Pharm Practice Exam 1

The nurse, working on the maternity unit, receives a call from a pregnant woman asking how she can know whether a medication is safe to take while pregnant. What is the nurse's best response? "You can take any drug indicated as a category A." "No medications should be taken during pregnancy." "Never take medication until you receive approval from your healthcare provider." "Most medications are safe but you need to weigh benefit against risk."

"Never take medication until you receive approval from your healthcare provider."

A client with cancer pain has been receiving morphine sulfate for several days. For the past few days, the medication is no longer effective in controlling the client's pain, and a larger dose is needed to have the same effect. How should the nurse explain this phenomenon to the client? "This is likely a result of your developing tolerance to the medication." "There is likely a buildup of morphine in your body that is unable to affect your pain receptors." "I'll collaborate with your provider to see if there might be other medications that are counteracting your morphine." "You might be developing a mild addiction to morphine, but this is certainly treatable."

"This is likely a result of your developing tolerance to the medication."

If a client takes 40 mg of a drug with a half-life of 2 hours, how much of the drug will remain 2 hours after administration? 10 mg 20 mg 30 mg 40 mg

20 mg

A client with an upper respiratory tract infection has been prescribed an antibiotic that the nurse is not familiar with. What should the nurse caring for the client do if not familiar with the new medication? a. Avoid administering the prescribed medication to the client. b. Administer an antibiotic with which the nurse is familiar. c. Collect information about the new medication. d. Administer the antibiotic as per the prescription provided.

C

Which of the client's medications should the nurse expect to be absorbed most slowly? Oral acetaminophen, given for a fever Intramuscular meperidine, given for pain A subcutaneous anticoagulant An intravenous antibiotic

Oral acetaminophen, given for a fever

What is a major disadvantage of using over-the-counter (OTC) medications? Cause increased visits to the health care practitioner. Consumers resist the effort to learn more about their condition. People may choose an OTC that interacts with another medication. There is a lack of autonomy.

People may choose an OTC that interacts with another medication.

A hospital client began taking a newly prescribed antihypertensive 12 hours ago and has developed a full body rash with edema and pruritis. What is the nurse's best action? Promptly inform the prescriber of the client's status. Discontinue the medication and document the assessment findings. Establish intravenous access and administer 25 mg diphenhydramine IV. Call an emergency code and monitor the client's respiratory and cardiac status.

Promptly inform the prescriber of the client's status.

The nurse is preparing a client for discharge knowing the client will be self-administering medication at home. What is the nurse's most appropriate action? Provide the client with the nurse's contact information for when the the client has questions. Provide thorough medication teaching about drugs and the drug regimen. Advise the use of over-the-counter medication to treat potential adverse effects. Provide a 2-day supply of medication to take home until prescription is filled.

Provide thorough medication teaching about drugs and the drug regimen.

A nurse, preparing to administer a Schedule II medication, should provide what information to the client? The drug has very limited medical use. The drug carries a high potential for abuse. The drug must be administered by two nurses. The drug can be purchased over the counter (OTC).

The drug carries a high potential for abuse.

Which client is most at risk for a cumulative drug effect? a client with liver failure a client with a skin infection a client with pneumonia a client with angioedema

a client with liver failure

The nurse administers a medication and the client has an immediate anaphylactic reaction following injection. What symptoms assessed by the nurse would indicate anaphylaxis? (Select all that apply.) a. difficulty breathing b. increased blood pressure c. diaphoresis d. constricted pupils e. slow heart rate

a,b,c

Before administering a prescription medication, the nurse should confirm what information on the drug label? Select all that apply. a. brand name b. generic name c. drug concentration d. expiration date e. adverse effects f. therapeutic effects

a,b,c,d

A parent brings a child to the clinic for an earache. The child receives a prescription for amoxicillin. The parent calls the clinic the next day and says the child has been taking the medicine and now has a rash. The nurse should give the parent instructions about which type of response? idiosyncratic response allergic response expected response hepatotoxic response

allergic response

Which are true of nonprescription drugs? (Select all that apply.) a. They require a prescription to obtain. b. They are referred to as over-the-counter drugs. c. They can be taken without risk to the client. d. They have certain labeling requirements. e. They should be taken only as directed on the label.

b,d,e

A nurse is administering gentamicin, an antibiotic that is ototoxic. Which report or sign would indicate that the client is suffering from ototoxicity? irregularities in cardiac rhythms and conduction buzzing or ringing sound in the ears (tinnitus) altered acid-base balance increased incidence of bacterial and viral infections

buzzing or ringing sound in the ears (tinnitus)

A client in cardiovascular collapse requires pharmacological interventions involving a rapid drug action and response. What route of administration is most likely appropriate? intravenous oral rectal topical

intravenous

Administration of a drug is primarily the responsibility of which health care provider? nurse physician pharmacist physician's assistant

nurse

The nurse at a campus medical clinic is administering a new medication to a 22-year-old female client. The nurse should educate the client about what potential risk of drug therapy? teratogenicity primary effects secondary effects poisoning

teratogenicity

Which phrase accurately describes the concept of a medication's serum half-life? the time required for IV medications to penetrate the brain tissue the time needed for the serum level to fall by 50% the safest margin to prevent toxicity the dose adjustment that reduces the risk of adverse effects by one half

the time needed for the serum level to fall by 50%

An older adult client has an elevated serum creatinine level. This client is at greatest risk for which medication-related effect? toxicity increased absorption delayed gastric emptying idiosyncratic effects

toxicity