Pharma P1 a.

Hangover
b. REM rebound
c. Dependence
d. Euphoria
Which of the following is an appropriate nursing When administering a second-generation
intervention for patients who are receiving CNS antipsychotic to a client, the nurse would most
depressants?* likely expect which diagnostic test(s) to be
1/1 prescribed? Select all that apply.*
A. Prevent any activity within the hospital setting while 0/1
on oral muscle relaxants a. Complete blood count
B. Make sure that the patient knows that sedation should b. Fasting blood sugar levels
be minimal with these agents. c. Cholesterol level
C. Cardiovascular stimulation, a common side effect, d. Electrolyte analysis
would lead to hypertension
D. Make sure the patient’s call light is close by in case of It needs to be ensured by checking the wrist
the need for assistance with activities. band, and by checking a second piece of
During patient teaching, the nurse explains the identification.*
difference between a sedative and hypnotic by 1/1
stating:* a. Right client
b. Right drug
1/1 c. Right time
A. “Sedatives are much stronger than hypnotic drugs and d. Right route
should only be used for short periods of time.”
B. “Sedative drugs induce sleep, whereas hypnotic drugs The nurse sees a patient in the clinic who has
induce a state of hypnosis.” been taking chloroquine for the treatment of
C. “Most drugs produce sedation at low doses and sleep
(the hypnotic effect) at higher doses.” malaria. While the nurse measures vital signs,
D. “There really is no difference; the terms are used the patient repeatedly rubs her eyes. When the
interchangeably.”
nurse questions why, the patient says, "I guess
Which enzyme is essential for the maturation of
it's time for a trip to the eye doctor. My glasses
infectious viruses?*
don't seem to work very well and I'm having
1/1 trouble with my vision." What does the nurse
a. Reverse transcriptase
b. Protease suspect is happening with this patient?*
c. Nucleosidase 1/1
d. CCR5-ase a. Adverse effect of medication
Which of the following drugs is least likely to b. Muscles controlling the eye are impacted by malaria
c. Chemical actions of the medication are reducing
produce extrapyramidal effects?*
aqueous humor
0/1 d. Malaria infection is damaging optic tissue
a. Chlorpromazine The nurse is monitoring a patient receiving an Iv
b. Haloperidol
c. Fluphenazine infusion of an antineoplastic medication. During
d. Risperidone the infusion, the patient complains of pain and
Patient X has been experiencing pain due to his redness at the insertion site. The nurse should
gangrenous diabetic ulcer in his sole of he foot take which actions? Select all that apply.*
which already lasts for 6 months already, how 1/1
will you classify the pain based on its duration?* a. Reinsert the IV at a distal part of the same vein.
b. Increase the flow rate of the medication.
1/1 c. Notify the physician.
a. chronic pain d. Apply a heat or ice compress to the site.
b. acute pain e. Administer an antidote as prescribed.
c phantom pain
d. neurophatic pain A 32-year-old woman presents to her
In caring for a young child with pain, which gynecologist with a 4 days history of perineal
assessment tool is the most useful?* pruritus and a non-malodorous, thick, cheesy
1/1 vaginal discharge. The only medication the
A. Simple description pain intensity scale woman is taking is an oral contraceptive. A wet
B. 0-10 numeric pain scale
C. Faces pain-rating scale
preparation of vaginal secretion shows budding
D. McGill-Melzack pain questionnaire yeast cells and pseudohyphae. Which of the
Nurse Eugene is giving health teaching about following drugs, given locally, would be
the Side effects & Adverse reaction of appropriate for this patient?*
antidepressants. He is right in telling that the 1/1
following are expect: except:* a. Mebendazole
b. Metronidazole
0/1 c. Miconazole
d. Saquinavir d. Dissolution
Substances that prevent the growth of bacteria.* Pain caused by nerve injury is classified as:*
1/1 1/1
a. Bacteriostatic a. neurophatic pain
b. Bactericidal b. phantom pain
c. Bactrim c. psychogenic pain
d. Bacteria d. acute pain
All but one are therapeutic actions of CNS Which of the following behaviors would the nurse
Stimulants except:* expect to see in a client experiencing tardive
0/1 dyskinesia?*
a. Acting as both cortical and RAS stimulants possibly by 1/1
increasing catecholamine release from presynaptic a. Muscle rigidity, dry mouth, insomnia
neurons
b. Rhythmic, involuntary movement of the tongue, face,
b. The paradoxical calming effect of these drugs in mouth or jaw
hyperkinetic children is thought to be related to the c. Muscle weakness, paralysis of the eyelids, diarrhea
increased stimulation of an immature RAS leading to an d. Dyspnea, somnolence, muscle spasms
ability to be more selective in response to coming stimuli.
c. CNS stimulants are able to increase stimulation of In applying the principles of pain treatment, what
postsynaptic neurons. is the first consideration?*
d. none of the above
1/1
Patient X experiences depression, as a result, A. Treatment is based on client goals.
her body is expected:* B. A multidisciplinary approach is needed.
C. The client must be believed about perceptions of own
1/1
pain.
a. respond danger quickly
D. Drug side effects must be prevented and managed.
b. not to respond to danger quickly
c. can sense danger quickly As a nurse on a mental health unit, you are
d. none of the above ordering weekly lab draws for morning rounds.
Which of the following antiviral agents is Three clients are taking clozapine. Which of the
effective as treatment for H1N1?* following labs should be drawn on these
1/1 clients?*
a. Zidovudine
b. Acyclovir 1/1
c. Oseltamivir a. Fasting blood sugar
d. Selzentry b. LDL
c. CBC or Complete Blood Count
Narcolepsy can be best explained as:* d. Amylase
1/1 To avoid error, the nurse must check the bottle
A. A sudden muscle weakness during exercise
B. Stopping breathing for short intervals during sleep against the order for the medication three
C. Frequent awakenings during the night different times.*
D. An overwhelming wave of sleepiness and falling
1/1
asleep
a. True
The process by which cells carry drug across b. False
their membrane by engulfing the drug particles.* Benzodiazepines potentiate which
1/1 neurotransmitter?*
a. Pinocytosis
1/1
b. Agranulocytosis
a. Acetylcholine
c. Cytokines
b. GABA
d. All are correct
c. Norepinephrine
The client with a testicular cancer is being d. Serotonin
treated with Etoposide (Etopophos). Which of Which of the following is an important nursing
the following side effect is specifically action for the administration of a benzodiazepine
associated with this medication?* as a sedative-hypnotic agent?*
1/1 1/1
a. Chest pain A. Use IM dosage forms for longer duration
b. Edema B. Administer safely with other CNS depressants for
c. Alopecia insomnia
d. Orthostatic hypotension C. Monitor geriatric patients for the common occurrence of
The transport of drugs from the blood to the site paradoxical reactions.
D. Evaluate for physical dependence that occurs within 48
of action. A drug must be distributed to its site of hours of beginning the drug.
action to have an effect.* Which of the following antidepressant would
0/1 likely to cause the client top have seizure?*
a. Absorption
b. Distribution 1/1
c. Therapeutic effect a. Amitriptyline
b. Bupropion b. Biotransformation
c. Sertraline c. Dissolution
d. Venlafaxine d. Absorption
