TEST BANK For Pharmacology for Nurses PHARMACOLOGY
TEST BANK For Pharmacology for Nurses: A
Pathophysiological Approach, 7th Edition by Adams
& Holland, All Chapters 1 - 50 Complete, Verified
Latest Edition
Which intervention is most appropriate for the treatment of a patient in asystole?
A. atropine
B. defibrillation
C. epinephrine
D. transcutaneous pacing - ANS :C. epinephrine
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV
has been started. The rhythm is asystole. What is the first drug/dose to administer?
A. atropine 0.5 mg IV / IO
B. atropine 1 mg IV / IO
C. dopamine 2 to 20 mcg/kg per minute IV / IO
D. epinephrine 1 mg IV / IO - ANS :D. epinephrine 1 mg IV / IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock. Which drug should be
administered first?
A. atropine 1 mg IV / IO
B. epinephrine 1 mg IV / IO
C. lidocaine 1 mg/kg IV / IO
D. sodium bicarbonate 50 mEq IV / IO - ANS :B. epinephrine 1 mg IV / IO
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3 mg.
A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg.
Which therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus - ANS :B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor show a regular wide-complex
QRS at a rate of 180/min. she becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you
take next?
A. establish IV access
B. obtain a 12-lead ECG
, TEST BANK For Pharmacology for Nurses PHARMACOLOGY
C. perform electrical cardioversion
D. seek expert consultation - ANS :C. perform electrical cardioversion
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for
medication administration is in place, which method is preferred?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO - ANS :D. IV or IO
A client was prescribed a monoamine oxidase inhibitor (MAOI) for the treatment of depression. Which comment by
the client indicates adequate understanding of the dietary restrictions that apply?
1. I cannot eat avocados or bananas.
2. I can eat sausage for breakfast, but not bacon.
3. At least I can still have my beer.
4. I can have blue cheese on my salad but not ranch dressing. - ANS :1. Correct. Clients taking MAOIs cannot
consume foods containing large amounts of tyramine. Bananas and avocados are high in tyramine.
A child was diagnosed with attention-deficit/hyperactivity disorder (ADHD) in the clinic one week ago. Today the
child's mother calls the clinic to tell the nurse, "Ever since my child has been on methyphenidate he has not been
able to sleep." What is the best response for the nurse to make?
1. "I will discuss this with the primary healthcare provider. A different medication may be prescribed."
2. "The insomnia will get better over time. Just wait it out."
3. "To prevent insomnia, give him the last daily dose at least 6 hours before bedtime."
4. "He may have overdosed on the medication. Take him to the emergency department now." - ANS :3. Correct: If
the medication is sustained-released, administer the dose in the morning.
The nurse is caring for a client who is taking an antipsychotic medication for the treatment of schizophrenia. The
nurse is told in report that the client has akathisia. What symptom should the nurse expect upon assessment?
1. Upward gaze of the eyes.
2. Involuntary movement of the tongue.
3. Complaints of restlessness.
4. Lack of movement or slowed movement. - ANS :3. Correct: Reports of restlessness, inability to sit still, and
nervous energy indicate akathisia. These symptoms respond poorly to treatment. If possible, the dose of the
medication may be reduced.
The nurse has been teaching the parents of a child taking methylphenidate for the treatment of attention deficit
hyperactivity disorder (ADHD). Which comments by the parents indicate adequate understanding of the important
considerations for methylphenidate? Select all that apply:
1. "I know that I need to monitor weight and growth with the primary healthcare provider."
2. "I am supposed to give the medication before meals."
3. "This medication may cause increased drowsiness."
4. "I need to report any extreme weight loss to the primary healthcare provider."
5. "If my child can't sleep, the dosage may need to be increased." - ANS :1., 2. & 4. Correct: Continued use of the
medication may cause delays in growth and loss of appetite. The medication is usually administered before meals.
Lack of appetite may cause weight loss.
A nurse teaches a client who is HIV positive about the client's medication therapy and assesses that the client
understood the teaching when the client makes which statement?
1. "I will only need to take one type of HIV medication at a time."
, TEST BANK For Pharmacology for Nurses PHARMACOLOGY
2. "This medication will cure my HIV."
3. "When my CD-4 count returns to normal, I can resume having unprotected sex."
4. "If I develop signs of an infection, I should call my primary healthcare provider." - ANS :4. Correct: Infection may
be a sign of an increased viral load, a decreased CD-4 count and progression of the virus in HIV (+) clients. It should
be evaluated by a primary healthcare provider.
A client is prescribed phenobarbital to control seizures. Which medication prescribed for the client would the nurse
recognize interacts with phenobarbital?
1. Lovastatin
2. Loratadine
3. Lansoprazole
4. Lactulose - ANS :2. Correct: Both of these drugs can cause CNS depression. There is a drug to drug interaction
between anti-seizure medications and antihistamines.
