Patient Care and Drug Management
Review Questions
Course Introduction
Patient Care and Drug Management is designed to equip students with the foundational knowledge and practical skills necessary to ensure optimal patient outcomes through effective pharmacotherapeutic approaches. The course covers the principles of patient-centered care, medication therapy management, drug administration techniques, and the monitoring of therapeutic responses and adverse effects. Emphasis is placed on developing communication strategies for patient counseling, collaborations within multidisciplinary healthcare teams, and adherence to ethical, legal, and safety standards in drug management. Students will also engage with case studies and scenario-based learning to reinforce the integration of clinical decision-making and patient advocacy in various healthcare settings.
Recommended Textbook
Introduction to Clinical Pharmacology 8th Edition by Edmunds
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Page 2
Chapter 1: Pharmacology and the Nursing Process in LPN Practice
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Sample Questions
Q1) Which is never administered if prepared by another nurse?
A) Written orders
B) Daily reports
C) Diet selections
D) Medications
Answer: D
Q2) The nurse collected information for a patient at the beginning of the shift and found that she had a blood pressure of 198/100.After reporting this information to the RN team leader,the nurse gave the patient the scheduled medication,amlodipine (Norvasc),5 mg PO.Which is considered an appropriate evaluation of the patient's response after this medication has been administered?
A) The therapeutic goal of the drug is met.
B) The therapeutic effects and adverse effects are checked.
C) The medication was given 30 minutes late.
D) The medication was given 30 minutes early.
Answer: B
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Chapter 2: Patient Teaching and Health Literacy
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Sample Questions
Q1) Which key points should the nurse include when providing patient education for a patient receiving medications? (Select all that apply.)
A) Common side effects
B) Intended use
C) Drug brand name only
D) Expected actions
E) Any special directions
Answer: A,B,D,E
Q2) What are essential steps in the patient-teaching process? (Select all that apply.)
A) Develop a single teaching strategy.
B) Assess the specific needs of the patient.
C) Select the teaching method.
D) Determine how well the material has been learned.
E) Assess the patient's willingness to learn.
Answer: B,C,D,E
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4
Chapter 3: Legal Aspects Affecting the Administration of Medications
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Sample Questions
Q1) Meperidine,75 mg IV push,is ordered by the physician to be given stat.The nurse understands that this is which type of order?
A) Standing
B) Immediate
C) Flexible
D) Indefinite
Answer: B
Q2) Which levels of regulation must the nurse adhere to when administering medications? (Select all that apply.)
A) City
B) County
C) Federal
D) State
E) Institutional
Answer: C,D,E
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Page 5
Chapter 4: Foundations and Principles of Pharmacology
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Sample Questions
Q1) Medications have both trade and generic names.Which two medication names represent the same drug?
A) Demerol
B) Codeine
C) Valium
D) Morphine
E) Diazepam
Q2) A drug's trade name is used in advertisements and marketing and is often easy to remember.Which drug names are trade names? (Select all that apply.)
A) Dimetapp
B) Lanoxin
C) Hydromorphone
D) Pen-Vee K
E) Meperidine
Q3) Drug metabolites can be excreted from the body in which of the following?
A) Saliva, tears, and blood
B) Urine, feces, and bone marrow
C) Feces, urine, and breast milk
D) Breast milk, blood, and urine
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Page 6
Chapter 5: Lifespan and Cultural Modifications
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Sample Questions
Q1) Which nursing intervention would be most helpful in improving a patient's ability to follow the drug treatment plan?
A) Obtaining a unit-dose dispensing system for home use
B) Providing instruction three times before discharge
C) Discussing the medications with a family member
D) Establishing a good nurse-patient relationship
Q2) Which statement made by an older adult patient would require further teaching by the nurse?
A) "Nonprescription drugs will not interfere with my prescribed medications."
B) "I can get non-childproof lids for my pills from the pharmacist."
C) "Alcohol can affect drug action."
