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Pharmacology Final (26-50)

Create a detailed and professional illustration of a nurse in a clinical setting reviewing medication charts with various medical charts and vials in the background, emphasizing a focus on pharmacology and patient care.

Pharmacology Mastery Quiz

Test your knowledge and understanding of pharmacology with this comprehensive quiz designed for nursing and healthcare professionals. With a total of 54 questions covering a range of critical topics, you will challenge your expertise and identify areas for improvement.

Key features of the quiz include:

Multiple choice and checkbox questions
Covers a wide array of pharmacological concepts
Immediate scoring for self-assessment

54 Questions14 MinutesCreated by LearningMedic302

Which question does the nurse ask before administering a medication to the patient? Select all that apply

Can you tell me your name?

How long have you been ill?

Do you have any other medical illnesses?

Do you have any drug-related allergies?

Did anyone in your family have the same illness?

Which measure is taken by the hospital administration to prevent medication errors? Select all that apply

Avoid providing detailed information when writing short prescriptions

Multiple systems of checks and balances must be used by nurses and pharmacists

Avoid handwritten prescriptions and incorporate electronic prescriptions

Student interns must not be allowed to check the prescription of patients

Current drug literature must be made accessible to all health care providers

Which step(s) would the nurse follow when administering oral medications to prevent the risk for complications? Select all that apply

Administer irritating oral medications with food

Refrain from mixing oral medication in infant formula

Encourage patients to take water when administering medications sublingually

Refrain from administering oral medications to patients who do not have a gag reflex

Mix enteric-coated medication with fluid or crush it if a patient is unable to swallow

Which action(s) by the nurse indicates (indicate) an understanding of the principles of medication administration? Select all that apply

Pouring liquids from below eye level on a flat surface

Storing all drugs away from the sunlight and at room temperature

Documenting on a real-time basis after administering medication

Avoiding touching topical and inhalation medication preparations

Avoiding administering drugs prepared by another nurse or colleague

Which patient parameter would the nurse assess before administering medications to a patient? Select all that apply

Allergies

Vital signs

Contraindications to certain medications

Laboratory values

Level of consciousness

Which condition is an adverse effect of oxytocin? Select all that apply

Nausea

Tachycardia

Hypertension

Tachysystole

Cardiac arrhythmias

Which complication will the nurse monitor for in the woman in labor receiving oxytocin?

Hypotension

Early fetal heart rate decelerations

Seven uterine contractions in 20 minutes

Contractions lasting at least 1 minute

Which initial dose of flumazenil would the nurse administer over 15 seconds if the health care provider has instructed the nurse to administer flumazenil to a patient experiencing a diazepam overdose?

0.1 mg

0.2 mg

0.3 mg

0.5 mg

The health care provider orders 2 mg of lorazepam to be given IV for a patient who is anxious and restless following a laparoscopic procedure. Based on the patient's vital signs posttreatment with lorazepam, which action would the nurse take first when the patient does not respond to names or light shaking?

Continue to monitor vitals every 5 minutes

Administer 0.2 mg of flumazenil IV

Notify the health care provider

Update the patient's family member in the waiting room

A patient received lorazepam for sedation prior to having magnetic resonance imaging. Flumazenil was administered after the procedure. Based on the assessment findings given during report, which action will the nurse take next when caring for this patient

Check on the next dose of phenytoin

Administer ondansetron

Review the amount of flumazenil administered

Consult the health care provider to discontinue the lorazepam

Which type of enteral feeding formula is most appropriate for a patient who lacks proper digestive functioning?

Modular

Specialty

Elemental

Polymeric

A patient is taking 450 mg of lithium by mouth twice a day for bipolar disorder. Based on the assessment data, which action would the nurse perform first

Obtain a lithium level

Monitor the patient's urinary output

Place the patient on bedrest

Increase the patient's oral fluid intake

Which food item would the nurse remove from the breakfast tray before providing the tray to a patient with bipolar disorder who is receiving lithium?

Coffee

Banana

Sausage

Salt packet

Which intervention is the priority for a patient who recently began taking lithium?

Monitoring the patient's intake and output

Assessing the lithium levels every other week

Monitoring for the recurrence of manic activity

Asking the patient if the patient has a metallic taste in the mouth

Which item(s) would the nurse instruct a patient to avoid if the patient has bipolar disorder and has been prescribed lithium citrate? Select all that apply

Tea

Cola

Coffee

Shrimp

Chocolate

A patient with neutropenia is being treated with sargramostim. Which cue in the patient's medical record would concern the nurse? Select all that apply

Lithium

Hgb

Bilirubin

HCG level

Hypertension

Which medication can be added to enhance the effectiveness of amoxicillin?