This formula is used to calculate the number of The cell wall retains a stain or resists
tablets to be administered when given the decolorization with alcohol.*
required dose.* 0/1
0/1
a. Gram positive
a. Tablet dosage calculation b. Gram negative
b. Fluid dosage calculations c. Aerobic
c. Intravenous fluid computation d. Anaerobic
d. Right drug calculation Which of the following adverse reaction would
A client with diabetic neuropathy reports a the nurse expect to find in a client taking
burning, electrical-type in the lower extremities amitriptyline?*
that is not responding to NSAIDs. You anticipate 1/1
that the physician will order which adjuvant a. Constipation and abdominal cramps
b. Bradycardia and double vision
medication for this type of pain?* c. Sedation and dry mouth
0/1 d. Polyuria and hypertension
A. Amitriptyline (Elavil) Describe the feeling of anxiety. Select all that
B. Corticosteroids
C. Methylphenidate (Ritalin)
apply:*
D. Lorazepam (Ativan) 1/1
Patient X has genital herpes and is using a. Apprehension
b. Panic
antiviral creams for her condition. Which of the c. Uneasiness
following is a potential side effect of the d. Worry
e. Jitters
medication?*
It slows the messages between body and brain.*
0/1
a. Vulvitis 0/1
b. Headache a. depressants
c. Dizziness b. stimulants
d. Staining of the skin c. both a and b
d. none of the above
Intravenous fluid must be given at a specific
The patient’s chart notes the administration of
rate, neither too fast nor too slow. The specific
dantrolene (Dantrium) immediately
rate may be measured as ml/hour, L/hour or
postoperatively. The nurse suspects that the
drops/min.*
patient experienced:*
1/1
a. Tablet dosage calculation 1/1
b. Fluid dosage calculations A. Delirium tremens
c. Intravenous fluid computation B. Malignant hyperthermia
d. Right drug calculation C. A tonic-clonic seizure
D. Respiratory arrest
The nurse is providing teachings to a client
Alprazolam(Xanax) is contraindicated in clients
receiving cyclophosphamide (Cytoxan). The
with:*
nurse tells the client to which of the following?*
0/1
1/1 a. Glaucoma
a. Eat foods rich in potassium. b. Congestive heart failure
b. Increase fluid intake to 2-3 liters per day. c. diabetes
c. Take the medication with food. d. Hypertension
d. Eat foods rich in purine.
Decrease the population of the invading bacteria
Which condition is best treated with
to a point where the human immune system can
benzodiazepines?*
effectively deal with the invaders.*
0/1
a. Obsessive-compulsive anxiety disorder 1/1
b. Pre-surgical apprehension a. Goal of Antibiotic Therapy
c. Posttraumatic Stress Disorder b. Goal of Anti-infective Therapy
d. Grief reaction c. Goal of Antiviral Therapy
d. Goal of Antifungal Therapy
Student's Name*
NUÑEZ, ANGEL KHASMIR L. A group of powerful antibiotics used to treat
The process by which the body changes the serious infections caused by gram-negative
chemical structure of a drug to another form aerobic bacilli.*
called a metabolite.* 1/1
a. Aminoglycosides
1/1 b. Cephalosporins
a. Transformation c. Fluoroquinolones
d. Macrolides
1/1
It is a decimal system based on the power of a. Aminoglycosides
ten.* b. Cephalosporins
c. Fluoroquinolones
0/1 d. Macrolides
a. Metric system
b. Metric ton Schizophrenia involves an overabundance of
c. Decimal which neurotransmitter?*
d. Algebra
1/1
While taking acetaminophen, clients who Acetylcholine
consume alcohol habitually are monitored by the Dopamine
Norepinephrine
nurse for symptoms of toxicity, which include:* Serotonin
1/1 Feedback
Hypertension Dopamine
Visual disturbances An instructor is describing the action of
Liver tenderness primaquine. What would the instructor include?*
Skin lesions
Feedback 1/1
Liver Tenderness a. The drug blocks the use of folic acid.
A client exhibits high energy and disorganized b. It changes the metabolic pathways for reproduction.
c. The drug increases the acidity of plasmodial food
behavior on the mental health unit. This is best vacuoles.
termed as:* d. It disrupts the mitochondria, killing the gametocytes.
1/1 It is the hereditary that influences on drug
a. Clinical Depression responses, refers to variations in which
b. Unipolar disorder
c. Major depressive disorder
individuals metabolize drugs.*
d. Bipolar disorder 1/1
When taking salicylate, the drug is correctly a. Pharmacogenetics
b. Circadian Rhythms
administered:* c. Biotransformation
1/1 d. First Pass Phenomenon
Between meals When hospitalized, which of the following drugs
With a carbonated beverage
With food or milk
would the nurse most likely administer to a child
Dissolved in juice with an elevated temperature?*
Feedback
When taking salicylate, the drug is correctly administered: 1/1
Baby Aspirin
Which of the following prescribed antiviral Acetaminophen
should the nurse question for a patient with Fenoprofen
Diflunisal
severe hypokalemia?* Feedback
1/1 Acetaminophen
a. Foscarnet It is the breakdown of tablet into smaller
b. Cidofovir
c. Valganciclovir
particles.*
d. Nevirap 1/1
The following are CNS adverse effects of CNS a. Disintegration
b. Dissolution
stimulants except:* c. Rate limiting
0/1 d. No correct answer
a. headache A nurse instruct the client taking aspirin to avoid
b. blurred vision
c. difficulty with accommodation foods containing salicylates because this
d. anorexia increases the risk of adverse reaction. Which
Major depressive disorder is suspected in which foods should the client avoid?*
of the following clients?* 1/1
1/1 Salt, soft driks
a. Woman who is crying about her mastectomy performed Broccoli, milk
yesterday. Prunes, tea
b. Line worker who lost his job in a manufacturing plant 3 Liver, pepper
Feedback
months ago.
Prunes, tea
c. Person diagnosed with hyperthyroidism
d. Child who had a parent die from suicide The nurse is caring for a patient taking
Main indications are to treat infections caused antimalarials for prophylaxis while serving in the
by susceptible strains of gram-negative bacteria, Peace Corps in Africa. The patient has taken the
including urinary tract, respiratory tract, and skin medication for 2 months and is continuing to lose
infections.* significant weight due to the GI effects of the
drug. What recommendations can the nurse 0/1
make to reduce GI adverse effects and promote a. Pharmacogenetics
b. Circadian Rhythms
healthy nutrition for this patient? (Select all that c. Biotransformation
apply.)* d. First Pass Phenomenon
1/1 It sends fake messages to the brain, telling the
a. Avoid alcohol. body is under stress.*
b. Add extra fat to diet for calories.
c. Take the drug immediately after meals. 0/1
d. Eat 5 to 6 small meals a day. a. depressants
b. stimulants
Which of the following symptoms would the c. both a and b
nurse expect in a client experiencing d. none of the above
salicylism?* The following are GI adverse effects of CNS
1/1 stimulants except:*
Dizziness, tinnitus, mental confusion 1/1
Diarrhea, nausea, weight loss a. angina
Constipation, anorexia, rash b. anorexia
Weight gain, hyperglycemia, urinary frequency c. nausea
Feedback d. weight loss
Dizziness, tinnitus, mental confusion
History of which disease is significant when
A type of pain that interferes with ADLs is:*
administering a second generation
0/1
a. chronic pain antipsychotic?*
b. acute pain 0/1
c phantom pain a. Hypertension
d. neuropahatic pain b. Liver failure
Enteric coating allows a drug to dissolve only in c. Type 2 DM
d. Cardiac Failure
an alkaline (pH greater than 7.0) environment
