Pharmacology for Nurses Practice Questions
Course Introduction
Pharmacology for Nurses offers a comprehensive introduction to the principles of pharmacology as they relate to nursing practice. This course covers major drug classifications, mechanisms of action, therapeutic uses, side effects, and potential drug interactions. Emphasis is placed on safe medication administration, dosage calculations, and the nurses role in patient education and monitoring drug effectiveness. Through a combination of case studies and practical scenarios, students will develop analytical skills necessary to assess patient needs, recognize adverse reactions, and implement evidence-based interventions, highlighting the integral role nurses play in optimizing pharmacological care.
Recommended Textbook
Evolve Resources for Pharmacology and the Nursing Process 7th Edition by Linda Lane Lilley
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58 Chapters
825 Verified Questions
825 Flashcards
Source URL: https://quizplus.com/study-set/1613 Page 2
Chapter 1: The Nursing Process and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31978
Sample Questions
Q1) The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
A) "Right time" problem
B) "Right dose" problem
C) "Right route" problem
D) "Right medication" problem
Answer: A
Q2) When giving medications, the nurse will follow the rights of medication administration, which include what rights? (Select all that apply.)
A) Right drug
B) Right route
C) Right dose
D) Right diagnosis
E) Right time
F) Right patient
G) Right documentation
Answer: A, B, C, E, F, G
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Chapter 2: Pharmacologic Principles
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31979
Sample Questions
Q1) The patient is complaining of a headache and asks the nurse which over-the-counter medication form would work the fastest to help reduce the pain. Which medication form will the nurse suggest?
A) A capsule
B) A tablet
C) An enteric-coated tablet
D) A powder
Answer: D
Q2) When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by selective enzyme interaction. This process occurs when the drug A) alters cell membrane permeability.
B) enhances its effectiveness within the cell walls of the target tissue.
C) is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor.
D) binds to an enzyme molecule and inhibits or enhances the enzyme's action with the normal target cell.
Answer: D
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Chapter 3: Lifespan Considerations
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31980
Sample Questions
Q1) The nurse is administering drugs to neonates and will consider which factor that may contribute the most to drug toxicity?
A) The lungs are immature.
B) The kidneys are small.
C) The liver is not fully developed.
D) Excretion of the drug occurs quickly.
Answer: C
Q2) An elderly patient with a new diagnosis of hypertension will be receiving a new prescription for an antihypertensive drug. The nurse expects which type of dosing to occur with this drug therapy?
A) Drug therapy will be based on the patient's weight.
B) Drug therapy will be based on the patient's age.
C) The patient will receive the maximum dose that is expected to reduce the blood pressure.
D) The patient will receive the lowest possible dose at first, and then the dose will be increased as needed.
Answer: D
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Chapter 4: Cultural, Legal, and Ethical Considerations
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31981
Sample Questions
Q1) When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly describes Schedule II drugs?
A) Drugs with high potential for abuse that have accepted medical use
B) Drugs with high potential for abuse that do not have accepted medical use
C) Medically accepted drugs that may cause moderate physical or psychological dependence
D) Medically accepted drugs with limited potential for causing physical or psychological dependence
Q2) During a busy night shift, a new nurse administered an unfamiliar medication without checking it in a drug handbook. Later that day, the patient had a severe reaction because he has renal problems, which was a contraindication to that drug. The nurse may be liable for
A) medical negligence.
B) nursing negligence.
C) nonmaleficence.
D) autonomy.
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6
Chapter 5: Medication Errors: Preventing and Responding
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/31982
Sample Questions
Q1) The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
A) Ask a colleague what the order says.
B) Contact the prescriber to clarify the order.
C) Wait until the prescriber makes rounds again to clarify the order.
D) Ask the patient what medications he takes at home.
Q2) Digoxin is available in 0.25-mg tablet form. Convert this dose to microgram strength. Do not round.
Q3) The nurse is reviewing medication errors. Which situation is an example of a medication error?
A) A patient refuses her morning medications.
B) A patient receives a double dose of a medication because the nurse did not cut the pill in half.
C) A patient develops hives after having started an IV antibiotic 24 hours earlier.
D) A patient complains of severe pain still present 60 minutes after a pain medication was given.
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Page 7
Chapter 6: Patient Education and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31983
Sample Questions
Q1) A 60-year-old patient is on several new medications and expresses worry that she will forget to take her pills. Which action by the nurse would be most helpful in this situation?
A) Teaching effective coping strategies
B) Asking the patient's prescriber to reduce the number of drugs prescribed
C) Assuring the patient that she will not forget once she is accustomed to the routine
D) Assisting the patient with obtaining and learning to use a calendar or pill container
Q2) The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable goal?
A) The patient will know about self-administration of insulin injections.
B) The patient will understand the principles of self-administration of insulin injections.
C) The patient will demonstrate the proper technique of self-administering insulin injections.
D) The patient will comprehend the proper technique of self-administering insulin injections.
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Chapter 7: Over-The-Counter Drugs and Herbal and Dietary Supplements
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31984
Sample Questions
Q1) A patient wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs?
A) Digitalis
B) Anticoagulants
C) Sedatives
D) Immunosuppressants
Q2) The nurse is reviewing the criteria for over-the-counter drugs. Which criteria for over-the-counter status in the United States are accurate? (Select all that apply.)
A) The drug must be easy to use.
B) The drug must have a low therapeutic index.
C) The consumer must be able to monitor the drug's effectiveness.
D) The drug must have a low potential for abuse.
E) The drug must not have any interactions with other drugs.
