Pharmacology Test 1
Question 1
1 / 1 pts
Which drugs will go through a pharmaceutic phase after it is administered?
Subcutaneous antiglycemics
... [Show More]
Oral analgesics
Intravenous vasopressors Intramuscular cephalosporins
Question 2
1 / 1 pts
The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nurse administer?
Tablet
Liquid solution
Enteric-coated pill
Capsule
Question 3
1 / 1 pts
The nurse is teaching a patient who will be discharged home with a prescription for an enteric-coated tablet. Which statement by the patient indicates understanding of the teaching?
“I may crush the tablet and put it in applesauce to improve absorption.”
“I should consume acidic foods to enhance absorption of this medication.”
“I should expect a delay in onset of the drug’s effects after taking the
tablet.”
“I should take this medication with high-fat foods to improve its action.”
Question 4
1 / 1 pts
Which nursing actions would be most appropriate for ensuring patient safety with a medication that has a low therapeutic index?
Monitoring serum peak and trough levels
Monitoring a patient’s urine output
Assessing vital signs hourly
Maintaining strict isolation precautions
Question 5
1 / 1 pts
A patient about to receive his morning dose of digoxin has an apical pulse of 70 per minute. What should the nurse do?
Withhold the dose, and notify the physician.
Notify the physician, and monitor the patient’s vital signs.
Recheck the pulse, making sure to count for 1 full minute
Administer the dose.
Question 6
1 / 1 pts
In assessing the patient before administration of a cardiac glycoside, the nurse knows that what condition can predispose a patient to digitalis toxicity?
Heart failure
Hypokalemia
Hypocalcemia
Hyperkalemia
Question 7
1 / 1 pts
The nurse is reviewing medication information with a nursing student prior to administering an oral drug and notes that the drug has extensive first-pass effects. Which statement by the student indicates the student understands the concept of first-pass effect?
“The first-pass effect reduces all the toxic effects of the drug"
"The first-pass effect means the drug must make a second pass through the liver to make it a more active drug.”
“A drug given via the oral route may be extensively metabolized by the liver
before reaching the systemic circulation.”
“The first-pass effect means the drug must circumvent the liver.”
Question 8
1 / 1 pts
The nurse prepares to change a patient’s medication from an intravenous to an oral form and notes that the oral form is ordered in a higher dose. The nurse understands that this is due to differences in
pinocytosis.
protein binding. bioavailability. tachyphylaxis.
Question 9
1 / 1 pts
A nurse with adequate knowledge about the administration of intravenous nitroglycerine will recognize that which statement is correct?
The IV form is given by IV push injection.
Because the IV form is short-lived, the dosing must be every hour.
Intravenous nitroglycerine must be protected from exposure to light through
a special tubing.
Intravenous nitroglycerine can be given by gravity drip infusion.
Question 10
1 / 1 pts
The nurse gives 800 mg of a drug that has a half-life of 8 hours. How much drug will be left in the body eight hours after the drug is given if no additional drug is given?
None
50 mg
400 mg
200 mg
Question 11
1 / 1 pts
While assessing a patient who is receiving digoxin, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?
No answer text provided.
Decreased heart rate
Decreased Q-wave Increased ectopic beats
Question 12
1 / 1 pts
The nurse is preparing to administer a drug that is eliminated through the kidneys. The nurse reviews the patient’s chart and notes that the patient has increased serum creatinine and blood urea nitrogen (BUN). The nurse will perform which action?
Administer the drug as ordered.
Anticipate a shorter than usual half-life of the drug.
Expect decreased drug effects when the drug is given.
Notify the provider and discuss giving a lower dose.
Question 13
1 / 1 pts
A patient at home has been taking digoxin at home but has taken an accidental overdose and has developed toxicity. He has been admitted to the telemetry unit where the physician has ordered digoxin immune Fab
(Digibind). The patient asks the nurse why this medication was ordered. The nurse’s best response is:
“It works faster than digoxin.”
“It is safer than digoxin and can be taken orally.”
“It helps to convert the irregular heart rhythm to a more normal rhythm.” “This drug is an antidote to digoxin and will help to lower the blood levels.
Question 14
1 / 1 pts
The nurse is preparing to administer the first dose of digoxin (Lanoxin) to a patient and notes that the first dose ordered is much higher than the subsequent doses, this is called:
Stacking.
Testing tolerance. Tachyphylaxis.
Digitalization.
Question 15
1 / 1 pts
A nurse is preparing to administer digoxin (Lanoxin) to a patient. Which laboratory result is the nurse most concerned about?
Sodium 138 mEq/L
Potassium 3.0 mEq/L
Digitalis level 1.8 ng/mL
BNP 100 pg/mL
Question 16
1 / 1 pts
A patient is admitted to the intensive care unit with increased intracranial pressure. The nurse would anticipate administering:
furosemide (Lasix). mannitol (Osmitrol). triamterene (Dyrenium). spironolactone (Aldactone).