D) "I will report any signs of drug toxicity to my doctor."
Q3) Hormone replacement therapy for menopausal women helps reduce the incidence of which condition?
A) Varicose veins
B) Osteoporosis
C) Hypertension
D) Depression
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Drugs for Health Promotion
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Sample Questions
Q1) The nurse is asked by a patient in the clinic if she should purchase an expensive brand-name multivitamin because the cheaper vitamin is not as good.Which would be the nurse's response to this patient?
A) "Expensive is always better with any product you buy."
B) "All vitamins are the same over the counter."
C) "Costs and manufacturers' claims don't mean proven effectiveness."
D) "The cost is determined by the color and the amount of pills in the container."
Q2) Which supplement should the nurse recommend 0.4 mg per day of to help prevent fetal neural tube defects in a woman of childbearing age?
A) Vitamin B<sub>6</sub>
B) Calcium
C) Iron
D) Folic acid
Q3) Which ingredient is often hidden in cough and cold syrups?
A) Potassium
B) Alcohol
C) Steroids
D) Benzocaine
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Chapter 7: Preparing and Administering Medications
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Sample Questions
Q1) Metered-dose inhalers are used to deliver specific amounts of medication.The nurse gives the patient which instructions?
A) Never shake the inhaler medication before use.
B) Exhale while squeezing the canister to deliver the medication.
C) Sit upright, exhale, then activate the inhaler as the next inhalation begins.
D) Hold the head back while inhaling the medication.
Q2) Which is the correct needle for an intramuscular (IM)injection?
A) 18 G, 1-inch
B) 20 G, 1/2 -inch
C) 25 G, 2-inch
D) 21 G, 1 1/2-inch
Q3) When giving an IM injection to an HIV-positive patient,the nurse recognizes that the HIV infection is spread in which body fluids? (Select all that apply.)
A) Sputum
B) Vaginal fluid
C) Breast milk
D) Blood
E) Semen
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9
Chapter 8: Allergy and Respiratory Medications
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Sample Questions
Q1) Cromolyn is effective in which situations? (Select all that apply.)
A) Prophylaxis for asthma
B) Management of an acute exacerbation of asthma
C) Management of allergic rhinitis
D) Management of eczema
E) Management of postexercise bronchospasm
Q2) A patient is scheduled to take the pneumonia vaccination.She has developed nasal congestion and started taking a topical intranasal steroid.What might the nurse expect the physician to tell the patient?
A) Stop taking the intranasal steroid.
B) Decrease the use of the intranasal steroid.
C) Do not take the pneumonia vaccination.
D) There is no effect from the two used together.
Q3) For which reason should patients with hypertension be advised not to take antihistamines?
A) They cause a slow pulse rate.
B) They need to be taken 2 hours apart.
C) There is a 6-hour wait between doses.
D) They can cause blood pressure to rise.
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Page 10
Chapter 9: Antiinfective Medications
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Sample Questions
Q1) Which are broad-spectrum antibiotics?
A) Tetracycline, erythromycin, and aminoglycosides
B) Streptomycin, rifampin, and isoniazid
C) Nystatin, griseofulvin, and ketoconazole
D) Quinacrine, mebendazole, and pyrantel
Q2) Which term refers to an antibiotic with a high degree of activity against many different organisms?
A) Antimicrobial
B) Antimycotic
C) Broad-spectrum
D) Bacteriostatic
Q3) The LPN/LVN giving primaquine must know this medication is used to treat which condition?
A) Pneumonia
B) Cardiac disease
C) Edema of the legs
D) Malaria
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11
Chapter
Medications
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Sample Questions
Q1) Which are the most common adverse reactions to antifungal medications? (Select all that apply.)
A) Nausea
B) Vomiting
C) Headache
D) Diarrhea
E) Bloating
Q2) A patient comes into the clinic complaining of being exposed to a co-worker who has the flu.The patient is asymptomatic.What should the nurse anticipate the physician will order?