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9
Chapter 8: Gene Therapy and Pharmacogenomics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/31985
Sample Questions
Q1) A patient has just been told that she has the genetic markers for a severe type of breast cancer. After the patient meets with the physician, the patient's daughter asks the nurse, "What did the doctor tell my mother? She seems upset." What is the nurse's best response?
A) "I'm sorry, but I'm not allowed to discuss that."
B) "The physician will discuss this with you."
C) "It seems that your mother has the genetic markers for a type of breast cancer."
D) "This is information that your mother will need to discuss with you."
Q2) The nurse is performing an assessment of a patient. Which assessment findings may indicate a higher risk for genetic disorders? (Select all that apply.)
A) The patient's father was diagnosed with heart disease at 60 years of age.
B) The patient's mother was diagnosed with breast cancer at 33 years of age.
C) The patient's grandfather died of a cerebral vascular accident at 78 years of age.
D) The patient's sister has a history of both renal cancer and lung cancer.
E) The patient has two uncles and a grandparent who have been diagnosed with Alzheimer's disease.
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10
Chapter 9: Photo Atlas of Drug Administration
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31986
Sample Questions
Q1) A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. How many milliliters will the nurse administer for this dose?
Q2) After administering an intradermal ( ID ) injection for a skin test, the nurse notices a small bleb at the injection site. The best action for the nurse to take at this time is to A) apply heat.
B) massage the area.
C) do nothing.
D) report the bleb to the physician.
Q3) The nurse has an order to administer an IM immunization to a 2-month-old child. Which site is considered the best choice for this injection?
A) Deltoid
B) Dorsogluteal
C) Ventrogluteal
D) Vastus lateralis
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Chapter 10: Analgesic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31987
Sample Questions
Q1) The nurse is assessing a patient who has been admitted to the emergency department for a possible opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?
A) Dilated pupils
B) Restlessness
C) Respiration rate of 6 breaths/minute
D) Heart rate of 55 beats/minute
Q2) A patient is to receive codeine, 40 mg subcutaneously, every 6 hours as needed for pain. The solution is available in a concentration of 30 mg/mL. How many milliliters of codeine will be drawn up for this dose? Record solve to one decimal place.
Q3) A patient is to receive acetylcysteine (Mucomyst) as part of the treatment for an acetaminophen (Tylenol) overdose. Which action by the nurse is appropriate when giving this medication?
A) Giving the medication undiluted for full effect
B) Avoiding the use of a straw when giving this medication
C) Disguising the flavor with soda or flavored water
D) Preparing to give this medication via a nebulizer
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Chapter 11: General and Local Anesthetics
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31988
Sample Questions
Q1) While monitoring a patient who had surgery under general anesthesia 2 hours ago, the nurse notes a sudden elevation in body temperature. This finding may be an indication of which problem?
A) Tachyphylaxis
B) Postoperative infection
C) Malignant hypertension
D) Malignant hyperthermia
Q2) A patient is to receive midazolam (Versed) 2 mg IV push over 2 minutes just before an endoscopy procedure. The medication is available in a strength of 5 mg/mL. How many milliliters of medication will the nurse draw up into the syringe for this dose?
Q3) The nurse is preparing to administer dexmedetomidine (Precedex) to a patient. Which is an appropriate indication for dexmedetomidine? (Select all that apply.)
A) Procedural sedation
B) Surgeries of short duration
C) Surgeries of long duration
D) Postoperative anxiety
E) Sedation of mechanically ventilated patients
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Chapter 12: Central Nervous System Depressants and Muscle Relaxants
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31989
Sample Questions
Q1) A 50-year-old man who has been taking phenobarbital for 1 week is found very lethargic and unable to walk after eating out for dinner. His wife states that he has no other prescriptions and that he did not take an overdose-the correct number of pills is in the bottle. The nurse suspects that which of the following may have happened?
A) He took a multivitamin.
B) He drank a glass of wine.
C) He took a dose of aspirin.
D) He developed an allergy to the drug.
Q2) A patient tells the nurse that he likes to drink kava herbal tea to help him relax. Which statement by the patient indicates that additional teaching about this herbal product is needed?
A) "I will not drink wine with the kava tea."
B) "If I notice my skin turning yellow, I will stop taking the tea."
C) "I will not take sleeping pills if I have this tea in the evening."
D) "I will be able to drive my car after drinking this tea."
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Page 14
Chapter 13: Central Nervous System Stimulants and Related Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31990
Sample Questions
Q1) A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine should be used with caution if which of these conditions is present?
A) A history of peptic ulcers
B) Migraine headaches
C) Asthma
D) A history of kidney stones
Q2) A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to "make it through" the end of the semester and exam week. She is in the university clinic today because she is "exhausted." What nursing diagnosis may be appropriate for her?
A) Noncompliance
B) Impaired physical mobility
C) Sleep deprivation
D) Imbalanced nutrition: less than body requirements
Q3) The order reads, "Give atomoxetine (Strattera) 0.5 mg/kg/day once daily in the morning before school." The child weighs 88 pounds. How many milligrams will be administered per dose?
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Page 15
Chapter 14: Antiepileptic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31991
Sample Questions
Q1) During a routine appointment, a patient with a history of seizures is found to have a phenytoin (Dilantin) level of 23 mcg/mL. What concern will the nurse have, if any?
A) The patient is at risk for seizures because the drug level is not at a therapeutic level.
B) The patient's seizures should be under control because this is a therapeutic drug level.
C) The patient's seizures should be under control if she is also taking a second antiepileptic drug.
D) The drug level is at a toxic level, and the dosage needs to be reduced.
Q2) Which statements about antiepileptic drug ( AED ) therapy are accurate? (Select all that apply.)
A) AED therapy can be stopped when seizures are stopped.
