ECPI NUR 138 Pharmacology Exam 1 2025-2026
new update questions with correct answers
The |nurse |is |reviewing |a |list |of |verbal |medication |orders. |Which |is |the |proper |notation |of |the |dose |of
|the |drug |ordered?
A. Digoxin |0.1250 |mg
B. Digoxin |.125 |mg
C. Digoxin |.1250 |mg
D. Digoxin |0.125 |mg |- |answer>>>D. |Digoxin |0.125 |mg
Rationale: |Digoxin |0.125 |mg |illustrates |the |correct |notation |with |a |leading |zero |before |the |decimal
|point. |Omitting |the |leading |zero |may |cause |the |order |to |be |misread, |resulting |in |a |large |drug
|overdose. |Digoxin
.125 |mg |and |digoxin |.1250 |mg |do |not |have |the |leading |zero |before |the |decimal |point. |Digoxin |0.1250
|mg |has |a |trailing |zero, |which |also |is |incorrect.
The |nurse |can |prevent |medication |errors |by |following |which |principles? |(Select |all |that |apply.)
A. Use |trade |names |instead |of |generic |names |to |avoid |confusion.
B. Assess |for |allergies |after |giving |medications.
C. Minimize |the |use |of |verbal |and |telephone |orders.
D. Use |two |patient |identifiers |before |giving |medications.
E. Do |not |give |a |medication |that |another |nurse |has |drawn |up |in |a |syringe. |- |answer>>>C. |Minimize
|the |use |of |verbal |and |telephone |orders.
D. |Use |two |patient |identifiers |before |giving |medications.
E. |Do |not |give |a |medication |that |another |nurse |has |drawn |up |in |a |syringe.
Rationale: |Measures |that |prevent |medication |errors |include |using |two |patient |identifiers, |giving |only
|medications |that |you |have |drawn |up |or |prepared, |and |minimizing |the |use |of |verbal |and |telephone
|orders. |Assessment |for |allergies |should |be |done |before |medications |are |given. |Generic |names |should
|be |used |to |avoid |the |many |sound-alike |trade |names |of |medications.
A |patient |was |diagnosed |with |pancreatic |cancer |last |month, |and |has |complained |of |a |dull |ache |in |the
|abdomen |for |the |past |4 |months. |This |pain |has |been |gradually |increasing, |and |the |pain |relievers |taken
|at |home |are |no |longer |effective. |What |type |of |pain |is |the |patient |experiencing?
,A. |Neuropathic |pain
B. |Chronic |pain
C. |Somatic |pain
D. |Acute |pain |- |answer>>>B. |Chronic |pain
Rationale: |Chronic |pain |is |associated |with |cancer |and |is |characterized |by |slow |onset, |long |duration,
|and |dull, |persistent |aching. |The |patient's |symptoms |are |not |characteristics |of |acute |pain, |somatic
|pain, |or |neuropathic |pain.
An |18-year-old |basketball |player |fell |and |twisted |his |ankle |during |a |game. |The |nurse |will |expect |to
|administer |which |type |of |analgesic?
A. |Synthetic |opioid, |such |as |meperidine |(Demerol)
B. |Opium |alkaloid, |such |as |morphine |sulfate
C. |Opioid |antagonist, |such |as |naloxone |HCL |(Narcan)
D. |Nonopioid |analgesic, |such |as |indomethacin |(Indocin) |- |answer>>>D. |Nonopioid |analgesic, |such |as
|indomethacin |(Indocin)
Rationale: |Somatic |pain, |which |originates |from |skeletal |muscles, |ligaments, |and |joints, |usually
|responds |to |nonopioid |analgesics |such |as |nonsteroidal |anti-inflammatory |drugs |(NSAIDs). |The |other
|options |are |not |the |best |choices |for |somatic |pain.
A |patient |is |recovering |from |abdominal |surgery, |which |he |had |this |morning. |He |is |groggy |but
|complaining |of |severe |pain |around |his |incision. |What |is |the |most |important |assessment |data |to
|consider |before |the |nurse |administers |a |dose |of |morphine |sulfate |to |the |patient?
