NUR 105 Pharmacology/Calculus Math

Class: NUR 105 Pharmacology/Calculus Math Name Date Instructor: Course: Fails Pass Grade Score Total Remember ……NCLEX Exam 13-19 % Pharmacology # 1/ 20 Questions Will be tested on your ability to calculate how many tablets and capsules you will administer according to the doctor's order. • 1.) Dr Watson writes an order for Dilantin 100 mg by mouth daily. Pharmacy dispenses you with 0.5 gram per capsule of Dilantin. How many capsules do you administer per dose? o 3 capsules/dose o 0.5 capsules/dose o 0.2 capsules/dose o 2 capsules/dose • 2.) Dr Jonson writes an order for Xanax 2 mg by mouth day. Pharmacy dispenses you with 1 mg per tablet of Xanax. How many tablets do you administer per dose? o 6 tablets/dose o 0.5 tablet/dose o 2 tablets/dose o 3.5 tablets/dose • 3.) The Dr writes an order for Zovirax 550 mg by mouth every 8 hours. Pharmacy dispenses you with 150 mg per tablet. How many tablets do you administer per dose? o 1 tablet/dose o 3.7 tablets/dose o 2 tablets/dose o 3 tablets/dose • 4.) The Physician writes an order for Cytotec 0.1 gram by mouth daily for a patient with peptic ulcer disease. Pharmacy dispenses you with 100 mg per tablet. How many tablets do you administer per dose? o 0.5 tablet/dose o 0.25 tablet/dose o 1 tablet/dose o 9 tablets/dose • 5.) Dr Hegar writes an order Cardizem 150 mg bid by mouth daily for a patient with atrial fibrillation. Pharmacy dispenses you with 2.5 gram capsules. How many capsules do you administer per dose? o 4 capsules/dose o 1 capsule/dose o 0.06 capsule/dose o 0.5 capsule/dose • 6.) The HCP writes an order for Allopurinol 200 mg by mouth daily for a patient with gout. Pharmacy dispenses you with 0.5 gram tablets. How many tablets do you administer per dose? o 2 tablets/dose o 6 tablets/dose o 0.4 tablet/dose o 1 tablet/dose • 7.) The Dr orders: Lopressor 25 mg by mouth bid. Pharmacy dispenses you with 50 mg tablets. How many tablets do you administer per dose? o 3 tablets/dose o 2.5 tablets/dose o 0.5 tablet/dose o 3.5 tablets/dose • 8.) Order for a child to take Tylenol 2 mg/kg/day as needed for pain. Pharmacy dispenses you with the following: 65 mg/tablet. The child weighs 75 lb. How many tablets do you administer per dose? o 1.25 tablets/dose o 2.5 tablets/dose o 0.5 tablet/dose o 1 tablet/dose • 9.) Medical Doctor writes an order for Betapace 80 mg bid. Pharmacy dispenses you with 0.025 gram capsules. How many capsules do you administer per dose? o 2.5 capsules/dose o 5 capsules/dose o 3 capsules/dose o 3 capsules/dose • 10.) MD writes an order for Lortab 7.5 mg by mouth every 4 hours as needed for pain. Pharmacy dispenses you with 10 mg tablets. How many tablets do you administer per dose? o 2.5 tablets/dose o 3 tablets/dose o 1 tablet/dose o 0.75 tablet/dose • 11.) MD Matew writes an order for Lanoxin 0.5 mg by mouth daily. Pharmacy dispenses you with 125 mcg per tablet. Patient’s apical pulse 80 bpm and it is safe to administer this dose. How many tablets do you administer per dose? o 1 tablet/dose o 0.5 tablet/dose o 2 tablets/dose o 4 tablets/dose • 12.) Dr Lemont writes an order for a patient to receive a daily total dose of 1000 mg of Sinemet. This dosage is to be divided into 3 doses throughout the day. It is time for the second dose. Pharmacy dispenses you with 250 mg tablets. How many tablets do you administer with this dose? o 3.25 tablets/dose o 1.3 tablet/dose o 2 tablets/dose o 8 tablets/dose • 13.) Dr Allison writes an order for Coreg 12.5 mg PO BID for hypertension. Pharmacy dispenses you with 6.25 mg tablets. How many tablets do you administer with this dose? o 2.75 tablets/dose o 4 tablets/dose o 2 tablets/dose o 1.5 tablet/dose • 14.) Dr Cushing prescribed: Synthroid 125 mcg PO in the am daily. Pharmacy dispenses you with 62.5 mcg tablet. How many tablets do you administer with this dose? o 2 tablets/dose o 4 tablets/dose o 2.75 tablets/dose o 2.5 tablets/dose • 15.) Dr Wilms writes prescription for an order for MS Contin 15 mg by mouth every 6 hours for pain levels greater