Nurse pharmacology practice questions - Exam 1
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A patient who was prescribed an oral medication to be taken four times
per day returns to the clinic for a follow-up visit. The patient tells the nurse
that he forgets to take two or three 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 healthcare 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
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D. Telling the patient to set an alarm as a reminder to take the drug
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Ans: Answer: B
Rationale: To help minimize errors caused by poor adherence, patients
should receive thorough instruction regarding their medications and how to
take them.
A nurse is caring for a patient who has an infection. The healthcare provider
has ordered an antimicrobial drug for the patient. The nurse understands
that which of the following is the most important characteristic of this drug?
A. That the drug will kill the microorganism
B. That the drug will be administered orally
C. That the drug does not have any harmful effects
D. That the drug does not interact with other drugs
Ans: Answer: A
Rationale: The three most important characteristics that any drug can have
are effectiveness, safety, and selectivity. Effectiveness is the most important
property that a drug can have.
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While preparing to administer medications to a patient, the nurse finds that
he does not understand the rationale for the patient receiving one of the
prescribed drugs. What should he 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.
Ans: Answer: D
Rationale: A nurse should not administer a medication unless he or she
understands the reason for its use.
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When the nurse reviews a medication order, it is not clear what route
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should be used for administration. Which action by the nurse is best?
A. Use a current drug reference resource to determine the administration
route.
B. Administer the drug via the oral route.
C. Contact the pharmacist for clarification.
D. Call the prescriber to verify the route.
Ans: Answer: D
Rationale: If the medication order is unclear, the nurse should verify it with
the prescriber.
The nurse administered 2 mg of morphine intravenously to a postoperative
patient. In addition to following the Rights of Drug 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