DEFINED
PHARMACOLOGY
TEST BANK QUESTIONS
AND ANSWERS
A nurse is ordered to draw blood levels for a person receiving an antibiotic. The nurse is aware
that peaks and troughs of serum antibiotic levels are monitored for drugs with a: - CORRECT
ANSWER - narrow therapeutic index.
A client's medication warrants peak and trough levels to be drawn. The nurse is aware that if the
peak level of the drug is too high, what could occur? - CORRECT ANSWER -Drug toxicity
Drug concentration is important for the eradication of bacterial infection. It is desired to keep the
drug dose: - CORRECT ANSWER -Above minimum effective concentration
With continuous use of antibiotics, antibiotic resistance result because: - CORRECT ANSWER -
mutant bacteria are surviving antibiotic use
client with otitis media is ordered to receive amoxicillin (Amoxil). The client discloses to the
nurse that she is allergic to penicillin. What is the highest priority action on the part of the
nurse? - CORRECT ANSWER -Notify healthcare
A client has relayed instructions from a physician 0regarding 0an 0allergy 0to 0a 0type 0of
0antibiotic 0therapy. 0The 0nurse 0would 0question 0which 0instruction 0- 0CORRECT 0ANSWER 0-
Restrict 0fluids 0when 0taking 0the 0antibiotic
When 0antibacterials 0are 0prescribed 0for 0the 0treatment 0of 0an 0infection 0and 0a 0culture 0is
0ordered, 0what 0should 0happen 0next? 0- 0CORRECT 0ANSWER 0-culture 0should 0be 0taken
0before 0the 0initial 0dose 0of 0the 0antibiotic
,A 0client 0at 0an 0outpatient 0clinic 0is 0ordered 0to 0receive 0ampicillin 0(Omnipen) 0for 0an
0infection. 0Which 0nursing 0intervention 0related 0to 0penicillins 0would 0the 0nurse 0question? 0-
0CORRECT 0ANSWER 0-Instruct 0client 0to 0discontinue 0penicillin 0when 0temperature 0is
0normal.
Most 0beta-lactam 0antibiotics 0are 0excreted 0through 0the 0kidneys. 0The 0nurse 0should
0assess 0the 0client's 0renal 0function 0by 0monitoring 0which 0levels? 0- 0CORRECT 0ANSWER
0-Blood 0urea 0nitrogen 0and 0serum 0creatinine
A 0client 0is 0ordered 0to 0receive 0a 0cephalosporin 0to 0treat 0a 0bacterial 0infection. 0Regarding
0monitoring 0of 0the 0client, 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse 0includes
0assessing 0the 0client 0for 0which 0side 0effects? 0- 0CORRECT 0ANSWER 0-Nausea, 0vomiting
0and 0diarrhea
A 0client 0has 0been 0receiving 0a 0cephalosporin 0for 020 0days 0to 0treat 0a 0severe 0bacterial
0infection. 0The 0client 0complains 0of 0mouth 0pain, 0and 0the 0nurse 0assesses 0white 0patches
0in 0the 0client's 0mouth. 0What 0is 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse? 0-
0CORRECT 0ANSWER 0-Notify 0the 0physician 0and 0describe 0symptoms
A 0client 0who 0reports 0an 0allergy 0to 0penicillin 0is 0ordered 0to 0receive 0cephalexin 0(Keflex).
0The 0correct 0action 0for 0the 0nurse 0is 0to: 0- 0CORRECT 0ANSWER 0-administer 0the
0medication 0and 0carefully 0observe 0for 0allergic 0reaction.