Question 17
1 / 1 pts
The first-line drug of choice to treat PAROXYSMAL SUPRAVENTRICULAR
TACHYCARDIA (PSVT) is
Digoxin
Verapamil
Calcium channel blockers
Adenosine
Question 18
1 / 1 pts
The nurse is preparing to administer digoxin to a patient who has heart failure. The patient reports nausea, vomiting, headache, and yellow vision. The nurse notes a respiratory rate of 18 breaths per minute, a heart rate of
58 beats per minute, and a blood pressure of 120/78 mm Hg. What will the nurse do next?
Administer the next dose as ordered since these are mild side effects.
Hold the dose and notify the provider of possible digoxin toxicity.
Reassure the patient that these are common, self-limiting side effects.
Request an order for an antiemetic and an analgesic medication.
Question 19
1 / 1 pts
The nurse performs a medication history and learns that the patient takes a thiazide diuretic and digoxin (Lanoxin). The nurse will question the patient to ensure that the patient is also taking which medication?
Cortisone
Lidocaine
Nitroglycerin
Potassium
Question 20
1 / 1 pts
The nurse administers a dose of digoxin (Lanoxin) to a patient who has heart failure and returns to the room later to reassess the patient. Which finding indicates that the medication is effective?
Decreased urine output
Decreased dyspnea
Increased blood pressure
Increased heart rate
Question 21
1 / 1 pts
A patient with angina has been given a prescription for a calcium channel blocker. The nurse knows that this class of drugs is used to treat which type of angina?
Stable angina
Unstable angina
Vasospastic (Prinzmetal) angina
Crescendo angina
Question 22
1 / 1 pts
The nurse is teaching a patient about the use of a transdermal nitroglycerin patch. Which statement by the patient indicates understanding of the teaching?
“I will apply the patch as needed when I experience anginal pain.”
“I will remove the old patch and replace it with a new one at bedtime each day.”
“I should rotate sites when changing the patch to prevent skin irritation.” “When I am symptom-free, I may stop using the patch on a regular basis.”
Question 23
1 / 1 pts
The nurse is teaching a patient about sublingual nitroglycerin administration. What information will the nurse include when teaching this patient?
Call 911 immediately.
Continue current activity.
Swallow the tablet with small sips of water.
Take the first tablet while sitting or lying down.
Question 24
1 / 1 pts
A patient is ordered to receive a nitrate to relieve stable angina. What side effect(s) will the nurse anticipate in a patient receiving this medication?
Nausea and vomiting
Increased blood pressure
Pruritus and skin rash
Pounding headache
Question 25
1 / 1 pts
A patient asks the nurse why nitroglycerin is given sublingually. The nurse will explain that nitroglycerin is administered by this route for which reason.
To avoid hypotension
To avoid first pass effect
To minimize gastrointestinal upset
To prevent hepatotoxicity
Question 26
1 / 1 pts
A patient who has been taking nitroglycerin for angina has developed variant angina (Prinzmetal angina), and the provider has added A calcium channel blocker (verapamil -Calan) to the patient’s regimen. The nurse will explain that verapamil is given for which purpose?
To facilitate oxygen use by the heart
To improve renal perfusion
To increase cardiac contractility
To relax coronary arteries
Question 27
1 / 1 pts
Which statement need to be included when the nurse provides patient education for a patient with heart failure who is taking daily doses of spironolactone (Aldactone)?
"Be sure to eat foods high in potassium."
"Avoid foods high in potassium."
"Avoid read meats while taking this medication."
" A low fiber diet will prevent adverse effects of this drug."
Question 28
1 / 1 pts
The nurse is administering lidocaine and considers which condition , if present in the patient, a caution for the use of this drug ?
Tachycardia
Hypertension
Ventricular dysrhythmias
Renal dysfunction
Question 29
1 / 1 pts
Prinzmetal angina occurs as a result of
electrolyte imbalance a spasm of a coronary artery decreased venous return to the heart
a ventricular arrhythmia
Question 30
1 / 1 pts
The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure. Which medication will the nurse expect the provider to order for this patient?
Digoxin (Lanoxin)
Furosemide (Lasix)
Hydrochlorothiazide (HydroDIURIL)
Spironolactone (Aldactone)
causes death of heart muscle cells. is pain due to lack of oxygen to myocardial cells. cannot occur at rest.
is not treatable
Question 32
1 / 1 pts
The nurse is caring for a patient who is taking hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin). Which potential electrolyte imbalance will the nurse monitor for in this patient?
Hypomagnesemia
Hypernatremia
Hypocalcemia
Hypokalemia [Show Less]