pharm exam 1- chapter 6 PrepU practice questions

A client is agitated due to withdrawing from alcohol. Which group of drugs would assist the client? a.) Beta adrenergic antagonists b.) Antidepressants c.) Benzodiazepines d.) Antibiotics

c.) Benzodiazepines

A client receiving a medication develops an adverse reaction that occurs with an overdose of acetaminophen. Which nursing action would have mitigated this client's outcome? a.) Assess the client for taking over-the-counter (OTC) medications. b.) Ensure that the prescribed medication is appropriate for the client's weight. c.) Determine if the client has an allergy to acetaminophen. d.) Identify if the amount of acetaminophen in the prescribed medication is a safe dose.

a.) Assess the client for taking over-the-counter (OTC) medications.

The emergency department nurse is admitting a young adult client who denies the use of prescription or over-the-counter medications, but who admits to using cocaine and ecstasy. How should the nurse best follow up this assessment finding? a.) Assess the frequency of use and document the findings. b.) Educate the client about the dangers of recreational drug use. c.) Inform law enforcement authorities using the facility's protocol. d.) Dialogue with the client about drug use but avoid documenting in order to maintain confidentiality.

a.) Assess the frequency of use and document the findings.

What assessment should the nurse perform prior to administering pharmacologic treatments prescribed for a client diagnosed with cocaine-induced psychosis? a.) Cardiovascular assessment b.) Assessment of blood glucose levels c.) Lung auscultation d.) Assessment of cranial nerve function

a.) Cardiovascular assessment

The nurse is caring for a 64-year-old single client who lives in an inner city rooming house. What variable is most likely to affect the client's adherence to prescribed treatment? a.) Cost of the drug b.) Proximity to a pharmacy c.) Drug advertising d.) Route of administration

a.) Cost of the drug

A client has been diagnosed with heart failure and has been prescribed a calcium channel blocker. The client tells that nurse that it will be a major challenge to afford the medication and states, "I might see if I can find the pills cheaper from an online pharmacy in another country." What is the nurse's most appropriate action? a.) Educate the client about the potential risks involved in buying medications online. b.) Contact the drug manufacturer to determine if subsidies are available for clients who cannot afford the medication. c.) Inform the client that this practice is illegal and could lead to serious criminal charges. d.) Refer the client to a pharmacy that will identify and corroborate any medications the client has ordered online.

a.) Educate the client about the potential risks involved in buying medications online.

A client asks a nurse about using the Internet to obtain drugs at a cheaper price. The nurse should recommend the client access what site for additional information regarding this practice? a.) Food and Drug Administration b.) Centers for Disease Control and Prevention c.) National Center for Complimentary and Alternative Medicine d.) Drug Facts and Comparisons

a.) Food and Drug Administration

In order to protect the environment, what is it important to teach clients to do? a.) How to dispose of drugs properly b.) What drugs can be flushed down the sink c.) How to bury drugs without contaminating the ground d.) To protect animal life from drugs

a.) How to dispose of drugs properly

A client is admitted to the emergency department after having taken several barbiturates and drinking a pint of vodka. What is important for the nurse to continuously monitor for this client? a.) Monitor for respiratory depression. b.) Monitor for seizure activity. c.) Monitor blood glucose levels. d.) Monitor electrolyte levels.

a.) Monitor for respiratory depression.

When describing off-label use, what would the nurse need to keep in mind? a.) Off-label drug use may lead to the discovery of a new use for the drug. b.) Off-label drug use often involves drugs for treating heart disease. c.) Off-label use indicates that the drug is awaiting FDA approval. d.) Liability related to off-label use is clearly defined.

a.) Off-label drug use may lead to the discovery of a new use for the drug.

What patient populations are more commonly prescribed off-label drugs? a.) Pediatrics and geriatrics b.) Obstetrical patients and infants c.) Black males and black females d.) White males and white females

a.) Pediatrics and geriatrics

A client has been diagnosed with fibromyalgia and will begin pharmacologic treatment. The client wants to learn as much as possible about the health problem and its treatment, and states a plan to do extensive online research. What is the nurse's best action? a.) Teach the client basic skills to discern between sources that are valid and reliable and those that are not. b.) Encourage the client to bring the results of the research to scheduled appointments with the care provider. c.) Provide the client with accurate information so that the client does not have to seek out information online. d.) Respectfully dissuade the client from getting health information from the Internet.

a.) Teach the client basic skills to discern between sources that are valid and reliable and those that are not.

The triage nurse in the emergency department treats a patient and suspects the patient is abusing amphetamines. While assessing this patient, what would the nurse be likely to find? a.) The patient has hypertension. b.) The patient is elated. c.) The patient is bradycardia. d.) The patient is drowsy.

a.) The patient has hypertension.

