Pharmacology Mid Year Exam
. When administering medication that have the potential to cause significant harm or
death, the nurse researches if an antidote is available. Which property of an ideal drug
is demonstrated in the nurse's actions?
a. Simple generic name
b. Reversible actions
c. Safety
d. Predictability correct answers b
During the assessment phase of the nursing process, which of the following actions
would the nurse perform to adhere to medication safety practices? SELECT ALL THAT
APPLY
a. Accurately interpret the medication order
b. Obtain the patient's vital signs
c. Understand the medications intended effect
d. Administer the medication by the ordered route correct answers a,b,c
The nurse is preparing to administer an antihypertensive medication (medication that
lowers blood pressure). The nurse assesses the patient's blood pressure at 110/70 mm
Hg. What action should the nurse take at this time?
a. Administer the medication because the antihypertensive medication is prescribed.
b. Assess the patient's baseline blood pressure and the blood pressure before and after
the last dose of this medication to determine if the medication should be
administered.
c. Call the prescriber, report the current blood pressure, and ask if the medication
should be administered.
d. Withhold the medication because the patient's blood pressure is too low to
administer an antihypertensive medication. correct answers b
A patient who was prescribed an oral medication to be taken 4 times a day returns to
the clinic for a follow-up visit. The patient tells the nurse that he forgets to take two or
threes
doses of the medication each day. What is the most appropriate action that the nurse
can
take?
a. Arranging for the patient to have a home health nurse
b. Re-educating the patient about the medication and how it should be taken
,c. Determining whether the patient is experiencing any adverse effects
d. Telling the patient to set an alarm as a reminder to take the drug correct answers b
While preparing to administer medications to a patient, the nurse does not fully
understand
the rationale for the patient receiving one of the ordered medications. What should the
nurse do?
a. Ask another nurse why the patient is getting this medication
b. Ask the patient why this medication has been ordered
c. Research the medication, focusing on its therapeutic uses
d. Verify with the prescribing healthcare provider the reason for the medication. correct
answers d
Which property of pharmacokinetics is described as the transmission of the drug from
the
location of administration to the bloodstream?
a. Distribution
b Excretion
c. Absorption
d. Metabolism correct answers c
Disadvantages of IM administration of medications include all of the following EXCEPT:
a. Risk of infection at injection site
b. More costly
c. Absorption is slower than medication administered orally
d. Can be associated with pain correct answers c
Which of the following nursing implications apply to medication administration by the IV
Route? SELECT ALL THAT APPLY
a. The nurse must be familiar with the mode of access and the access device
b. Medications are never to be given into an artery
, c. The nurse must be able to infuse several medication into the same line
simultaneously.
d. The nurse must be aware that the onset of action for medications administered by
by the IV route is more rapid than those administered by the IM route. correct answers
a,b,d
The nurse administered 2 mg of morphine intravenously to a postoperative patient. In
addition to following the 7 rights of safe medication administration, what responsibility
does
the nurse have as a patient advocate?
a. To administer the drug as often as possible
b. To minimize adverse effects by reducing the next dose of morphine
c. To know the possible reactions to morphine
d. To inform visitors that the patient has received morphine correct answers c
A patient who is admitted to the nursing unit from the post-anesthesia care unit (PACU)
is
moaning in pain. The patient is due for another dose of pain medication. What is the
nursing
priority at this time?
a. Administer the prescribed pain medication
b. Assess the patient's vital signs, tubes, and surgical site
c. Obtain the patient's pain rating on a scale of 1-10
d. Review the patient's allergy history correct answers b
Grapefruit juice inhibits some CYP-450 drug-metabolizing isoenzymes which affect
many drugs including calcium channel blockers. The nurse should teach a patient taking
calcium channel blockers that drinking grapefruit juice can cause which problem?
a. Excessive first-pass effect
b. Excessive levels of drug in the blood
c. Lack of therapeutic effect of the drug
d. Rapid excretion of the drug correct answers b
Affinity is the strength of attraction between a drug and its receptor
True _____
False _____ correct answers true
. When administering medication that have the potential to cause significant harm or
death, the nurse researches if an antidote is available. Which property of an ideal drug
is demonstrated in the nurse's actions?
