NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
MULTIPLE CHOICE
1.Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effects?
a.Intradermal
b.Subcutaneous (subcut)
c.Intramuscular (IM)
d.Intravenous (IV)
ANS: D
IV medications are delivered directly into the bloodstream and avoid the “first pass” effect of the liver.
Intradermal, subcut, and IM administration have a slower absorption rate.
DIF:Cognitive Level: Knowledge REF:Page 78OBJ:7
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
Which is known as the “fifth vital sign”?
a.Temperature
b.Respirations
c.Pain
d.Pulse
ANS: C
Pain is known as the “fifth vital sign.” NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
DIF:Cognitive Level: Knowledge REF:Page 63OBJ:8
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Pain
1.Which is true regarding the unit dose drug distribution system?
a.The inventory is delivered to each nursing unit on a regular and recurring basis.
b.The system delivers one dose of each medication to be administered until the subs
c.The use of single dose packages of drugs dispensed to fill each dose requirement
d.The amount of inventory needed to dose all patients on the unit for a 24-hour interv
ANS: C
The unit dose drug distribution system uses single unit packages of drugs dispensed to fill each dose requirement as it is ordered.
DIF:Cognitive Level: Comprehension REF:Page 68OBJ:2
TOP:Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1.The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form?
a.It is standard practice when the patient is unable to take the ordered medication. NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
b.It is acceptable if the patient agrees to the altered route form.
c.It is preferable to having the patient miss a dose of the medication.
d.It is contraindicated without an order from the health care provider.
ANS: D
One dosage form of medication should never be substituted for another unless the prescriber is consulted; there can be a great variation in the absorption rate of the medication through different routes of administration. The substitution of one form for another is not standard practice and is not acceptable or preferable without the prescriber’s order.
DIF:Cognitive Level: ApplicationREF:Page 77 | Page 78 OBJ:1
TOP:Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1.Which medication order requires nursing judgment and means “administer if needed”?
a.Morphine 4 mg IV stat
b.Morphine 4 mg IV prior to procedure
c.Morphine 4 mg IV four times a day
d.Morphine 4 mg IV every 4 hours PRN NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
ANS: D
PRN indicates for the nurse to administer morphine every 4 hours if needed and requires nursing judgment. Stat means the dose of morphine would be given immediately, not as needed. The orders for the dose of morphine to be given prior to the patient’s scheduled procedure and four times a day do not indicate to give the dose as needed.
DIF:Cognitive Level: Comprehension REF:Page 73OBJ:4 | 8 TOP:Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1. Where would the procedures and treatments directed by the health care provider be found?
a.Summary sheet
b.Physician’s order form
c.Physician’s progress notes
d.History and physical examination form
ANS: B
The physician’s order form contains all procedures and treatments ordered by the health care provider. A summary sheet provides a brief overview of the hospital course at discharge. Physician’s progress notes provide regular observations on the patient’s course of treatment and response. A history and physical examination form provides information about baseline information from the patient.
DIF:Cognitive Level: Knowledge REF:Page 61OBJ:2
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment NOT: CONCEPT(S): Clinical Judgment
1.Which action will the nurse take when it is determined that the narcotic count is incorrect
MULTIPLE CHOICE
1.Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effects?
a.Intradermal
b.Subcutaneous (subcut)
c.Intramuscular (IM)
d.Intravenous (IV)
ANS: D
IV medications are delivered directly into the bloodstream and avoid the “first pass” effect of the liver.
Intradermal, subcut, and IM administration have a slower absorption rate.
DIF:Cognitive Level: Knowledge REF:Page 78OBJ:7
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
Which is known as the “fifth vital sign”?
a.Temperature
b.Respirations
c.Pain
d.Pulse
ANS: C
Pain is known as the “fifth vital sign.” NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
DIF:Cognitive Level: Knowledge REF:Page 63OBJ:8
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Pain
1.Which is true regarding the unit dose drug distribution system?
a.The inventory is delivered to each nursing unit on a regular and recurring basis.
b.The system delivers one dose of each medication to be administered until the subs
c.The use of single dose packages of drugs dispensed to fill each dose requirement
d.The amount of inventory needed to dose all patients on the unit for a 24-hour interv
ANS: C
The unit dose drug distribution system uses single unit packages of drugs dispensed to fill each dose requirement as it is ordered.
DIF:Cognitive Level: Comprehension REF:Page 68OBJ:2
TOP:Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1.The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form?
a.It is standard practice when the patient is unable to take the ordered medication. NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
b.It is acceptable if the patient agrees to the altered route form.
c.It is preferable to having the patient miss a dose of the medication.
d.It is contraindicated without an order from the health care provider.
ANS: D
One dosage form of medication should never be substituted for another unless the prescriber is consulted; there can be a great variation in the absorption rate of the medication through different routes of administration. The substitution of one form for another is not standard practice and is not acceptable or preferable without the prescriber’s order.
DIF:Cognitive Level: ApplicationREF:Page 77 | Page 78 OBJ:1
TOP:Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1.Which medication order requires nursing judgment and means “administer if needed”?
a.Morphine 4 mg IV stat
b.Morphine 4 mg IV prior to procedure
c.Morphine 4 mg IV four times a day
d.Morphine 4 mg IV every 4 hours PRN NURS NURSING Basic Pharmacology for Nurses 17Th Ed by Clayton,Test Bank Questions and Answers.
ANS: D
PRN indicates for the nurse to administer morphine every 4 hours if needed and requires nursing judgment. Stat means the dose of morphine would be given immediately, not as needed. The orders for the dose of morphine to be given prior to the patient’s scheduled procedure and four times a day do not indicate to give the dose as needed.
DIF:Cognitive Level: Comprehension REF:Page 73OBJ:4 | 8 TOP:Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety
1. Where would the procedures and treatments directed by the health care provider be found?
a.Summary sheet
b.Physician’s order form
c.Physician’s progress notes
d.History and physical examination form
ANS: B
The physician’s order form contains all procedures and treatments ordered by the health care provider. A summary sheet provides a brief overview of the hospital course at discharge. Physician’s progress notes provide regular observations on the patient’s course of treatment and response. A history and physical examination form provides information about baseline information from the patient.
DIF:Cognitive Level: Knowledge REF:Page 61OBJ:2
TOP:Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment NOT: CONCEPT(S): Clinical Judgment
1.Which action will the nurse take when it is determined that the narcotic count is incorrect
