Pharmacology For Nursing Care Exam Latest
Edition 2024/2025 Questions & 100% Verified
Answers A+ Grade
What is an appropriate nursing action for a hospitalized patient receiving aprepitant
(Emend)?
A)Elevate the head of the bed.
B) Encourage fluids.
C) Take the patients temperature.
D) Place an NPO sign on the door.
Ans:
B
Feedback:
Because dehydration is an adverse effect of aprepitant, the nurse will want to encourage
the patient to drink as much liquid as possible. Elevating the head of the bed would be
unnecessary; the patients temperature would not be affected by aprepitant; we are
encouraging fluids so placing an NPO sign on the door would not be appropriate for this
patient.
The nurse is working in the medical station at a local amusement park. An adult is being
seen complaining of dizziness and feelings of seasickness after going on several rides.
What would the nurse suspect the patient may benefit from?
A) An anticholinergic
B) A histamine H2 blocker
C) Substance P/neurokinin 1 receptor antagonist
D) Cannabis
Ans:
A
Feedback:
,Nausea and vomiting associated with motion sickness is best treated with an anticholinergic
that acts as an antihistamine. Histamine H2 blockers affect gastric acid production.
Substance P/neurokinin 1 receptor antagonists and cannabis are prescribed only as adjuncts
to cancer chemotherapy drugs or other therapy.
A womens community group is attending the first-aid class the nurse is teaching. The
nurse will instruct the women to do what if a child ingests a possible overdose of
medication or other potential poison?
A) Call an ambulance.
B) Make an appointment to see the health care provider.
C) Induce vomiting by sticking a finger down the childs throat.
D) Call the local poison control center and follow their directions.
Ans:
D
Feedback:
New guidelines suggest that potential ingestion with poison should prompt an immediate
call to the local poison control center and then follow their directions. An ambulance may
not be needed and it may take too long to get an appointment with a health care provider.
Induction of vomiting could be harmful and does not represent the best treatment.
The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is
the drug of choice for children who need an antiemetic?
A) Dronabinol (Marinol)
B) Metoclopramide (Reglan)
C) Meclizine (Antivert)
D) Prochlorperazine (Compazine)
Ans:
D
Feedback:
,Prochlorperazine is often the drug of choice with children because it has established oral,
rectal, and parenteral doses. The other three options are not recommended for children.
The nurse is caring for a patient who has begun vomiting after undergoing bariatric
surgery. When including this complication in the plan of care, what would be an
appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness
associated with an antiemetic?
A) Acute pain related to central nervous system (CNS), skin, and gastrointestinal (GI)
effects
B) Risk for injury related to CNS effects
C) Decreased cardiac output related to cardiac effects
D) Deficient knowledge regarding drug therapy
Ans:
B
Feedback:
Because the patient is experiencing CNS effects, the nurse will be concerned about the
patients safety. The appropriate nursing diagnosis would be risk for injury related to CNS
effect. Acute pain related to CNS, skin, and GI effects; decreased cardiac output related to
cardiac effects; and deficient knowledge regarding drug therapy would not be appropriate
because no evidence is provided in the question to support any of these diagnoses.
What medication, given with aprepitant (Emend), is used to effectively manage
chemotherapy-induced emesis?
A) Bonamine
B) Dexamethasone
C) Phenergan
D) Ativan
Ans:
B
Feedback:
, Aprepitant acts directly in the central nervous system to block receptors associated with
nausea and vomiting with little to no effect on serotonin and dopamine levels, nor
corticosteroid receptors. It is approved for use in treating nausea and vomiting associated
with highly emetogenic antineoplastic chemotherapy, including cisplatin therapy. It is given
orally, in combination with dexamethasone. Bonamine, Phenergan, and Ativan are not used
in conjunction with Emend.
What symptom may be related to the use of dronabinol (Marinol)?
A) Bradycardia
B) Hypertension
C) Rash
D) Anxiety
Ans:
D
Feedback:
Dronabinol and nabilone are only approved for use in managing nausea and vomiting
associated with cancer chemotherapy in patients who have not responded to other
treatment. The exact mechanisms of action of dronabinol and nabilone are not understood.
They are readily absorbed and metabolized in the liver, with excretion through bile and
urine. They are controlled substances. Dronabinol is a category C-III controlled substance
and nabilone is a category C-II substance. They must be used under close supervision
because of the possibility of altered mental status. Dronabinol does not cause bradycardia,
hypertension, or a rash.
People taking phenothiazines need to be assessed for extrapyramidal symptoms. What
effects are considered adverse effects of the phenothiazines?
