes later shows no change in serum cortisol levels from prior to the dose.What is the nurse's first action?
A)Notify the provider to discuss a possible non-functioning adrenal gland.
B)Recognize the need for an increased dose to treat pituitary insufficiency.
C)Request an order for a second dose of corticotropin to treat cortisone deficiency.
D)Request an order to repeat the serum cortisol level in 1 to 2 hours.
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Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and
Fluoroquinolones
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36459
Sample Questions
Q1) A patient who is overweight is being evaluated for diabetes.The patient has a blood glucose level of 160 mg/dL and a hemoglobin A1c of 5.8%.The nurse understands that this patient has which condition?
A)Diabetes mellitus
B)Hypoglycemia
C)Normal blood levels
D)Prediabetes
Q2) The nurse is teaching a patient how to administer insulin.The patient is thin with very little body fat.The nurse will suggest injecting insulin
A)by pinching up the skin and injecting straight down.
B)in the abdomen only with the needle at a 90-degree angle.
C)subcutaneously with the needle at a 45- to 60-degree angle.
D)using the thigh and buttocks areas exclusively.
Q3) The nurse is teaching a group of nursing students about diabetes.The nurse explains that which type of diabetes is the most common?
A)Type 1 diabetes mellitus
B)Type 2 diabetes mellitus
C)Diabetes insipidus
D)Secondary diabetes
Page 54
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Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36460
Sample Questions
Q1) Which are physiologic changes during pregnancy that affect drug absorption,metabolism,distribution,and excretion? (Select all that apply. )
A)Circulating steroid hormones
B)Decreased gastrointestinal motility
C)Decreased renal perfusion
D)Increased maternal circulatory blood volume
E)Poor sleep and fatigue
F)Rapid respiratory rate
Q2) A pregnant woman asks the nurse about whether a medication is safe to take during pregnancy.The nurse notes that the drug has a low molecular weight.Based on this drug characteristic,the nurse understands that this drug
A)can cause greater gastrointestinal distress and hyperemesis.
B)has reduced renal elimination resulting in toxicity.
C)is more sensitive to metabolism by circulating maternal hormones.
D)will be more likely to cross the placenta and affect the fetus.
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Chapter 54: Female Reproductive Cycle II: Labor, delivery, and Preterm Neonatal Drugs
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Sample Questions
Q1) The nurse is caring for a patient after the third stage of labor,and the provider orders 20 mg of oxytocin to be given intramuscularly.The nurse will explain to the patient that this drug for which purpose?
A)To allow the cervix to close
B)To enhance milk letdown
C)To prevent uterine atony
D)To suppress lactation
Q2) The nurse examines a primipara woman who has received an epidural block.The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier.The nurse will notify the provider and anticipate a need for
A)caesarean section.
B)forceps delivery.
C)intravenous oxytocin.
D)vacuum extraction.
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Chapter 55: Postpartum and Newborn Drugs
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Sample Questions
Q1) The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation.What information will the nurse include when teaching this patient about this medication?
A)"Crush the tablet if it is difficult to swallow."
B)"Store this medication in a cool,dry place."
C)"Take the tablet with a carbonated beverage."
D)"Take with milk if gastrointestinal upset occurs."
Q2) The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section.The mother's blood type is Rh-negative,and the infant's blood type is Rh-positive.The provider has ordered human D immune globulin (Rh?GAM).The nurse understands that this patient will need
A)less than the usual RhoGAM dose.
B)more than the usual RhoGAM dose.
C)no RhoGAM.
D)the usual RhoGAM dose.
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Chapter 56: Drugs for Womens Reproductive Health and Menopause
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Sample Questions
Q1) A woman who is taking a combined oral contraceptive (COC)that contains 21 days of active pills and 7 days of inert pills reports having headaches accompanying withdrawal bleeding every month.The nurse will
A)counsel her to take ibuprofen to counter these side effects.
B)notify her provider to discuss these adverse effects.
C)recommend a Loestrin Fe product.
D)suggest she ask her provider about Mircette.
Q2) A 35-year-old woman asks the nurse about oral contraceptives.The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE).The nurse will suggest that the patient
A)discuss a progestin-only oral contraceptive with her provider.
B)may want to consider having a tubal ligation.
C)use a transdermal contraceptive product.
D)will not be a candidate for oral contraceptive products.
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Chapter 57: Drugs for Mens Health and Reproductive Disorders
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Sample Questions
Q1) A patient will begin using sildenafil citrate (Viagra)to treat erectile dysfunction.The nurse will instruct the patient to take the medication
A)daily in the morning.
B)just prior to sexual activity.
C)30 minutes to 4 hours before sexual activity.
D)twice daily.
Q2) The nurse is teaching an adult male patient about the use of testosterone gel.Which statement by the patient indicates understanding of the teaching?
A)"A decreased urinary stream is an expected side effect."
B)"I should apply the gel to my forearms every day."
C)"I will have hand and wrist x-rays every 6 months."
D)"I will need regular evaluation of serum lipid levels."
Q3) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A)Benign prostatic hypertrophy (BPH)
B)Breast cancer
C)Male-pattern baldness
D)Metastatic prostate cancer
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Page 59
Chapter 58: Drugs for Disorders in Womens Health,
Transmitted Infections
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Sample Questions
Q1) The nurse performs a history on a woman who will begin taking clomiphene citrate (Clomid)to induce ovulation.Which aspect of this patient's history is of concern?
A)Anovulation
B)Dysmenorrhea
C)Sexually transmitted infection
D)Uterine fibroids
Q2) A young woman reports not having a period for 7 months.Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?
A)Pelvic ultrasound
B)Pregnancy test
C)Progestational challenge test
D)Serum insulin levels
Q3) A woman who is 6 weeks pregnant develops a vaginal yeast infection and asks the nurse what she can use to treat it.The nurse will make which recommendation?
A)Apply over-the-counter Gyne-Lotrimin cream.
B)Ask her provider about nystatin vaginal tablets.
C)Request a prescription for oral fluconazole (Diflucan).
D)Use over-the-counter Monistat-3 suppositories.
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Chapter 59: Adult and Pediatric Emergency Drugs
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Sample Questions
Q1) A patient is brought to the emergency department with severe wheezing,dyspnea,and peripheral edema.The nurse assesses a respiratory rate of 30 breaths per minute,a heart rate of 88 beats per minute,and a blood pressure of 88/54 mm Hg.Which medication does the nurse expect to be given initially?
A)Albuterol
B)Diphenhydramine
C)Dopamine
D)Epinephrine
Q2) An 18-month-old toddler is in the emergency department with poor feeding and lethargy.The nurse assesses a rapid,thready pulse,which is too fast to count.The nurse will expect the provider to order which medication to treat this condition?
A)Adenosine
B)Albuterol
C)Atropine
D)Theophylline
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