Question details

Pharmacology test |A+
$ 25.00


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   


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   


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   


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


Knocking on the door




Asking the client to share their name and date of birth


The nurse shares his/her own date of birth

0.25 points   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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   


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