Claulanic acid

Aspirin

Carbamazepine

Allopurinol

Which nursing action ensures safe drug administration when the nurse notes that pharmacy has supplied a generic drug instead of a brand-name drug?

Notifying the primary health care provider

Checking the composition of the brand-name drug

Checking for the primary health care provider's note in the prescription

Comparing the dose of the brand-name drug with the prescribed dose

Which reference would provide the nurse with the most comprehensive information related to US Food and Drug Administration (FDA) warnings regarding the uses of multiple medications prescribed for an older adult patient?

MedlinePlus

Prescriber's Letter

Handbook of injectable drugs

Medical Letter on Drugs and Therapeutics

Which resource provides accurate and complete information on nearly all prescription drugs marketed in the United States?

MedlinePlus

The Medical Letter on Drugs and Therapeutics

The handbook on injectable drugs by Lawrence Trissel

American Hospital Formulary Service (AHFS) Drug information

Which resource would be best for the nurse to use to promote patient strategy when caring for a patient with diabetes who has been prescribed insulin therapy and also takes herbal medication for memory enhancement?

MedlinePlus

Prescriber's Letter

Medical Letter on Drugs and Therapeutics

American Hospital Formulary Service (AHFS)

Which drug resource is recommended as a reference for finding information on the side effects, dosage, adverse effects, and clinical studies of newly approved drugs?

MedlinePlus

Prescriber's Letter

Handbook of injectable Drugs

Medical letter

Which response would the nurse give a patient newly prescribed erlotinib for the treatment of pancreatic cancer who asks, 'Why do I need to stop smoking?'

Your addiction to nicotine will be enhanced

Tobacco decreases the effectiveness of this drug

Taking this drug while smoking increases your risk for bleeding

Tobacco alters the pH of the upper gastrointestinal (GI) tract; therefore it interferes with this drug's absorption

Which information would the nurse include when teaching a patient about the administration of erlotinib?

Take the drug with an H2 receptor antagonist like famotidine

It will be important to stop smoking when receiving this drug

This medication is best absorbed if taken on a full stomach

It is important to take the two daily doses 12 hours apart

Which herbal therapy can improve immune system functioning? Select all that apply

Ginseng

Hawthorn

Chamomile

Peppermint

Saw palmetto

Which alteration in fluid and electrolyte balance would the nurse assess for in a patient taking fludrocortisone?

Hypovolemia

Hypokalemia

Hyponatremia

Hypercalcemia

Which statement describes how superinfection can occur?

It can occur when the serum level of an antibiotic is too high

It can occur when the patient has a gram positive bacterial infection

It can occur when the patient has a gram negative bacterial infection

It can occur when the antibiotic eliminates the normal bacterial flora

Which electrolyte alteration would the nurse suspect in a patient experiencing nausea, cardiac dysrhythmias, and shortness of breath?

Hyponatremia

Hypercalcemia

Hypokalemia

Acute dehydration

Which information would the nurse incorporate into the plan of care for a patient who reports snacking on licorice regularly and having lethargy, confusion, low blood pressure, and a reduced appetite?

Drink milk daily

Restrict intake of salty foods

Consume a glass of lemon juice daily

Consume foods rich in potassium

Which action would the nurse perform first, based on the information, if a patient presents to the urgent care center reporting leg cramps, nausea, and blurred vision?

Administer oral digoxin

Address the serum potassium level

Give scheduled sliding scale insulin

Obtain orthostatic blood pressures

Which adverse effect is associated with furosemide?

Hypokalemia

Hypoglycemia

Hypercalcemia

Hypervolemia

Which drug may be administered both orally and intravenously?

Imatinib

Cisplatin

Hydroxyurea

Cyclophosphamide

Which legislation has implications regarding the role of the nurse in asking about informed consent and risk-benefit ratios?

National Institutes of Health (NIH) Revitalization Act

Food and Drug Administration (FDA) Modernization Act

Prescription Drug User Fee Act

Health Insurance Portability and Accountability Act (HIPPA)

The nurse is reviewing the informed consent paperwork prior to the client signing the forms. Based on the image, which information is missing from the checklist? Select all that apply

Confidentiality

Risks of drug study

Reimbursement fees

Description of procedures

Emergency contact number

The nurse is caring for a patient in the emergency department who appears to be hallucinating. Which substance may be positive on the patient's toxicology screen that would explain the patient's presentation? Select all that apply

Heroin

Mescaline (Peyote)

Phencyclidine (PCP)

Synthetic cathinones

Gamma Hydroxybutyrate (GHB)

Which instruction will the nurse provide to a patient who has been prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects?

