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Pharmacology Exam 1 Practice Questions

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Nursing Pharmacology

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Keiser University

Academic year: 2023/2024

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1)A client reportedly overdosed on phenobarbital, what medication would the nurse expect to

administer?

a) Activated charcoal

b) Naloxone

c) Flumazenil

d) Syrup of Ipecac

2) A nurse consults a nursing drug reference before giving a medication to an 80-year-old client. The

reference states that older adult clients are at increased risk of hepatic side effects. Which of the

following is the next action for the nurse?

a) Contact the provider to discuss the need to have labs done to check liver function.

b) Ensure that the drug is given in the correct dose at the correct time to minimize the risk of

adverse effects.

3) Which side effects of a cholinesterase inhibitor drug would most concern the nurse?

a) Confusion and memory impairment

b) Dizziness and headache

c) Nausea, vomiting, and diarrhea

d) Symptomatic bradycardia that may lead to fainting

4) A child diagnosed with attention-deficit/hyperactivity disorder begins taking a central nervous

system stimulant. Which statement by the child's parent indicates a need for further teaching?

a) "I should report insomnia and poor appetite to the provider."

b) "I will make sure my child takes the medication after breakfast every day."

c) “This drug will make my child more impulsive while at school."

d) "This medication will help my child improve attention and focus."

5) A client is being treated with interferon beta-1a and calls the clinic to report headache, fever, chills,

and muscle aches after administering a dose. What will the nurse expect the provider to order?

a) Acetaminophen or ibuprofen

b) Check the hemoglobin

c) Evaluation by a physician

d) Discontinuing the drug immediately

6) Which client would the nurse consider as having the highest predisposition to an adverse reaction

to a medication?

a) 40-year-old man with kidney disease

b) 55-year-old woman with cystitis

c) 50-year-old man with an upper respiratory tract infection

d) 9-year-old boy with an ear infection.

7) Why is intravenous diazepam used in the treatment of status epilepticus?

a) The medication resolves continual seizures rapidly with no loading dose required.

b) The drug alleviates suffering when the family requests euthanasia.

c) Diazepam is a supplementary drug used to make the person forget the event.

d) The intravenous product has a five-day half-life to prevent reoccurrence.

8) What occurs when a drug binds to a receptor in the body?

a) It alters the receptor to become nonresponsive to its usual endogenous molecules.

b) Agonizes or antagonizes response at the receptor.

c) It gives the receptor a new function

d) It prevents the action of the receptor by altering its response to chemical mediators.

9) A client with a seizure disorder is admitted to the hospital and has a partial convulsive episode

shortly after arriving on the unit. The client has been taking phenyotin 8 mcg/mL. What will the

nurse anticipate the provider will order?

a) Decreased dose of phenytoin

b) Extended-release phenytoin

c) Increased dose of phenytoin

b) Amantadine

c) Increasing salt and water intake

d) Drug holiday

14)The nurse would know to assess for extrapyramidal effects in any client taking which of these types

of medications?

a) Atypical opiates

b) Traditional neuroleptics

c) Barbiturates

d) Benzodiazepines

15) A nurse would know that further teaching is needed if the parents of a child taking

methylphenidate make which of these statements?

a) "I will give the medication after a meal, not before."

b) "It is my parental duty to be in charge of this medication."

c) "My child must be seen before the prescription can be renewed."

d) "It is best to give this medication at bedtime."

16) The nurse is teaching the spouse of a client with dementia about cholinesterase inhibitors. Which

statement by the spouse indicates a need for further teaching?

a) "Gastrointestinal symptoms are common with this medication."

b) "People taking this drug should not take antihistamines."

c) "This drug helps neurons that aren't already damaged to function better."

d) “This drug stops the progression of the disease."

17) A client taking interferon beta-1a reports feeling depressed. Which action by the nurse is correct?

a) Notify the provider of these symptoms.

b) Reassure the client that these symptoms will subside.

c) Request an order for antidepressant medication.

d) Skip the next dose and call if symptoms persist.

18) If the handwritten orders of a provider are illegible, what should the nurse do?

a) Ask a colleague to assist with order interpretation.

b) Contact the pharmacy to clarify the order.

c) Contact the provider to clarify the order.

d) Ask the client to recall which medications they take at home.