A) Flumadine (rimantadine)
B) Valtrex (valacyclovir)
C) Ziagen (abacavir)
D) Crixivan (indinavir)
Q3) Which is Zovirax (acyclovir)indicated for the treatment of?
A) Influenza A
B) Herpes simplex
C) Candida albicans
D) Vaginitis
Page 12
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Chapter 11: Antineoplastic Medications
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Sample Questions
Q1) Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which preparation?
A) Mitotic agent
B) Chemotherapy agent
C) Hormone
D) Neoplasm
Q2) Which precautions should nurses administering antineoplastic preparations use?
A) Standard precautions as always
B) Proper hand hygiene after use
C) Preparation of medication in special areas
D) Preparation in direct light under a hood
Q3) The nurse is completing education for a patient receiving Novantrone (mitoxantrone)for treatment of leukemia.The nurse teaches the patient that he or she may experience which signs or symptoms?
A) Low blood pressure
B) Stomatitis
C) Numbness
D) Increased appetite
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Chapter 12: Cardiovascular and Renal Medications
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Sample Questions
Q1) The nurse is caring for an older adult patient with fever,dehydration,and diarrhea.Which does the nurse anticipate will be used in treating this patient? (Select all that apply.)
A) Lipoprotein
B) Caffeine
C) Carbohydrates
D) Minerals
E) Electrolytes
Q2) A serum digitalis level is needed to evaluate whether the patient has reached a therapeutic level.Which is an acceptable therapeutic level for digoxin?
A) 2.5 ng/mL
B) 3.0 ng/mL
C) 0.2 ng/mL
D) 0.5 ng/mL
Q3) Prior to administering digoxin,what should the nurse do first?
A) Assess the patient's apical heart rate.
B) Evaluate the patient's response to the medication.
C) Record patient's weight.
D) Collect a urine sample.
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14
Chapter 13: Central and Peripheral Nervous System
Medications
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Sample Questions
Q1) A sedative-hypnotic drug may be prescribed for a patient with which condition?
A) Vertigo
B) Schizophrenia
C) Acute mania
D) A sleep disorder
Q2) The nurse instructs a patient about monoamine oxidase (MAO)inhibitors before discharge.The nurse tells the patient to avoid certain foods and beverages while she is on the MAO inhibitors because they could cause which problems?
A) An increase in appetite, leading to obesity
B) Severe psychosis
C) An increase in depressive behavior
D) Sudden and severe hypertension
Q3) Long-term use of dopaminergic drugs often leads to which condition?
A) Muscle flaccidity
B) Migraine headaches
C) Incontinence
D) Tardive dyskinesia
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Page 15
Chapter 14: Medications for Pain Management and Anesthesia
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Sample Questions
Q1) A patient with a head injury should not receive a narcotic agonist for which reason?
A) The patient will not be able to talk.
B) The drug makes the patient too hyperactive.
C) Addiction is easy at this point.
D) The drug causes a confusing effect.
Q2) A patient in a motor vehicle accident was brought into the emergency department for his injuries.After x-rays were done,the patient was found to have a fractured pelvis.Which drug would the nurse expect the physician to order for this patient because of his acute pain?
A) Meperidine (Demerol)
B) Acetaminophen (Tylenol)
C) Propoxyphene (Darvon-N)
D) Morphine sulfate
Q3) The physician orders hydromorphone (Dilaudid).The nurse knows that this is the drug of choice because of which reason?
A) It minimizes some of the common side effects.
B) It will not make the patient sleepy.
C) It is not strong as morphine and is less addicting.
D) It can be given transdermally.
Page 16
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Chapter 15: Antiinflammatory,Musculoskeletal,and
Antiarthritis Medications
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Sample Questions
Q1) A patient tells the nurse she regularly forgets to take her antiinflammatory medication.What is the nurse's best response to the patient?
A) "Medication levels need to be maintained."
B) "Take a dose when you remember."
C) "Double up on doses."
