2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Chapter 55: Adult and Pediatric Emergency Drugs
McCuistion: Pharmacology: A Patient-Centered Nursing Process
Approach, 10thEdition
MULTIPLE
CHOICE
1. A patient who is experiencing chest pain and shortness of breath is brought to
the emergency department. The nurse assesses a heart rate of 98 beats per
minute, bilateral lung crackles, and an oxygen saturation of 93%. What drug will
the nurse expect to administer initially to this patient?
a. Albuterol
b. Aspirin
c. Nitroglycerin
d. Oxygen
ANS: D
The patient has signs of pulmonary edema, which can cause chest pain,
crackles, and shortness of breath along with compensatory tachycardia and low
oxygen saturations. The initial drug of choice is oxygen, which can minimize
chest pain and open up the alveoli. The other drugs are given for specific
underlying causes and may be necessary after the patient is evaluated further.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
,2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Therapies
N
2. A patient with suspected myocardial infarction is seen in the emergency
department. The nurse is preparing to administer 325 mg of aspirin. The
nurse will perform which action?
a. Administer an enteric-coated tablet.
b. Ask the patient to chew the tablet.
c. Give the tablet with a large glass of water.
d. Place the tablet under the patient’s tongue.
ANS: B
To speed the absorption of aspirin, in a cardiac emergency, the patient should
chew the tablet when given. An enteric-coated tablet will slow the absorption.
Giving the aspirin with a large volume water or sublingually will slow the
absorption rate.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
3. A patient with angina has been given 0.4 mg of nitroglycerin SL. The patient
reports continued chest pain 5 min later. The nurse assesses a heart rate of 84
beats per minute and a blood pressure of 88/68 mm Hg. The nurse will take
which action?
a. Administer 0.4 mg of nitroglycerin SL.
b. Administer 0.3 mg of nitroglycerin SL.
c. Give nitroglycerin by translingual spray.
,2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
d. Notify the provider of the patient’s vital signs.
, 2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
ANS: D
Nitroglycerin should be held if the patient has a systolic blood pressure less
than 90 mm Hg. The nurse should notify the provider.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
4. A patient with congestive heart failure and pulmonary edema is experiencing
chest pain. The patient has an order for morphine sulfate IV 4 mg every 5–30
min PRN until chest pain is relieved. The last dose of 4 mg was 15 min prior,
and the patient is complaining of chest pain and exhibiting increased work of
breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate
of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the
nurse do next?
a. Administer morphine sulfate IV 4 mg over 1–5 min.
b. Administer naloxone (Narcan) to reverse respiratory depression.
c. Request an order for morphine sulfate IV 2 mg over 1–5 min.
d. Hold the next dose and notify the provider of the patient’s symptoms.
ANS: A
Morphine acts to relieve pain, dilate venous vessels, and decrease the workload
on the heart to treat acute cardiogenic pulmonary edema and can relieve the
dyspnea caused by this
condition. The nurse should administer 4 mg since the patient’s pain
has not abated. Respiratory depression would be characterized by a
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Chapter 55: Adult and Pediatric Emergency Drugs
McCuistion: Pharmacology: A Patient-Centered Nursing Process
Approach, 10thEdition
MULTIPLE
CHOICE
1. A patient who is experiencing chest pain and shortness of breath is brought to
the emergency department. The nurse assesses a heart rate of 98 beats per
minute, bilateral lung crackles, and an oxygen saturation of 93%. What drug will
the nurse expect to administer initially to this patient?
a. Albuterol
b. Aspirin
c. Nitroglycerin
d. Oxygen
ANS: D
The patient has signs of pulmonary edema, which can cause chest pain,
crackles, and shortness of breath along with compensatory tachycardia and low
oxygen saturations. The initial drug of choice is oxygen, which can minimize
chest pain and open up the alveoli. The other drugs are given for specific
underlying causes and may be necessary after the patient is evaluated further.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
,2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Therapies
N
2. A patient with suspected myocardial infarction is seen in the emergency
department. The nurse is preparing to administer 325 mg of aspirin. The
nurse will perform which action?
a. Administer an enteric-coated tablet.
b. Ask the patient to chew the tablet.
c. Give the tablet with a large glass of water.
d. Place the tablet under the patient’s tongue.
ANS: B
To speed the absorption of aspirin, in a cardiac emergency, the patient should
chew the tablet when given. An enteric-coated tablet will slow the absorption.
Giving the aspirin with a large volume water or sublingually will slow the
absorption rate.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
3. A patient with angina has been given 0.4 mg of nitroglycerin SL. The patient
reports continued chest pain 5 min later. The nurse assesses a heart rate of 84
beats per minute and a blood pressure of 88/68 mm Hg. The nurse will take
which action?
a. Administer 0.4 mg of nitroglycerin SL.
b. Administer 0.3 mg of nitroglycerin SL.
c. Give nitroglycerin by translingual spray.
,2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
d. Notify the provider of the patient’s vital signs.
, 2022/2023 UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
ANS: D
Nitroglycerin should be held if the patient has a systolic blood pressure less
than 90 mm Hg. The nurse should notify the provider.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
4. A patient with congestive heart failure and pulmonary edema is experiencing
chest pain. The patient has an order for morphine sulfate IV 4 mg every 5–30
min PRN until chest pain is relieved. The last dose of 4 mg was 15 min prior,
and the patient is complaining of chest pain and exhibiting increased work of
breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate
of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the
nurse do next?
a. Administer morphine sulfate IV 4 mg over 1–5 min.
b. Administer naloxone (Narcan) to reverse respiratory depression.
c. Request an order for morphine sulfate IV 2 mg over 1–5 min.
d. Hold the next dose and notify the provider of the patient’s symptoms.
ANS: A
Morphine acts to relieve pain, dilate venous vessels, and decrease the workload
on the heart to treat acute cardiogenic pulmonary edema and can relieve the
dyspnea caused by this
condition. The nurse should administer 4 mg since the patient’s pain
has not abated. Respiratory depression would be characterized by a