The 0client 0has 0been 0ordered 0treatment 0with 0Cefaclor 0as 0well 0as 0erythromycin. 0The
0nurse 0anticipates 0what 0effect 0from 0the 0interaction 0of 0the 0medications? 0- 0CORRECT
0ANSWER 0-Decreased 0action 0of 0Cefaclor
The 0client 0has 0been 0ordered 0Cefazolin. 0The 0nurse 0anticipates 0an 0increase 0in 0the
0client's 0 from
0this 0medication? 0- 0CORRECT 0ANSWER 0-BUN 0and 0serum 0creatinine
The 0client 0has 0been 0ordered 0to 0be 0treated 0with 0amoxicillin. 0The 0highest 0priority
0instruction 0that 0the 0nurse 0should 0give 0the 0client 0related 0to 0diet 0while 0on 0the
0medication 0is 0to 0avoid: 0- 0CORRECT 0ANSWER 0- 0Acidic 0fruits 0and 0juices
,The 0client 0has 0been 0ordered 0treatment 0with 0Wycillin. 0The 0nurse 0notes 0that 0the 0solution
0is 0milky 0in 0color. 0What 0is 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse? 0-
0CORRECT 0ANSWER 0-Administer 0the 0medication 0as 0ordered 0by 0the 0physician
The 0client 0has 0been 0ordered 0treatment 0with 0Amoxil. 0The 0client 0reports 0to 0the 0nurse
0that 0she 0has 0developed 0symptoms 0of 0vaginitis. 0The 0highest 0priority 0action 0on 0the 0part
0of 0the 0nurse 0is 0to 0recognize 0this 0as: 0- 0CORRECT 0ANSWER 0-Evidence 0of
0development 0of 0a 0superinfection
When 0choosing 0a 0topical 0corticosteroid 0cream 0to 0treat 0diaper 0dermatitis, 0the 0ideal
0medication 0would 0be:
- 0CORRECT 0ANSWER 0-A 0low 0potency 0corticosteroid 0cream 0applied 0sparingly
0(hydrocortisone 01%)
Topical 0immunomodulators 0such 0as 0pimecrolimus 0(Elidel) 0or 0tacrolimus 0(Protopic) 0are
0used 0for: 0- 0CORRECT 0ANSWER 0-Short 0term 0or 0intermittent 0treatment 0of 0atopic
0dermatitis
Long-term 0treatment 0of 0moderate 0atopic 0dermatitis 0includes: 0- 0CORRECT 0ANSWER 0-
Topical 0corticosteroids 0and 0emollients
Severe 0contact 0dermatitis 0caused 0by 0poison 0ivy 0or 0poison 0oak 0exposure 0often 0requires
0treatment 0with: 0- 0CORRECT 0ANSWER 0-Oral 0corticosteroids 0for 02 0-3 0weeks
When 0a 0patient 0has 0contact 0dermatitis, 0wet 0dressings 0with 0Domeboro 0solution 0are
0used 0for: 0- 0CORRECT 0ANSWER 0-Relief 0inflammation
opical 0corticosteroids 0are 0used 0to 0treat 0several 0disorders. 0Topical 0corticosteroids 0are
0contraindicated 0for 0treatment 0of 0which 0of 0the 0following 0conditions? 0- 0CORRECT
0ANSWER 0-Rosacea
A 0topical 0corticosteroid 0may 0be 0used 0to 0treat 0facial 0eczema. 0What 0instruction 0must 0be
0given 0to 0a 0patient 0for 0whom 0a 0topical 0corticosteroid 0is 0prescribed 0for 0treatment 0of
0facial 0eczema? 0- 0CORRECT 0ANSWER 0-Be 0careful 0not 0to 0get 0any 0of 0the 0medications
0in 0your 0eyes
, Group 0I 0topical 0corticosteroids 0may 0cause 0adverse 0reactions. 0A 0patient 0who 0is 0being
0treated 0with 0a 0group 0I 0topical 0corticosteroid 0must 0be 0closely 0monitored 0for 0-
0CORRECT 0ANSWER 0-HPA 0supression
Treatment 0with 0gentamicin 0(Garamycin) 0may 0present 0disadvantages 0for 0the 0patient. 0A
0renal 0patient's 0use 0of 0the 0drug 0may 0lead 0to 0- 0CORRECT 0ANSWER 0-ototoxicity
The 0topical 0antiviral 0drug 0acyclovir 0(Zovirax) 0is 0used 0to 0treat 0several 0different 0conditions.
