Pharm Nursing Exam

Amiodarone (Cordarone)-Nonselective adrenergic blocking agents Tamsulosin (Flomax)-Alpha1-selective adrenergic blocking agents Dopamine (Intropin)-Alpha and Beta adrenergic agonists Epinephrine (Adrenaline)-Alpha and Beta adrenergic agonists Albuterol (Proventil)-Beta Specific adrenergic agnostics

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Place the following cephalosporins in the proper sequence beggining with the first generation cephalosporins up to the fourth generation cephalosporins

1. Cefazolin 2. Cefuroxime 3. cefotaxime 4. Cefepime AUOE

A patient is receiving digoxin. The nurse monitors the patient's digoxin level. Which finding would the nurse interpret as therapeutic?

1.5ng/mL

A patient takes ibuprofen at approximately 10:00 am. The patient would most likely feel peak effects of the drug at which time?

12

The nurse instructs a patient who is using albuterol for exercise induced bronchospasm to use the inhaler at which time?

15 min prior to exercising

The nurse administers morphine intravenously. The nurse would expect the drug to exert its peak effects within which time frame?

20 min

A patient is receiving transdermal nitroglycerin. The nurse understands that the drug would begin to act within which time frame after application?

30-60 minutes

A patient receives a ferrous sulfate. The nurse would expect this drug to start working in which time frame?

4 days

A patient is ordered to receive insulin lisper at mealtimes. The nurse will instruct this patient to administer the medication at which time?

5 minutes before eating

A patient calls the clinic because he is concerned about his pulse rate. The patient is taking digoxin. The nurse would tell the patient to hold the medication if he reports a pulse rate of which of the following?

52 bpm

A patient receives an intravenous dose of diazepam at 6pm. The nurse would expect this drug to exert its peak effects at which time?

6:30

A patient who is taking aspirin daily is scheduled to undergo a colonoscopy. The patient stops taking the aspirin as ordered before the procedure. The nurse would instruct the patient that she could resume taking aspirin after which time?

7 days

patient receiving heparin has a baseline aPTT of 28 seconds. Which result would the nurse interpret as suggesting too much heparin?

98 seconds

A patient who is prescribed ipratroprium administers the drug at 9:15 am. The patient should begin to notice the drug beginning to act at which time?

9:30 am

The most frequently used agent for managing pain and fever in children is __________________________. Fill in the blank

Acetaminophen

Prazosin is a(n)_____________blocker that is used to treat hypertension.

Alpha 1

A patient is receiving carvedilol to treat his hypertension. The nurse identifies this as which of the following?

Alpha and beta blocker

Which of the following would a nurse expect a health care provider to prescribe as treatment for motion sickness?

Anticholinergic/ antihistamines

After teaching a patient who is receiving zolpidem, the patient demonstrates understanding of the information when he states that he will take the drug at which time?

Before going to bed

A patient receives a dose of insulin lispro at 8am. The nurse would be alert for symptoms of hypoglycemia at which time?

Between 8:30am-9:30am

A physician prescribes a chemical stimulant laxative. Which of the following would be appropriate?

Bisacodyl

When describing the action of atorvastatin, which of the following would the nurse include?

Blocking the enzyme involved in cholesterol synthesis

When explaining the action of terazosin to a patient, which of the following would the nurse include?

Blocks Alpha-1 Adrenergic Receptors

A patient receives a beta-specific agonist. Which of the following would lead the nurse to determine that the drug is effective?

Bronchodilation

Which of the following would the nurse include as possible adverse effects when teaching a patient about albuterol? Select all that apply

Bronchospasm, nervousness, sweating

The nurse is describing a anxiolytic that had no sedative, anticonvulsant, or muscle relaxant properties, but effective in reducing the signs and symptoms of anxiety. which would the nurse most likely be describing?

Busoprione

After teaching a group of students about the drugs used to treat HIV and AID, the instructor determine that the teaching was successful when the students identify which group as being the newest class of drugs?

CCR5 co-receptor antagonist

A patient has hypocalcemia secondary to hypoparathyroidism. Which of the following would the nurse expect to be ordered

Calcitrol

After teaching a group of students about cephalosporins, the instructor determines that the teaching was successful when the students identify which of the following as a cephalosporin

Cefaclor

A group of students are reviewing the signs and symptoms of systemic alkalosis that can occur as a result of using sodium bicarbonate. The students demonstrate a need for additional teaching when they identify which of the following as a possible manifestation?

