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Pharmacology Exam #3 - McFadden (Chapters 25-35 NCLEX QUESTIONS)
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Pharmacology Exam #3 - McFadden (Chapters 25-35 NCLEX QUESTIONS)
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PharmacologyExam
#3
-
McFadden
(Chapters
25-35
NCLEX
QUESTIONS)
A
patient
is
receiving
lidocaine
(Xylocaine)
by
continuous
intravenous
(IV)
infusion.
The
nurse
understands
this
medication
is
prescribed
for
what
condition?
A.
Atrial
fibrillation
B.
Sinus
bradycardia
C.
First-degree
heart
block
D.
Ventricular
dysrhythmias
-
ANSWER-D.
Ventricular
dysrhythmias
The
nurse
is
reviewing
the
protocol
for
administration
of
IV
adenosine
(Adenocard).
What
is
the
MOST
important
nursing
intervention
to
remember
when
giving
this
medication?
A.
Administer
it
as
a
fast
IV
push.
B.
Assess
for
burning
sensation
at
the
IV
site.
C.
Monitor
the
infusion
site
for
hematoma.
D.
Flush
the
IV
catheter
with
normal
saline.
-
ANSWER-A.
Administer
it
as
a
fast
IV
push.
To
prevent
the
occurrence
of
cinchonism
in
a
patient
prescribed
quinidine
(Quindex),
which
instruction
is
MOST
important
for
the
nurse
to
provide
for
this
patient?
A.
Avoid
drinking
grapefruit
juice.
B.
Remind
the
patient
to
change
positions
slowly.
C.
Advise
the
patient
to
wear
sunscreen
every
day.
D.
Increase
dietary
intake
of
potassium.
-
ANSWER-A.
Avoid
drinking
grapefruit
juice.
The
nurse
understands
adenosine
(Adenocard)
is
used
to
treat
which
condition? A.
Atrial
flutter
B.
Atrial
fibrillation
C.
Second-degree
atrioventricular
block
D.
Paroxysmal
supraventricular
tachycardia
(PSVT)
-
ANSWER-D.
Paroxysmal
supraventricular
tachycardia
(PSVT)
Sodium
channel
blockers
are
considered
which
class
of
antidysrhythmic
drugs?
A.
Class
I
B.
Class
II
C.
Class
III
D.
Class
IV
-
ANSWER-A.
Class
I
The
patient
is
prescribed
ibutilide
(Corvert),
a
class
III
antiarrhythmic
drug.
The
nurse
understands
this
drug
has
been
prescribed
for
which
reason?
A.
Conversion
of
life-threatening
ventricular
dysrhythmias
B.
Conversion
of
recent-onset
atrial
fibrillation
and
flutter
C.
Treatment
of
dysrhythmias
in
patients
with
acute
renal
failure
D.
Treatment
of
PSVT
-
ANSWER-B.
Conversion
of
recent-onset
atrial
fibrillation
and
flutter
Before
administering
a
dose
of
an
antidysrhythmic
drug
to
a
patient,
what
is
the
priority
nursing
assessment?
A.
Check
apical
pulse
and
blood
pressure.
B.
Measure
urine
output
and
specific
gravity.
C.
Obtain
temperature
and
pulse
oximetry
on
room
air.
D.
Evaluate
peripheral
pulses
and
level
of
consciousness.
-
ANSWER-A.
Check
apical
pulse
and
blood
pressure.
Which
drug
class
is
used
to
treat
both
hypertension
and
antidysrhythmias?
A.
Sodium
channel
blockers
B.
Calcium
channel
blockers
C.
Direct-acting
vasodilators D.
Alpha-adrenergic-blocking
-
ANSWER-B.
Calcium
channel
blockers
Calcium
channel
blockers
have
which
pharmacodynamic
effect?
A.
Positive
inotropic
B.
Positive
chronotropic
C.
Coronary
vasodilation
D.
Shortened
refractory
period
-
ANSWER-C.
Coronary
vasodilation
The
nurse
is
caring
for
a
patient
prescribed
amiodarone
(Cordarone).
The
nurse
knows
the
MOST
serious
adverse
effect
of
this
medication
can
occur
in
which
body
system?
A.
Nervous
B.
Immune
C.
Respiratory
D.
Gastrointestinal
-
ANSWER-C.
Respiratory
The
nurse
would
assess
which
laboratory
value
to
determine
the
effectiveness
of
intravenous
heparin
(Hemochron)?
A.
Prothrombin
time
(PT)
B.
Blood
urea
nitrogen
C.
Complete
blood
count
D.
Activated
partial
thromboplastin
time
(aPTT)
-
ANSWER-D.
Activated
partial
thromboplastin
time
(aPTT)
The
nurse
is
caring
for
a
patient
admitted
with
gastrointestinal
bleeding
who
is
anticoagulated
with
warfarin
(Coumadin).
Which
medication
should
the
nurse
anticipate
administering?
A.
Vitamin
E
B.
Vitamin
K
(Phytonadione)
C.
Protamine
(Protamine
sulfate)
D.
Calcium
gluconate
-
ANSWER-B.
Vitamin
K
(Phytonadione)
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