ADVANCED PHARMACOLOGY
TEST 1 BANK
The50nurse50is50teaching50a50patient50how50a50medication50works50to50treat50an50illness.50To50do50this,
50the50nurse50will50rely50on50knowledge50of50which50topic?50-50CORRECT50ANSWER50-
Pharmacotherapeutics
What50is50a50desired50outcome50when50a50drug50is50described50as50easy50to50administer?50-
50CORRECT50ANSWER50-It50enhances50patient50adherence50to50the50drug50regimen.
A50patient50tells50the50nurse50that50an50analgesic50he50will50begin50taking50may50cause50drowsiness50
and50will50decrease50pain50up50to50450hours50at50a50time.50Based50on50this50understanding50of50the50d
rug's50effects50by50the50patient,50the50nurse50will50anticipate50which50outcome?50-
50CORRECT50ANSWER50-Improved50compliance50with50the50drug50regimen.
A50patient50is50using50a50metered-
dose50inhaler50containing50albuterol50for50asthma.50The50medication50label50instructs50the50patient50t
o50administer50"250puffs50every50450hours50as50needed50for50coughing50or50wheezing."50The50patient5
0reports50feeling50jittery50sometimes50when50taking50the50medication,50and50she50doesn't50feel50that5
0the50medication50is50always50effective.50Which50action50is50outside50the50nurse's50scope50of50practic
e?50-50CORRECT50ANSWER50-
50Suggesting50that50the50patient50use50one50puff50to50reduce50side50effects.
A50postoperative50patient50is50being50discharged50home50with50acetaminophen50for50pain.50the50patie
nt50asks50the50nurse50about50using50Tylenol50for50fever.50Which50statement50by50the50nurse50is50corre
ct?50-50CORRECT50ANSWER50-
50"Taking50the50two50medications50together50poses50a50risk50for50drug50toxicity"
The50nurse50is50preparing50to50care50for50a50patient50who50will50be50taking50an50antihypertensive50me
dication.50Which50action50by50the50nurse50is50part50of50the50assessment50step50of50the50nursing50proc
ess?50-50CORRECT50ANSWER50-50Questioning50the50patient50about50OTC50use
A50postoperative50patient50reports50pain,50which50the50patient50rates50as50an50850on50a50scale50of50150
,to5010.50The50prescriber50has50ordered50acetaminophen50650mg50PO50every50650hours50PRN.50What50
will50the50nurse50do?50-50CORRECT50ANSWER
-Contact50the50provider50to50request50a50different50analgesic50medication.
, A50patient50newly50diagnosed50with50diabetes50is50to50be50discharged50from50the50hospital.50The50nur
se50teaching50the50patient50about50home50management50should50begin50by50doing50what?50-
50CORRECT50ANSWER50-
Asking50the50patient50to50demonstrate50how50to50measure50and50administer50insulin.
The50nurse50receives50an50order50to50give50morphine50550mg50IV50every50250hours50PRN50for50pain.50
Which50action50is50not50part50of50the50650rights50of50med50adm?50-50CORRECT50ANSWER50-
Assessing50the50patient's50pain50level501550to503050minutes50after50giving50the50medication.
A50patient50tells50a50nurse50that50a50medication50prescribed50for50recurrent50migraine50headaches50is
50not50working.50What50will50the50nurse50do?50-50CORRECT50ANSWER50-
Ask50the50patient50about50the50number50and50frequency50of50tablets50taken.
A50nurse50is50preparing50to50administer50medications.50Which50patient50would50the50nurse50consider5
0to50have50the50greatest50predisposition50to50an50adverse50reaction?50-50CORRECT50ANSWER50-
A503050y/o50man50with50kidney50disease
A50nurse50consults50a50drug50manual50before50giving50a50medication50to50an508050y/o50patient.50The5
0manual50states50that50older-
adult50patients50are50at50increased50risk50for50hepatic50side50effects.50Which50action50by50the50nurse5
0is50correct?50-50CORRECT50ANSWER50-
Contact50the50provider50to50discuss50an50order50for50pretreatment50laboratory50work.
A50patient50has50been50receiving50IV50penicillin50for50pneumonia50for50several50days50and50begins50to
50complain50of50generalized50itching.50The50nurse50auscultates50bilateral50wheezing50and50notes50a50te
mperature50of5038.550C50(101F).50Which50action50by50the50nurse50is50correct?50-
50CORRECT50ANSWER50-Hold50the50next50dose50and50notify50the50prescriber50of50the50symptoms
A50postoperative50patient50has50orders50for50morphine50sulfate50150to50250mg50IV50every50hour50PRN5
0for50severe50pain50and50acetaminophen-hydrocodone50(Lortab)507.550mg50PO50every504-
650hours50PRN50for50moderate50pain.50The50patient50reports50pain50at50a50level50of508.50Which50actio
n50by50the50nurse50is50appropriate?50-50CORRECT50ANSWER50-
Administer50morphine50sulfate50250mg50IV50and50evaluate50the50patient's50pain50in5015-3050minutes
TEST 1 BANK
The50nurse50is50teaching50a50patient50how50a50medication50works50to50treat50an50illness.50To50do50this,
50the50nurse50will50rely50on50knowledge50of50which50topic?50-50CORRECT50ANSWER50-
Pharmacotherapeutics
What50is50a50desired50outcome50when50a50drug50is50described50as50easy50to50administer?50-
50CORRECT50ANSWER50-It50enhances50patient50adherence50to50the50drug50regimen.
