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Pharmacology
questions & answers
1. The primary care provider prescribes furosemide 40
mg IV for a patient with heart failure. Which drug name is used in this
prescription?
1) Chemical
2) Brand
3) Trade
4) Generic
Ans 4
2. A patient is prescribed fluoxetine 20 mg by mouth
daily for treatment of depression. The nurse caring for the patient is
unfamiliar with this drug. Which action should she take before administering
the medication?
1) Inform the prescriber that she is not comfortable
administering the drug.
2) Ask a nursing colleague for relevant information
about the drug.
3) Consult the drug formulary accessible to staff at
the patient care unit.
4) Trust the prescriber writes the dose and administer
the drug as intended.
Ans 3
3. A surgeon prescribes potassium chloride 20 mEq by
mouth for a patient with a nasogastric (NG) tube for gastric drainage. How
should the nurse proceed?
1) Seek clarification from the surgeon about the
medication order.
2) Clamp the NG tube while administering the dose by
mouth.
3) Instill the medication through the NG tube.
4) Withhold the oral potassium chloride elixir.
Ans 1
4. A patient calls the nurse because he is having
incision pain and wants a dose of analgesic medication. When the nurse checks
the patient’s medication administration record, she notes that he is prescribed
the opioid, hydromorphone (Dilaudid). Where should the nurse expect to retrieve
this drug for administration?
1) Cabinet in the patient’s room
2) Double-locked medication drawer
3) Stock supply cabinet
4) Portable medication cart
Ans 2
5. Which term refers to the movement of a drug from
the site of administration to the bloodstream?
1) Absorption
2) Distribution
3) Metabolism
4) Excretion
Ans 1
6. A patient who just returned from the postanesthesia
care unit is complaining of severe incision pain. Which drug contained in his
medication administration record will offer him the fastest relief?
1) Liquid acetaminophen with codeine
2) Intravenous morphine sulfate
3) Intramuscular meperidine
4) Oral oxycodone tablets
Ans 2
7. The time it takes for drug concentration to reach a
therapeutic level in the blood is known as:
1) Peak action
2) Duration of action
3) Onset of action
4) Half-life
Ans 3
8. A patient is given furosemide 40 mg orally at 0900.
The duration of action for this drug is approximately 6 hours after oral
administration. At which time in military hours should the nurse no longer
expect to see the effects of this drug?
1) 0930
2) 1000
3) 1100
4) 1500
Ans 4
9. Which factor in a patient’s medical history is most
likely to prolong the half-life of certain drugs?
1) Heart disease
2) Liver disease
3) Rheumatoid arthritis
4) Tobacco use
Ans 2
10. The nurse receives a laboratory report that states
her patient’s digoxin level is 1.2 ng/mL; therapeutic range for this drug is
0.5 to 2 ng/mL. Which action should the nurse take?
1) Notify the prescriber to reduce the dose.
2) Withhold the next dose of digoxin.
3) Administer the next dose as prescribed.
4) Notify the prescribing healthcare provider to
increase the dose.
Ans 3
11. The primary care provider orders peak and trough
levels for a patient who is receiving intravenous vancomycin every 12 hours.
When should the nurse obtain a blood specimen to measure the trough?
1) With the morning routine laboratory studies
2) Approximately 30 minutes before the next dose
3) Two hours after the next dose infuses
4) While the drug infuses
Ans 2
12. Teratogenic drugs should be avoided in which
patient population?
1) Pregnant women
2) Elderly
3) Children
4) Adolescents
Ans 1
13. A patient with end-stage cancer is prescribed
morphine sulfate to reduce pain. For which effect is this medication
prescribed?
1) Supportive
2) Restorative
3) Substitutive
4) Palliative
Ans 4
14. After receiving diphenhydramine, a patient
complains that his mouth is very dry. This is not uncommon for patients taking
this medication. Which drug effect is this patient experiencing?
1) Side effect
2) Adverse reaction
3) Toxic reaction
4) Supportive effect
Ans 1
15. While receiving an intravenous dose of an
antibiotic, levofloxacin, a patient develops severe shortness of breath,
wheezing, and severe hypotension. Which action should the nurse take first?
1) Administer epinephrine IM.
2) Give bolus dose of intravenous fluids.
3) Stop the infusion of medication.
4) Prepare for endotracheal intubation.
Ans 3
16. A patient develops urticaria and pruritus 5 days
after beginning phenytoin for treatment of seizures. Which type of reaction is
the patient most likely experiencing?
1) Mild adverse reaction
2) Dose-related adverse reaction
3) Toxic reaction
4) Anaphylactic reaction
Ans 1
17. Laboratory test results indicate that warfarin
anticoagulant therapy is suddenly ineffective in a patient who has been taking
the drug for an extended time. The nurse suspects an interaction with herbal
medications. What type of interaction does she suspect?
1) Antagonistic drug interaction
2) Synergistic drug interaction
3) Idiosyncratic reaction
4) Drug incompatibility
Ans 1
18. A patient with terminal cancer requires increasing
doses of an opioid pain medication to obtain relief from pain. This patient is
exhibiting signs of drug:
1) Abuse.
2) Misuse.
3) Tolerance.
4) Dependence.
Ans 3
19. Before administering a medication, the nurse must
verify the rights of medication administration, which include:
1) right patient, right room, right drug, right route,
right dose, and right time.
2) right drug, right dose, right route, right time,
right physician, and right documentation.
3) right patient, right drug, right route, right time,
right documentation, and right equipment.
4) right patient, right drug, right dose, right route,
right time, and right documentation.
Ans 4
20. Which expected outcome is best for a patient with
a nursing diagnosis of Deficient Knowledge related to new drug treatment
regimen?
