Nursing Process And Medication Administration: Trivia Quiz On Pharmacology!

50 Questions | Total Attempts: 336

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Nursing Process And Medication Administration: Trivia Quiz On Pharmacology!

This is a Nursing Process and Medication Administration Trivia Quiz on Pharmacology! Pharmacology is the study of medicine, and there are millions of medications that can be prescribed to patients when they are diagnosed, and it is up to nurses to check up on the patient. Do take this quiz and get to refresh your understanding!


Questions and Answers
  • 1. 
    When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor for edema, the nurse monitors for which possible adverse effect?
    • A. 

      Metabolic alkalosis

    • B. 

      Elevated blood glucose

    • C. 

      Hyperkalemia

    • D. 

      Drowsiness

  • 2. 
    The nurse should monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of the following diuretics?
    • A. 

      Hydrochlorothiazide (HydroDIURIL)

    • B. 

      Furosemide (Lasix)

    • C. 

      Metolazone (Zaroxolyn)

    • D. 

      Spironolactone (Aldactone)

  • 3. 
    Mannitol (Osmitrol) has been ordered for a patient with acute renal failure. The nurse knows to administer this drug using which procedure?
    • A. 

      Intravenously, through a filter

    • B. 

      By rapid intravenous bolus

    • C. 

      By mouth in a single morning dose

    • D. 

      Through a gravity intravenous drip with standard tubing

  • 4. 
    Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
    • A. 

      “Keep a weekly journal or log of your weight.”

    • B. 

      “Avoid foods high in potassium, such as bananas, oranges, fresh vegetables, and dates.”

    • C. 

      “If you experience weight gain, such as five or more pounds a week, be sure to tell your physician during your next routine visit.”

    • D. 

      “Be sure to change your position slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.”

  • 5. 
    When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about the loop diuretics?
    • A. 

      They work by inhibiting aldosterone.

    • B. 

      They are very potent, having a diuretic effect that lasts at least 6 hours.

    • C. 

      They are particularly useful when rapid diuresis is desired because their onset of action is rapid.

    • D. 

      They have the disadvantage of ceasing to be effective when the creatinine clearance decreases below 25 mL/min.

  • 6. 
    When teaching about hydrochlorothiazide, the nurse should be sure the patient knows to be cautious in taking which medications with hydrochlorothiazide?
    • A. 

      Digitalis

    • B. 

      Penicillin

    • C. 

      Potassium supplements

    • D. 

      Over-the-counter vitamins

  • 7. 
    When a patient is receiving diuretic therapy, which of the following would best reflect the patient’s fluid volume status?
    • A. 

      Blood pressure and pulse

    • B. 

      Serum potassium and sodium levels

    • C. 

      Intake, output, and daily weight

    • D. 

      Measurements of abdominal girth and calf circumference

  • 8. 
    A patient is being discharged to home on a single daily dose of a diuretic. The health care provider instructs the patient to take the dose at which time so it will be least disruptive to the patient’s daily routine?
    • A. 

      In the morning

    • B. 

      At noon

    • C. 

      With supper

    • D. 

      At bedtime

  • 9. 
    A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which of the following classes is likely to be used initially?
    • A. 

      Loop diuretics

    • B. 

      Osmotic diuretics

    • C. 

      Thiazide diuretics

    • D. 

      Vasodilators

  • 10. 
    A patient in the neurologic intensive care unit is being treated for cerebral edema and is given which type of drug to reduce intracranial pressure?
    • A. 

      Loop diuretics

    • B. 

      Osmotic diuretics

    • C. 

      Thiazide diuretics

    • D. 

      Vasodilators

  • 11. 
    A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home, despite his diagnosis of mild heart failure. The nurse will know that which teaching point is important for this patient?
    • A. 

      He should take the diuretic with his evening meal.

    • B. 

      He should skip the diuretic dose if he plans to leave the house.

    • C. 

      If he feels dizzy while on this medication, he should stop taking it and take potassium supplements instead.

    • D. 

      He should take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.

  • 12. 
    A patient on diuretic therapy calls the clinic because he’s had the flu, with “terrible vomiting and diarrhea,” and he has not kept anything down for 2 days. He feels weak and extremely tired. What will the nurse advise this patient?
    • A. 

      “It’s important to try to stay on your prescribed medication. Try to take it with sips of water.”

    • B. 