A client has been prescribed a diuretic and asked the health care provider to write a prescription for twice the daily dose so that the client could split each pill and reduce costs. The nurse should: a.) caution the client that this practice can lead to inconsistent doses. b.) inform the client that he or she would be breaking the law by doing this. c.) encourage the client to discuss this practice with the pharmacist. d.) teach the client how to use a pill splitter correctly.

a.) caution the client that this practice can lead to inconsistent doses.

Over the counter drugs are drugs that are a.) deemed to be safe when used as directed b.) harmless to the public c.) too old to be tested d.) cheaper to use than prescription drugs

a.) deemed to be safe when used as directed

Which is a strategy that can help to reduce mortality from opioid overdose? a.) ensuring access to reversal agents when opioids are prescribed b.) increasing toxicology screening at every patient visit c.) increasing availability of opioids by making them over the counter medications d.) teaching patients about how to dispose of opioid medications

a.) ensuring access to reversal agents when opioids are prescribed

Heroin is classified as which type of street drug? a.) opioid b.) stimulant c.) hallucinogen d.) depressant

a.) opioid

How should the nurse best assess the client for physical dependence on alcohol? a.) Assess whether the client ever feels guilty about drinking. b.) Assess the client for signs and symptoms of alcohol withdrawal. c.) Assess the client's typical alcohol intake. d.) Assess the client's perceptions of coping strategies.

b.) Assess the client for signs and symptoms of alcohol withdrawal.

A nurse is preparing a presentation for a local community group about various influences on drug therapy in today's health care climate. When addressing the impact of the media on drug therapy, what information would the nurse include? a.) Television ads for prescription drugs are a recent development over the past 2 to 3 years. b.) Current medical research or reports are making their way into headlines as news. c.) Talk shows that include medical information typically present thorough and accurate information. d.) There currently are no federal guidelines as to what a company can say in an advertisement.

b.) Current medical research or reports are making their way into headlines as news.

The clinic nurse is talking with a patient about information concerning a drug they obtained from the Internet. What is the nurse's responsibility to the patient concerning this information? a.) Explain that information obtained from the Internet is not always accurate. b.) Interpret the information and explain it in terms that the patient will understand. c.) Encourage the patient to seek information about drugs from a pharmacist. d.) Offer the patient a drug reference guide.

b.) Interpret the information and explain it in terms that the patient will understand.

Ipecac, once used as the drug of choice by parents for treatment of suspected poisoning in children, was tested by the FDA in 2003. What was the finding of this testing? a.) Ipecac is the safest treatment for poisoning in children. b.) Ipecac is ineffective for its intended use. c.) Ipecac was "grandfathered" in as an ineffective drug. d.) Ipecac induces vomiting.

b.) Ipecac is ineffective for its intended use.

The nurse admitted a client who overdosed on an unknown drug. The fact that the client appears to be experiencing psychosis should suggest what possible drug to the nurse? a.) Heroin b.) LSD c.) Fentanyl d.) OxyContin

b.) LSD

What action should the nurse take when identifying that a client regularly self-medicates with herbal supplements? a.) Discontinue them if the client is taking prescription medications. b.) Notify the healthcare provider of the client's use of herbs. c.) Make sure that the client takes them one hour before prescription medications. d.) Research them for possible interactions with other medications.

b.) Notify the healthcare provider of the client's use of herbs.

A nurse is preparing a drug for administration to a patient. The drug does not have an indicated use for the patient's medical diagnosis. What should the nurse do? a.) Ask the patient why the drug has been prescribed for him b.) Question the prescriber concerning the ordered drug c.) Ask a co-worker his thoughts about the ordered drug for the patient d.) Administer the drug as ordered

b.) Question the prescriber concerning the ordered drug

A client, admitted for the treatment of a fracture, has a history of heavy alcohol use. What event should suggest the implementation of pharmacologic treatment for alcohol withdrawal? a.) Acute injuries have been treated. b.) Signs/symptoms of withdrawal are noted. c.) Skeletal muscle relaxants have taken effect. d.) Cognitive-behavioral therapy has begun.

b.) Signs/symptoms of withdrawal are noted.

When discussing the various reasons why clients may order drugs via the Internet from other countries, which would be least likely? a.) The medications are delivered directly to the client's doorstep. b.) The drugs are the same as those the client would get at home. c.) The drugs are commonly less costly. d.) The client does not need to see a health care provider.

b.) The drugs are the same as those the client would get at home.

The nurse is discharging a client with atrial fibrillation who has been prescribed "Warfarin 4 mg PO daily DAW." What should the nurse teach the client about this prescription? a.) The prescription can only be filled at a hospital-based pharmacy. b.) The pharmacy cannot dispense a generic equivalent. c.) The client will be given a one-week supply of the medication. d.) The medication has a high risk of adverse effects.

b.) The pharmacy cannot dispense a generic equivalent.