D) "Stop taking the medication."
Q2) When a patient is on aspirin therapy,the nurse should instruct the patient to watch for and report to the physician which symptom?
A) Increase in appetite
B) Edema in bilateral feet
C) Burning on urination
D) Blood in stools
Q3) Antiinflammatory analgesics should be used with caution by patients with which of the following conditions? (Select all that apply.)
A) Liver disease
B) Transient ischemic attacks (TIAs)
C) Headaches
D) Weight loss
E) Heart disease
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Chapter 16: Gastrointestinal Medications
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Sample Questions
Q1) An older patient has been diagnosed with having laxative dependency due to chronic laxative use.The nurse plans to educate the patient on nonpharmacologic measures to prevent constipation.What should the nurse's education plan include?
A) Increase bed rest.
B) Monthly exercise.
C) Increase fluid intake to 6 to 8 glasses of water daily.
D) Take only one laxative a week.
Q2) A frail 67-year-old nursing-home patient is brought to the clinic for a barium enema.For the next few days following the procedure,he fails to have any bowel movements.The nurse anticipates the physician will probably order which treatment?
A) Saline laxative
B) Antispasmodic to increase peristalsis
C) Emetic to relieve pressure
D) Stool softener
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18
Chapter 17: Hematologic Products
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Sample Questions
Q1) Which tests will the nurse evaluate after the physician makes an adjustment in a patient's heparin dose in order to determine the effect of the change?
A) aPTT
B) PT
C) INR
D) DIC panel
Q2) What is the purpose of anticoagulant therapy?
A) Thin the blood
B) Lyse existing clots
C) Increase viscosity of the blood
D) Prevent new clot formation
Q3) Heparin therapy is based on the patient's body weight in kilograms.Which represents the rate used for an IV bolus infusion?
A) 80 units/kg
B) 65 units/kg
C) 5 units/kg
D) 18 units/kg
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Chapter 18: Hormones and Steroids
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Sample Questions
Q1) On a cool day,a patient complains of tachycardia,diaphoresis,and being warm.The patient has no known health problems.The health care provider will assess the patient for which conditions? (Select all that apply.)
A) Diabetes
B) Thyroid disease
C) Posterior pituitary hormone deficiency
D) Hypertension
E) Pregnancy
Q2) Insulin needs may increase due to which insulin antagonists? (Select all that apply.)
A) Corticosteroids
B) Epinephrine
C) Alcohol
D) Thyroid hormone
E) Oral contraceptives
Q3) Which are two of the major glucocorticoids produced by the adrenal glands?
A) Vasopressin and aldosterone
B) Hydrocortisone and cortisone
C) Prednisone and hydrocortisone
D) Deltasone and Solu-Cortef
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Chapter 20: Topical Medications
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Sample Questions
Q1) Silvadene is used in treatment of which skin problem?
A) Herpes simplex lesions
B) Hives
C) Burns
D) Bee stings
Q2) Salicylic acid is used in the treatment of which of the following conditions of the foot?
A) Ingrown toenails
B) Hammer toe
C) Bunions
D) Calluses
Q3) A patient complains of dry eyes.Which over-the-counter product may provide relief?
A) Visine
B) Allerest
C) Tears Plus
D) OcuClear
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Chapter 21: Vitamins and Minerals
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Sample Questions
Q1) Pyridoxine hydrochloride (vitamin B<sub>6</sub>)is a water-soluble vitamin found in which foods? (Select all that apply.)
A) Wheat
B) Corn
C) Apple
D) Pears
E) Milk
Q2) After his teeth have been coated with fluoride,the patient should be instructed not to rinse,eat,or drink for which time period after the procedure?
A) 1 hour
B) 2 \(\frac{1}{2}\) hours
C) 10 minutes
D) 30 minutes
Q3) The highest amount of vitamin E is found in which food source(s)?
A) Meat
B) Milk and cheese
C) Wheat germ
D) Fish
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