The primary healthcare provider's prescription for a client instructs the nurse to give digoxin 0.125 mg intravenously
as a one-time dose. The available medication is in a concentration of 0.5 mg/2 mL. How many milliliters should the
nurse give? Round answer using one decimal point. - ANS :____ mL= 2 mL x 0.125 mg = 0.5 mL
0.5 mL
The nurse is caring for a trauma client who is receiving a unit of whole blood. The client begins to experience lower
back pain. What actions should the nurse take? Select all that supply:
1. Assess the client's pain.
2. Collect a urine specimen.
3. Stop the transfusion.
4. Take the client's vital signs.
5. Change the IV tubing - ANS :2., 3., 4., & 5. Correct: Assume the worst, and stop the transfusion first, then
continue with the assessment. Low back pain is a sign of an acute hemolytic reaction. This is the most dangerous
and potentially life-threatening type of transfusion reaction. It occurs when the donor blood is incompatible with
that of the recipient . Get lab tests for presence of hemoglobin, which indicates hemolytic reaction. Take vital signs.
Change IV tubing to remove all blood.
A female client with a history of frequent exacerbations of asthma asks the nurse to explain to her why she is at
greater risk for fractures than other women her age. What is the nurse's best response?
1. "The steroids you are taking decrease calcium in the bone by sending it to the blood."
2. "Taking steroids causes bone calcium to increase, thus causing osteoporosis."
3. "Clients who have asthma are not able to exercise enough to prevent fractures from occurring."
4. "Asthma should not put you at increased risk for fractures but you are at risk for increased blood glucose levels."
- ANS :1. Correct: Long term use of steroids decreases serum calcium, so the body takes calcium from the bone and
puts it in the blood in order to bring serum calcium back to normal. Every time a steroid is given, calcium is removed
from the bone, thus leading to a greater risk for osteoporosis and fractures.
A school nurse is planning a lesson on inhalant abuse for a high school health class. Which information does the
nurse need to include? Select all that supply:
1. Substances used for inhaling include lighter fluid, spray paint, and airplane glue.
2. Inhalants are absorbed through the lungs and cause central nervous system depression rapidly.
3. Although inhaling can make a person very ill, death is highly unlikely.
4. Inhaling substances can cause abdominal pain, lethargy, and renal failure.
5. Inhalants cause the heart to beat slowly. - ANS :1., 2. & 4. Correct: All of these statements need to be included.
The drug nadolol is prescribed for a client with stable angina. Which findings would indicate to the nurse that the
drug is effective? Select all that apply:
TEST BANK For Pharmacology for Nurses: A
Pathophysiological Approach, 7th Edition by Adams
& Holland, All Chapters 1 - 50 Complete, Verified
Latest Edition
Which intervention is most appropriate for the treatment of a patient in asystole?
A. atropine
B. defibrillation
C. epinephrine
D. transcutaneous pacing - ANS :C. epinephrine
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV
has been started. The rhythm is asystole. What is the first drug/dose to administer?
A. atropine 0.5 mg IV / IO
B. atropine 1 mg IV / IO
C. dopamine 2 to 20 mcg/kg per minute IV / IO
D. epinephrine 1 mg IV / IO - ANS :D. epinephrine 1 mg IV / IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock. Which drug should be
administered first?
A. atropine 1 mg IV / IO
B. epinephrine 1 mg IV / IO
C. lidocaine 1 mg/kg IV / IO
D. sodium bicarbonate 50 mEq IV / IO - ANS :B. epinephrine 1 mg IV / IO
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3 mg.
A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg.
Which therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus - ANS :B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor show a regular wide-complex
QRS at a rate of 180/min. she becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you
take next?
A. establish IV access
B. obtain a 12-lead ECG
, TEST BANK For Pharmacology for Nurses PHARMACOLOGY
C. perform electrical cardioversion
D. seek expert consultation - ANS :C. perform electrical cardioversion
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for
medication administration is in place, which method is preferred?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO - ANS :D. IV or IO
A client was prescribed a monoamine oxidase inhibitor (MAOI) for the treatment of depression. Which comment by
the client indicates adequate understanding of the dietary restrictions that apply?
1. I cannot eat avocados or bananas.
2. I can eat sausage for breakfast, but not bacon.
3. At least I can still have my beer.
4. I can have blue cheese on my salad but not ranch dressing. - ANS :1. Correct. Clients taking MAOIs cannot
consume foods containing large amounts of tyramine. Bananas and avocados are high in tyramine.
A child was diagnosed with attention-deficit/hyperactivity disorder (ADHD) in the clinic one week ago. Today the
child's mother calls the clinic to tell the nurse, "Ever since my child has been on methyphenidate he has not been
able to sleep." What is the best response for the nurse to make?
1. "I will discuss this with the primary healthcare provider. A different medication may be prescribed."
2. "The insomnia will get better over time. Just wait it out."
3. "To prevent insomnia, give him the last daily dose at least 6 hours before bedtime."