B) AED therapy is usually lifelong.
C) Consistent dosing is the key to controlling seizures.
D) A dose may be skipped if the patient is experiencing adverse effects.
E) Do not abruptly discontinue AEDs because doing so may cause rebound seizure activity.
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Chapter 15: Antiparkinson Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31992
Sample Questions
Q1) When assessing the medication history of a patient with a new diagnosis of Parkinson's disease, which conditions are contraindications for the patient who will be taking carbidopa-levodopa? (Select all that apply.)
A) Angle-closure glaucoma
B) History of malignant melanoma
C) Hypertension
D) Benign prostatic hyperplasia
E) Concurrent use of monoamine oxidase inhibitors (MAOIs)
Q2) A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?
A) Decreased appetite
B) Gradual development of cogwheel rigidity
C) Newly developed dyskinesias
D) Improved ability to perform activities of daily living
Q3) The prescriber writes this order, "Give amantadine (Symmetrel) 100 mg per PEG tube twice a day." The medication is available in a liquid form with a concentration 50 mg/5 mL. How many milliliters will the nurse give with each dose?
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Chapter 16: Psychotherapeutic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31993
Sample Questions
Q1) The wife of a patient who has been diagnosed with depression calls the office and says, "It's been an entire week since he started that new medicine for his depression, and there's no change! What's wrong with him?" What is the nurse's best response?
A) "The medication may not be effective for him. He may need to try another type."
B) "It may take up to 4 weeks to notice any therapeutic effects. Let's wait a little longer to see how he does."
C) "It sounds like the dose is not high enough. I'll check about increasing the dosage."
D) "Some patients never recover from depression. He may not respond to this therapy."
Q2) The nurse reads in the patient's medication history that the patient is taking buspirone (BuSpar). The nurse interprets that the patient may have which disorder?
A) Anxiety disorder
B) Depression
C) Schizophrenia
D) Bipolar disorder
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Chapter 17: Substance Abuse
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31994
Sample Questions
Q1) A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance?
A) Opioids
B) Alcohol
C) Stimulants
D) Depressants
Q2) The nurse is presenting a substance-abuse lecture for teenage girls and is asked about "roofies." The nurse recognizes that this is the slang term for which substance?
A) cocaine
B) flunitrazepam
C) secobarbital
D) methamphetamine
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Chapter 18: Adrenergic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31995
Sample Questions
Q1) The nurse is presenting information to a class of students about adrenergic drugs. Which are effects of drugs that stimulate the sympathetic nervous system? (Select all that apply.)
A) Dilation of bronchioles
B) Constriction of bronchioles
C) Decreased heart rate
D) Increased heart rate
E) Dilated pupils
F) Constricted pupils
G) Glycogenolysis
Q2) When an adrenergic drug stimulates beta?-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?
A) Positive inotropic
B) Anti-adrenergic
C) Negative dromotropic
D) Positive chronotropic
Q3) The nurse is to administer epinephrine 0.3 mg subcutaneously. The ampule contains 1 mL of medication and is labeled "Epinephrine 1:1000." How many milliliters of epinephrine will the nurse give?
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Page 20
Chapter 19: Adrenergic-Blocking Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31996
Sample Questions
Q1) A 49-year-old patient is in the clinic for a follow-up visit 6 months after starting a beta blocker for treatment of hypertension. During this visit, his blood pressure is 169/98 mm Hg, and he eventually confesses that he stopped taking this medicine 2 months ago because of an "embarrassing problem." What problem did the patient most likely experience with this medication that caused him to stop taking it?
A) Urge incontinence
B) Dizziness when standing up
C) Excessive flatus
D) Impotence
Q2) A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effect?
A) Orthostatic hypotension
B) Increased blood pressure
C) Decreased urine flow
D) Discolored urine
Q3) A patient has an order for carvedilol (Coreg) 6.25 mg twice a day PO. The tablets are 3.125 mg. How many tablets will the nurse administer per dose?
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21
Chapter 20: Cholinergic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31997
Sample Questions
Q1) The nurse is providing teaching regarding drug therapy to the husband of a woman with Alzheimer's disease. She was diagnosed 3 months ago, has mild memory loss, and will be receiving donepezil (Aricept). What is the drug's expected action?
A) Prevents memory loss in later stages
B) Reverses the course of Alzheimer's disease
C) Provides sedation to prevent agitation and restlessness
D) May help to improve the symptoms of Alzheimer's disease
Q2) A factory worker has been admitted to the emergency department after an industrial accident involving organophosphate insecticides. The nurse will prepare to administer which drug?
A) pilocarpine (Salagen)
B) bethanechol (Urecholine)
C) pyridostigmine (Mestinon)
D) tacrine (Cognex)
Q3) A patient is receiving memantine (Namenda) 10 mg PO daily. The patient is unable to swallow pills, so an oral solution that contains 2 mg/mL is ordered. How much will the patient receive per dose?
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Page 22
Chapter 21: Cholinergic-Blocking Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31998
Sample Questions
Q1) The nurse will monitor for which adverse effect when administering an anticholinergic drug?
A) Excessive urination
B) Diaphoresis
C) Dry mouth
D) Pupillary constriction
Q2) A patient has been taking tolterodine (Detrol), but today her prescriber changed her to a newer drug, darifenacin (Enablex). What advantage does darifenacin have over the tolterodine?
A) The newer cholinergic-blocker drugs are more effective.
B) It helps reduce urinary retention.
C) It can be used in patients with narrow-angle glaucoma.
D) The incidence of dry mouth is much lower with darifenacin.