Older adults who take long-acting sedatives or
such as the small intestine.*
hypnotics are likely to experience:*
1/1
a. True 1/1
b. False A. Hallucinations
B. Ataxia
This formula is used to calculate the number of C. Alertness
tablets to be administered when given the D. Dyspnea
required dose.* It refers to the dose prescribed for a particular
0/1 client.*
a. Tablet dosage calculation 1/1
b. Fluid dosage calculations
a. Right client
c. Intravenous fluid computation
b. Right dose
d. Right drug calculation c. Right time
The nurse monitors for which of the common d. Right route
adverse reactions when administering naproxen Anxiety medications are used cautiously in older
to a client?* adults because of the:*
1/1 0/1
Headache, dyspepsia a. Inability to absorb the drugs because of decrease acid
Blurred vision, constipation production.
Anorexia, tinnitus b. Drug not being distributed as well because of poor
Stomatitis, confusion circulation.
Feedback c. Liver metabolizing the drug faster, making it ineffective
Headache, dyspepsia d. Reduced elimination, making it build up in the
At a team conference, the nurse explains that circulation.
the anti-inflammatory actions of the salicylates Convert 50ml to cc.*
are most likely because of:* 1/1
a. 50 cc
1/1 b. 5 cc
A decrease in the prothrombin time c. 500 cc
A decrease in the production of endorphins d. 5,000 cc
The inhibition of prostaglandin -
Vasodilation of the blood vessels Nurse Jenny is doing a health teaching about
The rate of drug absorption, hepatic clearance, CNS Stimulants, she is right in teaching her
half-life and duration of action, have all been students that CNS stimulants:*
shown to differ depending upon the time of day 0/1
a. are not used to control behavior of older adults with
a drug is administered.* dementia
b. are used to control behavior of older adults with C. Risk for injury
dementia D. Risk for infection
c. are not used to control behavior of younger adults with
Which of the following is a negative symptom
dementia
d. are used to control behavior of younger adults with associated with schizophrenia*
dementia 1/1
It means that the client receives the drug that Hallucination
Delusion
was prescribed by a physician (MD), dentist
Flat affect
(DDS), podiatrist (DPM), or an advanced Agitation
practice nurse with the license to write Which of the following NSAIDS is a selective
prescriptions (APRN).* COX-2 inhibitor?*
1/1 1/1
a. Right client Indomethacin
b. Right drug Meloxicam
c. Right time Etoricoxib –
d. Right route Mefenamic Acid
The benzodiazepines are pregnancy category D Feedback
etoricoxib
drugs that should not be taken while lactating
Pediatric and geriatric patients often react with
because the newborn may become:*
more sensitivity to CNS depressants. This type
1/1 of sensitivity manifests itself in the development
a. Depressed
b. Excited and irritable of which type of reaction?*
c. Lethargic and lose weight 1/1
d. Hypoglycemic A. Idiopathic
Similar to penicillin in structure and activity and B. Teratogenic
C. Paradoxical
for the treatment of infection caused by
D. Psychogenic
susceptible bacteria*
Convert 30 kilograms to grams.*
1/1
0/1
a. Aminoglycosides
a. 3000 grams
b. Cephalosporins
b. 300 grams
c. Fluoroquinolones
c. 300,000 grams
d. Macrolides
d. 30,000 grams
Nausea and vomiting are frequent adverse
The nurse is caring for a client who is receiving
effects associated with antineoplastic therapy.
Fluorouracil (Adrucil). Which of the following
What should the nurse advise clients
symptoms would necessitate the nurse to
experiencing these unpleasant adverse
immediate discontinuation of the medication?*
effects?*
1/1
1/1 a. Palmar-plantar erythrodysesthesia.
a. Increase intake of dry or high-fiber foods, and foods b. Ataxia.
that have a rough texture. c. Constipation.
b. Consider relaxation techniques because these symptoms d. Insomnia.
should improve over time.
c. Use antacids to relieve the irritation to the stomach,
The nurse is leading a medication support group.
which should stop the nausea. Which is the best statement to make when a
d. Try to maintain hydration and nutrition, which are very client says the drugs don’t work?*
important during treatment.
1/1
A student nurse administering acyclovir was
a. “They won’t work if you don’t take them.”
asked by the clinical instructor on how the drug b. “I understand it is hard to keep taking the medicine
works. The student nurse would be correct by when you can’t readily see the effects.”
c. “That’s not appropriate to say in front of everyone else
stating that this drug works in which way* here”.
1/1 d. “Statements like that give me headache.”
a. Unknown; but it is believed to be shedding the protein Which of the following is a sign of drug
coat of the virus.
withdrawal and not an adverse reaction?*
b. It competes with viral receptors found in the host cells
c. It takes away the necessary substances needed by 0/1
viruses to form DNA chains a. Dizziness
d. Trapping the viruses and disintegrating them directly b. Metallic taste
Which nursing diagnosis is appropriate for a c. Constipation
d. Sedation
patient who has received a sedative-hypnotic
Refers to the movement from higher
agent*
concentration to lower concentration.*
1/1
A. Alteration in tissue perfusion 1/1
B. Fluid volume excess a. Diffusion
b. Osmolality Nurse Even is providing instructions to a client is
c. Osmolarity
d. Absorption taking Doxapram (Dopram). Which of the
NSAIDS inhibit the action of:* following statements made by the client needs
1/1 further instructions?*
DNA Synthesis 0/1
Prostaglandin A. “I need to take the medication before meals”.
Cardiac muscles B. “I need to take the medication at bedtime”.
Nerve fibers C. “I need to avoid drinking coffee“.
Feedback D. “I will not chew or crush long acting form of the
Prostaglandin medications”.
Which of the following symptoms would indicate Which client is most likely to receive opioids for
to the nurse that a client taking lithium is extended periods of time?*
experiencing toxicity?*
1/1
1/1 A. A client with fibromyalgia
a. constipation, abdominal, cramps, Rash B. A client with phantom limb pain
b. Stupor, oliguria, hypertension C. A client with progressive pancreatic cancer
c. Nausea, vomiting, diarrhea D. A client with trigeminal neuralgia
d. Dry mouth, blurred vision, difficulty swallowing The movement of drug particles from the G.I.
In case an error does happen, make it a point to tract to body fluids by :*
report the incident. Notify all the members of the
1/1
health team in charge of the patient’s care as a. Pharmacokinetic Phase
well as the hospital safety committee.* b. Phamaco dynamics
c. Therapeutic effect
1/1 d. Absorption
a. Correct statement
b. Partially correct statement A 15 y/o patient came in for a severe case of
c. Incorrect statement respiratory flu and would need drug therapy.
d. No answer Which of the following drugs should the nurse
The nurse is caring for a client receiving anticipate to be prescribed?*
chemotherapy when an anaphylactic reaction
1/1
occurs from the medication. The nurse should a. Acyclovir (Zovirax)
take which actions? Select all that apply.* b. Amantadine (Symmetrel)
c. Abacavir (Ziagen)
1/1 d. Ganciclovir (Cytovene)
a. Stop the medication.
Convert 20 kilograms to pounds*
b. Remove the IV line.
c. Administer Oxygen. 1/1
d. Administer epinephrine. a. 440 lbs
e. Positioned the client in a reverse Trendelenburg b. 40 lbs
position. c. 44 lbs
Substances that kill bacteria directly.* d. 45 lbs