19) A nurse provides teaching for a client, newly diagnosed with Parkinson's disease. Which statement

by the client indicates an understanding of the drug therapy for this disease?

a) "A levodopa/carbidopa combination is used to improve motor function."

b) "If dyskinesias occur, I should stop the medication immediately."

c) "If I forget a dose, I should take the missed dose with my next dose."

d) "With adequate drug therapy, disease progression may be slowed."

20) A client currently taking a first-generation antipsychotic (FGA) comes to the clinic for evaluation.

The client presents with a shuffling gait and mild tremors. Which order would the nurse expect t

a) Order a direct dopamine antagonist.

b) Order an anticholinergic medication.

c) Increase the dose of the antipsychotic drug

d) Withhold the drug for two days.

21) The nurse should include which intervention in the care-plan of a client taking lithium?

a) Advocate for diuretics if hypertension occurs.

b) Offer ibuprofen as needed for medication-induced headaches.

c) Report impaired coordination and tremors

a) Side effect

b) Intended effect

c) Teratogenic effect

d) Paradoxical effect

26)A client taking phenytoin suddenly develops hives. What is the best explanation for this occurrence

and the nurse's best response?

a) A random idiosyncratic reaction that will not disrupt the treatment plan.

b) A hypersensitive (excessive) response, and the dose should be reduced.

c) An allergic response and the medication should be stopped

d) A paradoxical reaction related to the body's attempt to maintain homeostasis, and it will

resolve over time.

27) A client took an overdose of a tricyclic antidepressant. What adverse effects would the nurse

expect? (Select all that apply.)

a) Watery eyes

b) Drooling

c) Sleepiness

d) Constipation

e) Tachycardia

28) Which of the following would be least likely to occur during the assessment phase of the nursing

process for drug therapy?

a) Obtaining information about the client's medication use

b) Determining if there are any financial constraints

c) Developing outcomes for effective responses to drug therapy

d) Identifying the client's level of understanding

29) The provider ordered diazepam 2 mg IM stat. Available is diazepam 5 mg/mL. How many mL will

the nurse administer? (Record answer to the nearest tenth, or one decimal)

0 mL

30) A client with schizophrenia who is taking olanzapine was started on chlorpromazine for hiccups.

Now he is experiencing high fever, unstable blood pressure

a) Neuroleptic malignant syndrome

b) Infection

c) Aspiration pneumonia

d) Early-onset dementia

31)What is the nurse's best response when a client refuses to take medications?

32) A client asks what is meant by the statement "tolerance can occur when taking anxiolytics." How

should the nurse respond?

a) Increased tolerance for medicinal side effects.

b) Greater acceptance of the behaviors of other people when taking the drug.

c) Higher levels of medication are needed to achieve the expected effect.

d) Different anxiolytic is necessary to treat symptoms.

33) A client asks what will happen if they don't avoid tyramine rich foods while taking a monoamine

oxidase inhibitor (MAOI). How should the nurse respond?

a) Delusions of grandeur

b) Severe weight loss

c) Profound paranoia

d) A hypertensive crisis

a) “Haloperidol works quickly in a crisis. A switch could be an eventual goal.”

b) "Atypical antipsychotics are typically unaffordable. Funding sources are difficult to find."

c) "Insurance will only cover atypical antipsychotics for people who have serious dyskinesias."

d) "You should be able to stop your haloperidol and begin risperidone immediately."

39) Following head trauma, a five-year-old child who weighs 44 pounds is receiving 50mg of phenytoin

every eight hours. How many kilograms does this child weigh? (Record answer as a whole number.)

20 kg

40) A client with Alzheimer's dementia is about to begin therapy with donepezil. What cholinergic side

effects would the nurse anticipate and report to the provider?

a) Pinpoint pupils

b) Dry eyes

c) Dry mouth

d) Double vision

e) Confusion

f) GI upset

41) The nurse has given 800mg of a drug that has an 8-hour half-life. How much of the drug will

remain in the client's body 24 hours after administration if no additional drug is given?

a) None

b) 50mg

c) 100 mg

d) 200 mg

42) A nurse is preparing to administer a drug. Upon reading the medication guide, the nurse notes that

the drug has been linked to symptoms of Parkinson's disease in some clients. What will the nurse do?

a) Ask the client to report these symptoms, which are known to be teratogenic effects.

b) Observe the client for such symptoms and report to the provider as needed.

c) Request an order to evaluate the client's genetic predisposition to this effect.

d) Warn the client about these effects and provide reassurance.

