Pharm Exam 1
Final Exam Essentials – Solved, Simplified, Scored
An 86-year-old patient is being discharged to home on drug therapy for hyperthyroidism and
has very little information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of toxicity of the drug.
d. The patient will call the prescriber if adverse effects occur. - A
A patient has a new prescription for a blood pressure medica-tion that may cause him to feel
dizzy during the first few days of therapy. Which is the best human needs statement for this
situation?
a. Physical activity
b. Physical safety
c. Freedom pain
d. Interchange of gases - B
A patient's medical record includes an order that reads as follows: "Atenolol 25 mg once daily at
0900." Which action by the nurse is correct?
a. The nurse does not give the drug.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the dosage route. - D
The nurse is compiling a drug history for a patient. Which questions from the nurse will obtain
the most information from the patient? (Select all that apply.)
a. "Do you use sleeping pills to get to sleep?"
,b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?"
d. "Did you have the mumps as a child?"
e. "Tell me about what happened when you had the allergic reaction to penicillin."
f. "What herbal products or over-the-counter medications do you use?" - C, E, F
A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the
nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?
a. "Many people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so often."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals due to built-up resistance to allergic
reactions." - C
The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2
diabetes mellitus. Which of these reflect the correct order of the steps of the nursing process?
a. Assessment, planning, human needs statement, implementation, evaluation
b. Evaluation, assessment, human needs statement, planning, implementation
c. Human needs statement, assessment, planning, implementation, evaluation
d. Assessment, human needs statement, planning, implementation, evaluation - D
The nurse is reviewing new medication orders that have been written for a newly admitted
patient. The nurse will need to clarify which orders? (Select all that apply.)
a. metformin (Glucophage) 1000 mg PO twice a day
b. sitagliptin (Januvia) 50 mg daily
c. simvastatin (Zocor) 20 mg PO every evening
d. irbesartan (Avapro) 300 mg PO once a day
, e. docusate (Colace) as needed for constipation - B, E
The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
a. White blood cell count 22,000 mm3
b. Blood pressure 150/94 mm Hg
c. Patient rates pain as an "8" on a 10-point scale
d. Patient's wife reports that the patient has been very sleepy during the day
e. Patient's weight is 68 kg - A, B, E
An elderly woman took a prescription medicine to help her to sleep; however, she felt restless
all night and did not sleep at all. The nurse recognizes that this woman has experienced which
type of reaction or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutagenic effect
d. Synergistic effect - B
The nurse is caring for a patient with cirrhosis or hepatitis, and recognizes that abnormalities in
which phase of phar-macokinetics may occur in this patient?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion - C
A patient who has hypertension is now taking a daily beta blocker. Which term best describes
this type of therapy?
Final Exam Essentials – Solved, Simplified, Scored
An 86-year-old patient is being discharged to home on drug therapy for hyperthyroidism and
has very little information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of toxicity of the drug.
d. The patient will call the prescriber if adverse effects occur. - A
A patient has a new prescription for a blood pressure medica-tion that may cause him to feel
dizzy during the first few days of therapy. Which is the best human needs statement for this
situation?
a. Physical activity
b. Physical safety
c. Freedom pain
d. Interchange of gases - B
A patient's medical record includes an order that reads as follows: "Atenolol 25 mg once daily at
0900." Which action by the nurse is correct?
a. The nurse does not give the drug.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the dosage route. - D
The nurse is compiling a drug history for a patient. Which questions from the nurse will obtain
the most information from the patient? (Select all that apply.)
a. "Do you use sleeping pills to get to sleep?"
,b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?"
d. "Did you have the mumps as a child?"
e. "Tell me about what happened when you had the allergic reaction to penicillin."
f. "What herbal products or over-the-counter medications do you use?" - C, E, F
A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the
nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?
a. "Many people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so often."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals due to built-up resistance to allergic
reactions." - C
The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2
diabetes mellitus. Which of these reflect the correct order of the steps of the nursing process?
a. Assessment, planning, human needs statement, implementation, evaluation
b. Evaluation, assessment, human needs statement, planning, implementation
c. Human needs statement, assessment, planning, implementation, evaluation
d. Assessment, human needs statement, planning, implementation, evaluation - D
The nurse is reviewing new medication orders that have been written for a newly admitted
patient. The nurse will need to clarify which orders? (Select all that apply.)
a. metformin (Glucophage) 1000 mg PO twice a day
b. sitagliptin (Januvia) 50 mg daily
c. simvastatin (Zocor) 20 mg PO every evening
d. irbesartan (Avapro) 300 mg PO once a day
, e. docusate (Colace) as needed for constipation - B, E
The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
a. White blood cell count 22,000 mm3
b. Blood pressure 150/94 mm Hg
c. Patient rates pain as an "8" on a 10-point scale
d. Patient's wife reports that the patient has been very sleepy during the day
e. Patient's weight is 68 kg - A, B, E
An elderly woman took a prescription medicine to help her to sleep; however, she felt restless
all night and did not sleep at all. The nurse recognizes that this woman has experienced which
type of reaction or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutagenic effect
d. Synergistic effect - B
The nurse is caring for a patient with cirrhosis or hepatitis, and recognizes that abnormalities in
which phase of phar-macokinetics may occur in this patient?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion - C
A patient who has hypertension is now taking a daily beta blocker. Which term best describes
this type of therapy?
