Pharm - Test Bank Exam 1
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - answers D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy &
gave the med 2 hrs after the scheduled dose was due. What type of problem does this
represent?
a. right time
b. right dose
c. right route
d. right medication - answers A
The nurse has been monitoring the pt's progress on a new drug regimen since the first
dose & documenting the pt's therapeutic response to the medication. Which phase of
the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - answers D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - answers D
Which activity best reflects the implementation phase of the nursing process for the pt
who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment
regimen - answers A
,The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - answers C
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - answers C
The nurse is performing an assessment of a newly admitted pt. Which is an example of
subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis - answers C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both drugs are
absorbed into the circulation in identical amounts. Which term is used to identify this
principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state - answers A
The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream - answers A
When monitoring the pt receiving an intraveous infusion to reduce BP, the nurse notes
that the pt's BP is extremely low, & the pt is lethargic & difficult to awaken. This would
be classified as which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction - answers D
When reviewing the mechanism of action of a specific drug, the nurse reads that the
drug works by selective enzyme interaction. Which of these processes describes
selective enzyme interaction?
a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme from binding
to that receptor
,d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's action w/
the normal target cell - answers D
When administering a new medication to a pt, the nurse reads that is highly protein
bound. Assuming that the pt's albumin levels are normal, the nurse would expect which
result, as compared to a medication that is not highly protein bound?
a. renal excretion will be faster
b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer - answers D
The pt is experiencing chest pain & needs to take a sublingual form of nitroglycerin.
Where does the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum - answers A
The nurse is administering medications to the pt who is in renal failure resulting from
endstage renal disease. The nurse is aware that pts w/ kidney failure would most likely
have problems w/ which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion - answers D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
c. diphenhydramine elixir
d. levothyroxine tablets
e. transdermal nictotine patches
f. esomephrazole capsules
g. penicillin given by IV piggyback infusion - answers C, D, F
Drug transfer to the fetus is more likely during the last trimester of pregnancy for which
reason?
a. decreased fetal surface area
b. increased placental surface area
c. enhanced blood flow to the fetus
d. increased amount of protein-bound drug in maternal circulation - answers C
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - answers C
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as
treatment
for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
, b. Nervousness
c. Nausea and vomiting
d. Dizziness - answers c
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is
experiencing polypharmacy. Which statement most accurately illustrates
polypharmacy?
a. the pt is experiencing multiple illnesses
b. the pt uses one med for an illness several times per day
c. the pt uses OTC - answers
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - answers d
A mother brings her toddler into the emergency department and tells the nurse that she
thinks the
toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for
which
most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - answers d
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The
child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best
response by
the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." - answers c
A patient has used enteric aspirin for several years as treatment for osteoarthritis.
However, the
symptoms are now worse and she is given a prescription for a nonsteroidal anti-
inflammatory
drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two
pills for
arthritis?" What is the nurse's best response?
a. "Cytotec will also reduce the symptoms of your arthritis."
b. "Cytotec helps the action of the NSAID so that it will work better."
c. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric
irritation."
d. "Cytotec may help to prevent gastric ulcers that may occur in patients taking
NSAIDs." - answers d
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - answers D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy &
gave the med 2 hrs after the scheduled dose was due. What type of problem does this
represent?
a. right time
b. right dose
c. right route
d. right medication - answers A
The nurse has been monitoring the pt's progress on a new drug regimen since the first
dose & documenting the pt's therapeutic response to the medication. Which phase of
the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - answers D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - answers D
Which activity best reflects the implementation phase of the nursing process for the pt
who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment
regimen - answers A
,The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - answers C
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - answers C
The nurse is performing an assessment of a newly admitted pt. Which is an example of
subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis - answers C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both drugs are
absorbed into the circulation in identical amounts. Which term is used to identify this
principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state - answers A
The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream - answers A
When monitoring the pt receiving an intraveous infusion to reduce BP, the nurse notes
that the pt's BP is extremely low, & the pt is lethargic & difficult to awaken. This would
be classified as which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction - answers D
When reviewing the mechanism of action of a specific drug, the nurse reads that the
drug works by selective enzyme interaction. Which of these processes describes
selective enzyme interaction?
a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme from binding
to that receptor
,d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's action w/
the normal target cell - answers D
When administering a new medication to a pt, the nurse reads that is highly protein
bound. Assuming that the pt's albumin levels are normal, the nurse would expect which
result, as compared to a medication that is not highly protein bound?
a. renal excretion will be faster
b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer - answers D
The pt is experiencing chest pain & needs to take a sublingual form of nitroglycerin.
Where does the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum - answers A
The nurse is administering medications to the pt who is in renal failure resulting from
endstage renal disease. The nurse is aware that pts w/ kidney failure would most likely
have problems w/ which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion - answers D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
c. diphenhydramine elixir
d. levothyroxine tablets
e. transdermal nictotine patches
f. esomephrazole capsules
g. penicillin given by IV piggyback infusion - answers C, D, F
Drug transfer to the fetus is more likely during the last trimester of pregnancy for which
reason?
a. decreased fetal surface area
b. increased placental surface area
c. enhanced blood flow to the fetus
d. increased amount of protein-bound drug in maternal circulation - answers C
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - answers C
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as
treatment
for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
, b. Nervousness
c. Nausea and vomiting
d. Dizziness - answers c
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is
experiencing polypharmacy. Which statement most accurately illustrates
polypharmacy?
a. the pt is experiencing multiple illnesses
b. the pt uses one med for an illness several times per day
c. the pt uses OTC - answers
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - answers d
A mother brings her toddler into the emergency department and tells the nurse that she
thinks the
toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for
which
most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - answers d
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The
child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best
response by
the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." - answers c
A patient has used enteric aspirin for several years as treatment for osteoarthritis.
However, the
symptoms are now worse and she is given a prescription for a nonsteroidal anti-
inflammatory
drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two
pills for
arthritis?" What is the nurse's best response?
a. "Cytotec will also reduce the symptoms of your arthritis."
b. "Cytotec helps the action of the NSAID so that it will work better."
c. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric
irritation."
d. "Cytotec may help to prevent gastric ulcers that may occur in patients taking
NSAIDs." - answers d
