Nsg Pharm Practice Test #1

42 Questions | By Griffin1372 | Updated: Mar 19, 2022 | Attempts: 171

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Questions and Answers

1.

Discharge teaching for a client receiving a beta-agonist bronchodilator should emphasize reporting which side effect?
- A.
  
  Hypoglycemia
- B.
  
  Nonproductive cough
- C.
  
  Tachycardia
- D.
  
  Sedation
2.

A client with a history of asthma is short of breath and says, I feel like i'm having an asthmatic attack." What is the nurse's best action?
- A.
  
  Call a code
- B.
  
  Ask the client to describe the symptoms.
- C.
  
  Administer a beta2 adrenic agonist.
- D.
  
  Administer a long-acting glucocorticoid.
3.

A client demonstrates understanding of flunisolide (AeroBid) by saying that he will do what?
- A.
  
  Take two puffs to treat an acute asthma attack.
- B.
  
  Rinse his mouth with water after each use.
- C.
  
  Immediately stop taking his oral prednisone when he starts using AeroBid.
- D.
  
  Not use his albuterol inhaler while he is taking AeroBid
4.

The nurse is caring for a young child who has been prescribed an inhaler for control of her asthma. The child is having difficulty using the inhaler. What is the nurses best action?
- A.
  
  Tell the parent to hold the inhaler for the child.
- B.
  
  Ask the health care provider to switch to an oral medication.
- C.
  
  Tell the parent that young children should not use inhalers.
- D.
  
  Teach the child to use a spacer.
5.

The healthcare provider orders ipratropium bromide (Atrovent), albuterol (Proventil), and beclomethasone (Vanceril) inhalers for a client. What is the nurses best action?
- A.
  
  Question the order; three inhalers should not be given at one time.
- B.
  
  Administer the albuterol first, wait five minutes and administer ipratropium bromide, followed by beclomethasone several minutes later.
- C.
  
  Administer each inhaler at thirty minute intervals.
- D.
  
  Administer beclomethasone first, wait two minutes, and administer ipratropium bromide, followed by the albuterol several minutes later.
6.

Which instruction will the nurse include when teaching a client about the proper use of metered-dose inhalers?
- A.
  
  "After you inhale the medication once, repeat until you obtain relief."
- B.
  
  "Make sure that you puff out air repeatedly after you inhale the medication."
- C.
  
  "Hold your breath for 10 seconds if you can after you inhale the medication."
- D.
  
  "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler."
7.

What is the most important thing to teach the client with a history of diabetes and asthma who has started on albuterol PRN?
- A.
  
  Take tylenol for headaches when taking albuterol.
- B.
  
  Monitor for orthostatic hypotension every 2 hours when taking albuterol.
- C.
  
  Monitor blood glucose levels every 4 hours when taking albuterol.
- D.
  
  An antianxiety agent may be prescribed to help with nervousness.
8.

A client with COPD has an acute bronchospasam. The nurse knows that which is the best medication for this emergency situation?
- A.
  
  Zafirlukast (Accolate)
- B.
  
  Epinephrine (Adrenalin)
- C.
  
  Dexamethasone (Decadron)
- D.
  
  Oxtriphylline-theophyllinate (Choledyl)
9.

What is the role of corticosteroids in the treatment of acute respiratory disorders?
- A.
  
  They decrease inflammation.
- B.
  
  They directly dilate the bronchi.
- C.
  
  They stimulate the immune system.
- D.
  
  They increase gas exchange in the alveoli.
10.

After a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little "shaky" with slight tremors of the hands. The patients HR is 98 BPM, increased from the pretreatment rate of 88 BPM the nurse knows this reaction is...
- A.
  
  Allergic reaction to the albuterol.
- B.
  
  Expected adverse effect.
- C.
  
  Indication that he has received an overdose of the medication.
- D.
  
  Idiosyncratic creation of the medications.
11.

A patient who is taking a xanthine derivative for chronic bronchitis asks the nurse " i miss my morning coffee, I can't wait to go home and have some" what is the nurses best response.
- A.
  
  I know how you feel, i miss my coffee too.
- B.
  
  I can get some coffee for you, ill be right back.
- C.
  
  Its important not to take coffee or other caffeinated products with this medication as it may cause an increased HR as well as other problems.
- D.
  
  You've been on this medication for a few days, i can call your prescriber to ask whether you can have some coffee.
12.