0Which 0of 0the 0following 0conditions 0is 0an 0unlabeled 0use 0for 0acyclovir 0(Zovirax)? 0-
0CORRECT 0ANSWER 0-Herpes 0labialis
indane 0(Kwell, 0Scabene) 0is 0used 0to 0treat 0several 0different 0disorders. 0For 0which 0disorder
0is 0the 0use 0of 0lindane 0(Kwell, 0Scabene) 0contraindicated? 0- 0CORRECT 0ANSWER 0-
Seizures
Scabies 0treatment 0for 0a 04-year-old 0child 0includes 0a 0prescription 0for: 0- 0CORRECT
0ANSWER 0-Permethrin 05% 0applied 0from 0the 0neck 0down
Vanessa 0has 0been 0diagnosed 0with 0scabies. 0Her 0education 0would 0include: 0- 0CORRECT
0ANSWER 0-All 0member 0of 0the 0household 0and 0close 0personal 0contacts 0should 0be
0treated
Catherine 0has 0head 0lice 0and 0her 0mother 0is 0asking 0about 0what 0products 0are 0available
0that 0are 0not 0neurotoxic. 0The 0only 0non-neurotoxin 0head 0lice 0treatment 0is: 0- 0CORRECT
0ANSWER 0-Benzoyl 0alcohol 0(Ulesfia)
A 0nurse 0is 0caring 0for 0a 0patient 0who 0is 0on 0amphotericin 0B. 0On 0morning 0rounds 0the
0patient 0reports 0weakness, 0numbness, 0and 0a 0tingling 0sensation 0in 0his 0feet. 0What 0would
0be 0a 0priority 0action 0by 0the 0nurse?
- 0CORRECT 0ANSWER 0-Keep 0the 0bed 0in 0a 0low 0position 0and 0the 0side 0rails 0up 0at 0all
0times.
A 0nurse 0is 0monitoring 0the 0fluid 0input 0and 0output 0of 0a 026-year-old 0woman 0who 0is
0on 0amphotericin 0B. 0Which 0of 0the 0following 0would 0the 0nurse 0report 0immediately 0to
0the 0physician? 0- 0CORRECT 0ANSWER 0- 0Serum 0creatinine 0level 0of 03.5 0mg/dL
PHARMACOLOGY
TEST BANK QUESTIONS
AND ANSWERS
A nurse is ordered to draw blood levels for a person receiving an antibiotic. The nurse is aware
that peaks and troughs of serum antibiotic levels are monitored for drugs with a: - CORRECT
ANSWER - narrow therapeutic index.
A client's medication warrants peak and trough levels to be drawn. The nurse is aware that if the
peak level of the drug is too high, what could occur? - CORRECT ANSWER -Drug toxicity
Drug concentration is important for the eradication of bacterial infection. It is desired to keep the
drug dose: - CORRECT ANSWER -Above minimum effective concentration
With continuous use of antibiotics, antibiotic resistance result because: - CORRECT ANSWER -
mutant bacteria are surviving antibiotic use
client with otitis media is ordered to receive amoxicillin (Amoxil). The client discloses to the
nurse that she is allergic to penicillin. What is the highest priority action on the part of the
nurse? - CORRECT ANSWER -Notify healthcare
A client has relayed instructions from a physician 0regarding 0an 0allergy 0to 0a 0type 0of
0antibiotic 0therapy. 0The 0nurse 0would 0question 0which 0instruction 0- 0CORRECT 0ANSWER 0-
Restrict 0fluids 0when 0taking 0the 0antibiotic
When 0antibacterials 0are 0prescribed 0for 0the 0treatment 0of 0an 0infection 0and 0a 0culture 0is
0ordered, 0what 0should 0happen 0next? 0- 0CORRECT 0ANSWER 0-culture 0should 0be 0taken
0before 0the 0initial 0dose 0of 0the 0antibiotic
,A 0client 0at 0an 0outpatient 0clinic 0is 0ordered 0to 0receive 0ampicillin 0(Omnipen) 0for 0an
0infection. 0Which 0nursing 0intervention 0related 0to 0penicillins 0would 0the 0nurse 0question? 0-
0CORRECT 0ANSWER 0-Instruct 0client 0to 0discontinue 0penicillin 0when 0temperature 0is
0normal.