A. |His |respiratory |rate
B. |The |appearance |of |the |incision
C. |The |date |of |his |last |bowel |movement
D. |His |pulse |rate |- |answer>>>A. |His |respiratory |rate
, Rationale: |One |of |the |most |serious |adverse |effects |of |opioids |is |respiratory |depression. |The |nurse
|must |assess |the |patient's |respiratory |rate |before |administering |an |opioid. |The |other |options |are
|incorrect.
A |patient |has |been |treated |for |lung |cancer |for |3 |years. |Over |the |past |few |months, |the |patient |has
|noticed |that |the |opioid |analgesic |is |not |helping |as |much |as |it |had |previously |and |more |medication |is
|needed |for |the |same |pain |relief. |The |nurse |is |aware |that |this |patient |is |experiencing |which |of |these?
A. |Opioid |toxicity
B. |Opioid |addiction
C. |Opioid |tolerance
D. |Opioid |abstinence |syndrome |- |answer>>>C. |Opioid |tolerance
Rationale: |Opioid |tolerance |is |a |common |physiologic |result |of |long-term |opioid |use. |Patients |with
|opioid |tolerance |require |larger |doses |of |the |opioid |agent |to |maintain |the |same |level |of |analgesia.
|This |situation |does |not |describe |toxicity |(overdose), |addiction, |or |abstinence |syndrome |(withdrawal).
The |nurse |is |reviewing |herbal |therapies. |Which |is |a |common |use |of |the |herb |feverfew?
A. |Migraine |headaches
B. |Incision |pain |after |surgery
C. |Leg |cramps
D. |Muscle |aches |- |answer>>>A. |Migraine |headaches
Rationale: |Feverfew |is |commonly |used |for |migraine |headaches, |menstrual |problems, |arthritis, |and
|fever. |Possible |adverse |effects |include |muscle |stiffness |and |muscle |and |joint |pain.
A |patient |is |receiving |gabapentin |(Neurontin), |an |anticonvulsant, |but |has |no |history |of |seizures. |The
|nurse |expects |that |the |patient |is |receiving |this |drug |for |which |condition?
A. |Depression |associated |with |chronic |pain
B. |Prevention |of |seizures
C. |Pain |associated |with |peripheral |neuropathy
D. |Inflammation |pain |- |answer>>>C. |Pain |associated |with |peripheral |neuropathy
new update questions with correct answers
The |nurse |is |reviewing |a |list |of |verbal |medication |orders. |Which |is |the |proper |notation |of |the |dose |of
|the |drug |ordered?
A. Digoxin |0.1250 |mg
B. Digoxin |.125 |mg
C. Digoxin |.1250 |mg
D. Digoxin |0.125 |mg |- |answer>>>D. |Digoxin |0.125 |mg
Rationale: |Digoxin |0.125 |mg |illustrates |the |correct |notation |with |a |leading |zero |before |the |decimal
|point. |Omitting |the |leading |zero |may |cause |the |order |to |be |misread, |resulting |in |a |large |drug
|overdose. |Digoxin
.125 |mg |and |digoxin |.1250 |mg |do |not |have |the |leading |zero |before |the |decimal |point. |Digoxin |0.1250
|mg |has |a |trailing |zero, |which |also |is |incorrect.
The |nurse |can |prevent |medication |errors |by |following |which |principles? |(Select |all |that |apply.)
A. Use |trade |names |instead |of |generic |names |to |avoid |confusion.
B. Assess |for |allergies |after |giving |medications.
C. Minimize |the |use |of |verbal |and |telephone |orders.
D. Use |two |patient |identifiers |before |giving |medications.
E. Do |not |give |a |medication |that |another |nurse |has |drawn |up |in |a |syringe. |- |answer>>>C. |Minimize
|the |use |of |verbal |and |telephone |orders.
D. |Use |two |patient |identifiers |before |giving |medications.
E. |Do |not |give |a |medication |that |another |nurse |has |drawn |up |in |a |syringe.
Rationale: |Measures |that |prevent |medication |errors |include |using |two |patient |identifiers, |giving |only
|medications |that |you |have |drawn |up |or |prepared, |and |minimizing |the |use |of |verbal |and |telephone
|orders. |Assessment |for |allergies |should |be |done |before |medications |are |given. |Generic |names |should
|be |used |to |avoid |the |many |sound-alike |trade |names |of |medications.