Q3) In preparation for eye surgery, the nurse monitors for which desired drug effect in a patient who is receiving a cholinergic-blocking eyedrop medication?
A) Miosis
B) Mydriasis
C) Increased intraocular fluid production
D) Enhanced tear production
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Page 23
Chapter 22: Antihypertensive Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31999
Sample Questions
Q1) A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
A) Beta blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Angiotensin II receptor blockers (ARBs)
D) Calcium channel blockers
Q2) The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
A) Cardiac output and systemic vascular resistance
B) Heart rate and peripheral resistance
C) Blood volume and renal blood flow
D) Myocardial contractility and arteriolar constriction
Q3) A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose is given over 5 minutes. The medication is available in an injectable form, 1.25 mg/mL. How many milliliters of medication will the nurse draw up for each dose?
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Chapter 23: Antianginal Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32000
Sample Questions
Q1) The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?
A) The solution will be slightly colored green or blue.
B) The intravenous form is given by bolus injection.
C) It can be given in infusions with other medications.
D) Non-polyvinylchloride ( non-PVC ) plastic intravenous bags and tubing must be used.
Q2) A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
A) "Watch for unusual weight loss."
B) "Monitor your pulse for increased heart rate."
C) "Use the hot tub and sauna at the gym as long as time is limited to 15 minutes."
D) "Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia."
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25
Chapter 24: Heart Failure Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32001
Sample Questions
Q1) Which drug classes are considered first-line treatment for heart failure? (Select all that apply.)
A) Angiotensin-converting enzyme ( ACE ) inhibitors
B) Angiotensin II receptor blockers ( ARBs )
C) Digoxin ( cardiac glycoside )
D) Beta blockers
E) Nesiritide ( Natrecor ), the B-type natriuretic peptide
Q2) A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient states, "I am seeing a funny yellow color around the lights." What is the nurse's next action?
A) Assess the patient for symptoms of digoxin toxicity.
B) Withhold the next dose of the diuretic.
C) Administer the digoxin and diuretic together as ordered.
D) Document this finding, and reassess in 1 hour.
Q3) The medication order for a 4-year-old child reads, "Give digoxin elixir, 15 mcg/kg, PO now." Convert the micrograms to milligrams.
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Chapter 25: Antidysrhythmic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32002
Sample Questions
Q1) The nurse is reviewing the classes of antidysrhythmic drugs. Amiodarone (Cordarone) is classified on the Vaughan Williams classification as a class III drug, which means it works by which mechanism of action?
A) Blocking slow calcium channels
B) Prolonging action potential duration
C) Blocking sodium channels and affecting phase 0
D) Decreasing spontaneous depolarization and affecting phase 4
Q2) The nurse notes in the patient's medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?
A) Ventricular ectopy
B) Atrial fibrillation
C) Supraventricular tachycardia
D) Bradycardia
Q3) Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?
A) Risk for infection
B) Deficient knowledge
C) Deficient fluid volume
D) Urinary retention
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Chapter 26: Coagulation Modifier Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/32003
Sample Questions
Q1) The nurse notes in the patient's medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?
A) Stabilizing an existing thrombus
B) Dissolving an existing thrombus
C) Preventing thrombus formation
D) Dilating the vessel around a clot
Q2) A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
A) To relieve chest pain
B) To prevent further clot formation
C) To dissolve the clot in the coronary artery
D) To control bleeding in the coronary vessels
Q3) When administering heparin subcutaneously, the nurse will follow which procedure?
A) Aspirating the syringe before injecting the medication
B) Massaging the site after injection
C) Applying heat to the injection site
D) Using a \( 1 / 2 \) - to -inch 25- to \( 5 / 8 \) 28-gauge needle
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Chapter 27: Antilipemic Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32004
Sample Questions
Q1) The medication order reads, "Give simvastatin (Zocor) 10 mg daily at bedtime, PO." The medication is available in 20-mg tablets. How many tablets will the nurse administer to the patient?
Q2) A patient tells the nurse that he likes to eat large amounts of garlic "to help lower his cholesterol levels naturally." The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?
A) acetaminophen (Tylenol)
B) warfarin (Coumadin)
C) digoxin (Lanoxin)
D) phenytoin (Dilantin)
Q3) A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?
A) Constipation
B) Diarrhea
C) Joint pain
D) Dry mouth
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Chapter 28: Diuretic Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32005
Sample Questions
Q1) A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient's daily routine?
A) In the morning
B) At noon
C) With supper
D) At bedtime
Q2) The order for a child reads, "Give furosemide (Lasix) 2 mg/kg IV STAT." The child weighs 33 pounds. How many milligrams will the child receive for this dose?
Q3) A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?
A) Loop diuretics
B) Osmotic diuretics
C) Thiazide diuretics
D) Potassium-sparing diuretics
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Chapter 29: Fluids and Electrolytes
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32006
Sample Questions
Q1) A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending several hours doing gardening work in the heat of the day. The nurse expects that which drug therapy will be used to treat this condition?
A) Oral supplementation of fluids
B) Intravenous bolus of lactated Ringer's solution
C) Normal saline infusion, administered slowly
D) Oral administration of sodium chloride tablets
Q2) During diuretic therapy, the nurse monitors the fluid and electrolyte status of the patient. Which assessment findings are symptoms of hyponatremia? (Select all that apply.)
A) Red, flushed skin
B) Lethargy
C) Decreased urination
D) Hypotension
E) Stomach cramps
F) Elevated temperature
Q3) The order reads, "Give 1500 mL of normal saline over 12 hours. The tubing drop factor is 15 gtt/mL." The nurse will set the gravity drip infusion at how many drops per minute (gtt/min)?
