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Pharmacology nur2407 test
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Top of Form

 

 

·         Question 1

0 out of 0.25 points

   
 

A client reports that he has been swallowing his nitroglycerin instead of leaving it under his tongue. Teaching is needed. What can happen if sublingual medications are swallowed?

     
 
     

·         Question 2

0.25 out of 0.25 points

   
 

Which of these statements regarding controlled substances made by the nurse intern reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 3

0 out of 0.25 points

   
 

Which comment about over the counter (OTC) medications indicates the need for further teaching?

     
 
     

·         Question 4

0.25 out of 0.25 points

   
 

When entering the clients room for assessment purposes, which of these steps would be questionable?

     
 
     

·         Question 5

0 out of 0.25 points

   
 

A nurse is wondering if advocacy for oral medication is appropriate. What rationale for advocacy would be appropriate?

     
 
     

·         Question 6

0.25 out of 0.25 points

   
 

Which of these is not an essential aspect of a medication order?

     
 
     

·         Question 7

0 out of 0.25 points

   
 

If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?

     
 
     

·         Question 8

0 out of 0.25 points

   
 

Which of these statements made by the trained medication assistant reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 9

0 out of 0.25 points

   
 

A laboring mother wants to know why pain medication is not advisable.  What rationales could the nurse offer for this?

     
 
     

·         Question 10

0.25 out of 0.25 points

   
 

Which of these is not an essential part of a medication order?

     
 
     

·         Question 11

0.25 out of 0.25 points

   
 

If a medication is ordered by trade name but the pharmacy sends up a medication that has a different, unfamiliar name, the nurse should

     
 
     

·         Question 12

0 out of 0.25 points

   
 

Which of these statements made by the student nurse reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 13

0 out of 0.25 points

   
 

When a nurse checks the MAR, pulls out needed medications, inserts them in a common cup, signs the medications off, then gives them to the patient after checking name and allergy bands, he or she is

     
 
     

·         Question 14

0 out of 0.25 points

   
 

A client who takes Theo-24 (theophylline) for asthma, is experiencing theophylline toxicity.  Which of these may be a contributing factor? (Select all that apply)

     
 
     

·         Question 15

0 out of 0.25 points

   
 

Which of these assessments is not considered essential prior to giving medications to an acutely ill client

     
 
     

·         Question 16

0.25 out of 0.25 points

   
 

A nurse is prioritizing what step to take first when beginning to care for a client before entering the room
What step should occur first?

     
 
     

·         Question 17

0.25 out of 0.25 points

   
 

Which of these practices is most apt to contribute to time related medication errors?

     
 
     

·         Question 18

0.25 out of 0.25 points

   
 

Which of these factors might impair the absorption of and oral medication?

     
 
     

·         Question 19

0 out of 0.25 points

   
 

Which statements made by the nurse peer reveal the need for further teaching?

     
 
     

·         Question 20

0.25 out of 0.25 points

   
 

A malnourished elderly client has a low albumin level. What is the implication of this finding? (Select all that apply)

     
 

Top of Form

QUESTION 1

1.      A client reports that he has been swallowing his nitroglycerin instead of leaving it under his tongue. Teaching is needed. What can happen if sublingual medications are swallowed?

 

first pass may inactivate the medication

 

The medication effects will simply be delayed

 

An esophageal burn will occur

 

The medication effects will be increased due to first pass effect

0.25 points   

QUESTION 2

1.      Which of these statements regarding controlled substances made by the nurse intern reveals the need for further teaching?  Circle all that apply

 

When controlled medications drop on the floor they should be wasted with a witness present

 

Controlled substances of deceased people should be flushed in presence of a witness

 

Controlled substances should be counted by the oncoming and exiting nurse every shift

 

Patients should be asked to rate their pain 1:10 both prior to and after giving analgesics.

 

It is a DHS rule that med carts must be locked whenever the nurse is not watching them.

 

The cart keys should be hidden in the MAR when the nurse goes to lunch

0.25 points   

QUESTION 3

1.      Which comment about over the counter (OTC) medications indicates the need for further teaching?

 

They tend to have a high therapeutic index

 

They are generally safe to take in pregnancy

 

While safe for the general public they may be unsafe for people with renal or hepatic harms

 

People who take other medications should consult their provider about before taking OTCs

0.25 points   

QUESTION 4

1.      When entering the clients room for assessment purposes, which of these steps would be questionable?

 

Knocking on the door

 

Handwashing

 

Asking the client to share their name and date of birth

 

The nurse shares his/her own date of birth

0.25 points   

QUESTION 5

1.      A nurse is wondering if advocacy for oral medication is appropriate. What rationale for advocacy would be appropriate?