a. Simple generic name
b. Reversible actions
c. Safety
d. Predictability correct answers b
During the assessment phase of the nursing process, which of the following actions
would the nurse perform to adhere to medication safety practices? SELECT ALL THAT
APPLY
a. Accurately interpret the medication order
b. Obtain the patient's vital signs
c. Understand the medications intended effect
d. Administer the medication by the ordered route correct answers a,b,c
The nurse is preparing to administer an antihypertensive medication (medication that
lowers blood pressure). The nurse assesses the patient's blood pressure at 110/70 mm
Hg. What action should the nurse take at this time?
a. Administer the medication because the antihypertensive medication is prescribed.
b. Assess the patient's baseline blood pressure and the blood pressure before and after
the last dose of this medication to determine if the medication should be
administered.
c. Call the prescriber, report the current blood pressure, and ask if the medication
should be administered.
d. Withhold the medication because the patient's blood pressure is too low to
administer an antihypertensive medication. correct answers b
A patient who was prescribed an oral medication to be taken 4 times a day returns to
the clinic for a follow-up visit. The patient tells the nurse that he forgets to take two or
threes
doses of the medication each day. What is the most appropriate action that the nurse
can
take?
a. Arranging for the patient to have a home health nurse
b. Re-educating the patient about the medication and how it should be taken
,c. Determining whether the patient is experiencing any adverse effects
d. Telling the patient to set an alarm as a reminder to take the drug correct answers b
While preparing to administer medications to a patient, the nurse does not fully
understand
the rationale for the patient receiving one of the ordered medications. What should the
nurse do?
a. Ask another nurse why the patient is getting this medication
b. Ask the patient why this medication has been ordered
c. Research the medication, focusing on its therapeutic uses
d. Verify with the prescribing healthcare provider the reason for the medication. correct
answers d
Which property of pharmacokinetics is described as the transmission of the drug from
the
location of administration to the bloodstream?
a. Distribution
b Excretion
c. Absorption
d. Metabolism correct answers c
Disadvantages of IM administration of medications include all of the following EXCEPT:
a. Risk of infection at injection site
b. More costly
c. Absorption is slower than medication administered orally
d. Can be associated with pain correct answers c
Which of the following nursing implications apply to medication administration by the IV
Route? SELECT ALL THAT APPLY
a. The nurse must be familiar with the mode of access and the access device
b. Medications are never to be given into an artery
, c. The nurse must be able to infuse several medication into the same line
simultaneously.
d. The nurse must be aware that the onset of action for medications administered by
by the IV route is more rapid than those administered by the IM route. correct answers
a,b,d
The nurse administered 2 mg of morphine intravenously to a postoperative patient. In
addition to following the 7 rights of safe medication administration, what responsibility
does
the nurse have as a patient advocate?
a. To administer the drug as often as possible
b. To minimize adverse effects by reducing the next dose of morphine
c. To know the possible reactions to morphine
d. To inform visitors that the patient has received morphine correct answers c
A patient who is admitted to the nursing unit from the post-anesthesia care unit (PACU)
is
moaning in pain. The patient is due for another dose of pain medication. What is the
nursing
priority at this time?
a. Administer the prescribed pain medication
b. Assess the patient's vital signs, tubes, and surgical site
c. Obtain the patient's pain rating on a scale of 1-10
d. Review the patient's allergy history correct answers b
Grapefruit juice inhibits some CYP-450 drug-metabolizing isoenzymes which affect
many drugs including calcium channel blockers. The nurse should teach a patient taking
calcium channel blockers that drinking grapefruit juice can cause which problem?
a. Excessive first-pass effect
b. Excessive levels of drug in the blood
c. Lack of therapeutic effect of the drug
d. Rapid excretion of the drug correct answers b
Affinity is the strength of attraction between a drug and its receptor
True _____
False _____ correct answers true
