Pharm Exam 4 Practice Questions 213
Complete solutions.
Pharm Exam 4 Practice Questions 213
Complete solutions.
A 60-year-old woman is taking a bisphosphonate. She calls the clinic and tells the nurse
that her stomach has been bothering her and wants to know what she should do. The
nurse will instruct her to
A. take the medication with milk.
B. take the medication with breakfast.
C. remain upright in a sitting position for at least 10 minutes after taking the medication.
D. stop the medication and to come in for an evaluation. - ANSWER-D
A patient is mowing his lawn on a hot Saturday afternoon. He begins to notice chest
pain. What should his first action be?
A. Take his nitroglycerin tablet
B. Stop mowing and sit or lie down
C. Go inside the house to cool off and get a drink of water
D. Call 911 - ANSWER-B
A patient with extremely high blood pressure (BP) is in the emergency department. The
physician will order therapy with nitroglycerin to manage the patient's BP. Which form of
nitroglycerin is most appropriate?
A. Sublingual spray 1-3 min
B. Transdermal patch = 24 hr
C. Oral capsule maintenance
D. IV infusion - ANSWER-D
A patient who was walking his dog developed chest pain and sat down. He continues to
experience chest pain when sitting down. When should he call 911?
A. Immediately
B. If the pain becomes more severe
C. If one sublingual tablet does not relieve the pain after 5 minutes
D. If the pain is not relieved after three sublingual tablets, taken 5 minutes apart -
ANSWER-C
A patient who has had an MI is taking a beta blocker. What is the main benefit of beta
blocker therapy for this patient?
,Pharm Exam 4 Practice Questions 213
Complete solutions.
A. Vasodilation of the coronary arteries
B. Increased force of cardiac contraction
C. Slowing of the heart rate
D. Maintaining adequate BP - ANSWER-C
What information will the nurse include when teaching the patients about taking beta2-
blocking drugs for the treatment of angina?
A. "Call your health care provider if you heart rate is 64 beats/min."
B. "These drugs are safe to use in patients who have asthma."
C. "Call your health care provider if you experience a weight gain of 2 lb or more in 24
hours or 5 lb or more in 1 week."
D. "Avoid taking these medications with grapefruit juice." - ANSWER-C
A patient asks how to apply transdermal nitroglycerin. What is the nurse's best
response?
A. "Always apply the transdermal patch over the area of your chest where your heart is."
B. "Keep the previous patch on for 1 full day so you always have two patches on at a
time."
C. "Apply the patch to hairless areas of the body."
D. "First apply Vaseline to your body; then apply the transdermal - ANSWER-C
A patient is receiving digoxin 0.25 mg/day as part of treatment for HF. The nurse
assesses the patient before medication administration. Which assessment finding would
be of most concern?
A. Apical heart rate of 58 beats/min
B. Ankle edema +1 bilaterally
C. Serum potassium level of 2.9 mEq/L
D. Serum digoxin level of 0.8 ng/mL - ANSWER-C
A patient has received an IV dose of adenosine, and almost immediately the heart
monitor shows asystole. What should the nurse do next?
A. Check the patient's pulse.
B. Prepare to administer cardiopulmonary resuscitation.
C. Set up for defibrillation.
D. Continue to monitor the patient. - ANSWER-D
A patient is in the emergency department with an unspecified supraventricular
dysrhythmia. The physician orders a dose of diltiazem (Cardizem) IV push. While the
nurse administers the medication through the IV lock, the patient says she feels
,Pharm Exam 4 Practice Questions 213
Complete solutions.
something wet spilling on her arm. Her heart rate was unchanged. What will the nurse
do next?
A. Assess the patient for diaphoresis.
B. Check the IV lock to see if it is functioning properly.
C. Repeat the dose of diltiazem (Cardizem).
D. Restart the IV in another location. - ANSWER-B
A patient with a new prescription for a HMG-CoA (statin) drug is instructed to take the
medication with the evening meal or at bedtime. The patient asks why it must be taken
at this time of day. The reason is
A. the medication is better absorbed at this time.
B. this timeframe correlates better with the natural diurnal rhythm of cholesterol
production.
C. there will be fewer adverse effects if taken at night instead of with the morning meal.
D. this timing reduces the incidence of myopathy. - ANSWER-B
A patient is receiving an IV infusion of heparin and was started on warfarin therapy the
night before. Which statement is most correct?
A. The patient is receiving a double dose of anticoagulants.
B. The heparin therapy was ineffective, so the warfarin was started.
C. The heparin provides anticoagulation until therapeutic levels of warfarin are reached.
D. The heparin and warfarin work together synergistically to provide anticoagulation. -
ANSWER-C
A patient is receiving an IV infusion of a thrombolytic drug during treatment for an acute
MI. The nurse notices that there is a slight amount of bleeding from the antecubital area
where venous lab work was drawn. What will the nurse do first?
A. Monitor the site for further bleeding.
B. Apply pressure to the site with a gauze pad.
C. Slow the rate of infusion of the thrombolytic drug.
D. Stop the infusion of the thrombolytic drug. - ANSWER-B
A 75-year-old man fell at home and hit his head against a table. His wife reports to their
daughter that he does not have cuts or scratches, but there is a small lump on his upper
scalp. She does not see any blood. He is taking warfarin and an antidysrhythmic as part
of his treatment for chronic atrial fibrillation. What is the main concern at this time?
A. Pressure should be applied to the lump for 3 to 5 minutes.
B. He will need to take two doses of warfarin tonight to prevent blood clotting.
C. He needs to be examined for possible internal bleeding from the fall.
, Pharm Exam 4 Practice Questions 213
Complete solutions.
D. As long as there is no bleeding, there is no concern. - ANSWER-C
A patient has been admitted to the emergency department because of an overdose of
an oral benzodiazepine. He is very drowsy but still responsive. The nurse will prepare
for which immediate intervention?
a. Hemodialysis to remove the medication
b. Administration of flumazenil
c. Administration of naloxone
d. Intubation and mechanical ventilation - ANSWER-b
An older adult has been given a benzodiazepine for sleep induction, but the night nurse
noted that the patient was awake most of the night, watching television and reading in
bed. The nurse documents that the patient has had which type of reaction to the
medication?
a. Allergic
b. Teratogenic
c. Paradoxical
d. Idiopathic - ANSWER-c
The nurse is preparing to administer a medication for sleep. Which intervention applies
to the administration of a nonbenzodiazepine, such as zaleplon (Sonata)?
a. These drugs need to be taken about 1 hour before bedtime.
b. Because of their rapid onset, these drugs need to be taken just before bedtime.
c. The patient needs to be cautioned about the high incidence of morning drowsiness
that may occur after taking these drugs.
d. These drugs are less likely to interact with alcohol. - ANSWER-b
The nurse will monitor the patient who is taking a muscle relaxant for which adverse
effect?
a. CNS depression
b. Hypertension
c. Peripheral edema
d. Blurred vision - ANSWER-a
A hospitalized patient is complaining of having difficulty sleeping. Which action will the
nurse take first to address this problem?
a. Administer a sedative-hypnotic drug if ordered.
b. Offer tea made with the herbal preparation valerian.
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