Constipation

After teaching a patient about the adverse affects of iron therapy, the patient demonstrates an understanding of the information when he identifies which of the following as an adverse affect?

Constipation, dark stools, anorexia

A group of students are reviewing the various drugs that affect inflammation. The students demonstrate understanding when they identify which agent as a mast cell stabilizer?

Cromolyn

The nurse administering a beta blocker to a patient with hypertension. Which of the following would the nurse expect this drug to do? select

Decrease muscle contraction, increase renal blood flow, decrease heart rate

When describing the action of barbiturates as anxiolytics, which of the following would the nurse need to keep in mind?

Depression of the cerebral cortex

A student demonstrates understanding of benzodiazepines, identifying which of the following as the prototype

Diazepam

A nurse is planning an in-service program for a group of staff nurses about heart failure and its treatment. The nurse would identify which agent as the most commonly used drug for treatment?

Digoxin

The nurse is preparing a teaching plan for a patient would is receiving sucralfate. Which of the following would the nurse need to address? Select all that apply.

Eat a high fiber diet, ensuring safety precautions, taking the drug on an empty stomach, encouraging frequent mouth care

The low-molecular-weight heparin of choice for preventing deep venous thrombosis after hip replacement therapy is:

Enoxaprin

Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm?

Epinephrine

The nurse is teaching a patient with angina who is prescribed sublingual tablets. The nurse would instruct the patient to use a tablet at which frequency when experiencing an acute attack?

Every 5 minutes

A nurse would instruct a patient to apply a clonidine patch at which frequency?

Every 7 days

A patient is recieving an ACE inhibitor. The nurse ensures that the patients hydration status is maintained to prevent which of the following?

Excessive hypotension

A nurse is administering an anti diabetic agent by subcutaneous injection within 60 minutes of the patients breakfast. Which agent would the nurse most likely be administering?

Exenatide

Aminoglycosides due to their low risk of toxicity are replacing many of the other antibiotics today. True or false

False

Beta blockers decrease myocardial oxygen demand by increasing the heart rate and decreasing cardiac contraction

False

If a patient is receiving sucralfate and omeprazole, the doses can be taken together

False

Infections of the genitourinary tract are commonly the result of gram-positive bacteria

False

Isoproterenol is an anticholinergic agent

False

Which of the following H-2 antagonists would the nurse identify as most potent?

Famotidine

Match the generic drug with its mechanism

Famotidine- Pepcid Omeprazole-Prilosec Sucralfate- Carafate Misoprostol-Cytotec

A group of students are reviewing the various classes of diuretics. The students demonstrated understanding of the information when they identify which of the following as a loop diuretic?

Furosemide

A patient with a peptic ulcer who uses NSAIDs is at high risk for

Gastrointestinal bleeding

After teaching a group of students about ahminoglycosides, the instructor determines that the teaching was successful when the group identifies which drug as the prototype for this class?

Gentamicin

Which of the following insulin does not have peak time?

Glargine (Lantus)

The pancreas releases __________, a hormone that counteracts the effects of insulin and work to increase glucose levels

Glucagon

A patient is receiving verapamil. Which of the following would be important for the nurse to stress that the patients avoid?

Grapefruit juice

Which of the following would the nurse expect the health care provider to prescribe as treatment for a tinea infection

Grisofulvin

Which of the following would be contraindication to the use of non-selective adrenergic blocker?

Heart block

An instructor describes the action of some anticoagulants as blocking the formation of thrombin from prothrombin. Which drug would the instructor use as an example for this action?

Heparin

Which of the following would a nurse expect to administer if the goal of therapy is to block the release of hydrochloric acid in the stomach?

Histamine-2 receptor antagonist

After teaching a group of students about direct acting cholinergic agonists, the instructor determines that additional teaching is necessary when students identify which of the following as an adverse effect?

Hypertension

The nurse would be the most alert for which of the following in a patient who is receiving an intravenous barbiturate?

Hypotension

Acetaminophen acts directly on the thermoregulatory cells in the _______________ to cause sweating and vasodilation. Fill in the blank

Hypothalamus

After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states which of the following?

I need to make sure I don't eat too many high potassium foods

After teaching a patient who is receiving doxycycline about the drug, the nurse determine that the teaching was successful when the patient states which of the following?

