Pharmacology test bank
. The patient is complaining of a headache and asks the nurse which over-the-counter medication form
would work the fastest to help reduce the pain. Which medication form will the nurse suggest?
a.
A capsule
b.
A tablet
c.
An enteric-coated tablet
d.
A powder - ANSWER-d
A 22-year-old patient has been taking lithium for 1 year, and the most recent lithium level is btwn 0.6
and 1.2 mEq/L. Which statement about the laboratory result is correct?
a.
The lithium level is therapeutic.
b.
The lithium level is too low.
c.
This lithium level is too high.
d.
Lithium is not usually monitored with blood levels. - ANSWER-a
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
,Pharmacology test bank
a.
Tachycardia
b.
Central nervous system depression
c.
Hepatic necrosis
d.
Nephropathy - ANSWER-c
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid
analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The
nurse expects this type of pain to be managed by
a.
administering NSAIDs.
b.
administering an immediate-release opioid.
c.
changing the opioid route to the rectal route.
d.
not changing the current therapy. - ANSWER-b
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
a.
Assessment of the patient's pain level
b.
, Pharmacology test bank
Immediate intubation and artificial ventilation
c.
Administration of naloxone (Narcan)
d.
Close observation of signs of opioid tolerance - ANSWER-c
A nurse is preparing to administer an oral drug that is best absorbed in an acidic environment. How will
the nurse give the drug?
a. On an empty stomach
b. With a full glass of water
c. With food
d. With high-fat food - ANSWER-c
A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-
rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and
does not want to take anything strong because he needs to stay awake. Which statement by the nurse is
most appropriate?
a.
"It would be best for you not to take anything if you are planning to drive your truck."
b.
"We will discuss with your doctor about taking an opioid because that would work best for your pain."
c.
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 1000 mg per day."
d.
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day." -
ANSWER-d
A patient has been admitted to the emergency department with a suspected overdose of a tricyclic
antidepressant. The nurse will prepare for what immediate concern?
a.
. The patient is complaining of a headache and asks the nurse which over-the-counter medication form
would work the fastest to help reduce the pain. Which medication form will the nurse suggest?
a.
A capsule
b.
A tablet
c.
An enteric-coated tablet
d.
A powder - ANSWER-d
A 22-year-old patient has been taking lithium for 1 year, and the most recent lithium level is btwn 0.6
and 1.2 mEq/L. Which statement about the laboratory result is correct?
a.
The lithium level is therapeutic.
b.
The lithium level is too low.
c.
This lithium level is too high.
d.
Lithium is not usually monitored with blood levels. - ANSWER-a
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
,Pharmacology test bank
a.
Tachycardia
b.
Central nervous system depression
c.
Hepatic necrosis
d.
Nephropathy - ANSWER-c
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid
analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The
nurse expects this type of pain to be managed by
a.
administering NSAIDs.
b.
administering an immediate-release opioid.
c.
changing the opioid route to the rectal route.
d.
not changing the current therapy. - ANSWER-b
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
a.
Assessment of the patient's pain level
b.
, Pharmacology test bank
Immediate intubation and artificial ventilation
c.
Administration of naloxone (Narcan)
d.
Close observation of signs of opioid tolerance - ANSWER-c
A nurse is preparing to administer an oral drug that is best absorbed in an acidic environment. How will
the nurse give the drug?
a. On an empty stomach
b. With a full glass of water
c. With food
d. With high-fat food - ANSWER-c
A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-
rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and
does not want to take anything strong because he needs to stay awake. Which statement by the nurse is
most appropriate?
a.
"It would be best for you not to take anything if you are planning to drive your truck."
b.
"We will discuss with your doctor about taking an opioid because that would work best for your pain."
c.
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 1000 mg per day."
d.
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day." -
ANSWER-d
A patient has been admitted to the emergency department with a suspected overdose of a tricyclic
antidepressant. The nurse will prepare for what immediate concern?
a.