1/1
A senior nurse would be correct to advise her
a. Bacteriostatic colleague to monitor which parameter in patients
b. Bactericidal receiving cyclosporine and zidovudine at the
c. Bactrim
d. Bacteria same time?*
Is the process of drug movement to achieve 1/1
a. Skin lesion, temperature, and color
drug action*
b. Flu-like symptoms
1/1 c. Level of consciousness
a. Pharmacokinetic Phase d. CBC with differential count
b. Phamacodynamics
c. Therapeutic effect
d. All are correct
Which of the following statements if made by the
client taking an NSAIDs would indicate that he
needs to see the primary health care provided
immediately?*
0/1
“I ‘m able to walk around without my cane at the grocery
store.”
“My wife has a fever so I gave her one of my pill.”
“That leg still hurts and now it is red, warm and swollen.”
“I only have three pills left and the weekend is soon.”
 Pharma P2

A customer is given Nifedipine (Procardia) 30 mg

p.o. The nurse explains the adverse effects and
urges the client to report them immediately:*
0/1
A. Blood pressure 110/70-114/78 for two successive
readings.
B. Dizziness when changing positions.
C. Increased shortness of breath and orthopnea.
D. Weight loss of two pounds per week.
Which of the following instructions should be
provided in the discharge instruction for a patient
using a transdermal nitroglycerin (Nitro-Dur)
patch?*
1/1
A. "If you get chest pain, apply a second patch next to the
first patch."
B. "If you get a headache, remove the patch for 4 hours
and then reapply."
C. "Make sure to rub a lotion or cream on the skin before
putting on a new patch."
D. "Apply the patch to a hairless, nonirritated area of the
chest, upper arm, back or shoulder."
When ordered two times daily, the best schedule
for taking furosemide would be:*
1/1
a. 9 AM and 9 PM D. The client will have moist skin.
b. 7 AM and 9 AM A customer with a blood pressure of 220/110 is
c. 6 AM and 7 PM
d. 8 AM and 2 PM administered nitroprusside (Nitropress). What
Nurse Andy has completed teaching a diabetic behavior by a new nurse would need the charge
client how to give insulin. When the client makes nurse's intervention?*
which of the following statements, he analyzes 1/1
A. The nurse inserts a Foley catheter.
the learning that has occurred?*
B. The nurse documents the IV rate and status of site every
0/1 15 minutes.
A. “I should check my blood sugar immediately prior to C. The nurse uses electronic monitoring of blood pressure
the administration.” every hour.
B. “I should provide direct pressure over the site D. The nurse cautions the client to call for assistance
following the injection.” before getting out of bed
C. “I should use the abdominal area only for insulin An osmotic diuretic used in emergency, trauma,
injections.”
D. “I should only use calibrated insulin syringe for the critical care, and neurosurgical settings to treat
injections.” cerebral edema and to reduce increased
Which of the following is a common adverse intracranial pressure.*
reaction seen when administering an 1/1
antihistamine?* A. Mannitol
B. Lidocaine
0/1
C. Furosemide
a. sedation D. Albuterol
b. blurred vision
c. headache The nurse is to administer a mucolytic agent.
d. hypertension Which of the following nursing actions is
This medication’s Mechanism of action: appropriate to take to promote an effective
cytoprotection, binds to the ulcer base, airway?*
antibacterial effect: * 1/1
0/1 a. Increase fluid intake to 2000 mL per day
A) metronidazole (Flagyl) b. Limit fluids to 200 mL per day
B) tetracycline (Achromycin) c. Monitor intake and output every 8 hours
C) bismuth compounds d. Have the client take the mucolytic after each coughing
D) ranitidine (Zantac) episode
Antacid: loose stools* This act at the same site as the neurotransmitter
0/1 acetylcholine (ACh) and increase the activity of
A) aluminum hydroxide the ACh receptor sites throughout the body.*
B) magnesium hydroxide
C) both 1/1
D) neither a. True
b. False
The body reacts to a trigger and stimulates the
The nurse discusses the teaching plan with a
sympathetic branch of the nervous system
client who is on nifedipine (Procardia). Which of
causing bronchoconstriction and inflammation.
the following client actions demonstrates
Which neurotransmitter is stimulated?*
comprehension?*
1/1
a. Serotonin 1/1
b. Norepinephrine A. The client avoids taking the drug with grapefruit juice.
c. Dopamine B. The client consumes three servings of alcohol daily.
d. Acetylcholine C. The client breaks an enteric-coated tablet for ease of
swallowing.
A complication most commonly caused by acute D. The client monitors blood pressure every week.
blood loss that can significantly alter the A customer on HCTZ 25 mg q.d. and digoxin
functions of the organs and tissues.* 0.125 mg q.d. reports nausea and vomiting, as
1/1 well as seeing halos around lights. The serum
a. Shock
b. Multiple organ failure digoxin level in the client is 2.5 ng. The best
c. Dehydration nursing intervention is to:*
d. Cardiac overload
0/1
Ben injects his insulin as directed, but then A. Administer both drugs as ordered.
becomes distracted and forgets to eat. What B. Document the findings; the lab results are within normal
limits.
would the best nurse evaluation reveal?* C. Hold the digoxin and HCTZ.
0/1 D. Hold the digoxin, and give HCTZ as ordered.
A. The client will be very thirsty. The nurse is seeing a client in the clinic 1 week
B. The client will complain of nausea.
C. The client will need to urinate. after the client began taking a diuretic. Which
finding would make you suspect that the client is B. The alcohol could cause serious liver disease.
C. The alcohol could predispose you to hypoglycemia.
not taking the diuretic?* D. The alcohol could predispose you to hyperglycemia.
0/1 Nurse Matt does a home visit to a client suffering
a. Serum potassium of 3.0 mEq/mL
from diabetes mellitus. Nurse Matt observes that
b. Urine output of 200 mL for the last 2 hours
c. Blood pressure of 130/90 mmHg the client's supplementary insulin vials are not
d. Weight gain of 4lb since last week chilled throughout the appointment. What is the
Which of these drugs is classified as an best course of action for the nurse at this time?*
expectorant?* 0/1
1/1 A. Instruct the client to label each vial with the date when
a. Guaifenesin opened.
b. Codeine B. Tell the client there is no need to keep additional vials.
c. Dextromethorphan C. Have the client place the insulin vials in the refrigerator.
d. Diphenhydramine D. Have the client discard the vials
. Nurse Loonyo is assigned to a telephone Refers to the acting on the adrenergic receptors
triage. A client called who was stung by a of the target organs.*
honeybee and is asking for help. The client 1/1
reports of pain and localized swelling but has no a. Therapeutic Action
b. Therapeutic effect
respiratory distress or other symptoms of c. Pharmacokinetics
anaphylactic shock. What is the appropriate d. Phamaco dynamics
initial action that the nurse should direct the Treatment of gastric a disease: atropine vs.H2-
client to perform? * receptor blockers -- atropine is:*
1/1 0/1
A. Removing the stinger by scraping it. A) more effective than H2 receptor blockers
B. Applying a cold compress. B) less effective than H2 receptor blockers
C. Taking an oral antihistamine. C) equally effective
