Nursing Pharmacology Ch33 Exam Prep
Multi- Choice Questions and Answers
Chapter 33
General Psychology (Laredo College)
, Chapter 33: Pharmacology and Preparation for Drug Administration
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility
of the nurse is to:
a. leave the medication in a cup at the bedside.
b. ask another licensed nurse to check the dose.
c. sign out the drug on a narcotic control inventory sheet.
d. tell the patient to drink extra water with the pill.
ANS: C
Schedule II drugs are narcotics, which are controlled substances that are kept in a locked area on the nursing unit, and each dose
must be signed out.
DIF: Cognitive Level: Application REF: p. 622 OBJ: Theory #2
TOP: Legal Control of Drugs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. The nurse is aware that the primary care provider has ordered a pain relief drug to be delivered in the manner in which
postoperative pain would be relieved most rapidly. This method is:
a. intradermally.
b. orally.
c. intramuscularly.
d. intravenously.
ANS: D
Intravenously administered medications are absorbed more quickly than medications administered by other routes.
DIF: Cognitive Level: Knowledge REF: p. 625|Table 33-5
OBJ: Theory #3 TOP: Medication Absorption
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
3. A nurse is administering a medication to an older adult patient who is normally highly protein bound. The nurse would be
concerned about increased drug activity and possible toxicity if the patient’s laboratory values show:
a. low albumin levels.
b. high glucose levels.
c. low sodium levels.
d. high potassium levels.
ANS: A
Albumin is a type of protein, and this patient is at risk if the albumin level is low, because this larger amount of drug will
circulate in unbound form, increasing risk of adverse and toxic effects.
DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Medication Absorption
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. A patient with liver disease is beginning medication therapy with a drug that is metabolized in the liver. The nurse anticipates the
dose of the medication to be:
a. increased above the normal dose.
b. double the normal dose.
c. unchanged from the normal dose.
d. lower than the normal dose.
ANS: D
When there is a decrease in liver function resulting from disease or aging, a smaller dose may be ordered to prevent excess drug
accumulation and development of toxicity.
DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Factors Leading to Toxicity
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
1
Multi- Choice Questions and Answers
Chapter 33
General Psychology (Laredo College)
, Chapter 33: Pharmacology and Preparation for Drug Administration
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
MULTIPLE CHOICE
1. A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility
of the nurse is to:
a. leave the medication in a cup at the bedside.
b. ask another licensed nurse to check the dose.
c. sign out the drug on a narcotic control inventory sheet.
d. tell the patient to drink extra water with the pill.
ANS: C
Schedule II drugs are narcotics, which are controlled substances that are kept in a locked area on the nursing unit, and each dose
must be signed out.
DIF: Cognitive Level: Application REF: p. 622 OBJ: Theory #2
TOP: Legal Control of Drugs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. The nurse is aware that the primary care provider has ordered a pain relief drug to be delivered in the manner in which
postoperative pain would be relieved most rapidly. This method is:
a. intradermally.
b. orally.
c. intramuscularly.
d. intravenously.
ANS: D
Intravenously administered medications are absorbed more quickly than medications administered by other routes.
DIF: Cognitive Level: Knowledge REF: p. 625|Table 33-5
OBJ: Theory #3 TOP: Medication Absorption
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
3. A nurse is administering a medication to an older adult patient who is normally highly protein bound. The nurse would be
concerned about increased drug activity and possible toxicity if the patient’s laboratory values show:
a. low albumin levels.
b. high glucose levels.
c. low sodium levels.
d. high potassium levels.
ANS: A
Albumin is a type of protein, and this patient is at risk if the albumin level is low, because this larger amount of drug will
circulate in unbound form, increasing risk of adverse and toxic effects.
DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Medication Absorption
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. A patient with liver disease is beginning medication therapy with a drug that is metabolized in the liver. The nurse anticipates the
dose of the medication to be:
a. increased above the normal dose.
b. double the normal dose.
c. unchanged from the normal dose.
d. lower than the normal dose.
ANS: D
When there is a decrease in liver function resulting from disease or aging, a smaller dose may be ordered to prevent excess drug
accumulation and development of toxicity.
DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Factors Leading to Toxicity
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
1
