PHARM EXAM 1 MODULE QUESTIONS
WITH CORRECT ANSWERS
A student nurse asks an advanced practice nurse (APRN) about the role of APRNs
in prescribing medications. Which of the following is the best response by the nurse?
- The ability to prescribe drugs is regulated by federal law.
- All advanced practice nurses can prescribe medications.
- Nurse practitioners are an example of an advanced practice nurse.
- Advanced practice nurses may increase the cost of healthcare. - Answer-Nurse
practitioners are an example of an advanced practice nurse.
A client says, "This morning's nurse told me that my pain medication is a scheduled
drug. Aren't all drugs given on a schedule?" How should the nurse respond?
- "What time would you like to schedule your pain medication?"
- "Medications are usually scheduled every 4 hours."
- "Scheduled medications have a significant potential for abuse."
- "During preclinical investigation, scheduled medications are tested." -
Answer-"Scheduled medications have a significant potential for abuse."
A nurse teaches a client that the newly prescribed medication has a very high risk of
causing fetal abnormalities and that reliable measures to prevent pregnancy are
essential while taking the medication. The nurse has described a medication that
falls into which category?
1. A
2. B
3. D
4. X - Answer-x
A nurse is providing preconception teaching to a group of women who wish to
become pregnant. The nurse informs the group that which classifications of
medications have shown no confirmed risk for fetal abnormalities if taken while
pregnant?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
Category A
Category B
Category C
Category D
Category X - Answer-a
A client at 14-weeks gestation is seen in the clinic with a sprained ankle. The
healthcare provider prescribes a mild analgesic, rest, compression, and application
of an ice bag. The client is very concerned about taking the prescribed medication,
telling the nurse, "I don't want to hurt my baby." How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- "The most dangerous time for birth defects is probably in the first semester and you
are past that now."
,- "You are wise to avoid all drugs. I would only use the rest, compression, and ice."
- "Let me check with the physician to see if he remembered you are pregnant."
- "This is a category A drug, so there is very little risk to your baby."
- "Don't worry, it will all be okay. You need to take care of yourself first." -
Answer-"The most dangerous time for birth defects is probably in the first semester
and you are past that now."
"This is a category A drug, so there is very little risk to your baby."
A nurse suspects a client has had an allergic reaction to a recently prescribed
antibiotic. The nurse is responsible for providing emergency treatment and for
reporting this suspected reaction to which persons?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- Federal Drug Administration (FDA)
- Healthcare provider
- Hospital pharmacist
- Medicare
- Hospital risk management - Answer-Healthcare provider
Hospital pharmacist
Hospital risk management
A nurse is preparing to administer several medications for a client. The nurse is
responsible for understanding which of the following regarding medication
administration?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- Cost of the medication
- Reason the medication was prescribed
- Route of administration
- How the medication is supplied by the pharmacy
- Name of the medication - Answer-Reason the medication was prescribed
Route of administration
How the medication is supplied by the pharmacy
Name of the medication
A nurse is preparing medications prior to administration. To promote client safety,
the nurse uses the "rights" of drug administration. What do these "rights" include?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- The right medication
- The right time of delivery
- The right dose
- The right route of administration
- The right nurse - Answer-The right medication
The right time of delivery
,The right dose
The right route of administration
A nurse is concerned that a client has not been taking the prescribed
antihypertensive medication because the patient's blood pressure remains elevated.
What is the best therapeutic response by the nurse?
- "Taking medication can be difficult for some people. What are some of your
concerns
about the medication?"
- "Your blood pressure is really high; do you realize the serious consequences of not
taking your medication?"
- "I really doubt that you are taking your medication. What would you think about
talking
to the physician?"
- "You are one of my favorite patients and I want you to be safe. Are you really taking
your medication?" - Answer-"Taking medication can be difficult for some people.
What are some of your concerns
about the medication?"
The patient is having chest pain. The physician orders sublingual nitroglycerine
STAT. The nurse obtains the medication from the pharmacy and administers it to the
patient 30 minutes later. Which statement best describes the nurse's action?
- The medication should have been administered immediately.
- The physician should have specified the time frame for the medication.
- The medication should have been administered within a 5-minute time frame.
- The nursing action was correct because the medication was not on the unit. -
Answer-The medication should have been administered within a 5-minute time
frame.
A nurse is teaching a client about their medications. The client is worried about
"getting addicted" to their medications. The nurse explains that which of the following
drugs has the highest risk for dependence?
1. Acetaminophen
2. Codeine
3. Heroin
4. Diazepam - Answer-heroin
A drug is withdrawn from a client who has been taking it routinely for many years.