D. Calling emergency number. D) no effect
When evaluating the effectiveness of Which of the following statements is appropriate
chlorothiazide, the nurse questions the for the nurse to include in discharge instructions
client about:* for a client taking an antitussive?*
0/1 0/1
a. Number of times voiding a. Increase the dosage if the drug does not relieve the
b. Relief of eye pain cough.
c. Amount of fluids drank b. Limit fluids to less than 1000 mL each day.
d. Daily weight c. Expect the cough to worsen during the first few days of
treatment.
A nurse is providing discharge instruction to a d. Frequent sips of water may diminish coughing.
woman who has been treated for contusions Most widely used antacid in treating ulcer
and bruises due to a domestic violence. What is disease:*
the priority intervention for this client?* 1/1
0/1 A) sodium bicarbonate
A. Making a referral to a counselor. B) calcium carbonate
B. Making an appointment to follow up on the injuries. C) magnesium hydroxide
C. Advising the client about contacting the police. D) aluminum hydroxide
D. Arranging transportation to a safe house. E) combination of aluminum hydroxide and magnesium
hydroxide
Drawbacks of "triple therapy" {bismuth
. A geriatric patient is prescribed with Cimetidine
compounds + metronidazole (Flagyl) +
(Tagamet) for the treatment of heartburn. Which
tetracycline (Achromycin)}in treating peptic ulcer
of the following is the most frequent CNS side
disease:*
effect?*
0/1
A) patient compliance (2 week treatment = 200 tablets) 1/1
B) side effects A. Agitation.
C) both B. Drowsiness.
D) neither C. Headache.
D. Somnolence
Genevieve has type 1 diabetes and requires
The best description of how diuretic medications
insulin for glycemic control. She informs the
work is that they:*
nurse that she enjoys a glass of wine with her
1/1
supper. What will the nurse's best client
a. Promote retention of fluid in the kidney.
education strategy include?* b. Achieve acid balance in the lungs
0/1 c. increase the removal of potassium from the blood
A. The alcohol could cause pancreatic disease. d. inhibit reabsorption of sodium in the nephron
Nurse AJ followed the doctors to each patient's made by the nurse correctly explains the
room during the morning rounds. The doctor purpose of these medications?*
prepares prescriptions for the diabetic patient. 1/1
Which instruction would the nurse confirm with A. “These medicines will minimize acid production and
will coat the ulcer”.
the doctor?* B. “These medicines will stop the acid production and will
0/1 kill the bacteria”.
A. Use Humalog insulin for sliding scale coverage. C. “The ulcer will heal because the medications will kill
B. Metformin (Glucophage) 1000 mg per day in divided the bacteria”.
doses. D. “These medicines will control the ulcer and motion
C. Administer regular insulin 30 minutes prior to meals. sickness”.
D. Lantus insulin 20U BID. Which of the following actions are accomplished
Bromocriptine is a semisynthetic ergot alkaloid when using bronchodilators?*
and a dopamine agonist which is frequently 0/1
used to treat acromegaly. It may also be used a. Reduce inflammatory response
b. Promote mucus removal
as adjunct to irradiation.* c. Reverse bronchoconstriction
1/1 d. Remove fluid from the lungs
a. Correct statement NSAID’s can increase the risk of GI bleeding.*
b. Incorrect statement
c. Partially correct 1/1
d. Partially wrong a. True
b. False
Which of these drugs would mostly likely be
This Drug(s) is/are used in eradication of
used to bring up deep mucous plugs in the lungs
Helicobacter pylori infection: *
of a client with a tracheostomy?*
1/1
1/1 A) bismuth compounds
a. Acetylcysteine B) metronidazole (Flagyl)
b. Guaifenesin C) clarithromycin (Biaxin)
c. Benzonatate D) All of the above
d. Dextromethorphan
An Antacid causing constipation *
This emergency drug is an Antihistamine*
0/1
1/1 A) aluminum hydroxide
a. Albuterol B) magnesium hydroxide
b. Atropine C) both
c. Benadryl D) neither
d. Lidocaine
. The nurse is giving hypertension medications to
Beta-specific adrenergic agonists or beta-
elderly folks. Which bad impact is most
agonists are drugs that bind primarily to beta-
concerning to these patients, according to the
receptors rather than to alpha-receptors.*
nurse?*
1/1
a. True 0/1
b. False A. dry mouth
B. hypotension
The nurse correctly administers monteleukast C. restlessness
(Singulair):* D. constipation
0/1 Jansen is taking metformin (Glucophage). What
a. Once daily in the evening is the nurse's best strategy for patient education
b. Twice daily in the morning and evening
c. Three times a day with meals with this drug? Choose all that apply.*
d. Once daily in the morning 1/1
A client has been given Loperamide A. It stimulates the pancreas to produce more insulin.
B. It must be taken with meals.
hydrochloride (Imodium). Which of the following C. It decreases sugar production in the liver.
situation is the medication indicated to?* D. It inhibits absorption of carbohydrates.
E. It reduces insulin resistance.
0/1
A. Abdominal pain. When antihistamines are administered to clients
B. Patients with an ileostomy. receiving CNS depressants, the nurse monitors
C. Bloody Diarrhea.
D. Acute dysentery. the client for:*
A client with a duodenal ulcer is diagnosed with 1/1
a. An increase in anticholinergic effects
H. pylori infection. The physician prescribed b. Excessive sedation
Amoxicillin (Wymox), Pantoprazole (Prevacid), c. Seizure activity
d. Loss of hearing
and Clarithromycin (Biaxin). Which statement
Nonselective alpha-adrenergic blocking agents
are drugs with specific affinity for alpha-receptor
sites. Their use has somewhat limited because What health education should the nurse provide
of development of more specific and safer to the nadolol (Corgard) patient?*
drugs.* 1/1
1/1
A. Increase fluids & fiber to prevent constipation
a. True B. Report weight gain of 1kg / month or more
b. False C. Immediately stop taking meds if sexual dysfunction
occurs.
An elderly lady with diabetes mellitus seeks D. Rise slowly after prolonged periods of sitting or lying
treatment at a clinic. Which of the following down.
symptoms may an elderly lady with type 2 It is located in the middle of the neck and
diabetes experience?* surrounds the trachea like a shield. It produces
0/1 two hormones: thyroid hormone and calcitonin.*
A. Anorexia 1/1
B. Pain intolerance a. Thyroid gland
C. Weight loss b. Pancreas
D. Perineal itching c. Liver
Cevimeline and pilocarpine bind to muscarinic d. Islet of Langerhans
receptors throughout the body and are used to This emergency drug controls seizures*
increase secretions in the mouth and GI tract 1/1
a. Narcan
and relieve symptoms of dry mouth.* b. Dextrose 50%
1/1 c. Diazepam
a. True d. Insulin
b. False When administering aminophylline, a xanthine
A customer with hypertension is administered derivative bronchodilating drug, the nurse
atenolol (Tenormin). The nurse understands that monitors the client for adverse reactions, which
the following is a safe dosage for this drug:* include:*
0/1 0/1
A. Atenolol (Tenormin) 100 mg b.i.d. a. Restlessness and nervousness
B. Atenolol (Tenormin) 150 mg q.d. b. Hypoglycemia and hypothyroidism
C. Atenolol (Tenormin) 50 mg b.i.d. c. Bradycardia and bronchospasm
D. Atenolol (Tenormin) 75 mg b.i.d. d. Somnolence and lethargy