 

Oral medications are more completely absorbed than IV medications.

 

IV medications should only be given to clients who can’t swallow

 

A serious infection or injury may start at the site of instillation.

 

IV medication are more vulnerable to first pass effect than oral medications

0.25 points   

QUESTION 6

1.      Which of these is not an essential aspect of a medication order?

 

Both trade and generic name must be cited together.

 

The clients name must appear on the order sheet.

 

The dose of the medication must be cited

 

The route of the medication must be cited

0.25 points   

QUESTION 7

1.      If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?

 

150 mg

 

100 mg

 

75 mg

 

50 mg

0.25 points   

QUESTION 8

1.      Which of these statements made by the trained medication assistant reveals the need for further teaching?  Circle all that apply

 

It is OK to crush medications in advance when batch prepping them at the station

 

When a patient has difficulty swallowing, even long acting medicines should be crushed

 

Suspensions should never be shaken before they are measured

 

Suspensions can be measured via syringe but should be given to elderly people in a med cup

 

Pills should never be touched during the preparation phase

 

Unused (remnant) half tabs of medication should be returned to the bottle for later use.

 

Discarded medications should go into the sharps container

0.25 points   

QUESTION 9

1.      A laboring mother wants to know why pain medication is not advisable.  What rationales could the nurse offer for this?

 

The blood brain barrier of an infant isn’t fully developed, so infants are at risk for sedation

 

The liver of an infant is not well developed, so the effects of sedation can linger in the infant

 

Epidural analgesia offers an alternative that will not harm the infant.

 

The baby will not be able to eliminate the medication until it has its first stool

 

The baby can be given naloxone, so analgesia really isn’t a problem.  It just isn’t “natural”.

0.25 points   

QUESTION 10

1.      Which of these is not an essential part of a medication order?

 

The prescriber’s signature / nurse’s co-signature if telephoned.

 

The date and time that the prescription was ordered must be cited.

 

The frequency and timing of the medication must be cited

 

The related diagnosis must be cited

0.25 points   

QUESTION 11

1.      If a medication is ordered by trade name but the pharmacy sends up a medication that has a different, unfamiliar name, the nurse should

 

Have a peer confirm that this is the right medication

 

Look up the generic name of the needed drug to confirm they are the same thing

 

Use the patient’s supply of medication from home

 

Hold the medication until the trade name version of the medication is brought up

0.25 points   

QUESTION 12

1.      Which of these statements made by the student nurse reveals the need for further teaching?  Circle all that apply

 

Reasons for refusals do not need be documented on the MAR.  Refusal is a basic right

 

Pills can be hidden in food without MD and guardian consent whenever necessary

 

Meds may be documented before giving them because they can be circled if refused.

 

Two patient identifiers should also be used in a long term care setting

 

Unopened insulin, eye drops, vaccines & suppositories should be stored at 35O—46F.

 

Food may be kept in refrigerators holding medications if it is dated.

0.25 points   

QUESTION 13

1.      When a nurse checks the MAR, pulls out needed medications, inserts them in a common cup, signs the medications off, then gives them to the patient after checking name and allergy bands, he or she is

 

Adhering to accepted guidelines for medication administration

 

Being hyper-vigilant (overly cautious)

 

Falsifying the record by signing that the med was given before the patient took it

 

Completing the three needed checks  

0.25 points   

QUESTION 14

1.      A client who takes Theo-24 (theophylline) for asthma, is experiencing theophylline toxicity.  Which of these may be a contributing factor? (Select all that apply)

 

First pass effect.

 

Forgetfulness (double dosing)

 

Chewing the capsule

 

Cirrhosis with Gallstones

 

Taking the medication with food

0.25 points   

QUESTION 15

1.      Which of these assessments is not considered essential prior to giving medications to an acutely ill client

 

Vital signs and O2 saturations

 

Pain rating

 

Level of consciousness
*e. Mood

0.25 points   

QUESTION 16

1.      A nurse is prioritizing what step to take first when beginning to care for a client before entering the room
What step should occur first?