than 6 on 1-10 scale. Pharmacy dispenses you with 30 mg tablets. How many tablets is the patient allowed to have in a 24 hour period? o 0.5 tablet/day o 0.25 tablet/day o 9 tablets/day o 2 tablets/day • 16.) Dr Fallot writes an order for HCTZ 25 mg by mouth BID for hypertension. Pharmacy dispenses you with 12.5 mg tablets. How many tablets do you administer with this dose? o 2 tablets/dose o 5 tablets/dose o 0.5 tablet/dose o none of the above • 17.) Dr Reyes writes an order to Ativan 2mg by mouth at bedtime for sleeplessness. Pharmacy dispenses you with 0.5mg tablets. How many tablets do you administer with this dose? o 0.25 tablet/dose o 2 tablets/dose o 0.5 tablet/dose o 4 tablets/dose • 18.) Dr Marchetti writes an order for Penicillin 50 mg/kg/day. Patient weighs 125 lb. What do you expect the daily dose of Penicillin to be for this patient? o 150 mg/day o 2845 mg/day o 2841 mg/day o 1289 mg/day • 19.) The Family Practice writes an order for Clonidine 0.1 mg by mouth daily for hypertension. Pharmacy dispenses you with 125 mcg tablets. How many tablets do you administer per dose? o 1 tablet/dose o 0.8 tablet/dose o 3 tablets/dose o 0.9 tablet/dose • 20.) ARNP writes an order to Amoxicillin 1 gram TID by mouth for 5 days. Pharmacy dispenses you with 150 mg capsule. How many capsules do you administer per dose? o none of the above o 3.5 capsules/day o 7 capsules/day o 6.25 capsules/day ANSWERS Pharmacology # 1 Student Name Fail Pass Score Date Instructor: 1. 6. 11. 16. 2. 7. 12. 17. 3. 8. 13. 18. 4. 9. 14. 19. 5. 10. 15. 20. Name Date Instructor: Course: Fails Pass Grade Pharmacology # 2/ 30 Questions Remember ……NCLEX 13-19 % Q/1 The nurse preparing to administer digoxin (Lanoxin) to a 67-year old man with Congestive Heart Failure, which of the following clinical manifestations would the nurse associate with digoxin toxicity? Select ALL that apply: 1. Cyanosis 2. Visual disturbances 3. Hypertension 4. Inconsolability 5. Weakness 6. Headache Q/2 The nurse would question administration of alprazolam (Xanax) 0.5mg PO to a client based on which of the following? 1. History of alcohol abuse 2. Client appears anxious 3. History of ischemic stroke 1 year ago 4. Client’s states diet high in vitamin C Q/3 The client taking a selective serotonin reuptake inhibitor (SSRI) tells the nurse that the physician told her that the medication will “fix my chemical imbalance”. The client is uncertain what that means. The nurse should respond: 1. “The physician will have to explain it to you further so you can consent to take it.” 2. “There are times that our brains do not make enough of a chemical called serotonin, this medication fixes the problem.” 3. “What do you think it means?” 4. “It is just an expression; there is nothing wrong with the chemicals in your brain.” Q/4 A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration? 1: Sulfasalazine 2: Levodopa 3: Phenolphthalein 4: Aspirin Q/5 A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient? 1: Metabolic Acidosis and Onset of pulmonary edema 2: Metabolic alkalosis and pruritus 3: Respiratory alkalosis and hypocalcemia 4: Parkinson’s disease type symptoms Q/6 A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered? 1: Streptokinase 2: Atropine 3: Acetaminophen 4: Coumadin Q/7 A client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 liters/minute via nasal cannula. The client's history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these history findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration? 1. Apnea 2. Anginal pain 3. Respiratory alkalosis 4. metabolic acidosis Q/8 A 7-year old girl with type 1 insulin-dependent DM (IDDM) has been home sick for several days and is brought to the ED by her parents.If the child is experiencing ketoacidosis, the nurse would expect to see which of the following results? 