Popular examples of drugs under this class Hypersensitivity reaction to specific triggers
include dopamine, dobutamine, and characterized by inflammatory reactions and
epinephrine.* bronchospasm.*
1/1 1/1
a. Alpha- and Beta-Adrenergic Agonists a. COPD
b. Beta agonists b. Emphysema
c. Delta agonists c. Asthma
d. Alpha agonists d. Bronchitis
Which of the following laboratory tests would the It is a form of hyperpituitarism after epiphyseal
nurse expect to be ordered for a client taking closure (adults).*
Theolair?* 0/1
1/1 a. Gigantism
a. Thyroid hormone levels b. Dwarfism
b. Alanine aminotransferase c. Hypopituitarism
c. Sodium electrolytes d. Acromegaly
d. Serum theophylline levels When administering spironolactone (Aldactone),
It is an ophthalmic agent used to induce miosis the nurse monitors the client for which of the
or pupil constriction. It can relieve the increased following electrolyte imbalances?*
intraocular pressure of glaucoma.* 1/1
1/1 a. Hypernatremia
a. Bethanechol b. Hyponatremia
b. Paracetamol c. Hyperkalemia
c. Carbachol d. Hypokalemia
d. Ibuprofen A patient with ventricular tachycardia was given
The most prevalent cause of heart failure is digoxin. What is the nurse supposed to do?*
which of the following?* 0/1
1/1 A. Administer the drug as ordered.
A. Hypertension B. Discuss the order with the doctor.
B. Valvular heart diseases C. Discontinue other intravenous medications before
C. Cardiomyopathy administering digoxin.
D. Coronary artery disease (CAD)
D. Count apical pulse for one full minute before treat non- obstructive postoperative and
administering.
postpartum urinary retention to treat neurogenic
A client has been taking Ibuprofen for some
bladder atony.*
quite time and was given Misoprostol (Cytotec).
1/1
Which of the following is exhibiting the
a. Bethanechol
therapeutic effect of Cytotec?* b. Paracetamol
1/1 c. Carbachol
A. Relief of gastric ulcer. d. Ibuprofen
B. Relief of diarrhea. Most successful protocol for eradication of H.
C. Relief of vomiting. pylori/treatment of peptic ulcer disease: *
D. Relief of constipation
0/1
. A nurse is administering an IV bolus of
A) bismuth monotherapy
Cimetidine (Tagamet). Which of the following B) therapy using bismuth compounds, metronidazole
should the nurse monitor closely follow the (Flagyl), and amoxicillin (Amoxil Polymox) in
combination -triple therapy
administration?* C) bismuth compounds and amoxicillin (Amoxil Polymox)
1/1 D) all of the above equally effective
A. Respiratory rate. These are drugs that oppose the effects of
B. Skin turgor.
C. Blood pressure.
acetylcholine.*
D. Temperature. . 1/1
This emergency drug is an antidote for narcotic a. Anticholinergics
b. Antispasmodics
overdose* c. Antivertigo
1/1 d. Antibiotic
a. Narcan This emergency drug helps restore the heart
b. Dextrose 50%
c. Diazepam
rate*
d. Insulin 1/1
Name: (Last, First & Middle)* a. Albuterol
b. Atropine
Nuñez, Angel Khasmir L.
c. Benadryl
They are used in the control of myasthenia d. Lidocaine
gravis and for reversal of neuromuscular Dr. Wijangco prescribes 10 units of insulin lispro
junction blocker effects in children.* (Humalog) for Alicia, a diabetic patient. When will
1/1 the nurse provide this medicine to you?*
a. Neostigmine
0/1
b. Pyridostigmine
A. When the client is eating
c. Both a and b are correct
B. Thirty minutes before meals
d. No answer
C. fifteen minutes before meals
Which electrolyte imbalance would the patient D. When the meal trays arrive on the floor
taking a loop or thiazide diuretic most likely . A client has been given Ondansetron (Zofran).
develop?* For which condition should the nurse administer
0/1 this medication to the postoperative patient?*
a. Hypernatremia
1/1
b. Hyponatremia
A. Vomiting.
c. Hyperkalemia
B. Incisional pain.
d. Hypokalemia
C. Abdominal infection.
An eye condition characterized by increased in D. Atelectasis.
intraocular pressure.* COPD does not include which of the following
1/1 conditions?*
a. Glaucoma
0/1
b. Cataract
a. Acute asthma
c. Retinal detachment
b. Acute pneumonia
d. Ptosis
c. Chronic bronchitis
It is used for diagnosis of myasthenia gravis d. Emphysema
only.* . This emergency drug relieves anaphylactic
0/1 shock*
a. Paracetamol
1/1
b. Ibuprofen
a. Epinephrine
c. Edrophonium
b. . Albuterol
d. No answer
c. . Atropine
It has specific affinity for the cholinergic d. Benadryl
receptors in the urinary bladder and is used to
These are autonomic nervous system drugs that B. The 56-year-old client who drinks three glasses of wine
each evening
stimulate the adrenergic receptors of the C. The 42-year-old client who is 50 pounds overweight
sympathetic nervous system (SNS), either D. The 38-year-old client who smokes one pack of
cigarettes per day
directly (by reacting with receptor sites) or
What is the treatment for digoxin toxicity?*
indirectly (by increasing norepinephrine levels).*
1/1
1/1 A. Diphenhydramine
a. Adrenergic agonists B. Atropine sulfate
b. Beta agonists C. Digoxin immune fab (Digibind, DigiFab).
c. Delta agonists D. Phosphodiesterase inhibitors
d. All are correct
Which of the following has an impact by blocking
The customer is taking doxazosin and atenolol
the enzyme responsible for breaking down
(Tenormin) (Cardura). What is the reasoning for
glucose for absorption?*
mixing two anti-HT drugs?*
1/1
0/1 A. Miglitol
A. BP will decrease faster B. Metformin
B. Lower doses of both drugs may be given with fewer C. Pramlintide
adverse effects. D. Linagliptin
C. There is less daily medication dosing.
D. Combination therapy will treat the patient's other Annie, a nursing student, was assigned to the
medical conditions cardiovascular unit A, where all of the patients
Which of the following interactions would most had heart failure. Ms. Annie is aware that which
likely occur when diphenhydramine is of the following is the main therapy for heart
administered with a beta-blocker drug such as failure (HF)?*
propranolol (Inderal)?* 1/1
1/1 A. Increasing the heart rate so the heart can pump more
a. Increased risk for cardiovascular effects blood
b. Increased risk for seizures B. Decreasing the heart rate so the heart can rest
c. Decreased risk for cardiovascular effects C. Increasing contractility so the heart will be able to pump
d. Decreased risk for seizures more blood
D. Decreasing contractility to prevent muscle fatigue
A diuretic is given to a hypertensive client's
Is the process of drug movement to achieve
therapy plan. The nurse adds that diuretics
drug action*
assist lower blood pressure by doing the
1/1
following:* a. Pharmacokinetic Phase
1/1 b. Phamacodynamics
A. Removing serum potassium. c. Therapeutic effect
B. Dilating peripheral blood vessels. d. All are correct
C. Reducing sympathetic outflow. A client receives a prescription for
D. Constricting blood vessels.
phenylephrine (Neo-Synephrine). The nurse
Is currently the only widely used anticholinergic
explains that overuse of this drug may:*
drug.*
1/1
1/1 a. Result in hypotensive episodes
a. Atropine b. Decrease sinus drainage
b. Pilocarpine c. Cause rebound nasal congestion
c. Ethambutol d. Dilate capillaries in the nasal mucosa
d. Isoniazid
Which of the following objective data should the
When a client is given mannitol for increased
nurse consider when determining the
intracranial pressure, which of the following