1) After an explanation and written materials,
describes the expected actions and adverse reactions of his medication
2) In 1 week after instructional session, describes
the expected actions and adverse reactions of his medications
3) Follows the treatment plan as prescribed
4) Experiences no adverse effect from his prescribed
treatment plan
Ans 2
21. When the nurse enters a patient’s room to
administer a medication, he calls out from the bathroom telling her to leave
his medication on the bedside table. He reassures her that he will take the
medication as soon as he is finished. How should the nurse proceed?
1) Inform the patient that she will return when he is
finished in the bathroom.
2) Wait outside the bathroom door until the patient is
ready for the dose.
3) Withhold the dose until the next administration
time later in the day.
4) Document that the dose was omitted in the
medication administration record.
Ans 1
22. Which documentation entry related to PRN
medication administration is complete?
1) 6/5/11 0900 morphine 4 mg IV given in right
antecubetal fossa for pain rated 8 on a 1–10 scale, J. Williams RN
2) 0600 famotidine 20 mg IV given in right hand, S.
Abraham RN
3) 9/2/11 0900 levothyroxine 50 mcg PO given
4) 1/16/11 furosemide 40 mg PO given, J. Smith RN
Ans 1
23. A patient has difficulty taking liquid medications
from a cup. How should the nurse administer the medications?
1) Request that the physician change the order to the
IV route.
2) Administer the medication by the IM route.
3) Use a needleless syringe to place the medication in
the side of the mouth.
4) Add the dose to a small amount of food or beverage
to facilitate swallowing.
Ans 3
24. The primary care provider prescribes nitroglycerin
1/150 g SL for a patient experiencing chest pain. How should the nurse
administer the drug?
1) Place the drug in the cheek and allow it to
dissolve.
2) Place the drug under the tongue and allow it to
dissolve.
3) Inject the drug superficially into the subcutaneous
tissue.
4) Give the pill and water to the patient for him to
swallow the tablet.
Ans 2
25. Which action should the nurse take immediately
after administering a medication through a nasogastric tube?
1) Verify correct nasogastric tube placement in the
stomach.
2) Auscultate the abdomen for presence of bowel
sounds.
3) Immediately administer the next prescribed
medication.
4) Flush the tube with water using a needleless
syringe.
Ans 4
26. How should the nurse dispose of a contaminated
needle after administering an injection?
1) Place the needle in a specially marked,
puncture-proof container.
2) Recap the needle, and carefully place it in the
trash can.
3) Recap the needle, and place it in a puncture-proof
container.
4) Place the needle in a biohazard bag with other
contaminated supplies.
Ans 1
27. The nurse must administer hepatitis B
immunoglobulin 0.5 mL intramuscularly to a 3-day-old infant born to an HB
Ag-positive mother. Which injection site should the nurse choose to administer
this injection?
1) Ventrogluteal
2) Vastus lateralis
3) Deltoid
4) Dorsogluteal
Ans 2
28. Which action should the nurse take to relax the
vastus lateralis muscle before administering an intramuscular injection into
the site?
1) Apply a warm compress.
2) Massage the site in a circular motion.
3) Apply a soothing lotion.
4) Have the client assume a sitting position.
Ans 4
29. The physician prescribes warfarin 5 mg orally at
1800 for a patient who underwent open reduction and internal fixation of his
right hip. After administering the medication, the nurse realizes that she
administered a 10 mg tablet instead of the prescribed 5 mg PO. Which of the following
actions by the nurse is appropriate?
1) No action is necessary because an extra 5 mg of
warfarin is not harmful.
2) Call the prescriber and ask her to change the order
to 10 mg.
3) Document on the chart that the drug was given and
indicate the drug was given in error.
4) Complete an incident report according to the
facility’s policy.
Ans 4
30. The nurse must administer eardrops to an infant.
How should she proceed?
1) Pull the pinna down and back before instilling the
drops.
2) Pull the pinna upward and outward before instilling
the drops.
3) Instill the drops directly; no special positioning
is necessary.
4) Position the patient supine with the head of the
bed elevated 30°.
Ans 1
31. The nurse is teaching parents ways to give oral
medication to their child. Which action would they implement to improve
compliance?
1) Crush time-release capsules to put in his favorite
food.
2) Give medication quickly before he knows what is
happening.
3) Allow the child to eat a frozen pop before
receiving the medication.
4) Mask the flavor of medication in a toddler cup with
orange juice.
Ans 3
32. An adult patient admitted with lower
gastrointestinal bleeding is prescribed a unit of packed red blood cells. Which
gauge needle should be inserted to administer this blood product?
1) 18 gauge
2) 22 gauge
3) 24 gauge
4) 26 gauge
Ans 1
33. The nurse is drawing up a medication from an
ampule. Arrange the following steps in the order in which they should be performed.
A. Use an ampule opener to break ampule neck.
B. Tap the ampule to remove medication trapped in the
top of ampule.
C. Invert the ampule, and draw up the medication.
D. Dispose of the top and bottom of the ampule and
filter needle in sharps container.
E. Hold the syringe vertically, and tap it to remove
air bubbles.
Ans B,A,C,E,D
34. A nurse is administering a medication using a
volume-control administration set (e.g., Buretrol, Volutrol). Arrange the
following steps in the order in which they would be performed. Number 1 is the
one performed first.
A. Inject the ordered medication into the
volume-control chamber.
B. Fill the volume-control chamber with the correct
amount of intravenous fluid from the primary bag.
C. Cleanse the port on the volume-control chamber.
D. Prime the volume-control tubing.
E. Open the lower clamp and start the infusion at the
correct flow rate.
Ans B,D,C,A,E
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