Pharmacology Exam 2 Test Bank
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." -
----ANS:C
A 12-month-old infant has received an MMR II (measles, mumps, and rubella
virus vaccine), and her mother calls the clinic that afternoon to ask about
helping her fussy infant to "feel better." What will the nurse suggest?
a.
Apply an ice pack to the injection site.
b.
Apply warm compresses to the injection site.
c.
Observe the site for further swelling and redness.
d.
Bring the infant in to the emergency department for an immediate
examination. - ----ANS:B
A 14-year-old patient has been treated for asthma for almost 4 months. Two
weeks ago, she was given salmeterol as part of her medication regimen.
However, her mother has called the clinic to report that it does not seem to
work when her daughter is having an asthma attack. Which response by the
nurse is appropriate?
a.
"It takes time for a therapeutic response to develop."
b.
"She is too young for this particular medication; it will be changed."
c.
,"She needs to take up to two puffs every 4 hours to ensure adequate blood
levels."
d.
"This medication is indicated for prevention of bronchospasms, not for relief of
acute symptoms." - ----ANS:D
A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks
the nurse about the "new vaccine that prevents HPV." She wants to receive
the papillomavirus vaccine (Gardasil). Which response by the nurse is most
appropriate?
a.
"For women, the recommended age for this vaccine is 13 to 26 years of age."
b.
"We will need to make sure you are not pregnant first."
c.
"There will be a total of three injections."
d.
"I will check with your health care provider and then get the first dose of the
vaccine ready." - ----ANS:A
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 - ----ANS:C
A 45-year-old man has received a series of immunizing drugs in preparation
for a trip to a developing country. Within hours, his wife brings him to the
emergency department because he has developed edema of the face, tongue,
and throat and is having trouble breathing. The nurse suspects that, based on
the patient's history and symptoms, he is experiencing which condition?
,a.
Serum sickness
b.
Cross-sensitivity
c.
Thrombocytopenic purpura
d.
Adenopathy - ----ANS:A
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?
a.
Administering NSAIDs
b.
Administering an immediate-release opioid
c.
Changing the opioid route to the rectal route
d.
Making no changes to the current therapy - ----ANS:B
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 - ----ANS:C,E,F
, 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 - ----ANS:C
A 79-year-old patient is receiving a quinolone as treatment for a complicated
incision infection. The nurse will monitor for which adverse effect that is
associated with these drugs?
a.
Neuralgia
b.
Double vision
c.
Hypotension
d.
Tendonitis and tendon rupture - ----ANS:D
A gardener needs a decongestant because of seasonal allergy problems and
asks the nurse whether he should take an oral form or a nasal spray. Which of
these is a benefit of orally administered decongestants?
a.
Immediate onset
b.
A more potent effect
c.
Lack of rebound congestion
d.
Shorter duration - ----ANS:C
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." -
----ANS:C
A 12-month-old infant has received an MMR II (measles, mumps, and rubella
virus vaccine), and her mother calls the clinic that afternoon to ask about
helping her fussy infant to "feel better." What will the nurse suggest?
a.
Apply an ice pack to the injection site.
b.
Apply warm compresses to the injection site.
c.
Observe the site for further swelling and redness.
d.
Bring the infant in to the emergency department for an immediate
examination. - ----ANS:B
A 14-year-old patient has been treated for asthma for almost 4 months. Two
weeks ago, she was given salmeterol as part of her medication regimen.
However, her mother has called the clinic to report that it does not seem to
work when her daughter is having an asthma attack. Which response by the
nurse is appropriate?
a.
"It takes time for a therapeutic response to develop."
b.
"She is too young for this particular medication; it will be changed."
c.
,"She needs to take up to two puffs every 4 hours to ensure adequate blood
levels."
d.
"This medication is indicated for prevention of bronchospasms, not for relief of
acute symptoms." - ----ANS:D
A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks
the nurse about the "new vaccine that prevents HPV." She wants to receive
the papillomavirus vaccine (Gardasil). Which response by the nurse is most
appropriate?
a.
"For women, the recommended age for this vaccine is 13 to 26 years of age."
b.
"We will need to make sure you are not pregnant first."
c.
"There will be a total of three injections."
d.
"I will check with your health care provider and then get the first dose of the
vaccine ready." - ----ANS:A
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 - ----ANS:C
A 45-year-old man has received a series of immunizing drugs in preparation
for a trip to a developing country. Within hours, his wife brings him to the
emergency department because he has developed edema of the face, tongue,
and throat and is having trouble breathing. The nurse suspects that, based on
the patient's history and symptoms, he is experiencing which condition?
,a.
Serum sickness
b.
Cross-sensitivity
c.
Thrombocytopenic purpura
d.
Adenopathy - ----ANS:A
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?
a.
Administering NSAIDs
b.
Administering an immediate-release opioid
c.
Changing the opioid route to the rectal route
d.
Making no changes to the current therapy - ----ANS:B
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 - ----ANS:C,E,F
, 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 - ----ANS:C
A 79-year-old patient is receiving a quinolone as treatment for a complicated
incision infection. The nurse will monitor for which adverse effect that is
associated with these drugs?
a.
Neuralgia
b.
Double vision
c.
Hypotension
d.
Tendonitis and tendon rupture - ----ANS:D
A gardener needs a decongestant because of seasonal allergy problems and
asks the nurse whether he should take an oral form or a nasal spray. Which of
these is a benefit of orally administered decongestants?
a.
Immediate onset
b.
A more potent effect
c.
Lack of rebound congestion
d.
Shorter duration - ----ANS:C