effectiveness of the drug therapy?*
findings would be most important for the nurse
1/1
to report?* A. Blood pressure log notes blood pressure 120/70-134/88
1/1 since discharge.
a. Serum potassium of 3.5 mEq/mL B. Weight loss of six pounds in the past month
b. Urine output of 20mL for the last 2 hours C. Frequency of voiding of at least six times per day
c. Blood pressure of 140/80 mmHg D. Absence of edema in lower extremities
d. Heart rate of 72 bpm The drug Advair is a combination of which drug
A clinical educator conducts a diabetes mellitus categories? Select all that apply.*
lesson to the general public. Which person does 1/1
the nurse believe is most at risk of having a. Corticosteroids
diabetes?* b. Immunomodulators
c. Long-acting beta2 agonists
1/1 d. Xanthine derivatives
A. The 50-year-old client who does not get any physical
exercise
Sympathomimetic of choice for shock is A) 5%
B) 20%
dopamine, a naturally occurring catecholamine.* C) 50%
1/1 D) 80%
a. True E) 95%
b. False The drug Advair is a combination of different
These antagonists are used in treating GH medications. Which drugs are in this inhaler?
hypersecretion (hyperpituitarism) caused by Select all that apply.*
pituitary tumors* 0/1
1/1 a. Fluticasone
a. Growth hormone b. Omalizumab
b. Skeletal hormone c. Salmeterol
c. Neurological hormone d. Zafirlukast
d. Reproductive hormone
Steven John has type 1 diabetes and is on
insulin. What laboratory test will the nurse
evaluate?*
1/1
A. Potassium
B. AST (aspartate aminotransferase)
C. Serum amylase
D. Sodium
When the SABA drugs are administered to older
adults, there is a greater increased risk of:*
1/1
a. GI effects
b. Nephrotoxic effects
c. Neurotoxic effects
d. Cardiovascular effects
Antitussives are medications that:*
1/1
a. Loosen respiratory secretions
b. Depress the cough center in the brain
c. Increase production of mucous secretion
d. Fight microbial infections of the lungs
Also referred to as sympatholytics because they
lyse, or block, the effects of the sympathetic
nervous system*
1/1
a. Adrenergic antagonists
b. Alpha- and Beta-Adrenergic Agonists
c. Adrenergic agonists
The following statement indicates that the client
understands the purpose of the peak flow
meter.*
1/1
a. “I use the peak flow meter when I am short of breath.”
b. “I must wash the peak flow meter after every use.”
c. “I should measure my peak flow every day.”
d. “I put the medicine in the peak flow meter.”
It occurs before the epiphyseal plates of the long
bones fuse and cause acceleration in linear
skeletal growth.*
0/1
a. Gigantism
b. Dwarfism
c. Hypopituitarism
d. Somatotropin deficiency syndrome
Eradication of H. pylori effectiveness for bismuth
compounds when using combination with
antibiotics: *
1/1
 Pharma RBE
The client has an order for cefotaxime (Claforan) 1 gram IV q6h. The reconstituted vial is
the client’s medication drawer is labeled with a concentration of 95 mg/mL. How many
milliliters of solution should be added to the IV bag for the intermittent infusion?
Answer: A. 10.5 mL
A client has an order for Cefazolin (Ancef) 2 grams IVPB. Available are vials filled with
powder containing 1 gram of Cefazolin. The instructions state to “dilute each 1 gram with
10 mL of sterile water.” After reconstituting the medication, how many total milliliters of
solution should be drawn up to prepare the dose? Answer: D.20 mL
A client has a temperature of 101.2oF. There is an order for acetaminophen (Tylenol) 650
mg PO for fever, and 325 mg tablets are available. How many tables should the nurse
give? Answer: B. 2 tablets
The client has an order for dexamethasone (Decadron) 6 mg IV push stat. Available is a
vial of dexamethasone with a concentration of 4 mg/mL. How many mL does the nurse
draw into the syringe to administer the dose? Answer: B.1.5 mL
A drug label reads “1 tablet equals 1 gr.” The nurse understands that this one tablet is
equivalent to how many milligrams? Answer: D. 1,000
The physician orders a patient to receive 1000 mL of Intravenous Fluid over the next 8
hours. The intravenous delivery set is a macro-drip system. The nurse would set the
infusion to run at which rate? Answer: C. 31 gtts/min
The nurse is to administer Rocephin 2g in 500 mL over 10 hours. What hourly flow rate
should the nurse set the infusion pump. To deliver? Answer: 50 ml/ hour
A patient tells you that she typically takes two ibuprofen tablets for menstrual cramps. If
one tablet of ibuprofen contains 200 mg, how many milligrams does she usually take?
Answer: 400mg
You arrive in Mrs. Garcia’s room just as her husband comes to visit. Mrs. Garcia wants to
walk in the hallway and asks you to leave her Lanoxin on the bedside table. “I’ll take it
when I get back.” She says. What will be the best response to the patient?
Answer: ”I will take it to the medication room and bring it to you when you get back.”
The nurse is administering a medication to a client with a history of renal inpairment.
The medication is known to be excreted through the kidneys. To monitor the client for
adverse reactions, the nurse would monitor which of the following?
Answer: Serium blood urea nitrogen (BUN) and Creatinine
An instructor is describing a specific area on a cell membrane where most drugs are
thought to act. The students demonstrate understanding of this information when they
identify this area as which of the following? Answer: Receptor Site
After administering an antibiotic to a patient, the patient complains of
nausea and vomiting. The nurse interprets this as a negative effect of the
drug and identifies it as which of the following? Answer: Adverse Effect
The fight-or-flight response includes greater heart output and a rise in blood
pressure. This response is due to:
Answer: Adrenaline secreted by the adrenal glands.
Which of the following plays a major role in drug excretion? Answer: KIDNEYS
The nurse is reviewing the laboratory test results of a patient receiving
drug therapy. Which of the following would the nurse suspect if the
results reveal an elevation in the ALT and AST concentration?Answer:
Liver Injury
A 35 years old client has been receiving chemotherapy to treat cancer.
Which assessment finding suggests that the client has developed
stomatitis? Answer: Red, open sores on the oral mucosa
To monitor for the presence of bone marrow suppression, the nurse
evaluates the results of the Answer: Complete blood count.
A nurse administers an antiemetic agent ondansetron to a patient receiving
chemotherapy for which reason? Answer: Reduce vomiting
Situation: Hiroko Kawaguchi, a Japanese tourist, had a trip to Palawan
where Malaria is endemic. She was admitted at the St. Luke’s Medical
Center, Global City after presenting headache, fever, chills, muscle aches
and fatigability. Further diagnostic assessments reveal that he is positive
for Malaria. The nurse is aware that Ms. Kawaguchi’s condition is caused
by: Answer: A vector carrying the causative agent
To control the progression of Ms. Kawaguchi’s condition, Nurse Kelsey
expects which medication to be prescribed for her: Answer: Chloroquine
When caring for a client who is receiving phenytoin (Dilantin) the nurse plans
health teaching and emphasizes meticulous oral hygiene because phenytoin:
Answer: Increases plaque and bacterial growth at the gum lines

