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Chapter 1: Orientation toPharmacologyTest Bank MULTIPLE CHOICE 1. The nurse is teaching a patient how amedication works to treat an illness. To do this, the nurse will rely onknowledge of: a. clinical pharmacology. b. drug efficacy. c. pharmacokinetics. d. pharmacotherapeutics. 2. What does it mean when a drug isdescribed as easy to administer? a. It can be stored indefinitely without need for refrigeration. b. It does not interact significantly with other medications. c. It enhances patient adherence to the drug regimen. d. It is usually relatively inexpensive to produce. 3. A patient tells the nurse that he wastold by the prescriber that the analgesic he is taking is very effective. Whichstatement by the patient demonstrates an understanding of the drug’seffectiveness? a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to cause an overdose.” b. “It has no side effects and doesn’t interact with other drugs.” c. “I only have to take it every 12 hours.” d. “It might make me sleepy, and it lessens pain for several hours at a time.” |
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MULTIPLE RESPONSE 1. What are the properties of an idealdrug? (Select all that apply.) a. Irreversible action b. Predictability c. Ease of administration d. Chemical stability e. A simple trade name 2. Before administering a medication,what does the nurse need to know to evaluate how individual patient variabilitymight affect the patient’s response to the medication? (Select all that apply.) a. Chemical stability of the medication b. Ease of administration c. Family medical history d. Patient’s age e. Patient’s diagnosis Chapter 2: Application ofPharmacology in Nursing PracticeTest Bank MULTIPLE CHOICE 1. A patient is using a metered-doseinhaler containing albuterol for asthma. The medication label instructs thepatient to administer “2 puffs every 4 hours as needed for coughing orwheezing.” The patient reports feeling jittery sometimes when taking themedication, and she doesn’t feel that the medication is always effective. Whichis not an appropriate nursing interventionfor this patient? a. Asking the patient to demonstrate use of the inhaler b. Assessing the patient’s exposure to tobacco smoke c. Auscultating lung sounds and obtaining vital signs |
2. A postoperative patient is beingdischarged home with acetaminophen/hydrocodone (Lortab) for pain. The patientasks the nurse about using Tylenol for fever. Which statement by the nurse iscorrect? a. “It is not safe to take over-the-counter drugs with prescription medications.” b. “Taking the two medications together poses a risk of drug toxicity.” c. “There are no known drug interactions, so this will be safe.” d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.” 3. The nurse is preparing to care for apatient who will be taking an antihypertensive medication. Which action by thenurse is part of the assessment step of the nursing process? a. Asking the prescriber for an order to monitor serum drug levels b. Monitoring the patient for drug interactions after giving the medication c. Questioning the patient about over-the-counter medications d. Taking the patient’s blood pressure throughout the course of treatment 4. A postoperative patient reports pain,which the patient rates as an 8 on a scale from 1 to 10 (10 being the mostextreme pain). The prescriber has ordered acetaminophen (Tylenol) 650 mg POevery 6 hours PRN pain. What will the nurse do? a. Ask the patient what medications have helped with pain in the past. b. Contact the provider to request a different analgesic medication. c. Give the pain medication and reposition the patient to promote comfort. d. Request an order to administer the medication every 4 hours. |
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5. A patient newly diagnosed withdiabetes is to be discharged from the hospital. The nurse teaching this patientabout home management should begin by doing what? a. Asking the patient to demonstrate how to measure and administer insulin b. Discussing methods of storing insulin and discarding syringes c. Giving information about how diet and exercise affect insulin requirements d. Teaching the patient about the long-term consequences of poor diabetes control 6. The nurse receives an order to givemorphine 5 mg IV every 2 hours PRN pain. Which action is not partof the six rights of drug administration? a. Assessing the patient’s pain level 15 to 30 minutes after giving the medication b. Checking the medication administration record to see when the last dose was administered c. Consulting a drug manual to determine whether the amount the prescriber ordered is appropriate d. Documenting the reason the medication was given in the patient’s electronic medical record 7. A patient tells a nurse that amedication prescribed for recurrent migraine headaches is not working. Whatwill the nurse do? a. Ask the patient about the number and frequency of tablets taken. b. Assess the patient’s headache pain on a scale from 1 to 10. c. Report the patient’s complaint to the prescriber. d. Suggest biofeedback as an adjunct to drug therapy. 8. A nurse is preparing to administermedications. Which patient would the nurse consider to have the greatestpredisposition to an adverse reaction? a. A 30-year-old man with kidney disease b. A 75-year-old woman with cystitis c. A 50-year-old man with an upper respiratory tract infection d. A 9-year-old boy with an ear infection |