The client has developed muscle tremors. How will the nurse document this event?
- An adverse effect
- Evidence that the client had psychological dependence on the drug
- An expected therapeutic effect of no longer taking the drug
- Assessment finding associated with physical dependence on a drug - Answer-
Assessment finding associated with physical dependence on a drug
The nurse is reviewing prescription refill request messages. The nurse understands
that a prescription for which of the following drugs can be sent to the pharmacy by
telephone?
, - Morphine
- Cannabis
- Meperidine
- An anabolic steroid - Answer-An anabolic steroid
A nurse is administering a medication to a group of volunteers and is assessing for
the development of adverse effects. The nurse is working in which phase of the
development of this drug?
- Clinical Phase I Trials
- Preclinical Investigation
- Clinical Phase II trials
- Clinical Phase III trials - Answer-Clinical Phase I Trials
A client has been chosen to participate in the clinical trial of a medication to treat
chemotherapy-induced nausea. When the nurse takes the informed consent form to
the bedside, the client says, "I am glad there is finally a medication to cure my
cancer." How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- "Who told you the medication would cure your cancer?"
- "What questions do you have about this medication?"
- "Let me explain how this medication works."
- "Has anyone explained the research trial to you?"
- "So am I. This research has been intense." - Answer-What questions do you have
about this medication?"
"Has anyone explained the research trial to you?"
A student nurse asks a nurse why some medications get approved by the Federal
Drug Administration (FDA) faster. What is the nurse's best response?
- The FDA collects a user fee from pharmaceutical companies and uses it to hire
more
employees to speed up the process.
- Pharmaceutical companies are allowed to skip the Preclinical Investigation phase if
they
are developing a chemotherapy drug.
- The Accelerated Approval Program allows earlier approval of a medication if it is a
commonly used drug.
- A smaller group of patients with a particular disease are selected for the clinical
phase
trials. - Answer-The FDA collects a user fee from pharmaceutical companies and
uses it to hire more
employees to speed up the process.
A nurse is preparing to administer a client's medications. Which of the following is
most important to assess first?
- Assess the patient's developmental level.
- Assess the patient's medical history.
- Assess the patient's disease process.
- Assess the patient's learning needs. - Answer-Assess the patient's medical history.
WITH CORRECT ANSWERS
A student nurse asks an advanced practice nurse (APRN) about the role of APRNs
in prescribing medications. Which of the following is the best response by the nurse?
- The ability to prescribe drugs is regulated by federal law.
- All advanced practice nurses can prescribe medications.
- Nurse practitioners are an example of an advanced practice nurse.
- Advanced practice nurses may increase the cost of healthcare. - Answer-Nurse
practitioners are an example of an advanced practice nurse.
A client says, "This morning's nurse told me that my pain medication is a scheduled
drug. Aren't all drugs given on a schedule?" How should the nurse respond?
- "What time would you like to schedule your pain medication?"
- "Medications are usually scheduled every 4 hours."
- "Scheduled medications have a significant potential for abuse."
- "During preclinical investigation, scheduled medications are tested." -
Answer-"Scheduled medications have a significant potential for abuse."
A nurse teaches a client that the newly prescribed medication has a very high risk of
causing fetal abnormalities and that reliable measures to prevent pregnancy are
essential while taking the medication. The nurse has described a medication that
falls into which category?
1. A
2. B
3. D
4. X - Answer-x
A nurse is providing preconception teaching to a group of women who wish to
become pregnant. The nurse informs the group that which classifications of
medications have shown no confirmed risk for fetal abnormalities if taken while
pregnant?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
Category A
Category B
Category C
Category D
Category X - Answer-a
A client at 14-weeks gestation is seen in the clinic with a sprained ankle. The
healthcare provider prescribes a mild analgesic, rest, compression, and application
of an ice bag. The client is very concerned about taking the prescribed medication,
telling the nurse, "I don't want to hurt my baby." How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- "The most dangerous time for birth defects is probably in the first semester and you
are past that now."
,- "You are wise to avoid all drugs. I would only use the rest, compression, and ice."
- "Let me check with the physician to see if he remembered you are pregnant."
- "This is a category A drug, so there is very little risk to your baby."
- "Don't worry, it will all be okay. You need to take care of yourself first." -
Answer-"The most dangerous time for birth defects is probably in the first semester
and you are past that now."
"This is a category A drug, so there is very little risk to your baby."
