Pharmacology

50 Questions

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Pharmacology Quizzes & Trivia

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Questions and Answers
  • 1. 
    A client has been prescribed sublingual nitroglycerin for angina. What teaching should the nurse give the patient prior to discharge?
    • A. 

      Take this medication nightly before bed

    • B. 

      Take this medication as soon as your chest starts to hurt

    • C. 

      Take this medication with no regard to the amount of activity planned

    • D. 

      Take 3 nitro every 45 mins x5 before reporting to the ED

  • 2. 
    A client with type 1 diabetes has been prescribed prednisone. What does the nurse expect will happen to the clients blood sugar?
    • A. 

      Greater chance of hypoglycemia

    • B. 

      Greater chance of hyperglycemia

    • C. 

      Unchanged

    • D. 

      Decrease in inflammation of the pancreas resulting in a therapeutic blood glucose

  • 3. 
    A client takes Humalog insulin to manage his Type 1 diabetes. When should the nurse give his insulin with regard to meal times?
    • A. 

      Within 15 minutes of meals

    • B. 

      Within 35 minutes of meals

    • C. 

      Once daily in the morning

    • D. 

      At night before bed

  • 4. 
    Which syringe is appropriate when giving insulin to diabetic clients?
    • A. 

      1 ml

    • B. 

      3 ml

    • C. 

      U-100

    • D. 

      Tuberculin

  • 5. 
    Which symptom would warrant the nurse to call the physician for a client taking aspirin?
    • A. 

      Client complains of frequent urination

    • B. 

      States pain 4 out of 10

    • C. 

      Intense abdominal pain

    • D. 

      Blood Sugar 110

  • 6. 
    A client on the cardiac unit is taking Digoxin, Lasix, and Nitro. Which patient assessment/data would cause the nurse to call the physician and hold the Digoxin?
    • A. 

      Apical Pulse rate of 70

    • B. 

      Potassium level of 3

    • C. 

      BP 125/80

    • D. 

      35 ml/hr urine output to foley

  • 7. 
    A client presents to the ER with chest pain. Which patient assessment/data would contraindicate the use of nitroglycerin?
    • A. 

      Sildenafil on the med record

    • B. 

      History of type 2 diabetes

    • C. 

      BP 135/84

    • D. 

      Clonidine on med record

  • 8. 
    Digoxin is commonly used for heart failure, dysrhythmia, and atrial flutter. Which signs and symptoms would the nurse recognize as digoxin toxicity
    • A. 

      Dig level of 1.3

    • B. 

      Patient complaining of yellow halos in vision

    • C. 

      Apical pulse 50

    • D. 

      Nausea and vomiting

  • 9. 
    Which electrolyte should the nurse monitor closely when the client is taking Catopril or other ACE inhibitors?
    • A. 

      Potassium

    • B. 

      Sodium

    • C. 

      Chloride

    • D. 

      Magnesium

  • 10. 
    What is the antidote for heparin?
    • A. 

      Vitamin K

    • B. 

      Protamine Sulfate

    • C. 

      Narcan

    • D. 

      Mucomist

  • 11. 
    Select all the following that would be included for a patient newly prescribed Atorvastatin
    • A. 

      Take this medication at night before bed

    • B. 

      We will need to frequently monitor your liver while taking this medication

    • C. 

      Now you don't have to worry about a low cholesterol diet!

    • D. 

      Report muscle pain immediately

    • E. 

      Take this medication on an empty stomach first thing in the morning

  • 12. 
    Which medication would a nurse select for a patient complaining of headache pain rated a "3" on a 1-10 scale?
    • A. 

      Acetaminophen

    • B. 

      Morpine

    • C. 

      Fentanyl

    • D. 

      Narcan

  • 13. 
    A patient newly started on Heparin ask why the nurse is giving it to him by shots in his belly. What is the appropriate response by the nurse?
    • A. 

      This is the way it was ordered

    • B. 

      We can probably switch you to Coumadin, which is an oral anticoagulant

    • C. 

      Heparin is not absorbed well other routes

    • D. 

      Because you are fat and it doesn't hurt as bad this way

  • 14. 
    Which lab values should be monitored closely for a client taking heparin?
    • A. 

      PTT and APTT

    • B. 

      INR

    • C. 

      CKMP and Troponin

    • D. 

      RBC and WBC

  • 15. 
    Which rhythm would the nurse expect Lidocaine to be used for?
    • A. 

      Sinus Bradycardia

    • B. 

      Ventricular tachycardia

    • C. 

      Atrial fib

    • D. 

