NR-291 Quiz 1 Pharmacology I|24 Questions with Answers,100% CORRECT

NR-291Quiz 1 Pharmacology I|24 Questions with Answers The nurse is giving a medication that has a high first-pass effect. The health care provider has changed the route from IV to PO. The nurse expects the oral dose to be: A. Higher because of the first-pass effect B. Lower because of the first-pass effect C. The same as the IV dose D. Unchanged - CORRECT ANSWER A. Higher because of the first-pass effect A patient is complaining of severe pain and has orders for morphine sulfate. The nurse knows that the route that would give the slowest pain relief would be which route? A. IV (Intravenous) B. IM (Intramuscular) C. SQ (Subcutaneous) D. PO (by mouth) - CORRECT ANSWER D. PO (by mouth) A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The pharmacy sends up enteric-coated tablets, but the patient refuses the tablets, stating that she cannot swallow pills. What will the nurse do? A. Crush the tablets and mix them with applesauce or pudding. B. Call the pharmacy and ask for the liquid form of the medication. C. Call the pharmacy and ask for the IV form of the medication. D. Encourage the patient to try to swallow the tablets. - CORRECT ANSWER B. Call the pharmacy and ask for the liquid form of the medication. The nurse is preparing to administer a transdermal patch to a patient and finds that the patient already has a medication patch on his right upper chest. What will the nurse do? A. Remove the old medication patch and notify the health care provider B. Apply the new patch without removing the old one C. Remove the old patch and apply the new patch in the same spot D. Remove the old patch and apply the new patch to a different area. - CORRECT ANSWER D. Remove the old patch and apply the new patch to a different area. In the 2006 Institute of Medicine Study, it was estimated that some form of medication error resulted in harm to how many patients? A. 400,000 B. 800,000 C. 1 million D. 1.5 million - CORRECT ANSWER D. 1.5 million The nurse is administering a drug that has been ordered as follows: "Give 10 mg on odd-numbered days ad 5 mg on even-numbered days." When the date changes from May 31st to June 1st, what should the nurse do? A. Give 10 mg because June 1st is an odd-numbered day B. Hold the dose until the next odd-numbered day C. Change the order to read "give 10 mg on the even numbered days and 5 mg on odd-numbered days" D. Consult the prescriber to verify that the dose should alternate each day, no matter theater the day is odd-numbered or even numbered - CORRECT ANSWER D. Consult the prescriber to verify that the dose should alternate each day, no matter theater the day is odd-numbered or even numbered The nursing student realizes that she has given a patient a double dose of an antihypertensive medication. The tablet was supposed to be cut in half, but the student forgot and administered the entire tablet. The patient's blood pressure just before the dose was 146/98 mm Hg. What should the student nurse do first? A. Notify the patient's physician B. Notify the clinical faculty C. Take the patient's blood pressure D. Continue to monitor the patient - CORRECT ANSWER B. Notify the clinical faculty A patient has two inhalers that are due to be taken at the same time. One is a bronchodilator and the other is a corticosteroid. Which inhaler should the patient take first and why? A. The bronchodilator B. The corticosteroid C. It does no matter which one is taken first - CORRECT ANSWER A. The bronchodilator A patient is experiencing bronchospasms after running half a mile. He has several inhalers with him. Which one out be appropriate for treatment at this time. A. Albuterol B. Salmeterol C. Fluticasone D. Salmeterol and Fluticasone combination (Advair Diskus) - CORRECT ANSWER A. Albuterol A patient on a dobutamine drip starts to complain that her intravenous line "hurts". The nurse checks the insertion site and sees that the area is swollen and cool. What will the nurse do first? A. Slow the intravenous infusion B. Stop the intravenous infusion C. Inject the area with phentolamine D. Notify the physician health care provider - CORRECT ANSWER B. Stop the intravenous infusion A patient on a doubtamine drip starts to complain that he feels a "tightness" in his chest that he had not felt before. What will the nurse do first? A. Check the infusion site for possible extravasation B. Increase the