Most 0beta-lactam 0antibiotics 0are 0excreted 0through 0the 0kidneys. 0The 0nurse 0should
0assess 0the 0client's 0renal 0function 0by 0monitoring 0which 0levels? 0- 0CORRECT 0ANSWER
0-Blood 0urea 0nitrogen 0and 0serum 0creatinine
A 0client 0is 0ordered 0to 0receive 0a 0cephalosporin 0to 0treat 0a 0bacterial 0infection. 0Regarding
0monitoring 0of 0the 0client, 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse 0includes
0assessing 0the 0client 0for 0which 0side 0effects? 0- 0CORRECT 0ANSWER 0-Nausea, 0vomiting
0and 0diarrhea
A 0client 0has 0been 0receiving 0a 0cephalosporin 0for 020 0days 0to 0treat 0a 0severe 0bacterial
0infection. 0The 0client 0complains 0of 0mouth 0pain, 0and 0the 0nurse 0assesses 0white 0patches
0in 0the 0client's 0mouth. 0What 0is 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse? 0-
0CORRECT 0ANSWER 0-Notify 0the 0physician 0and 0describe 0symptoms
A 0client 0who 0reports 0an 0allergy 0to 0penicillin 0is 0ordered 0to 0receive 0cephalexin 0(Keflex).
0The 0correct 0action 0for 0the 0nurse 0is 0to: 0- 0CORRECT 0ANSWER 0-administer 0the
0medication 0and 0carefully 0observe 0for 0allergic 0reaction.
The 0client 0has 0been 0ordered 0treatment 0with 0Cefaclor 0as 0well 0as 0erythromycin. 0The
0nurse 0anticipates 0what 0effect 0from 0the 0interaction 0of 0the 0medications? 0- 0CORRECT
0ANSWER 0-Decreased 0action 0of 0Cefaclor
The 0client 0has 0been 0ordered 0Cefazolin. 0The 0nurse 0anticipates 0an 0increase 0in 0the
0client's 0 from
0this 0medication? 0- 0CORRECT 0ANSWER 0-BUN 0and 0serum 0creatinine
The 0client 0has 0been 0ordered 0to 0be 0treated 0with 0amoxicillin. 0The 0highest 0priority
0instruction 0that 0the 0nurse 0should 0give 0the 0client 0related 0to 0diet 0while 0on 0the
0medication 0is 0to 0avoid: 0- 0CORRECT 0ANSWER 0- 0Acidic 0fruits 0and 0juices
,The 0client 0has 0been 0ordered 0treatment 0with 0Wycillin. 0The 0nurse 0notes 0that 0the 0solution
0is 0milky 0in 0color. 0What 0is 0the 0highest 0priority 0action 0on 0the 0part 0of 0the 0nurse? 0-
0CORRECT 0ANSWER 0-Administer 0the 0medication 0as 0ordered 0by 0the 0physician
The 0client 0has 0been 0ordered 0treatment 0with 0Amoxil. 0The 0client 0reports 0to 0the 0nurse
0that 0she 0has 0developed 0symptoms 0of 0vaginitis. 0The 0highest 0priority 0action 0on 0the 0part
0of 0the 0nurse 0is 0to 0recognize 0this 0as: 0- 0CORRECT 0ANSWER 0-Evidence 0of
0development 0of 0a 0superinfection
When 0choosing 0a 0topical 0corticosteroid 0cream 0to 0treat 0diaper 0dermatitis, 0the 0ideal
0medication 0would 0be:
- 0CORRECT 0ANSWER 0-A 0low 0potency 0corticosteroid 0cream 0applied 0sparingly
0(hydrocortisone 01%)
Topical 0immunomodulators 0such 0as 0pimecrolimus 0(Elidel) 0or 0tacrolimus 0(Protopic) 0are
0used 0for: 0- 0CORRECT 0ANSWER 0-Short 0term 0or 0intermittent 0treatment 0of 0atopic
0dermatitis
Long-term 0treatment 0of 0moderate 0atopic 0dermatitis 0includes: 0- 0CORRECT 0ANSWER 0-
