NSG 3253 PHARM 2 EXAM 1 PRACTICE
QUESTIONS WITH 100% SOLVED
ANSWERS!!
1 of 72
Term
The nurse understands that a pt who has received Methohexital will likely
require additional analgesics after surgery for which reason?
The drug has no analgesic properties
The drug is lipophilic
The drug causes pain at the intravenous site
The drug's duration of action is very short
Give this one a try later!
, A) Provide reassurance to the pt D) Respiratory depression and CNS
while providing close monitoring suppression
A) The drug has no analgesic
D) Improvement in handwriting
properties
Don't know?
2 of 72
Term
What is the drug of choice for an older adult or a patient with
hepatic or renal impairment?
A) Baclofen
B)Carisoprodol
C) Chlorzoxazone
D) Cyclobenzaprine
Give this one a try later!
D) Methohexital B) Carisoprodol
C) Succinylcholine A) Baclofen (Lioresal)
Don't know?
3 of 72
Term
,The nurse is caring for an adolescent patient who began taking an
antipsychotic drug last month to treat newly diagnosed
schizophrenia. The drug has not been effective and the mother asks
the nurse if this means the adolescent's symptoms cannot be
controlled by drugs. What is the nurse's best response?
A) Patients commonly have to try different drugs until the
most effective drug is identified.
B) Some patients do not respond to drugs and have to rely solely on
behavior therapy.
C) Most likely your child was not taking the medication properly as
prescribed.
D) He may need to take multiple drugs before effects will be seen
that control his symptoms.
Give this one a try later!
Ans:
C
Feedback:
Nursing diagnoses related to SSRI therapy might include: Disturbed thought
processes related to central nervous system effects because adverse effects of
SSRIs include headache, drowsiness, dizziness, insomnia, anxiety, tremor,
agitation, and seizures. There would be no reason to expect the patient is at
increased risk for infection, there is not enough information known about the
patients family to know if processes are dysfunctional. Establishing suicide
precautions is an intervention and not a nursing diagnosis
, Ans:B Feedback: The patient makes a correct statement when saying the drug
should not be stopped without talking to the health care provider first because
withdrawal of benzodiazepines require careful monitoring and should be
gradually withdrawn. Medications do not have to be taken with food, aspirin is
not contraindicated, and the medication need only be taken while the condition
being treated continues. Patients with anxiety may only need the medication for
a few weeks whereas those with a seizure disorder may take it for longer
periods of time.
Ans: A
Feedback:
Schizophrenia, the most common psychosis, is characterized by delusions,
hallucinations, and
inappropriate responses to stimuli. As a result, the patient may be unable to
provide a coherent history
and may be unaware of his behaviors considered dysfunctional. There is no
reason to suspect the
patient cannot speak and reducing anxiety is not the priority rationale for
including family. While
family is included in treatment, the goal is to treat the patient and not make the
family feel better if
actions were not in the patient's best interests.
Ans: A
Feedback:
A patient who does not respond to one drug may react successfully to
another agent. Responses may
also vary because of cultural issues. The selection of a specific drug
depends on the desired potency
and patient tolerance of the associated adverse effects. It is not common
to have a patient who does not
demonstrate some improvement from medications so it would be incorrect
to tell the mother the child
won't respond to any drug after trying only one medication. There is no
indication the drug was taken
improperly and even properly administered drugs will not work on all
patients. Multiple drug therapy is
not indicated by the question.
QUESTIONS WITH 100% SOLVED
ANSWERS!!
1 of 72
Term
The nurse understands that a pt who has received Methohexital will likely
require additional analgesics after surgery for which reason?
The drug has no analgesic properties
The drug is lipophilic
The drug causes pain at the intravenous site
The drug's duration of action is very short
Give this one a try later!
, A) Provide reassurance to the pt D) Respiratory depression and CNS
while providing close monitoring suppression
A) The drug has no analgesic
D) Improvement in handwriting
properties
Don't know?
2 of 72
Term
What is the drug of choice for an older adult or a patient with
hepatic or renal impairment?
A) Baclofen
B)Carisoprodol
C) Chlorzoxazone
D) Cyclobenzaprine
Give this one a try later!
D) Methohexital B) Carisoprodol
C) Succinylcholine A) Baclofen (Lioresal)
Don't know?
3 of 72
Term
,The nurse is caring for an adolescent patient who began taking an
antipsychotic drug last month to treat newly diagnosed
schizophrenia. The drug has not been effective and the mother asks
the nurse if this means the adolescent's symptoms cannot be
controlled by drugs. What is the nurse's best response?
A) Patients commonly have to try different drugs until the
most effective drug is identified.
B) Some patients do not respond to drugs and have to rely solely on
behavior therapy.
C) Most likely your child was not taking the medication properly as
prescribed.
D) He may need to take multiple drugs before effects will be seen
that control his symptoms.
Give this one a try later!
Ans:
C
Feedback:
Nursing diagnoses related to SSRI therapy might include: Disturbed thought
processes related to central nervous system effects because adverse effects of
SSRIs include headache, drowsiness, dizziness, insomnia, anxiety, tremor,
agitation, and seizures. There would be no reason to expect the patient is at
increased risk for infection, there is not enough information known about the
patients family to know if processes are dysfunctional. Establishing suicide
precautions is an intervention and not a nursing diagnosis
, Ans:B Feedback: The patient makes a correct statement when saying the drug
should not be stopped without talking to the health care provider first because
withdrawal of benzodiazepines require careful monitoring and should be
gradually withdrawn. Medications do not have to be taken with food, aspirin is
not contraindicated, and the medication need only be taken while the condition
being treated continues. Patients with anxiety may only need the medication for
a few weeks whereas those with a seizure disorder may take it for longer
periods of time.
Ans: A
Feedback:
Schizophrenia, the most common psychosis, is characterized by delusions,
hallucinations, and
inappropriate responses to stimuli. As a result, the patient may be unable to
provide a coherent history
and may be unaware of his behaviors considered dysfunctional. There is no
reason to suspect the
patient cannot speak and reducing anxiety is not the priority rationale for
including family. While
family is included in treatment, the goal is to treat the patient and not make the
family feel better if
actions were not in the patient's best interests.
Ans: A
Feedback:
A patient who does not respond to one drug may react successfully to
another agent. Responses may
also vary because of cultural issues. The selection of a specific drug
depends on the desired potency
and patient tolerance of the associated adverse effects. It is not common
to have a patient who does not
demonstrate some improvement from medications so it would be incorrect
to tell the mother the child
won't respond to any drug after trying only one medication. There is no
indication the drug was taken
improperly and even properly administered drugs will not work on all
patients. Multiple drug therapy is
not indicated by the question.