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Page 31
Chapter 30: Pituitary Drugs
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/32007
Sample Questions
Q1) The nurse notes in a patient's medication history that the patient has been taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has which disorder?
A) Diabetes mellitus
B) Diabetes insipidus
C) Adrenocortical insufficiency
D) Carcinoid tumor
Q2) A patient's medication order indicates that he is to receive a dose of cosyntropin (Cortrosyn). The nurse is aware that this drug is used to diagnose which condition?
A) Adrenocortical insufficiency
B) Diabetes insipidus
C) Myasthenia gravis
D) Pituitary dwarfism
Q3) When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
A) Improved appetite
B) Increased serum albumin levels
C) Increased serum potassium levels
D) Decreased urinary output
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Chapter 31: Thyroid and Antithyroid Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32008
Sample Questions
Q1) During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions?
A) Using iodized salt when cooking
B) Avoiding foods containing iodine
C) Restricting fluid intake to 2500 mL per day
D) Increasing intake of sodium- and potassium-containing foods
Q2) A patient who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medicine works. Which explanation by the nurse is accurate?
A) It blocks the action of thyroid hormone.
B) It slows down the formation of thyroid hormone.
C) It destroys overactive cells in the thyroid gland.
D) It inactivates already existing thyroid hormone in the bloodstream.
Q3) The nurse is giving morning medications. The Medication Administration Record has an order for levothyroxine, 75 mcg PO. The drug-dispensing cabinet contains levothyroxine tablets in milligram strengths instead of micrograms. Calculate the milligram equivalent dose of 75 mcg.
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Chapter 32: Antidiabetic Drugs
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/32009
Sample Questions
Q1) The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?
A) Patients need to use the injection site that is the most accessible.
B) If two different insulins are ordered, they need to be given in separate injections.
C) When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
D) When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
Q2) Which action is most appropriate regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
A) Give it within 15 minutes of mealtime.
B) Give it after the meal has been completed.
C) Administer it once daily at the time of the midday meal.
D) Administer it with a snack before bedtime.
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Chapter 33: Adrenal Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32010
Sample Questions
Q1) A patient will be starting therapy with a corticosteroid. The nurse reviews the patient's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes?
A) Nonsteroidal antiinflammatory drugs
B) Antibiotics
C) Opioid analgesics
D) Antidepressants
Q2) A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient's recovery?
A) Hypotension
B) Delayed wound healing
C) Muscle weakness
D) Osteoporosis
Q3) A patient has been admitted for an exacerbation of chronic obstructive pulmonary disease and will be receiving methylprednisolone (Solu-Medrol) 30 mg intravenously every 6 hours. The medication is available in 40-mg/mL vials. How many milliliters will the nurse draw up for this dose?
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Chapter 34: Womens Health Drugs
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/32011
Sample Questions
Q1) A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having ophthalmic surgery. Which intervention is appropriate at this time?
A) She will continue to take the alendronate with water.
B) She cannot take the alendronate until she can sit up for 30 minutes.
C) She can take the medication with breakfast.
D) She will stop taking the medication 72 hours before her surgery.
Q2) When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
A) Monophasic
B) Biphasic
C) Triphasic
D) Short-acting
Q3) A patient is to receive medroxyprogesterone ( Depo-Provera ) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. How many milliliters will the nurse draw up and administer with each injection? (Record solve using one decimal place.)
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36
Chapter 35: Mens Health Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32012
Sample Questions
Q1) A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil ( Viagra ). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
A) Significant increase in pulse rate
B) Significant decrease in blood pressure
C) Increased risk of bleeding
D) Reduced effectiveness of the sildenafil
Q2) A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse will tell him that a possible effect of this medication is A) alopecia.
B) increased hair growth.
C) urinary retention.
D) increased prostate size.
Q3) A patient will be receiving testosterone cypionate (Depo-Testosterone) 400 mg intramuscularly every 4 weeks. The medication is available in a 200-mg/mL strength. How many milliliters will the nurse draw up for each injection?
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Page 37
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32013
Sample Questions
Q1) A child will be receiving diphenhydramine (Benadryl), 5 mg/kg/day, in divided doses, every 6 hours. The child weighs 80 pounds. How many milligrams of medication will the child receive with each dose? (Record answer using one decimal place.)
Q2) A patient is taking guaifenesin ( Humibid ) as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?
A) Force fluids to help loosen and liquefy secretions.
B) Report clear-colored sputum to the prescriber.
C) Avoid driving a car or operating heavy machinery because of the sedating effects.
D) Report symptoms that last longer than 2 days.
Q3) The nurse will instruct patients about a possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur?
A) Heartburn
B) Bradycardia
C) Drowsiness
D) Palpitations
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Page 38
Chapter 37: Respiratory Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32014
Sample Questions
Q1) The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?
A) The proper technique for inhalation must be followed.
B) The patient needs to keep it close by at all times to treat acute asthma attacks.
C) It needs to be taken every day on a continuous schedule, even if symptoms improve.
D) When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.
Q2) A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?
A) Shellfish
B) Soy products
C) Peanuts
D) Eggs
Q3) A patient will be receiving oral theophylline (Theo-Dur), 600 mg/day, in three divided doses. How many milligrams will the patient receive per dose?
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Chapter 38: Antibiotics Part 1
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/32015
Sample Questions
Q1) A patient with a long-term intravenous catheter is going home. The nurse knows that if he is allergic to seafood, which antiseptic agent is contraindicated?
A) chlorhexidine gluconate (Hibiclens)
B) hydrogen peroxide
C) povidone-iodine (Betadine)
D) isopropyl alcohol
Q2) A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?