Herbal treatments and alternative therapies a.) are considered drugs and regulated by the FDA. b.) are considered dietary supplements and are not regulated by the FDA. c.) have no restrictions on claims and advertising. d.) contain no drugs, only natural substances.

b.) are considered dietary supplements and are not regulated by the FDA.

Cimetidine (Tagamet) is an OTC drug used to treat: a.) blood pressure. b.) heartburn. c.) headache. d.) muscle cramps.

b.) heartburn.

A nurse is working in the emergency department and is assigned to a client brought in by family members. The family thinks that the client is on methamphetamine. The nurse should assess for: a.) increased appetite. b.) hypertension. c.) bradycardia. d.) stupor.

b.) hypertension.

A client arrives at the emergency department after abusing ketamine. What would the nurse expect to assess? a.) hallucinations b.) loss of sensation c.) hypotension d.) memory loss

b.) loss of sensation

The nurse is caring for a client suspected of ketamine abuse. What characteristic behavior would the nurse expect to observe? a.) catatonia b.) sensory hallucinations c.) increased physical strength d.) euphoria

b.) sensory hallucinations

The cost of drug therapy is a major consideration in most areas because a.) generic drugs are always cheaper. b.) the high cost of drugs combined with more fixed income consumers puts constraints on drug use. c.) pharmacies usually carry only one drug from each class. d.) patients like to shop around and get the best drug for their money.

b.) the high cost of drugs combined with more fixed income consumers puts constraints on drug use.

Which teaching points about herbal therapies is inaccurate? a.) Many herbal therapies contain unusual ingredients. b.)The results of available testing involve large groups of people. c.) Active components in herbal therapies tend to vary in preparations of the same substance. d.) The FDA is not involved in regulating these therapies.

b.)The results of available testing involve large groups of people.

A client was prescribed an oral antibiotic but was unable to tolerate the medication due to adverse effects. The client asks the nurse what to do with the remaining medication. What is the nurse's best recommendation? a.) Bring the medication to the next scheduled appointment with the care provider. b.) Dispose of the medication in the toilet, flushing twice. c.) Bring the medication to a pharmacy that accepts unused medications. d.) Place the bottle of medication in an opaque bag and put it in the trash.

c.) Bring the medication to a pharmacy that accepts unused medications.

A client has been admitted with the diagnosis of acute alcohol withdrawal. The nurse should plan care with the goal of preventing which primary sign of the disorder? a.) Bradycardia b.) Hypotension c.) Delirium tremens d.) Gastrointestinal bleeding

c.) Delirium tremens

The nursing instructor is discussing the off-label use of drugs. What group of drugs would the instructor tell the students are often used for off-label indications? a.) Drugs used to treat gastrointestinal problems b.) Drugs used to treat cardiovascular problems c.) Drugs used to treat psychiatric problems d.) Drugs used to treat musculoskeletal problems

c.) Drugs used to treat psychiatric problems

The emergency department nurse is assessing a client who has been brought in by friends who state that the client took a large recreational dose of OxyContin. What is the nurse's priority action? a.) Reassure the client during hallucinations or psychosis. b.) Monitor the client for signs and symptoms of malignant hyperthermia. c.) Monitor and protect the client's respiratory status. d.) Identify a risk for injury and monitor the client for aggression.

c.) Monitor and protect the client's respiratory status.

A client reports that, "The alcohol treatment programs I've tried in the past have only helped for a little and then I start drinking again." This statement best describes which type of alcohol-related behavior? a.) Physical dependence b.) Withdrawal c.) Psychological dependence d.) Tolerance

c.) Psychological dependence

Drugs can be advertised in the mass media only if a.) the FDA indication is clearly stated. b.) the actual use is never stated. c.) adverse effects and precautions are stated if the use is stated. d.) all adverse effects are clearly stated.

c.) adverse effects and precautions are stated if the use is stated.

The nurse who is working in the emergency department admits a 14-year-old client who is exhibiting blurred vision, confusion, impaired breathing, muscle twitches, irregular heartbeat, and excessive sweating. The client's friends report that the client bought a lot of cough syrup and has been drinking it all day. The nurse understands that the client has overdosed on what over-the-counter medication? a.) ibuprofen b.) acetaminophen c.) dextromethorphan d.) guaifenesin

c.) dextromethorphan

Minoxidil was originally marketed for the treatment of hypertension. Many men, and some women, using the pill form of the drug discovered they had hair growth as the result of hair follicle function returning to their scalp. When this was found in a number of cases, the pharmaceutical company began marketing a spray form of the drug for hair regrowth for bald men. This is an example of: a.) placebo effect. b.) adverse effect. c.) off-label use. d.) secondary benefit.

c.) off-label use.

