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NUR 2474 / NUR2474 Exam 1: Pharmacology for Professional Nursing Exam 1 Review (2021/2022) Rasmussen
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NUR2474 Pharmacology for Professional Nursing Exam 1 Review
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NUR2474 Exam 11. A patient asks the nurse about drug interactions with OTC preparations. What is the
nurse's best response?
A. "Discuss this with the health care provider."
B. "There are not many interactions, so don't worry about it."
C. "Read the labels carefully, and check with your health care provider."
D. "Avoid over-the-counter preparations."
- C. "Read the labels carefully, and check with your health care provider."
The patient should always check with the healthcare provider prior to starting new
medications, and since this is referring to OTCs, the patient should also read labels for
interactions and contraindications.
2. A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A.One
B.Two
C.Three
D.Four
- •A. One. Medications with long half-lives remain at their therapeutic levels between
doses for long periods of time. The nurse should expect to administer this medication
once a day.
3. A nurse educator is reviewing medication metabolism at an in-service presentation.
Which of the following factors should the educator include as a reason to administer
lower medication dosages?
A. Increased renal excretion
, B. Increased medication-metabolizing enzymes
C. Liver failure
D. Hypertension
- C. Liver failure. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
4. A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
•
A. "It doesn't' matter if I clean the site before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
- C. "I will apply the patch to an area of skin with no hair.” The client should apply the
patch to a hairless area of skin to promote absorption of the medication.
5. A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice guidelines? (Select all that apply.)
•
A. Teach the client about the medication.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Lock compartments for controlled substances.
E. Determine the client's insurance status.
- A. Teach the medication as part of the rights of medication administration.
•
C. Monitor for adverse effects as part of the rights of medication administration.
•
, D. Lock controlled substances in a drawer, cart, or other compartment to prevent
misuse.
6. A nurse is preparing to administer digoxin to a client who states, "I don't want to take
that medication. I do not want one more pill." Which of the following responses should
the nurse make?
•
A. "Your physician prescribed it for you, so you really should take it."
B. "Well, let's just get it over quickly then."
C. "Okay, I'll just give you your other medications."
D. "Tell me your concerns about taking this medication."
- D. "Tell me your concerns about taking this medication." Although clients have the
right to refuse a medication, this response is correct in determining the reason for
refusal by asking about the client's concerns. Then information can be provided about
the risk of refusal and facilitate an informed decision. At that point, if the client still
exercises their right to refuse a medication, notify the provider and document the
refusal and the actions taken.
7. A nurse is reviewing a client's prescribed medications. Which of the following situations
represents a contraindication to medication administration?
•
A. The client drank grapefruit juice, which could reduce a medication's effectiveness.
B. The medication has orthostatic hypotension as an adverse effect.
C. A medication is approved for ages 12 and older, and the client is 8 years old.
D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a
preoperative sedative.
- C. Age is one factor that can be a contraindication to medication administration.
Contraindications are findings that indicate the client should not receive a medication
and are different from instances where an undesirable effect or more monitoring are
needed.
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