Pharm CNS & Anti-bacterial Medications
CNS drugs, anti-bacterials, anti-virals, anti-fungals, HIV
- 1.Which of the below serum salicylate levels would indicate a therapeutic range?
- A.
6 mg/dL
- B.
9 mg/dL
- C.
16 mg/dL
- D.
32 mg/dL
- 2.Select all of the following that apply to Aspirin's drug-lab interactions
- A.
Increased PT
- B.
Decreased uric acid
- C.
Increased INR
- D.
Decreased potassium
- E.
Increased T3 and T4 levels
- 3.Which of the following is used to decrease abdominal cramping and blood in stools in a patient with Crohn's disease?
- A.
Remicade (Infliximad)
- B.
Sumatriptan (Imatrex)
- C.
Phenytoin (Dilantin)
- D.
Allopurinol (Zyloprim)
- 4.Celebrex selectively inhibits COX 1 enzyme.
- A.
True
- B.
False
- 5.In order to avoid liver damage, Acetaminophen (Tylenol) is recommended to be used no longer than _ days.
- A.
30
- B.
10
- C.
20
- D.
5
- 6.Which of the following patient's receiving Morphine IV would be of greater concern to the nurse
- A.
Pt with respirations of 12/minute
- B.
Pt with decreased peristalsis on auscultation
- C.
Pt experiencing N/V with urinary retention
- D.
Pt with pinpoint pupils when observing reaction
- 7.Select all of the following that are listed as side effects or adverse reactions for Nubain
- A.
Urinary urgency
- B.
Bitter taste
- C.
Sedation
- D.
Anxiety
- E.
Respiratory depression
- F.
Clammy skin
- 8.Select all of the following contraindications when using Imitrex
- A.
Hypotension
- B.
Hx of MI
- C.
Stable angina
- D.
Diabetes
- E.
Hypertension
- F.
Smoking
- G.
Silent ischemia
- 9.A patient has been in the hospital for 7 days, and complains of insomnia. Which of the following should the nurse do first?
- A.
Discuss with the patient their normal bedtime routine, and attempt to follow
- B.
Contact physician and request a sedative
- C.
Offer patient a 15 minute back massage
- D.
Contact family member to help
- 10.Which of the following medications may cause: gingival hyperplasia, decreased coordination, diplopia, and/or Stevens-Johnson syndrome.
- A.
Romazicon
- B.
Sinemet
- C.
Risperdal
- D.
Dilantin
- 11.Which of the following patient's taking Dilantin takes priority?
- A.
Pt experiencing headache and dizziness
- B.
Pt with a serum Dilantin level of 13 mcg/mL
- C.
Pt c/o reddish-brown urine and diarrhea
- D.
Pt c/o N/V, diplopia, and confusion
- 12.When is the best time to administer a patient's Ritalin?
- A.
With breakfast
- B.
1 hour before bedtime
- C.
Immediately when waking up in the morning
- D.
1 hour before lunch
- 13.Which of the following actions by a student nurse with a patient receiving Zyloprim, would cause a nurse to intervene?
- A.
Advising a patient to avoid Vitamin C intake
- B.
Educating the patient to increase fluid intake
- C.
Administering Aspirin to a patient c/o headache
- D.
Providing food during medication administration
- 14.Select all of the following conditions that Carisoprodol (Soma) is used to treat:
- A.
Parkinson's disease
- B.
Stroke
- C.
Rheumatoid Arthritis
- D.
Spinal cord injury
- E.
Myasthenia gravis
- F.
Multiple sclerosis
- G.
Cerebral palsy
- 15.Which of the following patient's taking Sinemet for Parkinson's disease requires immediate attention?
- A.
Peripheral neuropathy and muscle weakness
- B.
Drown discoloration of urine and sweat with a bitter taste in the mouth
- C.
Constipation and decreased urine output
- D.
Tongue protrusion, twitching, and eye spasms
- 16.Which of the following is NOT a contraindication for Mestinon?
- A.
Diabetes
- B.
Hypotension
- C.
Bradycardia
- D.
Bowel obstruction
- 17.Which of the following foods is high in tyramine? (avoid when taking Sinemet)
- A.
White wine
- B.
Milk
- C.
Bananas
- D.
Cashews
- 18.Select all of the following that needs to be included in patient education for a patient taking oral suspension Risperidone (Risperdal)?
- A.
Teach to take BP and advise if a drop of 30 mmHg occurs, needs to be reported
- B.
Store in light-resistant container, avoid contact with skin during preparation
- C.
Importance of good oral hygiene
- D.
Avoid diluting with fruit juice, only water or milk
- E.
Avoid high heat environments to decrease risk of hypotension
- 19.Which of the following anti-psychotic medications commonly causes metallic taste?
- A.
Risperdal
- B.
Prolixin
- C.
Haldol
- D.
Lithium
- 20.Select all of the following conditions that Haloperidol (Haldol) is used to treat:
- A.
Manic depression
- B.
Schizoprenia
- C.
Tourette syndrome
- D.
Hiccups
- E.
Delirium
- F.
Bipolar disorder
- 21.Which of the following situations takes priority?
- A.
Patient waiting to receive already prepared Ativan via IV
- B.
Patient who is sedated with decreased urine output after receiving Elavil
- C.
Patient who is experiencing a cough and fever after taking Prozac
- D.
Patient with a drop in BP of 20 mmHg when taking Prolixin
- 22.Which of the following is used to treat resistant staph?
- A.
Amoxil
- B.
Bactrim
- C.
Cefazolin
- D.
Vancomycin
- 23.Select all of the following that should be included in discharge of a patient taking Doxycycline (Vibramycin).
- A.
Hold dose once, and continue treatment if severe diarrhea occurs
- B.
Take dose with 8 ounces of water, 1 hour before lying down to prevent ulceration
- C.
Maintain a diet high in iron during treatment
- D.
Store medication out of light and extreme heat
- E.
Take medication around the clock to maintain blood levels
- 24.Which type of infection is Garamycin effective in treating?
- A.
Bacterial
- B.
Fungal
- C.
Viral
- D.
Parasitic
- 25.When administering a drug with a narrow therapeutic index, which of the following actions is most important?
- A.
Maintaining alkaline urine
- B.
Obtaining serum peak and trough levels
- C.
Obtaining blood and electrolyte lab values prior to each dose
- D.
Rinsing mouth after consumption
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