Pharmacology Quiz 4
FINAL EXAM REVIEW!!!
Questions with Complete
Solutions Graded A+
Denning [Date] [Course title]
, The nurse provides a patient with 20 mL of megestrol acetate (40 mg/mL strength) and the patient
reports, "I usually take 1 teaspoon of the long-acting formulation. Are you sure this is the right stuff?"
The nurse checks with the pharmacy and learns that 5 mL of megestrol extended release (125 mg/mL) is
equivalent to 800 mg of the medication. Which response by the nurse is BEST?
A) "You are right. You should only take 5 mL of this medication."
B) "We don't carry the long-acting medication. This is the equivalent dose."
C) "You should be taking 20 mL of medication at home as well."
D) "We will hold the medication at this time and verify the order with the physician." - Answer: B) "We
don't carry the long-acting medication. This is the equivalent dose."
A patient admitted to the hospital with acute renal failure typically takes moexipril for hypertension. The
patient's creatinine clearance is 32mL/min, and the pharmacy recommends a 50% dose reduction for
this medication. The patient's typical dose is 7.5 mg. The nurse would expect the physician to order
which of the following doses?
A) 3.75 mg
B) 2.25 mg
C) 4.25 mg
D) 5.75 mg - Answer: A) 3.75 mg
The nurse is preparing bicarbonate for a pediatric scheduled for a colonoscopy. The directions state to
provide the preparation at an estimated rate of 25 mL/kg/hr. The child weighs 55 lb. The nurse should
encourage the child to drink how much of the solution each hour?
A) 1,375 mL
B) 480 mL
C) 625 mL
D) 3,025 mL - Answer: C) 625 mL
While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the
first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is BEST?
A) Alter the pump setting to infuse at 150 mL/hr.
B) Alter the pump setting to infuse at 200 mL/hr to ensure the medication finishes on time.
C) Assure the patient the physician will be informed and new medication orders will be received.
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