      “Stop taking the diuretic for a few days, then restart it when you feel better.”

    • C. 

      “You will need an increased dosage of the diuretic because of your illness. Let me speak to the physician.”

    • D. 

      “Please come into the clinic for an evaluation to make sure there are no complications.”

  • 13. 
    When assessing a patient who is receiving a loop diuretic, the nurse looks for the manifestations of potassium deficiency, which would include which symptoms? Select all that apply.
    • A. 

      Dyspnea

    • B. 

      Constipation

    • C. 

      Tinnitus

    • D. 

      Muscle weakness

    • E. 

      Leg cramps

    • F. 

      Lethargy

  • 14. 
    A patient is to receive hydrochlorothiazide via a percutaneous endoscopic gastrostomy (PEG) tube. The order reads, “Give hydrochlorothiazide, 25 mg, per PEG tube once daily.” The medication is available in a liquid form, 50 mg/5 mL. How many milligrams will the nurse administer for each dose?
  • 15. 
    A patient has a deficiency in clotting factors. The nurse will prepare to administer which blood product?
    • A. 

      Cryoprecipitate

    • B. 

      Fresh frozen plasma

    • C. 

      Packed red blood cells (PRBCs)

    • D. 

      Plasma protein fractions

  • 16. 
    When reviewing the health history of a patient, the nurse recalls that potassium supplements are contraindicated in patients with a history of which problem?
    • A. 

      Burns

    • B. 

      Diarrhea

    • C. 

      Renal disease

    • D. 

      Cardiac tachydysrhythmias

  • 17. 
    During a blood transfusion, a patient begins to have chills and back pain. What action will the nurse take first?
    • A. 

      Observe for other symptoms.

    • B. 

      Slow the infusion rate and monitor vital signs.

    • C. 

      Discontinue the infusion immediately and notify the physician.

    • D. 

      Tell the patient that her symptoms are a normal reaction to the blood product.

  • 18. 
    The nurse is preparing to administer intravenous potassium. Which administration technique is correct?
    • A. 

      The intravenous rate should not exceed 30 mEq/hr.

    • B. 

      Oral forms should be given on an empty stomach to maximize absorption.

    • C. 

      Intravenous solutions should not contain more than 60 mEq/L of potassium.

    • D. 

      When given intravenously, potassium must always be given in diluted form.

  • 19. 
    A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending a long time doing gardening work in the heat of the day. The nurse expects which drug therapy will be used to treat her condition?
    • A. 

      Oral supplementation of fluids

    • B. 

      Intravenous bolus of lactated Ringer’s solution

    • C. 

      Normal saline infusion, administered slowly

    • D. 

      Oral administration of sodium chloride tablets

  • 20. 
    When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?
    • A. 

      Seizures

    • B. 

      Cardiac dysrhythmias

    • C. 

      Stomach cramps

    • D. 

      Muscle weakness

  • 21. 
    During the infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?
    • A. 

      Hypernatremia

    • B. 

      Fluid volume deficit

    • C. 

      Fluid volume overload

    • D. 

      Transfusion reaction

  • 22. 
    A patient is receiving an infusion of fresh frozen plasma. The nurse interprets that this patient has which disorder?
    • A. 

      Hypovolemic shock

    • B. 

      Anemia

    • C. 

      Coagulation disorder

    • D. 

      Previous transfusion reaction

  • 23. 
    The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution should be used along with the PRBC transfusion?
    • A. 

      5% dextrose in water (D5W)

    • B. 

      0.9% sodium chloride (NS)

    • C. 

      5% dextrose in 0.9% sodium chloride (D5NS)

    • D. 

      5% dextrose in lactated Ringer’s (D5LR)

  • 24. 
    The nurse is planning to transfuse a patient with a unit of packed red blood cells (PRBCs). Which patient would be best treated with this transfusion?
    • A. 

      A patient with a coagulation disorder

    • B. 

      A patient with severe anemia

    • C. 

      A patient who has lost a massive amount of blood after emergency surgery

    • D. 

      A patient who has a clotting-factor deficiency

  • 25. 
    After a severe auto accident, a patient has been taken to the trauma unit and has an estimated blood loss of more than 30% of his blood volume. The nurse prepares to administer which product?
    • A. 

      Fresh frozen plasma

    • B. 

      Albumin

    • C. 

      Packed red blood cells

    • D. 

      Whole blood