Topical 0corticosteroids 0and 0emollients
Severe 0contact 0dermatitis 0caused 0by 0poison 0ivy 0or 0poison 0oak 0exposure 0often 0requires
0treatment 0with: 0- 0CORRECT 0ANSWER 0-Oral 0corticosteroids 0for 02 0-3 0weeks
When 0a 0patient 0has 0contact 0dermatitis, 0wet 0dressings 0with 0Domeboro 0solution 0are
0used 0for: 0- 0CORRECT 0ANSWER 0-Relief 0inflammation
opical 0corticosteroids 0are 0used 0to 0treat 0several 0disorders. 0Topical 0corticosteroids 0are
0contraindicated 0for 0treatment 0of 0which 0of 0the 0following 0conditions? 0- 0CORRECT
0ANSWER 0-Rosacea
A 0topical 0corticosteroid 0may 0be 0used 0to 0treat 0facial 0eczema. 0What 0instruction 0must 0be
0given 0to 0a 0patient 0for 0whom 0a 0topical 0corticosteroid 0is 0prescribed 0for 0treatment 0of
0facial 0eczema? 0- 0CORRECT 0ANSWER 0-Be 0careful 0not 0to 0get 0any 0of 0the 0medications
0in 0your 0eyes
, Group 0I 0topical 0corticosteroids 0may 0cause 0adverse 0reactions. 0A 0patient 0who 0is 0being
0treated 0with 0a 0group 0I 0topical 0corticosteroid 0must 0be 0closely 0monitored 0for 0-
0CORRECT 0ANSWER 0-HPA 0supression
Treatment 0with 0gentamicin 0(Garamycin) 0may 0present 0disadvantages 0for 0the 0patient. 0A
0renal 0patient's 0use 0of 0the 0drug 0may 0lead 0to 0- 0CORRECT 0ANSWER 0-ototoxicity
The 0topical 0antiviral 0drug 0acyclovir 0(Zovirax) 0is 0used 0to 0treat 0several 0different 0conditions.
0Which 0of 0the 0following 0conditions 0is 0an 0unlabeled 0use 0for 0acyclovir 0(Zovirax)? 0-
0CORRECT 0ANSWER 0-Herpes 0labialis
indane 0(Kwell, 0Scabene) 0is 0used 0to 0treat 0several 0different 0disorders. 0For 0which 0disorder
0is 0the 0use 0of 0lindane 0(Kwell, 0Scabene) 0contraindicated? 0- 0CORRECT 0ANSWER 0-
Seizures
Scabies 0treatment 0for 0a 04-year-old 0child 0includes 0a 0prescription 0for: 0- 0CORRECT
0ANSWER 0-Permethrin 05% 0applied 0from 0the 0neck 0down
Vanessa 0has 0been 0diagnosed 0with 0scabies. 0Her 0education 0would 0include: 0- 0CORRECT
0ANSWER 0-All 0member 0of 0the 0household 0and 0close 0personal 0contacts 0should 0be
0treated
Catherine 0has 0head 0lice 0and 0her 0mother 0is 0asking 0about 0what 0products 0are 0available
0that 0are 0not 0neurotoxic. 0The 0only 0non-neurotoxin 0head 0lice 0treatment 0is: 0- 0CORRECT
0ANSWER 0-Benzoyl 0alcohol 0(Ulesfia)
A 0nurse 0is 0caring 0for 0a 0patient 0who 0is 0on 0amphotericin 0B. 0On 0morning 0rounds 0the
0patient 0reports 0weakness, 0numbness, 0and 0a 0tingling 0sensation 0in 0his 0feet. 0What 0would
0be 0a 0priority 0action 0by 0the 0nurse?
- 0CORRECT 0ANSWER 0-Keep 0the 0bed 0in 0a 0low 0position 0and 0the 0side 0rails 0up 0at 0all
0times.
A 0nurse 0is 0monitoring 0the 0fluid 0input 0and 0output 0of 0a 026-year-old 0woman 0who 0is
0on 0amphotericin 0B. 0Which 0of 0the 0following 0would 0the 0nurse 0report 0immediately 0to
0the 0physician? 0- 0CORRECT 0ANSWER 0- 0Serum 0creatinine 0level 0of 03.5 0mg/dL