A nurse suspects a client has had an allergic reaction to a recently prescribed
antibiotic. The nurse is responsible for providing emergency treatment and for
reporting this suspected reaction to which persons?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- Federal Drug Administration (FDA)
- Healthcare provider
- Hospital pharmacist
- Medicare
- Hospital risk management - Answer-Healthcare provider
Hospital pharmacist
Hospital risk management
A nurse is preparing to administer several medications for a client. The nurse is
responsible for understanding which of the following regarding medication
administration?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- Cost of the medication
- Reason the medication was prescribed
- Route of administration
- How the medication is supplied by the pharmacy
- Name of the medication - Answer-Reason the medication was prescribed
Route of administration
How the medication is supplied by the pharmacy
Name of the medication
A nurse is preparing medications prior to administration. To promote client safety,
the nurse uses the "rights" of drug administration. What do these "rights" include?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- The right medication
- The right time of delivery
- The right dose
- The right route of administration
- The right nurse - Answer-The right medication
The right time of delivery
,The right dose
The right route of administration
A nurse is concerned that a client has not been taking the prescribed
antihypertensive medication because the patient's blood pressure remains elevated.
What is the best therapeutic response by the nurse?
- "Taking medication can be difficult for some people. What are some of your
concerns
about the medication?"
- "Your blood pressure is really high; do you realize the serious consequences of not
taking your medication?"
- "I really doubt that you are taking your medication. What would you think about
talking
to the physician?"
- "You are one of my favorite patients and I want you to be safe. Are you really taking
your medication?" - Answer-"Taking medication can be difficult for some people.
What are some of your concerns
about the medication?"
The patient is having chest pain. The physician orders sublingual nitroglycerine
STAT. The nurse obtains the medication from the pharmacy and administers it to the
patient 30 minutes later. Which statement best describes the nurse's action?
- The medication should have been administered immediately.
- The physician should have specified the time frame for the medication.
- The medication should have been administered within a 5-minute time frame.
- The nursing action was correct because the medication was not on the unit. -
Answer-The medication should have been administered within a 5-minute time
frame.
A nurse is teaching a client about their medications. The client is worried about
"getting addicted" to their medications. The nurse explains that which of the following
drugs has the highest risk for dependence?
1. Acetaminophen
2. Codeine
3. Heroin
4. Diazepam - Answer-heroin
A drug is withdrawn from a client who has been taking it routinely for many years.
The client has developed muscle tremors. How will the nurse document this event?
- An adverse effect
- Evidence that the client had psychological dependence on the drug
- An expected therapeutic effect of no longer taking the drug
- Assessment finding associated with physical dependence on a drug - Answer-
Assessment finding associated with physical dependence on a drug
The nurse is reviewing prescription refill request messages. The nurse understands
that a prescription for which of the following drugs can be sent to the pharmacy by
telephone?
, - Morphine
- Cannabis
- Meperidine
- An anabolic steroid - Answer-An anabolic steroid
A nurse is administering a medication to a group of volunteers and is assessing for
the development of adverse effects. The nurse is working in which phase of the
development of this drug?
- Clinical Phase I Trials
- Preclinical Investigation
- Clinical Phase II trials
- Clinical Phase III trials - Answer-Clinical Phase I Trials
A client has been chosen to participate in the clinical trial of a medication to treat
chemotherapy-induced nausea. When the nurse takes the informed consent form to
the bedside, the client says, "I am glad there is finally a medication to cure my
cancer." How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
- "Who told you the medication would cure your cancer?"
- "What questions do you have about this medication?"
- "Let me explain how this medication works."
- "Has anyone explained the research trial to you?"
- "So am I. This research has been intense." - Answer-What questions do you have
about this medication?"
"Has anyone explained the research trial to you?"
A student nurse asks a nurse why some medications get approved by the Federal
Drug Administration (FDA) faster. What is the nurse's best response?
- The FDA collects a user fee from pharmaceutical companies and uses it to hire
more
employees to speed up the process.
- Pharmaceutical companies are allowed to skip the Preclinical Investigation phase if
they
are developing a chemotherapy drug.
- The Accelerated Approval Program allows earlier approval of a medication if it is a
commonly used drug.
- A smaller group of patients with a particular disease are selected for the clinical
phase
trials. - Answer-The FDA collects a user fee from pharmaceutical companies and
uses it to hire more
employees to speed up the process.
A nurse is preparing to administer a client's medications. Which of the following is
most important to assess first?
- Assess the patient's developmental level.
- Assess the patient's medical history.
- Assess the patient's disease process.
- Assess the patient's learning needs. - Answer-Assess the patient's medical history.