43) A client with dementia is being started on donepezil. Which of these side effects should the nurse

anticipate?

a) Diarrhea

b) Tachycardia

c) Tardive dyskinesias

d) Elimination of nausea

44) What discharge teaching should a client with epilepsy receive when starting clonazepam three

times daily? (Select all that apply.)

a) Skip a dose if you need to drive.

b) Skip a dose if you plan to go out drinking with friends. di

c) Sudden withdrawal from benzodiazepines may include seizures, anxiety, insomnia, sweating,

tremors, and dizziness

d) Tolerance can develop over time and lead to the need for higher doses.

e) Do not try to taper yourself off this medication without physician guidance.

45) A teenager was brought into the emergency room following a lorazepam overdose. What antidote

would the nurse expect to administer?

a) Flumazenil

b) Acetylcysteine

c) Naloxone

d) Physostigmine

46) A client experiencing alcohol withdrawal is given a benzodiazepine. Why is this drug effective in

this situation?

a) Alcohol does not interact with the benzodiazepine.

d) “I should use salt substitutes instead of real salt while taking these drugs.”

Multiple Choice

Multiple Choice

Was this document helpful?

Pharmacology Exam 1 Practice Questions

Course: Nursing Pharmacology

651 Documents

Students shared 651 documents in this course

University: Keiser University

Multiple Choice

Multiple Choice

Was this document helpful?

1)A client reportedly overdosed on phenobarbital, what medication would the nurse expect to

administer?

a) Activated charcoal

b) Naloxone

c) Flumazenil

d) Syrup of Ipecac

2) A nurse consults a nursing drug reference before giving a medication to an 80-year-old client. The

reference states that older adult clients are at increased risk of hepatic side effects. Which of the

following is the next action for the nurse?

a) Contact the provider to discuss the need to have labs done to check liver function.

b) Ensure that the drug is given in the correct dose at the correct time to minimize the risk of

adverse effects.

3) Which side effects of a cholinesterase inhibitor drug would most concern the nurse?

a) Confusion and memory impairment

b) Dizziness and headache

c) Nausea, vomiting, and diarrhea

d) Symptomatic bradycardia that may lead to fainting

4) A child diagnosed with attention-deficit/hyperactivity disorder begins taking a central nervous

system stimulant. Which statement by the child's parent indicates a need for further teaching?

a) "I should report insomnia and poor appetite to the provider."

b) "I will make sure my child takes the medication after breakfast every day."

c) “This drug will make my child more impulsive while at school."

d) "This medication will help my child improve attention and focus."

5) A client is being treated with interferon beta-1a and calls the clinic to report headache, fever, chills,

and muscle aches after administering a dose. What will the nurse expect the provider to order?

a) Acetaminophen or ibuprofen

Pharmacology Exam 1 Practice Questions

Nursing Pharmacology

Keiser University

Recommended for you

Comments

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Related Studylists

Preview text

1)A client reportedly overdosed on phenobarbital, what medication would the nurse expect to

administer?

a) Activated charcoal

b) Naloxone

c) Flumazenil

d) Syrup of Ipecac

2) A nurse consults a nursing drug reference before giving a medication to an 80-year-old client. The

reference states that older adult clients are at increased risk of hepatic side effects. Which of the

following is the next action for the nurse?

a) Contact the provider to discuss the need to have labs done to check liver function.

b) Ensure that the drug is given in the correct dose at the correct time to minimize the risk of

adverse effects.