The home health care industry has grown because a.) there is a shortage of hospital beds b.) patients feel safer at home and prefer to be cared for at home c.) patients are going home from the hospital and becoming responsible for their own care sooner than in the past d.) the nursing shortage makes it difficult to care for patients in hospitals

c.) patients are going home from the hospital and becoming responsible for their own care sooner than in the past

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which side effects is it most important that the nurse monitor for? a.) anxiety b.) increased thirst c.) sedation d.) insomnia

c.) sedation

A client reports taking an over-the-counter (OTC) antacid to relieve acid indigestion daily for several months. This is the first time the client has ever reported this medication use to a health care provider. What health education should the nurse provide to the client? a.) "Unsupervised use of OTC antacids often lead to a rebound effect, with worsening indigestion." b.) "In future, let your provider know, because it could be that you could get an equivalent prescription that would be covered by insurance." c.) "There's a possibility that the drug could mask symptoms of a serious problem that could remain undiagnosed." d.) "Ensure that you keep your provider up to date on your mediation use so there aren't any unanticipated interactions."

d.) "Ensure that you keep your provider up to date on your mediation use so there aren't any unanticipated interactions."

Which website extension represents a professional group? a.) .gov b.) .com c.) .edu d.) .org

d.) .org

A client has been admitted for treatment of alcohol abuse disorder. Which client condition would cause the nurse to question a prescription for a benzodiazepine? a.) Previous treatment with benzodiazepines b.) Concurrent addiction to nicotine c.) Client denial of the severity of the addiction d.) Acute intoxication with depressed vital signs

d.) Acute intoxication with depressed vital signs

A client with newly diagnosed hypertension has received a prescription from the care provider reading "Vasotec 5 mg PO daily." The client has expressed concern to the nurse about the possible cost of the medication. What is the nurse's best action? a.) Educate the client about safe strategies for purchasing the medication online. b.) Inform the provider that the client requires a different medication. c.) Educate the client about the potential consequences of not taking the medication. d.) Encourage the client to inquire about purchasing a generic equivalent.

d.) Encourage the client to inquire about purchasing a generic equivalent.

A woman comes to the emergency department reporting that she thinks she was date raped. She states that she cannot remember anything and is extremely sleepy. "I think someone put something in my drink." What drug should the nurse suspect was most likely to be put in her drink? a.) Ketamine b.) Heroin c.) MDA d.) Gamma hydroxybutyrate

d.) Gamma hydroxybutyrate

The nurse is preparing a presentation for a local community group about the health care system and drug therapy. What principle should guide the nurse's preparation? a.) Most consumers have limited access to health care information. b.) Most consumers unquestioningly accept the drug that is selected and prescribed for them. c.) Most consumers view the health care provider as a person who is not to be questioned. d.) Most consumers are open to a wide range of over-the-counter and alternative therapies.

d.) Most consumers are open to a wide range of over-the-counter and alternative therapies.

A client has brought in a magazine advertisement for a medication and has asked the nurse to arrange a prescription for it. When addressing the client's request, what is the nurse's best action? a.) Educate the client about the fact that drug companies have no legal obligation to provide accurate information. b.) Teach the client about the role that advertising plays in drug companies' business models. c.) Objectively assess the suitability of the medication for the client's particular health needs. d.) Provide factual, understandable information that meets the client's learning needs.

d.) Provide factual, understandable information that meets the client's learning needs.

Which entity or act classifies herbal products, vitamins, and minerals as "dietary supplements"? a.) Centers for Disease Control b.) Food and Drug Administration c.) American Medical Society d.) The Dietary Supplement Health and Education Act of 1994

d.) The Dietary Supplement Health and Education Act of 1994

A patient tells the clinic nurse that they have been taking OTC Pepcid to relieve acid indigestion for several years. This is the first time the patient has ever reported this problem to a health care provider. Why should the patient share their use of Pepcid with their health care provider? a.) The drug could interact with several cold medicines. b.) The OTC drug could be more expensive than seeking health care advice. c.) Use of the drug could cause a rebound effect of Pepcid. d.) The drug could mask symptoms of a serious problem that is undiagnosed.

d.) The drug could mask symptoms of a serious problem that is undiagnosed.

In the past 20 years, the marketing power for prescription drugs has grown. Because of this, the health care provider must be aware of: a.) the cheerful, happy models who are advertising these drugs. b.) the plain language clients are reading about these drugs. c.) the adverse effects contained in the ads. d.) what clients are seeing about these drugs.

d.) what clients are seeing about these drugs.