A50patient50tells50the50nurse50that50an50analgesic50he50will50begin50taking50may50cause50drowsiness50
and50will50decrease50pain50up50to50450hours50at50a50time.50Based50on50this50understanding50of50the50d
rug's50effects50by50the50patient,50the50nurse50will50anticipate50which50outcome?50-
50CORRECT50ANSWER50-Improved50compliance50with50the50drug50regimen.
A50patient50is50using50a50metered-
dose50inhaler50containing50albuterol50for50asthma.50The50medication50label50instructs50the50patient50t
o50administer50"250puffs50every50450hours50as50needed50for50coughing50or50wheezing."50The50patient5
0reports50feeling50jittery50sometimes50when50taking50the50medication,50and50she50doesn't50feel50that5
0the50medication50is50always50effective.50Which50action50is50outside50the50nurse's50scope50of50practic
e?50-50CORRECT50ANSWER50-
50Suggesting50that50the50patient50use50one50puff50to50reduce50side50effects.
A50postoperative50patient50is50being50discharged50home50with50acetaminophen50for50pain.50the50patie
nt50asks50the50nurse50about50using50Tylenol50for50fever.50Which50statement50by50the50nurse50is50corre
ct?50-50CORRECT50ANSWER50-
50"Taking50the50two50medications50together50poses50a50risk50for50drug50toxicity"
The50nurse50is50preparing50to50care50for50a50patient50who50will50be50taking50an50antihypertensive50me
dication.50Which50action50by50the50nurse50is50part50of50the50assessment50step50of50the50nursing50proc
ess?50-50CORRECT50ANSWER50-50Questioning50the50patient50about50OTC50use
A50postoperative50patient50reports50pain,50which50the50patient50rates50as50an50850on50a50scale50of50150
,to5010.50The50prescriber50has50ordered50acetaminophen50650mg50PO50every50650hours50PRN.50What50
will50the50nurse50do?50-50CORRECT50ANSWER
-Contact50the50provider50to50request50a50different50analgesic50medication.
, A50patient50newly50diagnosed50with50diabetes50is50to50be50discharged50from50the50hospital.50The50nur
se50teaching50the50patient50about50home50management50should50begin50by50doing50what?50-
50CORRECT50ANSWER50-
Asking50the50patient50to50demonstrate50how50to50measure50and50administer50insulin.
The50nurse50receives50an50order50to50give50morphine50550mg50IV50every50250hours50PRN50for50pain.50
Which50action50is50not50part50of50the50650rights50of50med50adm?50-50CORRECT50ANSWER50-
Assessing50the50patient's50pain50level501550to503050minutes50after50giving50the50medication.
A50patient50tells50a50nurse50that50a50medication50prescribed50for50recurrent50migraine50headaches50is
50not50working.50What50will50the50nurse50do?50-50CORRECT50ANSWER50-
Ask50the50patient50about50the50number50and50frequency50of50tablets50taken.
A50nurse50is50preparing50to50administer50medications.50Which50patient50would50the50nurse50consider5
0to50have50the50greatest50predisposition50to50an50adverse50reaction?50-50CORRECT50ANSWER50-
A503050y/o50man50with50kidney50disease
A50nurse50consults50a50drug50manual50before50giving50a50medication50to50an508050y/o50patient.50The5
0manual50states50that50older-
adult50patients50are50at50increased50risk50for50hepatic50side50effects.50Which50action50by50the50nurse5
0is50correct?50-50CORRECT50ANSWER50-
Contact50the50provider50to50discuss50an50order50for50pretreatment50laboratory50work.
A50patient50has50been50receiving50IV50penicillin50for50pneumonia50for50several50days50and50begins50to
50complain50of50generalized50itching.50The50nurse50auscultates50bilateral50wheezing50and50notes50a50te
mperature50of5038.550C50(101F).50Which50action50by50the50nurse50is50correct?50-
50CORRECT50ANSWER50-Hold50the50next50dose50and50notify50the50prescriber50of50the50symptoms
A50postoperative50patient50has50orders50for50morphine50sulfate50150to50250mg50IV50every50hour50PRN5
0for50severe50pain50and50acetaminophen-hydrocodone50(Lortab)507.550mg50PO50every504-
650hours50PRN50for50moderate50pain.50The50patient50reports50pain50at50a50level50of508.50Which50actio
n50by50the50nurse50is50appropriate?50-50CORRECT50ANSWER50-
Administer50morphine50sulfate50250mg50IV50and50evaluate50the50patient's50pain50in5015-3050minutes