 

Prepare the morning medications

 

Introduce self and confirm the patient’s identity

 

Assess the patient and document the findings

 

Check the patients chart & last set of vital signs

0.25 points   

QUESTION 17

1.      Which of these practices is most apt to contribute to time related medication errors?

 

Avoiding the use of abbreviations

 

Documenting in military time

 

Giving HS (hour of sleep) medications whenever the patient is ready to retire

 

Allowing the nurse to give medications within a ½ hour leeway either before or after a medication is scheduled

0.25 points   

QUESTION 18

1.      Which of these factors might impair the absorption of and oral medication?

 

The presence of food in the stomach

 

Renal insufficiency

 

Hepatic insufficiency

 

High serum albumin

0.25 points   

QUESTION 19

1.      Which statements made by the nurse peer reveal the need for further teaching?

 

Class C medications are controlled substance medications

 

Class D medications can be safely taken during pregnancy

 

Class X medications refer to illicit substances like Cocaine

 

Herbal remedies need not go through FDA efficacy trials before being marketed.

 

Controlled substances cannot be refilled by phone

0.25 points   

QUESTION 20

1.      A malnourished elderly client has a low albumin level. What is the implication of this finding? (Select all that apply)

 

Less protein binding will occur. Medication will be more free to bind with target receptors. This may cause excessive effects.

 

Blood brain barrier crossover will be impaired. Albumin is a lipid. More medicine will be needed.

 

 

 

 

Low albumin levels will lead to receptor disintegration, so more medication will be needed.

 

Protein insufficiency can lead to loss of metabolizing enzymes and consequential drug accumulation

 

Albumin insufficiency signifies impaired absorption. Doses will need to be increased

0.25 points   

 

 

·         Question 1

0 out of 0.25 points

   
 

A client reports that he has been swallowing his nitroglycerin instead of leaving it under his tongue. Teaching is needed. What can happen if sublingual medications are swallowed?

     
 
     

·         Question 2

0.25 out of 0.25 points

   
 

Which of these statements regarding controlled substances made by the nurse intern reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 3

0 out of 0.25 points

   
 

Which comment about over the counter (OTC) medications indicates the need for further teaching?

     
 
     

·         Question 4

0.25 out of 0.25 points

   
 

When entering the clients room for assessment purposes, which of these steps would be questionable?

     
 
     

·         Question 5

0 out of 0.25 points

   
 

A nurse is wondering if advocacy for oral medication is appropriate. What rationale for advocacy would be appropriate?

     
 
     

·         Question 6

0.25 out of 0.25 points

   
 

Which of these is not an essential aspect of a medication order?

     
 
     

·         Question 7

0 out of 0.25 points

   
 

If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?

     
 
     

·         Question 8

0 out of 0.25 points

   
 

Which of these statements made by the trained medication assistant reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 9

0 out of 0.25 points

   
 

A laboring mother wants to know why pain medication is not advisable.  What rationales could the nurse offer for this?

     
 
     

·         Question 10

0.25 out of 0.25 points

   
 

Which of these is not an essential part of a medication order?

     
 
     

·         Question 11

0.25 out of 0.25 points

   
 

If a medication is ordered by trade name but the pharmacy sends up a medication that has a different, unfamiliar name, the nurse should

     
 
     

·         Question 12

0 out of 0.25 points

   
 

Which of these statements made by the student nurse reveals the need for further teaching?  Circle all that apply

     
 
     

·         Question 13

0 out of 0.25 points

   
 

When a nurse checks the MAR, pulls out needed medications, inserts them in a common cup, signs the medications off, then gives them to the patient after checking name and allergy bands, he or she is

     
 
     

·         Question 14

0 out of 0.25 points

   
 

A client who takes Theo-24 (theophylline) for asthma, is experiencing theophylline toxicity.  Which of these may be a contributing factor? (Select all that apply)

     
 
     

·         Question 15

0 out of 0.25 points

   
 

Which of these assessments is not considered essential prior to giving medications to an acutely ill client

     
 
     

·         Question 16

0.25 out of 0.25 points

   
 

A nurse is prioritizing what step to take first when beginning to care for a client before entering the room
What step should occur first?

     
 
     

·         Question 17

0.25 out of 0.25 points

   
 

Which of these practices is most apt to contribute to time related medication errors?

     
 
     

·         Question 18

0.25 out of 0.25 points

   
 

Which of these factors might impair the absorption of and oral medication?

     
 
     

·         Question 19

0 out of 0.25 points

   
 

Which statements made by the nurse peer reveal the need for further teaching?

     
 
     

·         Question 20

0.25 out of 0.25 points

   
 

A malnourished elderly client has a low albumin level. What is the implication of this finding? (Select all that apply)

     
 
     

 

     

 

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