A |patient |was |diagnosed |with |pancreatic |cancer |last |month, |and |has |complained |of |a |dull |ache |in |the
|abdomen |for |the |past |4 |months. |This |pain |has |been |gradually |increasing, |and |the |pain |relievers |taken
|at |home |are |no |longer |effective. |What |type |of |pain |is |the |patient |experiencing?
,A. |Neuropathic |pain
B. |Chronic |pain
C. |Somatic |pain
D. |Acute |pain |- |answer>>>B. |Chronic |pain
Rationale: |Chronic |pain |is |associated |with |cancer |and |is |characterized |by |slow |onset, |long |duration,
|and |dull, |persistent |aching. |The |patient's |symptoms |are |not |characteristics |of |acute |pain, |somatic
|pain, |or |neuropathic |pain.
An |18-year-old |basketball |player |fell |and |twisted |his |ankle |during |a |game. |The |nurse |will |expect |to
|administer |which |type |of |analgesic?
A. |Synthetic |opioid, |such |as |meperidine |(Demerol)
B. |Opium |alkaloid, |such |as |morphine |sulfate
C. |Opioid |antagonist, |such |as |naloxone |HCL |(Narcan)
D. |Nonopioid |analgesic, |such |as |indomethacin |(Indocin) |- |answer>>>D. |Nonopioid |analgesic, |such |as
|indomethacin |(Indocin)
Rationale: |Somatic |pain, |which |originates |from |skeletal |muscles, |ligaments, |and |joints, |usually
|responds |to |nonopioid |analgesics |such |as |nonsteroidal |anti-inflammatory |drugs |(NSAIDs). |The |other
|options |are |not |the |best |choices |for |somatic |pain.
A |patient |is |recovering |from |abdominal |surgery, |which |he |had |this |morning. |He |is |groggy |but
|complaining |of |severe |pain |around |his |incision. |What |is |the |most |important |assessment |data |to
|consider |before |the |nurse |administers |a |dose |of |morphine |sulfate |to |the |patient?
A. |His |respiratory |rate
B. |The |appearance |of |the |incision
C. |The |date |of |his |last |bowel |movement
D. |His |pulse |rate |- |answer>>>A. |His |respiratory |rate
, Rationale: |One |of |the |most |serious |adverse |effects |of |opioids |is |respiratory |depression. |The |nurse
|must |assess |the |patient's |respiratory |rate |before |administering |an |opioid. |The |other |options |are
|incorrect.
A |patient |has |been |treated |for |lung |cancer |for |3 |years. |Over |the |past |few |months, |the |patient |has
|noticed |that |the |opioid |analgesic |is |not |helping |as |much |as |it |had |previously |and |more |medication |is
|needed |for |the |same |pain |relief. |The |nurse |is |aware |that |this |patient |is |experiencing |which |of |these?
A. |Opioid |toxicity
B. |Opioid |addiction
C. |Opioid |tolerance
D. |Opioid |abstinence |syndrome |- |answer>>>C. |Opioid |tolerance
Rationale: |Opioid |tolerance |is |a |common |physiologic |result |of |long-term |opioid |use. |Patients |with
|opioid |tolerance |require |larger |doses |of |the |opioid |agent |to |maintain |the |same |level |of |analgesia.
|This |situation |does |not |describe |toxicity |(overdose), |addiction, |or |abstinence |syndrome |(withdrawal).
The |nurse |is |reviewing |herbal |therapies. |Which |is |a |common |use |of |the |herb |feverfew?
A. |Migraine |headaches
B. |Incision |pain |after |surgery
C. |Leg |cramps
D. |Muscle |aches |- |answer>>>A. |Migraine |headaches
Rationale: |Feverfew |is |commonly |used |for |migraine |headaches, |menstrual |problems, |arthritis, |and
|fever. |Possible |adverse |effects |include |muscle |stiffness |and |muscle |and |joint |pain.
A |patient |is |receiving |gabapentin |(Neurontin), |an |anticonvulsant, |but |has |no |history |of |seizures. |The
|nurse |expects |that |the |patient |is |receiving |this |drug |for |which |condition?
A. |Depression |associated |with |chronic |pain
B. |Prevention |of |seizures
C. |Pain |associated |with |peripheral |neuropathy
D. |Inflammation |pain |- |answer>>>C. |Pain |associated |with |peripheral |neuropathy