I need to wear protective clothing when out in the sun

A patient has been receiving intramuscular injections of hydroxocobalamin as treatment for pernicious anemia. Which statement by the patient indicates that he understands the therapy?

I will need these injections monthly for the rest of my life

A patient is receiving warfarin. Which of the following would the nurse monitor to determine the effectiveness of therapy? Select all that apply.

INR and Prothrombin time

A group of students are reviewing the various antianginal agents. The students demonstrate a need for additional review when they identify which of the following as a beta blocker?

Isosorbide

Which of the following lipid levels would the nurse interpret as being high?

LDL level of 180 mg/dL

The prototype angiotensin II receptor blocker is __________

Losartan

After teaching a class about the various drugs used to control blood glucose, the instructor determine the teaching was successful when the class identifies which of the following as a biguanide?

Metformin

Match drug to its classification

Metformin(Glucophage)- Biguanides Sitagliptin (Januvia)- Dipeptidyl peptidase 4 inhibitor Nateglinide(Starlix)- meglitinides Glyburide (DiaBeta)- second generation suylfonylureas Acarbose (Precose)- Alpha glucosidade inhibitors

Which agent would be used as part of a treatment plan for narcotic detoxification?

Methadone

Select antithyroid agents to treat hyperthyroidism

Methimazole (Tapazole) Propylthiouracil (PTU)

Which of the following drug indicates for relief of symptoms of GERD and prevention of nausea and vomiting?

Metoclopramide (Reglan)

A group of students are reviewing the drugs used to treat heart failure. The students demonstrate understanding of the information when they identify which agent as a phosphodiesterase inhibitor?

Milrinone

Which of the following would alert the nurse to suspect that a patient receiving HMG-CoA inhibitors is developing rhabdomyolysis?

Muscle pain and weakness

An instructor is teaching a group of students about possible drug interactions with iron preparations. The instructor states that which drug should be separated from the administration of iron at least two hours?

Norfloxacin, Antacids, Tetracycline

Which of the following instructions would be appropriate to include in the teaching plan for a patient taking digoxin at home?

Notify your doctor if you pulse is below 60 bpm, check your pulse daily before taking the medication, weigh yourself each day at the same time and wearing the same amount of clothing, call your doctor if you notice an irregular heart rhythm or you feel nauseated

Which of the following would be most important prior to beginning therapy with a urinary anti-infective agent?

Obtaining a urine culture and sensitivity test

A patient is diagnosed with peptic ulcer due to H pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic?

Omeprazole

To maximize absorption of digoxin, the nurse would instruct the patient to take the drug for which of the following?

On an empty stomach

A patient who is taking warfarin has an INR of 5.5. The nurse will anticipate giving

Oral Vitamin K

Which of the following would a nurse expect to be prescribed for a patient experiencing bladder spasms?

Oxybutynin

The nurse is preparing a class on narcotic agonists and their use during pregnancy and lactation. The nurse would include which agent as being classified as pregnancy category B?

Oxycodone

Match the drug

Pancreplipase- Crea, Pancrease Ranitidine- zantac Calcium Carbonate- tums Pantoprazole- Protonix Misoprostol- Cytotec

Which drug would a nurse identify as turning a patients urine reddish brown

Phenazopyridine

Which agent would the nurse expect to find when reviewing over-the-counter allergy products?

Phenylephrine

An instructor is teaching a group of students about appropriate interventions for patients with cystitis who is receiving norfloxacin. The instructor determines that the students need additional teaching when they identify which intervention as appropriate

Providing citrus juice

A patient has received a narcotic agonist for pain relief. The nurse would monitor the patient for which of the following?

Pupil constriction

The nurse is caring for a child with respiratory syncytial virus (RSV). Which drug would the nurse expect the pediatrician to order?

Ribavirin

A Patient is receiving candesartan. The nurse understands that this drug acts in which manner?

Selective bins with angiotensin II receptors in the vascular smooth muscle

After teaching a group of students about beta-1 selective blockers, the instructor determines that the teaching was successful when the students identify which of the following as a contradiction for using this group of drugs?

Sinus bradycardia

A patient is receiving a diuretic as part of his treatment plan for hypertension. The nurse would monitor the patient for signs and symptoms of hyperkalemia if the patient was receiving which agent?

Spironolactone

After teaching a patient who is reliving ferrous sulfate about the drug therapy regimen, which patient statement indicates that the teaching was succesful?

