Test Bank For Pharmacology for Nurses , A
Pathophysiologic Approach 5th 2025
QUESTIONS AND ANSWERS GRADERD A+
The nurse should immediately report the development of which of the following
symptoms in a client taking antipsychotic medication? - CORRECT ANSWER --Fever,
tachycardia, confusion, and incontinence are symptoms of the development of
neuroleptic malignant syndrome (NMS) and should be immediately reported.
The client admitted with hepatitis B is prescribed Vicodin tabs 2 for treatment of pain.
The appropriate nursing action is to: - CORRECT ANSWER --c.) Question the physician
about the order.
Vicodin is a combination drug of hydrocodone and acetaminophen. Acetaminophen can
be hepatotoxic, and is contraindicated in liver disease.
The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain.
Which of the following assessments requires immediate nursing interventions? -
CORRECT ANSWER --d.) Respiratory rate 10/minute
Opioids activate mu and kappa receptors that can cause profound respiratory
depression. Respiratory rate should remain above 12. The BP is not significantly low.
Drowsiness is an expected effect of morphine. Unrelieved pain warrants further
assessment, but not as immediately as do decreased respirations.
The nurse teaches the client relaxation techniques and guided imagery as an adjunct to
medication for treatment of pain. The nurse explains that the major benefit of these
techniques is that they: - CORRECT ANSWER --b.) Allow lower doses of drugs with
fewer side effects.
When used concurrently with medication, non-pharmacologic techniques can allow for
lower doses, and possibly fewer drug-related adverse effects. The other options also
are advantages to guided imagery and relaxation, but not the major one.
What is the most appropriate method to ensure adequate pain relief in the immediate
postoperative period from an opioid drug? - CORRECT ANSWER --give the drug as
consistently as possible for the first 24 to 48 hours.
, Planning teaching needs for a pt who is to be discharge postoperatively with a
prescription for oxycodone with acetaminophen ( Percocet ) should include which of the
following? - CORRECT ANSWER --encourage increased fluids and fiber in the diet....
An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started on
ethosuximide (Zarontin). What information should the nurse provide to the parents? -
CORRECT ANSWER --Monitor height and weight to assess that growth is progressing
normally.
The nurse is providing education for a 12 year old client with partial seizures currently
prescribed valproic acid (Depakene). The nurse will teach the client and the parents to
immediately report what symptom? - CORRECT ANSWER --Increasing or severe
abdominal pain
The nurse is caring for a 72-year-old client taking gabapentin (Neurontin) for seizure
disorder. Because of this client's age, the nurse would establish what nursing diagnosis
related to the drug's common adverse effects? - CORRECT ANSWER --Risk for falls
A client has been taking phenytoin (Dilantin) for control of generalized seizures, tonic-
clonic type. The client is admitted to the medical unit with symptoms of nystagmus,
confusion, and ataxia. What change in the phenytoin dosage does the nurse anticipate
will be made based on these symptoms? - CORRECT ANSWER --The dosage will be
decreased
Teaching for a client receiving carbamazepine (Tegretol) should include instructions that
the client should immediately report what symptom? - CORRECT ANSWER --Lethargy
Which of the following medications may be used to treat partial seizures? - CORRECT
ANSWER --1) Phenytion (Dilantin)
2) Valproic acid (depakene)
3) Diazapam (Valium)
What is an agonist? - CORRECT ANSWER --It improves.. promotes. stimulates the
adrenergic receptor cites.
Ex. Epi is an adrenergic agonist.
An adrenergic agonist is a drug that stimulates a response from the adrenergic
receptors. The five main categories of adrenergic receptors are: α1, α2, β1, β2, and β3,
respectively. However, there are also other mechanisms of adrenergic agonism.
Epinephrine and norepinephrine are endogenous and broad-spectrum. More selective
agonists are more useful in pharmacology.