      Sinus Tachycardia

  • 16. 
    A client has been prescribed synthroid for for hypothyroidism. Select all applicable patient teaching about synthroid
    • A. 

      You should not switch between brand and generic forms of the medication

    • B. 

      Take the medication first thing in the morning

    • C. 

      Take the medication at night before bed

    • D. 

      Take the medication on an empty stomach

  • 17. 
    Interpret the frequency of the following order: Acetaminophen 350 mg PO PRN for pain and/or fever > 101F
    • A. 

      STAT order

    • B. 

      As needed

    • C. 

      Q 4 hours

    • D. 

      Loading dose

  • 18. 
    A patient taking an aminoglycoside for infection complains of ringing in the ears. What should the nurse do?
    • A. 

      Hold the medication and call the doctor

    • B. 

      Check ALT,AST, and serum Bilirubin

    • C. 

      Administer Oxygen

    • D. 

      Check the clients BUN and Creatinine

  • 19. 
    A client receiving combination med therapy for tuberculosis complains of numbness in her fingers and toes. The nurse identifies this as a common complication of therapy known as peripheral neuropathy. What can be administered to treat this?
    • A. 

      Calcium

    • B. 

      B6

    • C. 

      Potassium

    • D. 

      Vitamin C

  • 20. 
    What medication would cause the client to have orange and/or red urine? Select all that apply
    • A. 

      Rifampin

    • B. 

      Flagyl

    • C. 

      Pyridium

    • D. 

      Penicillin

  • 21. 
    Which assessment would cause the nurse to hold the ordered PO potassium supplement?
    • A. 

      The client is receiving lasix IV

    • B. 

      25ml in the foley catheter for the past 2 hours

    • C. 

      The client takes Digoxin

    • D. 

      The last potassium level was drawn 3 hours ago and was 3.8

  • 22. 
    A child has been prescribed amoxicillin for otitis media. What should the nurse tell the mother to watch for in the child as a common response to antibiotic therapy?
    • A. 

      A decrease in fever so she knows when to stop the drug

    • B. 

      Vomiting

    • C. 

      Increased urination

    • D. 

      Diarrhea

  • 23. 
    Which of the following are common complications of TPN therapy?
    • A. 

      Infection and hyperglycemia

    • B. 

      Aspiration and Nausea

    • C. 

      Fatigue and Changes in LOC

    • D. 

      Depression and Anxiety

  • 24. 
    Due to abdominal surgery, a client receiving enteral nutrition cannot tolerate the HOB at the recommended 30-45 degree position. What position would be recommended for the patient?
    • A. 

      Prone

    • B. 

      L side lying

    • C. 

      R side lying

    • D. 

      Modified trendelenburg

  • 25. 
    Select all applicable patient teaching for a client newly prescribed Dilantin 
    • A. 

      Take at the same time daily with food or milk

    • B. 

      Use a soft bristle toothbrush and report bleeding gums

    • C. 

      This may cause your urine to be a pink color, but this is harmless

    • D. 

      Take this medication on an empty stomach

    • E. 

      Discontinue when you have been seizure free for 3 weeks

  • 26. 
    A client is taking the mood stabilizer Lithium. The dietary intake of which item should be increased?
    • A. 

      Potassium

    • B. 

      Cola

    • C. 

      Salt

    • D. 

      Calcium

  • 27. 
    It is known that certain foods can cause a hypertensive crisis for patients taking MAOIs such as Parnate, Marplan, and Nardil. Select all the following foods that apply
    • A. 

      Crackers

    • B. 

      Aged Cheese

    • C. 

      Wine

    • D. 

      Chocolate

  • 28. 
    Select all the applicable teaching that applies to a patient taking tetracylcine
    • A. 

      Take 1 hour before or 2 hours after meals with water

    • B. 

      Avoid taking with milk and antacid drugs

    • C. 

      Limit sun exposure to 5 hours a day and only go outside between 10 am and 3 pm

    • D. 

      Use a backup form of birth control during medication therapy

  • 29. 
    A client has been prescribed gentamicin for PID. What should the nurse inform the patient about while taking this drug?
    • A. 

      To decrease fluid intake

    • B. 

      To increase fluid intake

    • C. 

      Ringing in the ears is normal

    • D. 

      Take leftover antibiotics if she suspects the PID is recurring

  • 30. 
    A client with Type 2 diabetes is prescribed Bactrim. What should the nurse tell the patient to monitor
    • A. 

      For ulcerations on the feet

    • B. 

      For hypergylcemia

    • C. 

      For hypoglycemia

    • D. 