Stools might turn dark/green

an antidiarrheal agent has been found helpful in treating traveler's diarrhea and preventing cramping and distention associated with dietary excess.

Subsalicylate

Which agent would a nurse expect to be prescribed with migraine headaches?

Sumatripran

A group of students demonstrate understanding of topical decongestants, identifying them as which of the following?

Sympathomimetics

A patient is receiving a thyroid hormone to treat hyperthyroidism. Which of the following would indicate to the nurse that the patient needs a reduced dosage of the drug?

Tachycardia

A patient is to receive metoprolol. Which of the following would the nurse include in the teaching plan for this patient?

Take this drug with food to help promote its absorption

Which of the following would be most important to include when teaching a patient using psyllium?

Taking the agent with a large amount of water

A patient who is taking salicylates comes to the emergency department for evaluation. Which of the following would lead the nurse to suspect acute salicylate toxicity? Select all that apply

Tetany, hyperpnea, excitement

Which group of drugs should be avoided in children under 8 years old

Tetracyclines

After teaching a group of students about inhaled steroids, the instructor determines that the teaching was successful when the students state which of the following?

The drugs are not for use during an acute attack

Candida is a fungus that is responsible for ____ of the gastrointestinal tract

Thrush

The nurse would anticipate the need for an increased dosage of digoxin if the patient is taking which of the following?

Thyroid hormones

A therapeutic theophylline level ranges from 10 to 20 mcg/mL.

True

Desmopressin is a synthetic form of antidiuretic hormone

True

Morphine when administered orally, has a duration of action of 5 to 7 hours.

True

Warfarin typically takes 3 days to achieve its onset of action

True

After teaching a group of students about the signs and symptoms of benzodiazepine withdrawal, the instructor determines that additional teaching is needed when the students identify which of the following as manifestation?

Urinary retention

After reviewing the various antihypertensive agents, a group of students demonstrate the need for additional teaching when they identify which agent as a calcium channel blocker?

Valsartan

A patient is to receive rifampin. Which of the following would be most important for the nurse to include in the teaching plan for the patient?

Your urine or sweat may become orange in color

Which agent would be used to counteract a severe reaction occurring with the use of neostigmine?

atropine

When describing the action of chlorothiazide, which of the following would a nurse include?

blocking of the chloride pump

The 5-HT3 receptor blockers, including ondansetron (Zofran) and granisetron (Kytril),are particularly effective in decreasing the nausea and vimiting associated with

cancer chemotherapy

After teaching a group of students about nitrates, the instructor determines that the teaching was successful when the students identify which of the following as a contraindication?

cerebral hemorrhage

A patient is receiving fosinopril. Which adverse effect would the nurse caution the patient about to help to promote compliance?

cough

When describing the possible adverse effects associated with nitroglycerin, which of the following would the nurse include?

dizziness

Which of the following would be the nurse need to keep in mind about the use of dobutamine for treating heart failure?

does not raised myocardial oxygen demand

A patient is to receive atropine prior to surgery. The nurse would teach the patient about which would of the following as possible adverse effects? Select all that apply

dry mouth, sensitivity to light blurred vision

Which of the following most likely would be a component of a narcotic cough syrup?

hydrocodone

The nurse instructs a patient to take his prescribed simvastatin at bedtime to promote which of the following?

increase absorption of the drug

When describing the thyroid function, the nurse would emphasize the need for intake of which of the following?

iodine

Which of the following would be important for a patient who has received an anticholinergic agent? Select all that apply.

monitoring heart rate, osculating bowel sounds, monitoring urine output

Which of the following would a nurse have readily available should a patient who is receiving morphine experience significant respiratory depression?

nalaxone

The risk for __________________ increases if the loop diuretics are combined with aminoglycosides

ototoxicity

The nurse is assessing a patient who has just received naloxone. Which of the following would the nurse expect to assess? Select all that apply.

pain, tremulousness, pulmonary edema

Which of the following would a nurse expect to administer for a heparin overdose?

protamine sulfate

A patient is receiving a cephalosporin and an amino glycoside as a commutation therapy. Which of the following would be most important for the nurse to assess?

serum BUN levels

After teaching a group of students about topical nasal steroid decongestants, the instructor determines the need for additional teaching when the students identify which of the following as an example?

tetrahydroline

After reviewing information about thiazide diuretics, a group of students demonstrate the need for additional teaching when they identify which of the following as a possible adverse effect?

thiazide