3) Which side effects of a cholinesterase inhibitor drug would most concern the nurse?

a) Confusion and memory impairment

b) Dizziness and headache

c) Nausea, vomiting, and diarrhea

d) Symptomatic bradycardia that may lead to fainting

4) A child diagnosed with attention-deficit/hyperactivity disorder begins taking a central nervous

system stimulant. Which statement by the child&#039;s parent indicates a need for further teaching?

a) &quot;I should report insomnia and poor appetite to the provider.&quot;

b) &quot;I will make sure my child takes the medication after breakfast every day.&quot;

c) “This drug will make my child more impulsive while at school.&quot;

d) &quot;This medication will help my child improve attention and focus.&quot;

5) A client is being treated with interferon beta-1a and calls the clinic to report headache, fever, chills,

and muscle aches after administering a dose. What will the nurse expect the provider to order?

a) Acetaminophen or ibuprofen

b) Check the hemoglobin

c) Evaluation by a physician

d) Discontinuing the drug immediately

6) Which client would the nurse consider as having the highest predisposition to an adverse reaction

to a medication?

a) 40-year-old man with kidney disease

b) 55-year-old woman with cystitis

c) 50-year-old man with an upper respiratory tract infection

d) 9-year-old boy with an ear infection.

7) Why is intravenous diazepam used in the treatment of status epilepticus?

a) The medication resolves continual seizures rapidly with no loading dose required.

b) The drug alleviates suffering when the family requests euthanasia.

c) Diazepam is a supplementary drug used to make the person forget the event.

d) The intravenous product has a five-day half-life to prevent reoccurrence.

8) What occurs when a drug binds to a receptor in the body?

a) It alters the receptor to become nonresponsive to its usual endogenous molecules.

b) Agonizes or antagonizes response at the receptor.

c) It gives the receptor a new function

d) It prevents the action of the receptor by altering its response to chemical mediators.

9) A client with a seizure disorder is admitted to the hospital and has a partial convulsive episode

shortly after arriving on the unit. The client has been taking phenyotin 8 mcg/mL. What will the

nurse anticipate the provider will order?

a) Decreased dose of phenytoin

b) Extended-release phenytoin

c) Increased dose of phenytoin

b) Amantadine

c) Increasing salt and water intake

d) Drug holiday

14)The nurse would know to assess for extrapyramidal effects in any client taking which of these types

of medications?

a) Atypical opiates

b) Traditional neuroleptics

c) Barbiturates

d) Benzodiazepines

15) A nurse would know that further teaching is needed if the parents of a child taking

methylphenidate make which of these statements?

a) &quot;I will give the medication after a meal, not before.&quot;

b) &quot;It is my parental duty to be in charge of this medication.&quot;

c) &quot;My child must be seen before the prescription can be renewed.&quot;

d) &quot;It is best to give this medication at bedtime.&quot;

16) The nurse is teaching the spouse of a client with dementia about cholinesterase inhibitors. Which

statement by the spouse indicates a need for further teaching?

a) &quot;Gastrointestinal symptoms are common with this medication.&quot;

b) &quot;People taking this drug should not take antihistamines.&quot;

c) &quot;This drug helps neurons that aren&#039;t already damaged to function better.&quot;

system stimulant. Which statement by the child's parent indicates a need for further teaching?

a) "I should report insomnia and poor appetite to the provider."

b) "I will make sure my child takes the medication after breakfast every day."

c) “This drug will make my child more impulsive while at school."

d) "This medication will help my child improve attention and focus."

a) "I will give the medication after a meal, not before."

b) "It is my parental duty to be in charge of this medication."

c) "My child must be seen before the prescription can be renewed."

d) "It is best to give this medication at bedtime."

a) "Gastrointestinal symptoms are common with this medication."

b) "People taking this drug should not take antihistamines."

c) "This drug helps neurons that aren't already damaged to function better."

d) “This drug stops the progression of the disease."

19) A nurse provides teaching for a client, newly diagnosed with Parkinson's disease. Which statement

a) "A levodopa/carbidopa combination is used to improve motor function."

b) "If dyskinesias occur, I should stop the medication immediately."

c) "If I forget a dose, I should take the missed dose with my next dose."

d) "With adequate drug therapy, disease progression may be slowed."

and the nurse's best response?

d) A paradoxical reaction related to the body's attempt to maintain homeostasis, and it will

a) Obtaining information about the client's medication use

d) Identifying the client's level of understanding

31)What is the nurse's best response when a client refuses to take medications?

32) A client asks what is meant by the statement "tolerance can occur when taking anxiolytics." How

33) A client asks what will happen if they don't avoid tyramine rich foods while taking a monoamine