The nurse performs discharge teaching with a client who is prescribed the anticholinergic inhaler ipratropium bromide (Atrovent). Which statement by the client indicates to the nurse that teaching has been successful?
- A.
  
  "I will not drink grapefruit juice while taking this drug."
- B.
  
  "I may gain weight as a result of taking this medication."
- C.
  
  "This inhaler is not to be used alone to treat an acute asthma attack."
- D.
  
  "Nausea and vomiting are common adverse effects of this medication."
13.

When administering magnesium sulfate the nurse knows to take these assessments into special consideration (select all that apply)
- A.
  
  Temperature
- B.
  
  Respirations
- C.
  
  Urinary Output
- D.
  
  Blood pressure
- E.
  
  Pulse
14.

The nurse completes an admission assessment on a patient with asthma. Which information given by patient is most indicative of a need for a change in therapy?
- A.
  
  The patient uses albuterol (Proventil) before any aerobic exercise.
- B.
  
  The patient says that the asthma symptoms are worse every spring.
- C.
  
  The patient's heart rate increases after using the albuterol (Proventil) inhaler.
- D.
  
  The patient's only medications are albuterol (Proventil) and salmeterol (Serevent).
15.

The nurse reviews the medication administration record (MAR) for a patient having an acute asthma attack. Which medication should the nurse administer first?
- A.
  
  Albuterol (Ventolin) 2.5 mg per nebulizer
- B.
  
  Methylprednisolone (Solu-Medrol) 60 mg IV
- C.
  
  Salmeterol (Serevent) 50 mcg per dry-powder inhaler (DPI)
- D.
  
  Triamcinolone (Azmacort) 2 puffs per metered-dose inhaler (MDI)
16.

A patient is scheduled to take a morning dose of Metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions are correct?
- A.
  
  Administer the medication as ordered.
- B.
  
  Hold the dose and notify the doctor for further orders.
- C.
  
  Administer the medication as ordered but hold the next day's dose.
- D.
  
  Check the patient’s blood glucose prior to administering the medication.
17.

You administered 5 units of Humalog at 0800. What is the ONSET and DURATION of this medication?
- A.
  
  Onset: 15 minutes, Duration: 3 hours
- B.
  
  Onset: 2 hours, Duration: 16 hours
- C.
  
  Onset: 30 minutes, Duration: 1 hour
- D.
  
  Onset: 2 hours, Duration: 24 hours
18.

Which of the following insulins has no peak but a duration of 24 hours?
- A.
  
  Novolog
- B.
  
  Lantus
- C.
  
  NPH
- D.
  
  Humalin N
19.

Which of the following insulins can be administered intravenously?
- A.
  
  NPH
- B.
  
  Humulin R
- C.
  
  Lantus
- D.
  
  Novolog
20.

Most common complication insulin therapy:
- A.
  
  Hypotension
- B.
  
  Gallstones
- C.
  
  Lipodystrophies
- D.
  
  Hypoglycemia
- E.
  
  Retinopathy
21.

Effects associated with insulin- induced hypoglycemia: Select all that apply
- A.
  
  Tachycardia
- B.
  
  Palpitations
- C.
  
  Headaches
- D.
  
  Diaphoresis
- E.
  
  Polyuria
- F.
  
  Nausea
22.

Effective in the immediate management of the comatose, hypoglycemic patient.
- A.
  
  Have the patient drink orange juice
- B.
  
  Provide IV infusion of 50% glucose solution
- C.
  
  Glucagon injection -- subcutaneous or intramuscular
- D.
  
  Both b & C
23.

Dramatic decrease in systemic availability of a drug following oral administration is most likely due to:
- A.
  
  extreme drug instability at stomach pH
- B.
  
  hepatic "first-pass" effect
- C.
  
  drug metabolized by gut flora
- D.
  
  Tablet does not dissolve
24.

Drug delivery method LEAST suitable for long term (days to weeks) slow release.
- A.
  
  Pellet implant under the skin (subcutaneous)
- B.
  
  Time release capsule
- C.
  
  i.m. injection of a drug-oil suspension
- D.
  
  transdermal patch
25.

Factor(s) influencing the volume of distribution: (Select all that apply)
- A.
  
  Patient's gender
- B.
  
  Route of administration
- C.
  
  Patient's age
- D.
  
  Patient's disease state
- E.
  
  Patient's body composition