PHARMACOLOGY PRACTICE QUESTIONS EXAM 1

1. The nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factors puts the neonatal patient at risk with regard to drug therapy? (Select all that apply.) a. Higher gastric pH b. Increased peristalsis in the GI tract c. Immature renal function d. Reduced first-pass elimination in the liver e. Decreased protein-binding of medications. correct answer C D E 2. The nurse is preparing to give medications. Which is an appropriate nursing action for intravenous (IV) phenytoin (Dilantin)? (Select all that apply) a. Give IV doses via rapid IV push b. Administer in normal saline solutions c. Administer in dextrose solutions d. Use a filter for IV infusion e. Ensure continuous infusion of the drug correct answer B D 3. The pharmacology champion question is;Which of the following are ad- verse effects of a CNS stimulant? (Select all that apply) a. Anxiety b. Increased BP c. Tremors d. Bradycardia correctanswer A B C 4. A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (select all that apply) a. doses of an oral benzodiazepine b. doses of an intravenous benzodiazepine c. restraints if the patient becomes confused, agitated, or a threat to himself to others d. thiamine supplementation e. oral disulfiram (Antabuse) treatment f. monitoring in the intensive care unit correct answer B C 2 / 34 D F 3 / 34 5. The nurse answers a patient's call light and finds the patient sitting up in bed and requesting pain medication. What will the nurse do first?