4. "He may have overdosed on the medication. Take him to the emergency department now." - ANS :3. Correct: If
the medication is sustained-released, administer the dose in the morning.
The nurse is caring for a client who is taking an antipsychotic medication for the treatment of schizophrenia. The
nurse is told in report that the client has akathisia. What symptom should the nurse expect upon assessment?
1. Upward gaze of the eyes.
2. Involuntary movement of the tongue.
3. Complaints of restlessness.
4. Lack of movement or slowed movement. - ANS :3. Correct: Reports of restlessness, inability to sit still, and
nervous energy indicate akathisia. These symptoms respond poorly to treatment. If possible, the dose of the
medication may be reduced.
The nurse has been teaching the parents of a child taking methylphenidate for the treatment of attention deficit
hyperactivity disorder (ADHD). Which comments by the parents indicate adequate understanding of the important
considerations for methylphenidate? Select all that apply:
1. "I know that I need to monitor weight and growth with the primary healthcare provider."
2. "I am supposed to give the medication before meals."
3. "This medication may cause increased drowsiness."
4. "I need to report any extreme weight loss to the primary healthcare provider."
5. "If my child can't sleep, the dosage may need to be increased." - ANS :1., 2. & 4. Correct: Continued use of the
medication may cause delays in growth and loss of appetite. The medication is usually administered before meals.
Lack of appetite may cause weight loss.
A nurse teaches a client who is HIV positive about the client's medication therapy and assesses that the client
understood the teaching when the client makes which statement?
1. "I will only need to take one type of HIV medication at a time."
, TEST BANK For Pharmacology for Nurses PHARMACOLOGY
2. "This medication will cure my HIV."
3. "When my CD-4 count returns to normal, I can resume having unprotected sex."
4. "If I develop signs of an infection, I should call my primary healthcare provider." - ANS :4. Correct: Infection may
be a sign of an increased viral load, a decreased CD-4 count and progression of the virus in HIV (+) clients. It should
be evaluated by a primary healthcare provider.
A client is prescribed phenobarbital to control seizures. Which medication prescribed for the client would the nurse
recognize interacts with phenobarbital?
1. Lovastatin
2. Loratadine
3. Lansoprazole
4. Lactulose - ANS :2. Correct: Both of these drugs can cause CNS depression. There is a drug to drug interaction
between anti-seizure medications and antihistamines.
The primary healthcare provider's prescription for a client instructs the nurse to give digoxin 0.125 mg intravenously
as a one-time dose. The available medication is in a concentration of 0.5 mg/2 mL. How many milliliters should the
nurse give? Round answer using one decimal point. - ANS :____ mL= 2 mL x 0.125 mg = 0.5 mL
0.5 mL
The nurse is caring for a trauma client who is receiving a unit of whole blood. The client begins to experience lower
back pain. What actions should the nurse take? Select all that supply:
1. Assess the client's pain.
2. Collect a urine specimen.
3. Stop the transfusion.
4. Take the client's vital signs.
5. Change the IV tubing - ANS :2., 3., 4., & 5. Correct: Assume the worst, and stop the transfusion first, then
continue with the assessment. Low back pain is a sign of an acute hemolytic reaction. This is the most dangerous
and potentially life-threatening type of transfusion reaction. It occurs when the donor blood is incompatible with
that of the recipient . Get lab tests for presence of hemoglobin, which indicates hemolytic reaction. Take vital signs.
Change IV tubing to remove all blood.
A female client with a history of frequent exacerbations of asthma asks the nurse to explain to her why she is at
greater risk for fractures than other women her age. What is the nurse's best response?
1. "The steroids you are taking decrease calcium in the bone by sending it to the blood."
2. "Taking steroids causes bone calcium to increase, thus causing osteoporosis."
3. "Clients who have asthma are not able to exercise enough to prevent fractures from occurring."
4. "Asthma should not put you at increased risk for fractures but you are at risk for increased blood glucose levels."
- ANS :1. Correct: Long term use of steroids decreases serum calcium, so the body takes calcium from the bone and
puts it in the blood in order to bring serum calcium back to normal. Every time a steroid is given, calcium is removed
from the bone, thus leading to a greater risk for osteoporosis and fractures.
A school nurse is planning a lesson on inhalant abuse for a high school health class. Which information does the
nurse need to include? Select all that supply:
1. Substances used for inhaling include lighter fluid, spray paint, and airplane glue.
2. Inhalants are absorbed through the lungs and cause central nervous system depression rapidly.
3. Although inhaling can make a person very ill, death is highly unlikely.
4. Inhaling substances can cause abdominal pain, lethargy, and renal failure.
5. Inhalants cause the heart to beat slowly. - ANS :1., 2. & 4. Correct: All of these statements need to be included.
The drug nadolol is prescribed for a client with stable angina. Which findings would indicate to the nurse that the
drug is effective? Select all that apply:
