Pharm - Test Bank Exam 1 Questions
and with Correct Answers
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is
experiencing polypharmacy. Which statement most accurately illustrates
polypharmacy?
a. the pt is experiencing multiple illnesses
b. the pt uses one med for an illness several times per day
c. the pt uses OTC - Answer-
The nurse is teaching a patient who is taking colchicine for the treatment of gout.
Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - Answer-d
A mother brings her toddler into the emergency department and tells the nurse that
she thinks the
toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess
for which
most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - Answer-d
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The
child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best
response by
the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." -
Answer-c
A patient has used enteric aspirin for several years as treatment for osteoarthritis.
However, the
symptoms are now worse and she is given a prescription for a nonsteroidal anti-
inflammatory
drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking
two pills for
arthritis?" What is the nurse's best response?
a. "Cytotec will also reduce the symptoms of your arthritis."
b. "Cytotec helps the action of the NSAID so that it will work better."
,c. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric
irritation."
d. "Cytotec may help to prevent gastric ulcers that may occur in patients taking
NSAIDs." - Answer-d
A patient who has a history of coronary artery disease has been instructed to take
one 81-mg
aspirin tablet a day. The patient asks about the purpose of this aspirin. Which
response by the
nurse is correct?
a. "Aspirin is given reduce anxiety."
b. "It helps to reduce inflammation."
c. "Aspirin is given to relieve pain."
d. "It will help to prevent clot formation." - Answer-d
During assessment of a patient with osteoarthritis pain, the nurse knows that which
condition is a
contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?
a. Renal disease
b. Diabetes mellitus
c. Headaches
d. Rheumatoid arthritis - Answer-a
The nurse notes in a patient's medication history that the patient is taking allopurinol
(Zyloprim).
Based on this finding, the nurse interprets that the patient has which disorder?
a. Rheumatoid arthritis
b. Gout
c. Osteoarthritis
d. Systemic lupus erythematosus - Answer-b
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement
for arthritis.
The nurse reviews the medication history and notes that there will be a concern for
drug
interactions if the patient is also taking medications for which disorder?
a. Type 2 diabetes mellitus
b. Hypothyroidism
c. Hypertension
d. Angina - Answer-a
The nurse is reviewing the history of a patient who has a new order for a
nonsteroidal anti-
inflammatory drug (NSAID) to treat tendonitis. Which conditions are contraindications
to the
use of NSAIDs? (Select all that apply.)
a. Vitamin K deficiency
b. Arthralgia
c. Peptic ulcer disease
d. Neuropathy
,e. Pericarditis - Answer-a,c
A 75-year-old woman has been given a nonsteroidal anti-inflammatory drug (an
NSAID for the
treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication
history and
notes that which types of medications could have an interaction with the NSAID?
(Select all that
apply.)
a. Antibiotics
b. Decongestants
c. Anticoagulants
d. Beta blockers
e. Diuretics
f. Corticosteroids - Answer-c,e,f
A patient was diagnosed with pancreatic cancer last month, and has complained of a
dull ache in
the abdomen for the past 4 months. This pain has been gradually increasing, and the
pain
relievers taken at home are no longer effective. What type of pain is the patient
experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain - Answer-b
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse
will expect
to administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin) - Answer-d
A patient is recovering from abdominal surgery, which he had this morning. He is
groggy but
complaining of severe pain around his incision. What is the most important
assessment data to
consider before the nurse administers a dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement - Answer-b
A 78-year-old patient is in the recovery room after having a lengthy surgery on his
hip. As he is
gradually awakening, he requests pain medication. Within 10 minutes after receiving
a dose of
, morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of
7 per
minute. The nurse prepares for which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
d. Close observation of signs of opioid tolerance - Answer-c
A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management
after abdominal surgery. The nurse will include which information in the teaching
plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach - Answer-c
A patient has been treated for lung cancer for 3 years. Over the past few months, the
patient has
noticed that the opioid analgesic is not helping as much as it had previously and
more medication
is needed for the same pain relief. The nurse is aware that this patient is
experiencing which of
these?
a. Opioid addiction
b. Opioid tolerance
c. Opioid toxicity
d. Opioid abstinence syndrome - Answer-b
A 38-year-old man has come into the urgent care center with severe hip pain after
falling from a
ladder at work. He says he has taken several pain pills over the past few hours but
cannot
remember how many he has taken. He hands the nurse an empty bottle of
acetaminophen
(Tylenol). The nurse is aware that the most serious toxic effect of acute
acetaminophen overdose
is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - Answer-c
A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal
opioid analgesic as part of the management of pain. Lately, she has been
experiencing
breakthrough pain. The nurse expects this type of pain to be managed by which of
these
interventions?
and with Correct Answers
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is
experiencing polypharmacy. Which statement most accurately illustrates
polypharmacy?
a. the pt is experiencing multiple illnesses
b. the pt uses one med for an illness several times per day
c. the pt uses OTC - Answer-
The nurse is teaching a patient who is taking colchicine for the treatment of gout.
Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - Answer-d
A mother brings her toddler into the emergency department and tells the nurse that
she thinks the
toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess
for which
most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - Answer-d
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The
child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best
response by
the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." -
Answer-c
A patient has used enteric aspirin for several years as treatment for osteoarthritis.
However, the
symptoms are now worse and she is given a prescription for a nonsteroidal anti-
inflammatory
drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking
two pills for
arthritis?" What is the nurse's best response?
a. "Cytotec will also reduce the symptoms of your arthritis."
b. "Cytotec helps the action of the NSAID so that it will work better."
,c. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric
irritation."
d. "Cytotec may help to prevent gastric ulcers that may occur in patients taking
NSAIDs." - Answer-d
A patient who has a history of coronary artery disease has been instructed to take
one 81-mg
aspirin tablet a day. The patient asks about the purpose of this aspirin. Which
response by the
nurse is correct?
a. "Aspirin is given reduce anxiety."
b. "It helps to reduce inflammation."
c. "Aspirin is given to relieve pain."
d. "It will help to prevent clot formation." - Answer-d
During assessment of a patient with osteoarthritis pain, the nurse knows that which
condition is a
contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?
a. Renal disease
b. Diabetes mellitus
c. Headaches
d. Rheumatoid arthritis - Answer-a
The nurse notes in a patient's medication history that the patient is taking allopurinol
(Zyloprim).
Based on this finding, the nurse interprets that the patient has which disorder?
a. Rheumatoid arthritis
b. Gout
c. Osteoarthritis
d. Systemic lupus erythematosus - Answer-b
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement
for arthritis.
The nurse reviews the medication history and notes that there will be a concern for
drug
interactions if the patient is also taking medications for which disorder?
a. Type 2 diabetes mellitus
b. Hypothyroidism
c. Hypertension
d. Angina - Answer-a
The nurse is reviewing the history of a patient who has a new order for a
nonsteroidal anti-
inflammatory drug (NSAID) to treat tendonitis. Which conditions are contraindications
to the
use of NSAIDs? (Select all that apply.)
a. Vitamin K deficiency
b. Arthralgia
c. Peptic ulcer disease
d. Neuropathy
,e. Pericarditis - Answer-a,c
A 75-year-old woman has been given a nonsteroidal anti-inflammatory drug (an
NSAID for the
treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication
history and
notes that which types of medications could have an interaction with the NSAID?
(Select all that
apply.)
a. Antibiotics
b. Decongestants
c. Anticoagulants
d. Beta blockers
e. Diuretics
f. Corticosteroids - Answer-c,e,f
A patient was diagnosed with pancreatic cancer last month, and has complained of a
dull ache in
the abdomen for the past 4 months. This pain has been gradually increasing, and the
pain
relievers taken at home are no longer effective. What type of pain is the patient
experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain - Answer-b
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse
will expect
to administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin) - Answer-d
A patient is recovering from abdominal surgery, which he had this morning. He is
groggy but
complaining of severe pain around his incision. What is the most important
assessment data to
consider before the nurse administers a dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement - Answer-b
A 78-year-old patient is in the recovery room after having a lengthy surgery on his
hip. As he is
gradually awakening, he requests pain medication. Within 10 minutes after receiving
a dose of
, morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of
7 per
minute. The nurse prepares for which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
d. Close observation of signs of opioid tolerance - Answer-c
A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management
after abdominal surgery. The nurse will include which information in the teaching
plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach - Answer-c
A patient has been treated for lung cancer for 3 years. Over the past few months, the
patient has
noticed that the opioid analgesic is not helping as much as it had previously and
more medication
is needed for the same pain relief. The nurse is aware that this patient is
experiencing which of
these?
a. Opioid addiction
b. Opioid tolerance
c. Opioid toxicity
d. Opioid abstinence syndrome - Answer-b
A 38-year-old man has come into the urgent care center with severe hip pain after
falling from a
ladder at work. He says he has taken several pain pills over the past few hours but
cannot
remember how many he has taken. He hands the nurse an empty bottle of
acetaminophen
(Tylenol). The nurse is aware that the most serious toxic effect of acute
acetaminophen overdose
is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - Answer-c
A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal
opioid analgesic as part of the management of pain. Lately, she has been
experiencing
breakthrough pain. The nurse expects this type of pain to be managed by which of
these
interventions?