infusion rate C. Check the patient's vital signs D. Order an electrocardiogram - CORRECT ANSWER C. Check the patient's vital signs A 10-year old child is brought to the ER while having an asthma attack. She is given a nebulizer treatment with albuterol. The nurse's immediate assessment priority would be to: A. Determine the time of the child's last meal B. Monitor SpO2 with a pulse oximeter C. Monitor the child's temperature D. Provide education on asthma management - CORRECT ANSWER B. Monitor SpO2 with a pulse oximeter When phentolamine is used to diagnose the presence of pheochromocytoma, the nurse will assess for what indicative finding? A. Rapid decrease in blood pressure B. Steady increase in blood pressure C. Slower heat rate D. Reduced cardiac ectopy - CORRECT ANSWER A. Rapid decrease in blood pressure When administering an alpha blocker for the first time, it is most important for the nurse to assess the patient for the development of: A. Renal Failure B. Hypotension C. Blood Dyscrasia D. Dysrhythmias - CORRECT ANSWER B. Hypotension A 58-year old patient is recovering in the intensive care unit after a myocardial infarction (MI). The nurse notes an order for the beta blocker metoprolol (Lopressor). the purpose of this drug is to: A. Dilate the coronary arteries B. Inhibit stimulation of the myocardium by circulating catecholamines C. Provide a positive inotropic effect D. Maintain the patient's blood pressure - CORRECT ANSWER B. Inhibit stimulation of the myocardium by circulating catecholamines The nurse knows that the adverse effects of a nonselective beta blocker are likely to be the most immediately life threatening in which patient? A. Patient with Type I Diabetes B. Patient with Asthma C. Patient with gastroesophageal reflux disease D. Patient with Hypertension - CORRECT ANSWER B. Patient with Asthma A patient with Type II Diabetes is taking a beta blocker as part of treatment for hypertension. Which complication is most likely to develop? A. Hypertension B. Hyperkalemia C. Hypoglycemia D. Angina - CORRECT ANSWER C. Hypoglycemia The nurse is assessing a patient who has been taking a cholinergic drug for 3 days. The patient has flushed skin, orthostatic blood pressure changes, and is complaining of abdominal cramps and nausea. The nurse recognizes that the patient is most likely experiencing: A. Early signs of a cholinergic crisis B. Late signs of a cholinergic crisis C. An Allergic reaction to the drug D. Expected adverse effects - CORRECT ANSWER A. Early signs of a cholinergic crisis A 60-year old woman asks the nurse about taking ginkgo to help with her memory. Te patient has a history of arthritis, type 2 diabetes, thyroid disease, and hypertension. She is currently taking NSAIDs for arthritis, oral antidiabetic medications, thyroid replacement hormones, and a beta blocker for blood pressure. What potential adverse effect from the gingko would be of most concern for this patient? A. Stomach Upset B. Diarrhea C. Bleeding D. Drowsiness - CORRECT ANSWER C. Bleeding A patient is scheduled to have lunch at 1200. The nurse will administer the pyridostigmine (Mestinon) at what time for optimal therapeutic effect? A. 1100 B. 1130 C. 1200 D. 1230 - CORRECT ANSWER B. 1130 A patient with Alzheimer's disease accidentally took 2 weeks worth of a cholinergic medication. He is brought to the ER, is going into shock and experiencing severe hypotension and vomiting. the nurse will expect which initial treatment? A. Administration of physostigmine B. Administration of atropine C. Administration of epinephrine D. Cardiovascular support with dopamine - CORRECT ANSWER B. Administration of atropine Which finding would the nurse anticipate when assessing a patient with an atropine overdose? A. Moist skin B. Miosis C. Bradycardia D. Urinary retention - CORRECT ANSWER D. Urinary retention Glycopyrrolate (Robinul) and an opioid are administered to a patient prior to surgery in the preoperative area. The anticholinergic is used to: A. Potentiate the action of the opioid B. Assist the patient in retaining urine during surgery C. Control secretions during surgery D. Prevent nausea - CORRECT ANSWER C. Control secretions during surgery Prior to administering tolterodine (Detrol) it is most important for the nurse to assess the patient for a history of which condition? A. Angle-closure glaucoma B. Cataracts C. Hypothyroidism D. Hyponatremia - CORRECT ANSWER A. Angle-closure glaucoma