A) Macrolides
B) Carbapenems
C) Sulfonamides
D) Tetracyclines
Q3) A patient will be receiving amoxicillin suspension 300 mg via a gastrostomy tube every 8 hours. The medication comes in a bottle that contains 400 mg/5 mL. How many milliliters will the nurse administer with each dose? (Record answer using one decimal place.)
Q4) A patient will be receiving penicillin G potassium, 12 million units daily in divided doses every 4 hours IVPB. How many units will the patient receive for each dose?
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Page 40
Chapter 39: Antibiotics Part 2
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32016
Sample Questions
Q1) A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
A) Neuralgia
B) Double vision
C) Hypotension
D) Tendonitis and tendon rupture
Q2) The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
A) Monitoring serum creatinine levels
B) Restricting fluids while the patient is on this medication
C) Warning the patient that a flushed feeling or facial itching may occur
D) Instructing the patient to report dizziness or a feeling of fullness in the ears
E) Reporting a trough drug level of 11 mcg/mL and holding the drug
F) Reporting a trough drug level of 24 mcg/mL and holding the drug
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Chapter 40: Antiviral Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32017
Sample Questions
Q1) A patient is taking a combination of antiviral drugs as treatment for early stages of HIV infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs?
A) They are given for palliative reasons only.
B) They will be effective as long as the patient is not exposed to the virus again.
C) They can be given in large enough doses to eradicate the virus without harming the body's healthy cells.
D) They may also kill healthy cells while killing viruses.
Q2) The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct?
A) Infuse intravenous acyclovir slowly, over at least 1 hour.
B) Infuse intravenous acyclovir by rapid bolus.
C) Refrigerate intravenous acyclovir.
D) Restrict oral fluids during intravenous acyclovir therapy.
Q3) A patient with a viral infection is to receive ganciclovir (Cytovene) 5 mg/kg/day IVPB every morning. The patient weighs 110 pounds. How many milligrams will this patient receive for this dose?
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42
Chapter 41: Antitubercular Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32018
Sample Questions
Q1) The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?
A) Gastrointestinal upset
B) Headache and nervousness
C) Reddish-orange urine and stool
D) Numbness and tingling of extremities
Q2) The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with tuberculosis. The patient asks, "Why do I have to take so many different drugs?" Which response by the nurse is correct?
A) "Your prescriber hopes that at least one of these drugs will work to fight the tuberculosis."
B) "Taking multiple drugs reduces the chance that the tuberculosis will become drug resistant."
C) "Using more than one drug can help to reduce side effects."
D) "Using multiple drugs enhances the effect of each drug."
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Chapter 42: Antifungal Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32019
Sample Questions
Q1) The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, which concept is important to remember?
A) The lipid formulations may be given in oral form.
B) The doses are much lower than the doses of the older drugs.
C) The lipid formulations are associated with fewer adverse effects than the older drugs.
D) There is no difference in cost between the newer and older forms.
Q2) The nurse is assessing a patient who is about to receive antifungal drug therapy. Which condition, if found in the patient, would be of most concern?
A) Diabetes mellitus
B) Liver disease
C) Pulmonary disease
D) Bleeding disorders
Q3) A patient will be taking fluconazole (Diflucan) 100 mg/day PO for 2 weeks. The patient is unable to swallow tablets, so an oral suspension that contains 10 mg/mL is available. How many milliliters will the nurse administer with each dose?
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Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32020
Sample Questions
Q1) A patient with an intestinal infection that is positive for the Giardia lamblia organism will be taking an antiprotozoal drug. The nurse will include which information in the teaching plan for this patient?
A) The urine may become dilute and pale during therapy.
B) Taking the medications with food reduces gastrointestinal upset.
C) The medications should be taken on an empty stomach.
D) The drugs may be discontinued once the diarrhea subsides.
Q2) Hydroxychloroquine (Plaquenil) is prescribed as part of malaria prophylaxis for a patient who will be traveling. The nurse will discuss which potential adverse effects with the patient? (Select all that apply.)
A) Diarrhea
B) Constipation
C) Insomnia
D) Dizziness
E) Rash
F) Headache
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45
Chapter 44: Antiinflammatory and Antigout Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32021
Sample Questions
Q1) The nurse is reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effect?
A) Anxiolytic
B) Sedative
C) Antipyretic
D) Antimicrobial
Q2) A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
A) Decreased uric acid levels
B) Decreased prothrombin time
C) Decreased white blood cell count
D) Increased hemoglobin and hematocrit levels
Q3) An elderly patient tells the nurse that he uses aspirin for "anything that hurts." The nurse will assess for which most common signs of chronic salicylate intoxication in adults?
A) Photosensitivity and nervousness
B) Tinnitus and hearing loss
C) Acute gastrointestinal bleeding and anorexia
D) Hyperventilation and central nervous system (CNS) effects
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Page 46
Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview
Cell Cyclespecific Drugs
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Source URL: https://quizplus.com/quiz/32022
Sample Questions
Q1) The nurse is reviewing infection-prevention measures with a patient who is receiving antineoplastic drug therapy. Which statement by the patient indicates the need for further teaching?
A) "I will avoid those who have recently had a vaccination."
B) "I will eat only fresh fruits and vegetables."
C) "I will report a sore throat, cough, or low-grade temperature."
D) "It is important for both my family and me to practice good hand washing."
Q2) The nurse is providing education regarding chemotherapy to a patient who is about to receive the first course of treatment. Which statement by the nurse is appropriate?
A) "Report black, tarry stools if they occur."
B) "Perform daily oral care with mouthwash."
C) "Limit your fluid intake to reduce nausea and vomiting."
D) "Contraceptive measures can be discontinued as soon as chemotherapy is completed."