Benzodiazepines are effective drugs to control symptoms of extreme

agitation. Who among the patients below is NOT contraindicated to take
benzodiazepines? ANSWER: A patient with anxiety disorder.

A client with multiple sclerosis is receiving diazepam (Valium), a centrally

acting skeletal muscle relaxant. Which of the following would indicate
that the client is experiencing a side effect related to this medication?
ANSWER: Drowsiness

Situation: Ms. Sanchez was admitted to the St. Lukes Hospital because of
difficulty of breathing which she experienced after eating her breakfast.
The resident on duty carries out further testing and finds that the patient
has a generalized muscle weakness. After administering a dose of
Edrophonium (Tensilon), Ms. Sancez presents an improvement in her
muscle strength. The nurse documents the findings as “(+) Tensilon Test”.
The nurse is aware that the test confirmed Ms. Parsons for what condition?
ANSWER: Myasthenia Gravis

Which of the following medications will most likely be prescribed for Ms.
Sanchez? ANSWER: Neostigmine

The medication referred to in the previous item is classified as:

ANSWER: Indirect-Acting cholinergic Agonists

After receiving multiple doses of this drug. Ms. Sanchez exhibits

fasciculation, pallor, sweating, hypersalivation and small pupils. The nurse
suspects cholinergic crisis and prepares to administer which prescribed
antidote?ANSWER: Atropine Sulfate
To relieve symptoms associated with the adverse effects of
anticholinergics, which nursing interventions should be implemented?
ANSWER: D
A. Provide sugarless lozenges to the patient.
B. Instruct the importance of high-fiber diet.
C. Advise the patient to void before taking the medication.
D. All of the above

Adrenergic blocking drugs, because of their clinical effects, are also

known as ANSWER: sympatholytics.

This medication inhibits renin to block conversion of angiotensinogen

into angiotensin I thus, inhibiting vasoconstriction. ANSWER: Aliskiren

Furosemide is given to decrease blood pressure by: ANSWER: promoting diuresis

This term signifies the drug’s influence on heart rate. ANSWER: Chronotropic Effect

Which among the following statements is false about homeostatic

mechanisms to maintain normal blood pressure?
ANSWER: Hypothalamus stimulates the posterior pituitary gland to release anti-
diuretic hormone in response to an increased concentration of sodium in the blood.

Calcium channel blockers are widely used to treat various cardiovascular

illnesses which include all except: ANSWER: ANEMIA

A client is to be discharged on a diuretic and digitalis. The nurse

reviewing the client’s diet would be especially careful to look for
adequate sources of potassium because:
ANSWER: Under conditions of hypokalemia, digitalis exerts toxic effects on the heart

Before giving a client digoxin, the nurse should obtain the: ANSWER: Apical heart rate

A client asks the nurse why the physician has prescribed captopril
(Capoten). The nurse explains it as an effective: ANSWER: Antihypertensive

Two hours from the time she took the first tablet of Metropolol, an
antihypertensive drug, Ms. Sudo Mona experienced headache and
dizziness. Nurse Klevshella correctly explained that her headache and
dizziness is brought about by drug’s effect on .
ANSWER: Blood Flow Changes

Which among the following should be taken in consideration when

providing nursing care to an adult patient undergoing digoxin therapy?
Answer: Validate the order with the physician if the patient has arrhythmia and
electrolyte imbalances.

All of the parameters below can be used to evaluate the effectiveness of

diuretics but: Answer: WBC differential count

What is pharmacokinetics?
Answer: The study of absorption, distribution, metabolism and excretion of drugs

When considering the pharmacotherapeutic effects of drugs

administered to clients, the nurse considers which property of most
Importance: Answer: Efficacy

It is important for the nurse to be aware of the four sequential processes

of the pharmacokinetic phase. What are these processes?
Answer: Absorption, distribution, metabolism, excretion

Nurse is preparing to administer a medication to a 13-year-old client. The

nurse follows the six rights of medication administration for a pediatric
client. After checking for the right client, the right dose, the right drug,
the right time and the right route, what is the final item the nurse must
check for this client?
Answer: Right Documentation

Why does the nurse administer naloxone to a patient receiving morphine

sulfate who has a respiratory rate of 8 breaths per minute?
Answer: Naloxone prevents the activation of opioid receptors.

The nurse understands that the dose-response relationship is graded

and should expect to observe what response?
Answer: As the dosage increases, the response becomes progressively greater.

Which of the following can hinder client’s ability to take oral

medications? Answer: Dysphagia

The nurse is caring for several clients. Which client will the nurse
anticipate is most likely to experience an alteration in drug metabolism?
Answer: A 3 day old premature neonate

When reviewing the patient’s medication regimen, the nurse understands

that the interval of drug dosage is related to what? Answer: Half life

Furosemide (Lasix) is a powerful diuretic agent and is classified as: ANS:LOOP DIURETICS

Metformin (Glucophage) has been prescribed for a client newly diagnosed with type 2
diabetes mellitus. The nurse evaluates that the client understood medication teaching
when the client states that this medication does which of the following?
Answer: Suppress the sympathetic effect on blood glucose regulation

She is also asked to differentiate the two types of the condition referred
to in the previous item: Type I and Type II. She answers:
Answer: Type I involves destruction of the insulin-secreting beta cells whereas Type II
involves resistance of insulin receptors to insulin.

The nurse is preparing to administer a drug with a high therapeutic index.

What does this mean about the drug? Answer: It is relatively safe.

The nurse prepares to give a drug that will prevent receptor activation.
Which term would describe this drug? Answer: Selective