Pharm Final Exam all end of chapter review questions first semester
nurs ing
1. Ch. 1 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
2. Ch. 1 A patient has a new prescription for a blood pressure medication
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
3. Ch. 1 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
4. Ch. 1 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 peni-
cillin.
F. What herbal products or OTC meds do you use?: C, E, F
5. Ch. 1 A 77 year old man who has been diagnosed with an upper
respiratory tract infection tells the nurse he is allergic to penicillin. Which is
the most appropriate response by the nurse?
, Pharm Final Exam all end of chapter review questions first semester
nurs ing
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
6. Ch. 1 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, evalua-
tion
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
7. Ch. 1 The nurse is reviewing new med 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
8. Ch. 1 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
9. Ch. 2 An elderly woman took a prescription med to help her sleep;
however, she felt restless all night and did not sleep at all. The nurse
recognizes this woman has experienced which type of reaction or effect?
, Pharm Final Exam all end of chapter review questions first semester
nurs ing
A. Allergic reaction
B. Idiosyncratic reaction
C. Mutagenic effect
D. Synergistic effect: B
10. Ch. 2 The nurse is caring for a patient with cirrhosis or hepatitis, and
recognizes that abnormalities in which phase of pharmacokinetics may
occur in this patient? A. Absorption
B. Distribution
C. Metabolism
D. Excretion: C
11. Ch. 2 A patient who has hypertension is now taking a daily beta bocker.
Which term best describes this type of therapy?
A. Palliative therapy
B. Maintenance therapy
C. Supportive therapy
D. Supplemental therapy: B
12. Ch. 2 The nurse is giving meds to a patient in heart failure. The IV route
is chosen instead of the IM route. What physical function does the nurse
recognize as the most influential when deciding to use the IV route of drug
administration?
A. Altered biliary function
B. Increased glomerular filtration
C. Reduced liver metabolism
D. Diminished circulation: D
13. Ch. 2 A patient has just received a prescription for an enteric coated
stool softener. When teaching the patient, the nurse should include which
statements? Select all that apply.
A. Take the tablet with 2 to 3 ounces of orange juice.
B. Be sure to drink 6 to 8 ounces of water with the tablet.
C. Avoid taking all other meds with any enteric coated tablet.
D. Crush the tablet before swallowing if you have problems with swallowing.
E. Be sure to swallow the tablet whole without chewing it.: B, E
14. Ch. 2 Each statement describes a phase of pharmacokinetics. Put the
statements in order, with 1 indicating the phase that occurs first and 4
indicating the phase that occurs last.
nurs ing
1. Ch. 1 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
2. Ch. 1 A patient has a new prescription for a blood pressure medication
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
3. Ch. 1 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
4. Ch. 1 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 peni-
cillin.
F. What herbal products or OTC meds do you use?: C, E, F
5. Ch. 1 A 77 year old man who has been diagnosed with an upper
respiratory tract infection tells the nurse he is allergic to penicillin. Which is
the most appropriate response by the nurse?
, Pharm Final Exam all end of chapter review questions first semester
nurs ing
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
6. Ch. 1 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, evalua-
tion
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
7. Ch. 1 The nurse is reviewing new med 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
8. Ch. 1 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
9. Ch. 2 An elderly woman took a prescription med to help her sleep;
however, she felt restless all night and did not sleep at all. The nurse
recognizes this woman has experienced which type of reaction or effect?
, Pharm Final Exam all end of chapter review questions first semester
nurs ing
A. Allergic reaction
B. Idiosyncratic reaction
C. Mutagenic effect
D. Synergistic effect: B
10. Ch. 2 The nurse is caring for a patient with cirrhosis or hepatitis, and
recognizes that abnormalities in which phase of pharmacokinetics may
occur in this patient? A. Absorption
B. Distribution
C. Metabolism
D. Excretion: C
11. Ch. 2 A patient who has hypertension is now taking a daily beta bocker.
Which term best describes this type of therapy?
A. Palliative therapy
B. Maintenance therapy
C. Supportive therapy
D. Supplemental therapy: B
12. Ch. 2 The nurse is giving meds to a patient in heart failure. The IV route
is chosen instead of the IM route. What physical function does the nurse
recognize as the most influential when deciding to use the IV route of drug
administration?
A. Altered biliary function
B. Increased glomerular filtration
C. Reduced liver metabolism
D. Diminished circulation: D
13. Ch. 2 A patient has just received a prescription for an enteric coated
stool softener. When teaching the patient, the nurse should include which
statements? Select all that apply.
A. Take the tablet with 2 to 3 ounces of orange juice.
B. Be sure to drink 6 to 8 ounces of water with the tablet.
C. Avoid taking all other meds with any enteric coated tablet.
D. Crush the tablet before swallowing if you have problems with swallowing.
E. Be sure to swallow the tablet whole without chewing it.: B, E
14. Ch. 2 Each statement describes a phase of pharmacokinetics. Put the
statements in order, with 1 indicating the phase that occurs first and 4
indicating the phase that occurs last.