A) Dysphoria, anxiety, and dizziness
B) Drowsiness, dystonia, and blurred vision
C) Dry mouth, blurred vision, and urinary retention
D) Hypertension, confusion, and shuffling gait
Edition 2024/2025 Questions & 100% Verified
Answers A+ Grade
What is an appropriate nursing action for a hospitalized patient receiving aprepitant
(Emend)?
A)Elevate the head of the bed.
B) Encourage fluids.
C) Take the patients temperature.
D) Place an NPO sign on the door.
Ans:
B
Feedback:
Because dehydration is an adverse effect of aprepitant, the nurse will want to encourage
the patient to drink as much liquid as possible. Elevating the head of the bed would be
unnecessary; the patients temperature would not be affected by aprepitant; we are
encouraging fluids so placing an NPO sign on the door would not be appropriate for this
patient.
The nurse is working in the medical station at a local amusement park. An adult is being
seen complaining of dizziness and feelings of seasickness after going on several rides.
What would the nurse suspect the patient may benefit from?
A) An anticholinergic
B) A histamine H2 blocker
C) Substance P/neurokinin 1 receptor antagonist
D) Cannabis
Ans:
A
Feedback:
,Nausea and vomiting associated with motion sickness is best treated with an anticholinergic
that acts as an antihistamine. Histamine H2 blockers affect gastric acid production.
Substance P/neurokinin 1 receptor antagonists and cannabis are prescribed only as adjuncts
to cancer chemotherapy drugs or other therapy.
A womens community group is attending the first-aid class the nurse is teaching. The
nurse will instruct the women to do what if a child ingests a possible overdose of
medication or other potential poison?
A) Call an ambulance.
B) Make an appointment to see the health care provider.
C) Induce vomiting by sticking a finger down the childs throat.
D) Call the local poison control center and follow their directions.
Ans:
D
Feedback:
New guidelines suggest that potential ingestion with poison should prompt an immediate
call to the local poison control center and then follow their directions. An ambulance may
not be needed and it may take too long to get an appointment with a health care provider.
Induction of vomiting could be harmful and does not represent the best treatment.
The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is
the drug of choice for children who need an antiemetic?
A) Dronabinol (Marinol)
B) Metoclopramide (Reglan)
C) Meclizine (Antivert)
D) Prochlorperazine (Compazine)
Ans:
D
Feedback:
,Prochlorperazine is often the drug of choice with children because it has established oral,
rectal, and parenteral doses. The other three options are not recommended for children.
The nurse is caring for a patient who has begun vomiting after undergoing bariatric
surgery. When including this complication in the plan of care, what would be an
appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness
associated with an antiemetic?
A) Acute pain related to central nervous system (CNS), skin, and gastrointestinal (GI)
effects
B) Risk for injury related to CNS effects
C) Decreased cardiac output related to cardiac effects
D) Deficient knowledge regarding drug therapy
Ans:
B
Feedback:
Because the patient is experiencing CNS effects, the nurse will be concerned about the
patients safety. The appropriate nursing diagnosis would be risk for injury related to CNS
effect. Acute pain related to CNS, skin, and GI effects; decreased cardiac output related to
cardiac effects; and deficient knowledge regarding drug therapy would not be appropriate
because no evidence is provided in the question to support any of these diagnoses.
What medication, given with aprepitant (Emend), is used to effectively manage
chemotherapy-induced emesis?
A) Bonamine
B) Dexamethasone
C) Phenergan
D) Ativan
Ans:
B
Feedback:
, Aprepitant acts directly in the central nervous system to block receptors associated with
nausea and vomiting with little to no effect on serotonin and dopamine levels, nor
corticosteroid receptors. It is approved for use in treating nausea and vomiting associated
with highly emetogenic antineoplastic chemotherapy, including cisplatin therapy. It is given
orally, in combination with dexamethasone. Bonamine, Phenergan, and Ativan are not used
in conjunction with Emend.
What symptom may be related to the use of dronabinol (Marinol)?
A) Bradycardia
B) Hypertension
C) Rash
D) Anxiety
Ans:
D
Feedback:
Dronabinol and nabilone are only approved for use in managing nausea and vomiting
associated with cancer chemotherapy in patients who have not responded to other
treatment. The exact mechanisms of action of dronabinol and nabilone are not understood.
They are readily absorbed and metabolized in the liver, with excretion through bile and
urine. They are controlled substances. Dronabinol is a category C-III controlled substance
and nabilone is a category C-II substance. They must be used under close supervision
because of the possibility of altered mental status. Dronabinol does not cause bradycardia,
hypertension, or a rash.
People taking phenothiazines need to be assessed for extrapyramidal symptoms. What
effects are considered adverse effects of the phenothiazines?
A) Dysphoria, anxiety, and dizziness
B) Drowsiness, dystonia, and blurred vision
C) Dry mouth, blurred vision, and urinary retention
D) Hypertension, confusion, and shuffling gait