Q3) A patient is to receive a daily dose of fludarabine (Fludara), 25 mg/m²/day for 5 consecutive days. Each dose is diluted in a 125-mL bag of normal saline and is to infuse over 30 minutes. The nurse will set the infusion pump to what rate in mL/hr?
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Page 47
Chapter 46: Antineoplastic Drugs Part 2: Cell
Cyclenonspecific Drugs and Miscellaneous Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32023
Sample Questions
Q1) When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will monitor for which adverse effects? (Select all that apply.)
A) Tinnitus
B) Heart failure
C) Hearing loss
D) Elevated blood urea nitrogen and creatinine levels
E) Numbness or tingling in the extremities
F) Elevated glucose and ketone levels
Q2) During chemotherapy, a patient develops severe diarrhea caused by a vasoactive intestinal peptide-secreting tumor ( VIPoma ). The nurse expects to administer which drug for this problem?
A) dexrazoxane ( Zinecard )
B) allopurinol ( Zyloprim )
C) octreotide ( Sandostatin )
D) bismuth subsalicylate ( Pepto-Bismol )
Q3) A patient will be receiving mitoxantrone (Novantrone), 12 mg/m² every 3 weeks, as part of treatment for prostate cancer. Each dose is mixed into a 50-mL bag of D<sub>5</sub>W and needs to infuse over 15 minutes. The infusion pump delivers the dose at mL/hour. The nurse will set the pump to infuse at what rate?
Page 48
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Chapter 47: Biologic Responsemodifying and Antirheumatic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32024
Sample Questions
Q1) A patient who has received chemotherapy has a critically low platelet count. The nurse expects which drug or drug class to be used to stimulate platelet cell production?
A) filgrastim ( Neupogen )
B) Interferons
C) oprelvekin ( Neumega )
D) epoetin alfa ( Epogen )
Q2) During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?
A) Bradycardia
B) A dry cough
C) Bruising on the skin
D) A sudden, 15-pound weight gain
Q3) A patient is to receive filgrastim (Neupogen) 5 mcg/kg/day. The patient weighs 198 pounds. How many micrograms of medication will this patient receive each day?
Q4) A patient will be receiving aldesleukin [IL-2] (Proleukin), 600,000 IU/kg every 8 hours for 14 doses. The patient weighs 220 pounds. How many IU of medication will this patient receive per dose?
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Chapter 48: Immunosuppressant Drugs
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12 Flashcards
Source URL: https://quizplus.com/quiz/32025
Sample Questions
Q1) When administering cyclosporine, the nurse notes that allopurinol is also ordered for the patient. What is a potential result of this drug interaction?
A) Reduced adverse effects of the cyclosporine
B) Increased levels of cyclosporine and toxicity
C) Reduced uric acid levels
D) Reduced nephrotoxic effects of cyclosporine
Q2) A patient has started azathioprine (Imuran) therapy as part of renal transplant surgery. The nurse will monitor for which expected adverse effect of azathioprine therapy? (Select all that apply.)
A) Tremors
B) Leukopenia
C) Diarrhea
D) Thrombocytopenia
E) Hepatotoxicity
F) Fluid retention
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Chapter 49: Immunizing Drugs and Biochemical Terrorism
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32026
Sample Questions
Q1) A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?
A) Haemophilus influenzae type b ( Hib )
B) Varicella virus vaccine ( Varivax )
C) Hepatitis B immunoglobulin ( BayHep B )
D) Hepatitis B virus vaccine ( inactivated ) ( Recombivax HB )
Q2) The nurse is conducting a class on potential bioterrorism agents, and a participant asks, "Which one has three routes of exposure to humans?" Which response by the nurse is correct?
A) Anthrax
B) Smallpox
C) Botulism
D) Tularemia
Q3) A health care worker will be receiving hepatitis B immunoglobulin (BayHep B), 0.06 mg/kg IM now and repeated in 30 days as part of hepatitis B prophylaxis after a needle stick accident. The patient weighs 264 pounds. How many milligrams will the patient receive for each dose? (Record answer using one decimal place.)
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Chapter 50: Acid-Controlling Drugs
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16 Flashcards
Source URL: https://quizplus.com/quiz/32027
Sample Questions
Q1) A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?
A) He takes the cimetidine with meals.
B) He smokes two packs of cigarettes a day.
C) He drinks a glass of water with each dose.
D) He takes an antacid 3 hours after the cimetidine dose.
Q2) An elderly patient had gastric surgery due to a gastrointestinal bleed 3 days ago, and he has been stable since the surgery. This evening, his daughter tells the nurse, "He seems to be more confused this afternoon. He's never been like this. What could be the problem?" The nurse reviews the patient's medication record and suspects that which drug could be the cause of the patient's confusion?
A) cimetidine (Tagamet)
B) pantoprazole (Protonix)
C) clarithromycin (Biaxin)
D) sucralfate (Carafate)
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Chapter 51: Bowel Disorder Drugs
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/32028
Sample Questions
Q1) A patient will be taking bismuth subsalicylate ( Pepto-Bismol ) to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication will interact significantly with the Pepto-Bismol?
A) acetaminophen (Tylenol), an analgesic
B) levothyroxine ( Synthroid ), a thyroid replacement drug
C) warfarin ( Coumadin ), an anticoagulant
D) fluoxetine ( Prozac ), an antidepressant
Q2) The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measures to prevent which potential problem that may occur with mineral oil?
A) Fecal impaction
B) Electrolyte imbalances
C) Lipid pneumonia
D) Esophageal blockage
Q3) A 10-year-old child will be receiving docusate sodium (Colace), 120 mg/day PO, divided into 3 doses. How many milligrams will the child receive per dose?