Take atorvastatin at bedtime

Adhere to the blood test schedule

Avoid all alcoholic beverages

Engage in moderate exercie

Which drug would the nurse include in a teaching session on antihyperlipidemic medication? Select all that apply

Statins

Fibrates

Nicotinic acid

Bile-acid sequestrants

Cholesterol absorption inhibitors

Which explanation will the nurse provide a patient on statin therapy?

Periodically check the serum liver enzyme level

Muscle pain may occur, which does not need to be reported

Discontinue the drug in case of any adverse effect

Report if there is any gastrointestinal discomfort

Which statement by a patient taking perphenazine for psychosis indicates a need for further teaching?

I should rise slowly from sitting or lying to the standing position

I should use sunscreen and protective clothing when stepping out in the sun

I should take lozenges or hard candy if I have dry mouth for more than 2 weeks

I should avoid driving and other hazardous activities in the initial phase of my treatment

Which answer would the nurse provide if asked how phenytoin works to control seizures?

Excites the neuronal cell membranes

Prevents an influx of sodium into cells

Suppresses calcium movement into cells

Intensifies action of gamma aminobutyric acid (GABA)

Which information will the nurse include when providing discharge instructions to a 30 year old female patient admitted with new onset seizure disorder and a new prescription for phenytoin XR 300 mg PO every day? Select all that apply

Notify the health care provider (HCP) of bleeding or bruising

Obtain serum drug levels every month

Use alternate methods of birth control

Avoid driving until follow-up appointment

Perform oral hygiene with soft toothbrush

Which patient teaching point will a nurse share with a patient who is prescribed zolpidem tartrate for insomnia? Select all that apply

Have an alcoholic drink before bedtime to help you relax

Avoid drinking coffee after dinner

Listen to soothing music before sleep

Limit the drug's use to less than 10 days

Drink plenty of water after taking the drug

Which Act resulted in response to the thalidomide tragedy?

Kefauver-Harris Amendment to the 1938 Act, 1962

Durham-Humphrey Amendment to the 1938 Act, 1952

Food and Drug Administration Modernization Act of 1997

Health Insurance Portability and Accountability Act of 2003

Which federal legislation will the nurse refer to when preparing a teaching plan for a patient on drug safety and labeling?

Controlled Substances Act

Drug Regulation Reform Act

Kefauver-Harris Amendment to the 1938 Act

Durham-Humphrey Amendment to the 1938 Act

A reduction of which physiologic measurement alters the volume of distribution of drugs in the older adult? Select all that apply

Body fat

Bone mass

Visceral fat

Lean body mass

Total body water

Before administering the daily dose of digoxin to a patient, the nurse notes that the patien is experiencing nausea, headache, malaise, and blurred vision. The patient's pulse rate is 54 beats per minute, and the patient states that yellow halos are seen around objects. Which action would the nurse anticipate taking in this situation? Select all that apply

Hold the dose

Draw a digoxin level

Notify the health care provider

Administer digoxin-immune Fab

Place the patient on a cardiac monitor

Which symptom will a nurse monitor in a patient with suspected digoxin toxicity? Select all that apply

Anorexia

Vomiting

Dry cough

Visual disturbances

Cardiac dysrhythmias

The nurse is providing education to a patient who will begin digoxin. Which food would the nurse instruct the patient to consume to increase serum potassium levels? Select all that apply

Broccoli

Eggplant

Potatoes

Cauliflower

Orange juice

Which information would a nurse include in discharge teaching to a patient prescribed digoxin and hydrochlorothiazide for the management of heart failure? Select all that apply

Obtain pulse before taking digoxin dose

Do not take over-the-counter medications without talking with a healthcare provider

Include foods high in potassium in the diet

Report signs of toxicity such as blurred vision

Hold the drug for heart rate less than 60 beats per minute

Which information will the nurse consider when caring for a patient who has been prescribed digoxin once daily?

The body eliminates excess digoxin within 1 day

The patient must be monitored frequently for drug toxicity

The drug has a half-life of 12 hours in patients with normal renal function

The body reaches a steady state of drug concentration in 3 days

Which drug is contraindicated for a patient with heart failure who is taking digoxin?

Verapamil

Valsartan

Lidocaine

Phenytoin

Which drug alleviates nausea caused by chemotherapy? Select all that apply

Granisetron

Aprepitant

Hydroxyzine

Cyclizine HCl

Dimenhydrinate

Which drug would be most beneficial to treat nausea and vomiting caused by chemotherapy?

Bisacodyl

Ondansetron hydrochloride

Promethazine

Scopolamine

Which member of the health care team is responsible for conducting a clinical review of the patient's drugs to ensure the appropriateness of therapy and reduce the risk for polypharmacy in the older adult?

Nurse

Patient

Primary health care provider

Pharmacist

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