      For abrupt kidney failure

  • 31. 
    Which term means the time it takes for 1/2 of the drug to be eliminated?
    • A. 

      Metabolism

    • B. 

      Biotransformation

    • C. 

      Half life

    • D. 

      Pharmacodynamics

  • 32. 
    The nurse is completing a research paper about African Americans response to Beta-Blocker therapy and ACE inhibitors. This paper will likely address 
    • A. 

      Drug Tolerance

    • B. 

      Side effects

    • C. 

      Pharmacology

    • D. 

      Pharmacogenetics

  • 33. 
    Which fluid replacement would be preferred for a client with mild dehydration from vomiting and diarrhea?
    • A. 

      Dextran 40

    • B. 

      D5W

    • C. 

      0.9% NaCl

    • D. 

      D5W .45% NaCl

  • 34. 
    A client with kidney failure is in the oliguric phase. His output for the last 4 hours has been 50 ml. His recent sodium level was 140, BUN 25, Potassium 5.9. Which medication does the nurse expect to administer
    • A. 

      Sodium Bicard

    • B. 

      Kayexalate

    • C. 

      Penicillin G

    • D. 

      Lasix

  • 35. 
    What organ is the main one for drug excretion?
  • 36. 
    The liver is the main site for drug metabolism 
    • A. 

      True

    • B. 

      False

  • 37. 
    Digoxin has a t1/2 of 22 hours. How many times a day should it be given?
    • A. 

      3

    • B. 

      2

    • C. 

      4

    • D. 

      1

  • 38. 
    When should the nurse assess peak of Lantus?
    • A. 

      1-2 hours

    • B. 

      It does not peak

    • C. 

      3-4 hours

    • D. 

      4-8 hours

  • 39. 
    What should the nurse tell the client before taking atropine?
    • A. 

      To take core temperature

    • B. 

      To urinate

    • C. 

      To take with amphojel for maximum absorption

    • D. 

      To take blood pressure 3 times in same arm

  • 40. 
    A client tells you she takes tylenol 3-4 times a day for years for arthritic pain. She says it really helps relieve her symptoms. What should the nurse monitor in response to this statement?
    • A. 

      Liver Function

    • B. 

      Kidney Function

    • C. 

      ESR

    • D. 

      Functional capacity of joints bilaterally

  • 41. 
    Which antidote would the nurse administer for beta blocker overdose?
    • A. 

      Narcan

    • B. 

      Mucomist

    • C. 

      Glucagon

    • D. 

      Romazicon

  • 42. 
    A client has hyperparathyroidism and has a serum calcium of 13. Which medication does the nurse administer?
    • A. 

      Regular Insulin IV

    • B. 

      Calcitonin

    • C. 

      Calcium Gluconate

    • D. 

      Metformin

  • 43. 
    Concurrent NSAID use may increase lithium levels
    • A. 

      True

    • B. 

      False

  • 44. 
    When administering Tensilon to a patient with Myasthenia Gravis, what does the nurse expect to happen during a CHOLINERGIC crisis
    • A. 

      Worsening of symptoms

    • B. 

      Improvement of symptoms

    • C. 

      Option 3

    • D. 

      Option 4

  • 45. 
    When having the UAP ambulate a client taking metoprolol, what should the nurse tell her to be sure to do?
    • A. 

      Allow the client to dangle the legs on the side of the bed before ambulation

    • B. 

      Make sure the client wears slick bottom socks

    • C. 

      Hold the blood pressure medication until after ambulation

    • D. 

      Administer prophylactic nitro

  • 46. 
    A client is due to receive NPH insulin at 0700. How many hours later would the nurse monitor for hypoglycemia 
    • A. 

      4-12

    • B. 

      1-2

    • C. 

      2-4

    • D. 

      24-48

  • 47. 
    When should the client be told to take corticosteroids?
    • A. 

      Early morning

    • B. 

      Midday

    • C. 

      With meals only

    • D. 

      At bedtime

  • 48. 
    Therapeutic theophylline level (# - #)
  • 49. 
    Which foods are contraindicated for a patient taking Theophylline?
    • A. 

      Eggs and Shellfish

    • B. 

      Bologna and Tuna

    • C. 

      Cola, Chocolate, Coffee

    • D. 

      Bread and Carbs

  • 50. 
    Select all the following appropriate actions for administering Iron
    • A. 

      Change needles before injecting medication

    • B. 

      Use a straw if oral

    • C. 

      Use the Z-track technique

    • D. 

      Take with milk

    • E. 

      Take with orange juice

    • F. 

      Deep massage after injection