Tow main divisions of the autonomic nervous system? - CORRECT ANSWER --
Sympathetic ( fight of flight )
Parasympathetic division ( rest and digest)
Pathophysiologic Approach 5th 2025
QUESTIONS AND ANSWERS GRADERD A+
The nurse should immediately report the development of which of the following
symptoms in a client taking antipsychotic medication? - CORRECT ANSWER --Fever,
tachycardia, confusion, and incontinence are symptoms of the development of
neuroleptic malignant syndrome (NMS) and should be immediately reported.
The client admitted with hepatitis B is prescribed Vicodin tabs 2 for treatment of pain.
The appropriate nursing action is to: - CORRECT ANSWER --c.) Question the physician
about the order.
Vicodin is a combination drug of hydrocodone and acetaminophen. Acetaminophen can
be hepatotoxic, and is contraindicated in liver disease.
The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain.
Which of the following assessments requires immediate nursing interventions? -
CORRECT ANSWER --d.) Respiratory rate 10/minute
Opioids activate mu and kappa receptors that can cause profound respiratory
depression. Respiratory rate should remain above 12. The BP is not significantly low.
Drowsiness is an expected effect of morphine. Unrelieved pain warrants further
assessment, but not as immediately as do decreased respirations.
The nurse teaches the client relaxation techniques and guided imagery as an adjunct to
medication for treatment of pain. The nurse explains that the major benefit of these
techniques is that they: - CORRECT ANSWER --b.) Allow lower doses of drugs with
fewer side effects.
When used concurrently with medication, non-pharmacologic techniques can allow for
lower doses, and possibly fewer drug-related adverse effects. The other options also
are advantages to guided imagery and relaxation, but not the major one.
What is the most appropriate method to ensure adequate pain relief in the immediate
postoperative period from an opioid drug? - CORRECT ANSWER --give the drug as
consistently as possible for the first 24 to 48 hours.
, Planning teaching needs for a pt who is to be discharge postoperatively with a
prescription for oxycodone with acetaminophen ( Percocet ) should include which of the
following? - CORRECT ANSWER --encourage increased fluids and fiber in the diet....
An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started on
ethosuximide (Zarontin). What information should the nurse provide to the parents? -
CORRECT ANSWER --Monitor height and weight to assess that growth is progressing
normally.
The nurse is providing education for a 12 year old client with partial seizures currently
prescribed valproic acid (Depakene). The nurse will teach the client and the parents to
immediately report what symptom? - CORRECT ANSWER --Increasing or severe
abdominal pain
The nurse is caring for a 72-year-old client taking gabapentin (Neurontin) for seizure
disorder. Because of this client's age, the nurse would establish what nursing diagnosis
related to the drug's common adverse effects? - CORRECT ANSWER --Risk for falls
A client has been taking phenytoin (Dilantin) for control of generalized seizures, tonic-
clonic type. The client is admitted to the medical unit with symptoms of nystagmus,
confusion, and ataxia. What change in the phenytoin dosage does the nurse anticipate
will be made based on these symptoms? - CORRECT ANSWER --The dosage will be
decreased
Teaching for a client receiving carbamazepine (Tegretol) should include instructions that
the client should immediately report what symptom? - CORRECT ANSWER --Lethargy
Which of the following medications may be used to treat partial seizures? - CORRECT
ANSWER --1) Phenytion (Dilantin)
2) Valproic acid (depakene)
3) Diazapam (Valium)
What is an agonist? - CORRECT ANSWER --It improves.. promotes. stimulates the
adrenergic receptor cites.
Ex. Epi is an adrenergic agonist.
An adrenergic agonist is a drug that stimulates a response from the adrenergic
receptors. The five main categories of adrenergic receptors are: α1, α2, β1, β2, and β3,
respectively. However, there are also other mechanisms of adrenergic agonism.
Epinephrine and norepinephrine are endogenous and broad-spectrum. More selective
agonists are more useful in pharmacology.
Tow main divisions of the autonomic nervous system? - CORRECT ANSWER --
Sympathetic ( fight of flight )
Parasympathetic division ( rest and digest)