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Chapter 52: Antiemetic and Antinausea Drugs
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12 Flashcards
Source URL: https://quizplus.com/quiz/32029
Sample Questions
Q1) A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
A) Prokinetic drugs, such as metoclopramide (Reglan)
B) Serotonin blockers, such as ondansetron (Zofran)
C) Anticholinergic drugs, such as scopolamine (Scopace)
D) Neuroleptic drugs, such as chlorpromazine (Thorazine)
Q2) A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?
A) metoclopramide (Reglan)
B) promethazine (Phenergan)
C) phosphorated carbohydrate solution (Emetrol)
D) palonosetron (Aloxi)
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Chapter 53: Vitamins and Minerals
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15 Flashcards
Source URL: https://quizplus.com/quiz/32030
Sample Questions
Q1) A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, including which condition?
A) Renal disease
B) Cardiac disease
C) Hypophosphatemia
D) There are no contraindications to vitamin D supplements.
Q2) A newly admitted patient has orders for both vitamin C and zinc supplements. The nurse reviews the patient's medical history and concludes that these supplements are ordered for which reason?
A) To treat pellagra
B) To aid in wound healing
C) To treat osteomalacia
D) As an antidote for anticoagulant overdose
Q3) The nurse is preparing a plan of care for a patient undergoing therapy with vitamin
A. Which nursing diagnosis is appropriate for this patient?
A) Impaired tissue integrity related to vitamin deficiency
B) Risk for injury related to night blindness caused by vitamin deficiency
C) Impaired physical mobility (muscle weakness) related to vitamin deficiency
D) Acute confusion related to vitamin deficiency
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Page 55
Chapter 54: Anemia Drugs
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18 Flashcards
Source URL: https://quizplus.com/quiz/32031
Sample Questions
Q1) The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statement about treatment with folic acid is true?
A) Folic acid is used to treat any type of anemia.
B) Folic acid is used to treat iron-deficiency anemia.
C) Folic acid is used to treat pernicious anemia.
D) The specific cause of the anemia needs to be determined before treatment.
Q2) A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
A) Decreased weight
B) Increased activity tolerance
C) Decreased palpitations
D) Increased appetite
Q3) The nurse is reviewing the medical record of a patient before giving a new order for iron sucrose (Venofer). Which statement regarding the administration of iron sucrose is correct?
A) The medication is given with food to reduce gastric distress.
B) Iron sucrose is contraindicated if the patient has renal disease.
C) A test dose will be administered before the full dose is given.
D) The nurse will monitor the patient for hypotension during the infusion.
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Page 56
Chapter 55: Nutritional Supplements
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32032
Sample Questions
Q1) The total parenteral nutrition (TPN) order reads, "Infuse TPN #2 over 24 hours." Bag #2 of TPN contains 1800 mL. At what rate will the nurse set the infusion pump?
Q2) A patient with a partial bowel obstruction will be given a 1-week course of enteral tube feeding via a nasogastric tube. Which formulation is appropriate for this patient?
A) Vivonex Plus, an elemental formulation
B) Osmolite, a polymeric formulation
C) Glucerna, a formulation for impaired glucose tolerance
D) Polycose, a modular formulation that contains carbohydrates
Q3) A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will monitor for which common adverse effect?
A) Diarrhea
B) Constipation
C) Fluid overload
D) Heartburn
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Chapter 56: Dermatologic Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32033
Sample Questions
Q1) A child has been diagnosed with impetigo, a skin infection. The nurse anticipates that which drug will be used to treat this condition?
A) spinosad ( Natroba )
B) nystatin ( Mycostatin )
C) acyclovir ( Zovirax )
D) bacitracin
Q2) A father calls because his son has head lice. He reports that he used "that special medicated shampoo three times, but nothing happened." He wants to know what to do now. What will the nurse advise first?
A) "It sounds like you need a prescription for a second product, malathion."
B) "Try one of the lotion products instead."
C) "Use a nit comb to remove nits from the hair shafts."
D) "Try combing through the hair with mineral oil to loosen the lice from the hair shafts."
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Chapter 57: Ophthalmic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32034
Sample Questions
Q1) A patient is about to undergo ocular surgery. The preoperative nurse anticipates that which drug will be used for local anesthesia?
A) Oral glycerin
B) proparacaine ( Alcaine )
C) timolol ( Timoptic )
D) dipivefrin ( Propine )
Q2) The nurse is administering dipivefrin (Propine) eyedrops to a patient who has just started therapy with these drops. What potential systemic effect will the nurse monitor the patient for after this medication is given?
A) Hypotension
B) Bradycardia
C) Chest pain
D) Increased heart rate
Q3) The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which drug is used to reduce intraocular pressure?
A) tobramycin (Tobrex)
B) bacitracin (AK-Tracin)
C) mannitol (Osmitrol)
D) ketorolac (Acular)
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Page 59
Chapter 58: Otic Drugs
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/32035
Sample Questions
Q1) The nurse is assessing a child with otitis media. Which statement about otitis media is correct?
A) It is treated with over-the-counter medications.
B) In children, it commonly follows a lower respiratory tract infection.
C) Common symptoms include pain, fever, malaise, and a sensation of fullness in the ears.
D) Hearing deficits are associated only with inner ear infections, not with otitis media.
Q2) The nurse is teaching a patient's wife about administering eardrops to her husband. The nurse will use which technique when demonstrating the skill?
A) Pull the pinna of the ear down and back.
B) Pull the pinna of the ear up and back.
C) Pull the pinna of the ear down and forward.
D) Pull the pinna of the ear up and forward.
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