Pharm Exam 2 Test Bank Questions
with Correct Answers
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is
appropriate for the nurse to implement in order to reduce complications that may
occur with this drug's administration?
a.
Monitoring blood pressure for hypertension during the infusion
b.
Discontinuing the drug immediately if red man syndrome occurs
c.
Restricting fluids during vancomycin therapy
d.
Infusing the drug over at least 1 hour - Answer-D
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside
therapy?
a.
Constipation
b.
Risk for injury (renal damage)
c.
Disturbed body image related to gynecomastia
d.
Imbalanced nutrition, less than body requirements, related to nausea - Answer-B
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that
contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the
nurse expect to be chosen for therapy?
a.
Metronidazole (Flagyl)
b.
Ciprofloxacin (Cipro)
c.
Vancomycin (Vancocin)
d.
Tobramycin (Nebcin) - Answer-C
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam
antibiotic as well. The patient asks why two antibiotics have been ordered. What is
the nurse's best response?
a.
"The combined effect of both antibiotics is greater than each of them alone."
b.
"One antibiotic is not strong enough to fight the infection."
c.
"We have not yet isolated the bacteria, so the two antibiotics are given to cover a
wide range of microorganisms."
,d.
"We can give a reduced amount of each one if we give them together." - Answer-A
The nurse is reviewing the medication orders for a patient who will be receiving
gentamicin therapy. Which other medication or medication class, if ordered, would
be a potential interaction concern?
a.
Calcium channel blockers
b.
Phenytoin
c.
Proton pump inhibitors
d.
Loop diuretics - Answer-D
The nurse checks the patient's laboratory work prior to administering a dose of
vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL.
What will the nurse do next?
a.
Administer the vancomycin as ordered.
b.
Hold the drug, and administer 4 hours later.
c.
Hold the drug, and notify the prescriber.
d.
Repeat the test to verify results. - Answer-C
A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae
(CRE). The nurse expects to see orders for which drug?
a.
Dapsone (Cubicin), a miscellaneous antibiotic
b.
Ciprofloxacin (Cipro), a quinolone
c.
Linezolid (Zyvox), an oxazolidinone
d.
Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic - Answer-D
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 - Answer-D
,he nurse is administering intravenous vancomycin (Vancocin) to a patient who has
had gastrointestinal surgery. Which nursing measures are appropriate? (Select all
that apply.)
a.
Monitoring serum creatinine levels
b.
Restricting fluids while the patient is on this medication
c.
Warning the patient that a flushed feeling or facial itching may occur
d.
Instructing the patient to report dizziness or a feeling of fullness in the ears
e.
Reporting a trough drug level of 11 mcg/mL and holding the drug
f.
Reporting a trough drug level of 24 mcg/mL and holding the drug - Answer-A,C,D,F
A patient will be receiving nitrofurantoin (Macrodantin) treatment for a urinary tract
infection. The nurse is reviewing the patient's history and will question the
nitrofurantoin order if which disorder is present in the history? (Select all that apply.)
a.
Liver disease
b.
Coronary artery disease
c.
Hyperthyroidism
d.
Type 1 diabetes mellitus
e.
Chronic renal disease - Answer-A,E
A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is
providing instructions about adverse effects. The nurse will discuss which adverse
effects of topical acyclovir therapy?
a.
Insomnia and nervousness
b.
Temporary swelling and rash
c.
Burning when applied
d.
This medication has no adverse effects. - Answer-C
A patient who has undergone a lung transplant has contracted cytomegalovirus
(CMV) retinitis. The nurse expects which drug to be ordered for this patient?
a.
Acyclovir (Zovirax)
b.
Ganciclovir (Cytovene)
c.
Ribavirin (Virazole)
, d.
Amantadine (Symmetrel) - Answer-B
An infant has been hospitalized with a severe lung infection caused by the
respiratory syncytial virus (RSV) and will be receiving medication via the inhalation
route. The nurse expects which drug to be used?
a.
Acyclovir (Zovirax)
b.
Ganciclovir (Cytovene)
c.
Amantadine (Symmetrel)
d.
Ribavirin (Virazole) - Answer-D
A patient who is HIV- positive has been receiving medication therapy that includes
zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine
because of its dose-limiting adverse effect. Which of these conditions is the dose-
limiting adverse effect of zidovudine therapy?
a.
Retinitis
b.
Renal toxicity
c.
Hepatotoxicity
d.
Bone marrow suppression - Answer-D
The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral
infection. Which administration technique is correct?
a.
Infuse intravenous acyclovir slowly, over at least 1 hour.
b.
Infuse intravenous acyclovir by rapid bolus.
c.
Refrigerate intravenous acyclovir.
d.
Restrict oral fluids during intravenous acyclovir therapy. - Answer-A
A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and
the nurse is preparing to administer probenecid, which is also ordered. Which is the
rationale for administering probenecid along with the cidofovir treatment?
a.
Probenecid has a synergistic effect when given with cidofovir, thus making the
antiviral medication more effective.
b.
The probenecid also prevents replication of the virus.
c.
Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.
d.
with Correct Answers
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is
appropriate for the nurse to implement in order to reduce complications that may
occur with this drug's administration?
a.
Monitoring blood pressure for hypertension during the infusion
b.
Discontinuing the drug immediately if red man syndrome occurs
c.
Restricting fluids during vancomycin therapy
d.
Infusing the drug over at least 1 hour - Answer-D
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside
therapy?
a.
Constipation
b.
Risk for injury (renal damage)
c.
Disturbed body image related to gynecomastia
d.
Imbalanced nutrition, less than body requirements, related to nausea - Answer-B
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that
contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the
nurse expect to be chosen for therapy?
a.
Metronidazole (Flagyl)
b.
Ciprofloxacin (Cipro)
c.
Vancomycin (Vancocin)
d.
Tobramycin (Nebcin) - Answer-C
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam
antibiotic as well. The patient asks why two antibiotics have been ordered. What is
the nurse's best response?
a.
"The combined effect of both antibiotics is greater than each of them alone."
b.
"One antibiotic is not strong enough to fight the infection."
c.
"We have not yet isolated the bacteria, so the two antibiotics are given to cover a
wide range of microorganisms."
,d.
"We can give a reduced amount of each one if we give them together." - Answer-A
The nurse is reviewing the medication orders for a patient who will be receiving
gentamicin therapy. Which other medication or medication class, if ordered, would
be a potential interaction concern?
a.
Calcium channel blockers
b.
Phenytoin
c.
Proton pump inhibitors
d.
Loop diuretics - Answer-D
The nurse checks the patient's laboratory work prior to administering a dose of
vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL.
What will the nurse do next?
a.
Administer the vancomycin as ordered.
b.
Hold the drug, and administer 4 hours later.
c.
Hold the drug, and notify the prescriber.
d.
Repeat the test to verify results. - Answer-C
A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae
(CRE). The nurse expects to see orders for which drug?
a.
Dapsone (Cubicin), a miscellaneous antibiotic
b.
Ciprofloxacin (Cipro), a quinolone
c.
Linezolid (Zyvox), an oxazolidinone
d.
Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic - Answer-D
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 - Answer-D
,he nurse is administering intravenous vancomycin (Vancocin) to a patient who has
had gastrointestinal surgery. Which nursing measures are appropriate? (Select all
that apply.)
a.
Monitoring serum creatinine levels
b.
Restricting fluids while the patient is on this medication
c.
Warning the patient that a flushed feeling or facial itching may occur
d.
Instructing the patient to report dizziness or a feeling of fullness in the ears
e.
Reporting a trough drug level of 11 mcg/mL and holding the drug
f.
Reporting a trough drug level of 24 mcg/mL and holding the drug - Answer-A,C,D,F
A patient will be receiving nitrofurantoin (Macrodantin) treatment for a urinary tract
infection. The nurse is reviewing the patient's history and will question the
nitrofurantoin order if which disorder is present in the history? (Select all that apply.)
a.
Liver disease
b.
Coronary artery disease
c.
Hyperthyroidism
d.
Type 1 diabetes mellitus
e.
Chronic renal disease - Answer-A,E
A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is
providing instructions about adverse effects. The nurse will discuss which adverse
effects of topical acyclovir therapy?
a.
Insomnia and nervousness
b.
Temporary swelling and rash
c.
Burning when applied
d.
This medication has no adverse effects. - Answer-C
A patient who has undergone a lung transplant has contracted cytomegalovirus
(CMV) retinitis. The nurse expects which drug to be ordered for this patient?
a.
Acyclovir (Zovirax)
b.
Ganciclovir (Cytovene)
c.
Ribavirin (Virazole)
, d.
Amantadine (Symmetrel) - Answer-B
An infant has been hospitalized with a severe lung infection caused by the
respiratory syncytial virus (RSV) and will be receiving medication via the inhalation
route. The nurse expects which drug to be used?
a.
Acyclovir (Zovirax)
b.
Ganciclovir (Cytovene)
c.
Amantadine (Symmetrel)
d.
Ribavirin (Virazole) - Answer-D
A patient who is HIV- positive has been receiving medication therapy that includes
zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine
because of its dose-limiting adverse effect. Which of these conditions is the dose-
limiting adverse effect of zidovudine therapy?
a.
Retinitis
b.
Renal toxicity
c.
Hepatotoxicity
d.
Bone marrow suppression - Answer-D
The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral
infection. Which administration technique is correct?
a.
Infuse intravenous acyclovir slowly, over at least 1 hour.
b.
Infuse intravenous acyclovir by rapid bolus.
c.
Refrigerate intravenous acyclovir.
d.
Restrict oral fluids during intravenous acyclovir therapy. - Answer-A
A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and
the nurse is preparing to administer probenecid, which is also ordered. Which is the
rationale for administering probenecid along with the cidofovir treatment?
a.
Probenecid has a synergistic effect when given with cidofovir, thus making the
antiviral medication more effective.
b.
The probenecid also prevents replication of the virus.
c.
Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.
d.