1. Serum glucose 140 mg/dl 2. Serum creatine 5.2 mg/dl 3. Blood Ph 7.28 4. Hematocrit 38% Q/9 A client on the psychiatric unit refuses to take his oral medication. The nurse threatens the client and tells him that, if the medication isn´t taken, restraints will be applied and the medication given I.V injection. The nurse´s statement Constitutes which legal tort?. 1-Right to refuse care 2-Negligence 3-Battery 4-Assault Q/10 During the administration of a narcotic analgesic IM injection, the registered nurse observes a student nurse begin to give the medication without first aspirating. What should the nurse do at this time? 1. Ask the student in a calm voice: What did you forget to do? 2. State Strongly: Stop. Tell me why aspiration is needed. 3. In a speaking tone of voice, express the problem: You forgot to aspirate. 4. Walk up and whisper in the student’s ear: Stop. Aspirate. Then inject. Q/11 A physician orders Lithium (Eskalith) for a client diagnosed with bipolar disorder. The nurse needs to provide appropriate education for the client receiving this drug. With topics should the nurse cover?. Select all that apply. 1- The potential for addiction 2- Signs and symptoms of drug toxicity 3-The potential for tardive dyskinesia 4- Information regarding a low-thyramine diet. 5- The need to report for laboratory testing to monitor blood levels 6-Changes in his mood may take 7 to 21 days. Q/12 During the client teaching session, which instruction should the nurse give a client receiving the second-generation antidepressant paroxetine (Paxil). 1- Your vision may become blurred 2- You may need to take this drug at night. 3-Report polyuria to your physician 4-Avoid thyramine-rich foods such as red wine Q/13 A client admitted with severe depression has been prescribed fluoxetine (Pozac) for 3 weeks. The client approaches the nurse complaining of a headache. Which of the following would be the nurse´s best response? 1- I´ll hold your next dose Prozac 2- You need to have a computer tomography (CT) scan of your head 3- Just lay down; you´ll be fine 4- I´ll see if you have an order for Tylenol Q/14 On being discharged after treatment for alcoholism, a client plans to take care, Disulfiram (Atebuse), as prescribed. When teaching this client about the drug, the nurse should emphasize the need to avoid all products containing. Fill in the blank space. . Q/15 A client with major depression must take the monoamine oxidase (MAO) inhibitor tranycypromine (Parnate). Which food should the nurse teach this client to avoid?. Select all that apply. 1-Free-range poultry 2-Whole grain bread 3-Aged cheese 4- Fresh fish 5- Wine Masbet’s. 6-Preserved fruits Q/16 A client is experiencing and acute myocardial infarction, and IV morphine is ordered. The nurse known the morphine is give because it ? 1- Eliminate pain, reduces cardiac workload, and increases myocardial oxygen contractility. 2- Lowers resistance, reduces cardiac workload, and increase myocardial oxygen demand. 3- Raises the blood pressure, lower myocardial oxygen demand, and eliminates pain 4.Eliminate pain, increased B/P Q/17 A physician teaching a client in the cardiac care unit for arterial arrhythmia orders metoprolol(Lopresol) 25 mg PO two time per day Metropolol inhibits the action of sympathomimetic at beta 1 receptor sites mainly located? 1- Uterus 2- Blood vessels 3-Bronchi 4-Heart Q/18 A client is admitted with inflammatory bowel syndrome (Chron´s disease) Which therapies would the nurse expect to be part of the care plan? Select all that apply: 1-Lactulase therapy 2-High fiber diet 3-High protein milk shakes 4-Corticosteroids 5-Antidiarrheal medications Q/19 A client returns from the operative room after receiving extensive abdominal surgery. He has 1000 ml of lactate Ringer´s solution infusing via central line.The physician orders the IV fluid to be infused at 125 ml/hours plus the total output of the previous hours. The drip factor of the tubing is 15 gtt/ minutes and the output for the previous hours was 75 ml Foley catheter, 50 ml via nasogastric tube, and 10 ml via Jackson Pratt tube. How many drops per minute (gtt/min) should the nurse set the IV flow rate to deliver the current amount of fluid. Record you answer using a whole number: .