Pharmacology Test 3 Practice Questions
A nurse administers quinidine sulfate to a patient with atrial fibrillation. The nurse should assess the electrocardiogram (ECG) tracing knowledge that quinidine sulfate has what effect on the ECG? *a.* Prolongation of the QT interval *b.* Prolongation of the PR interval *c.* Narrowing of the QRS complex *d.* Tall, peaked T waves
answer: A
A patient is receiving an IV infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication? *a.* Activated partial thromboplastin time (aPTT) *b.* Prothrombin time (PT) *c.* Platelet count *d.* Hemoglobin and hematocrit
answer: A
A patient with angina pectoris is prescribed sublingual nitroglycerin. Which statement made by the patient indicates understanding of the medication teaching? *a.* "I may experience a headache as a side effect" *b.* "The chest pain should be relieved within 20 minutes" *c.* "I should swallow the tablet and drink a glass of water" *d.* "I should take this medication in the morning before breakfast"
answer: A
Cholestyramine has been prescribed for a patient. Which instruction should the nurse include in patient teaching? *a.* Cholestyramine can impair absorption of fat-soluble vitamins *b.* stop taking the drug if you develop constipation *c.* take cholestyramine with other drugs you are prescribed to enhance absorption *d.* do not take the medication if the formula is cloudy after mixing with water
answer: A
A patient diagnosed with ST-elevation myocardial infarction has been scheduled for an angioplasty. Which medication does the nurse anticipate administering before the procedure? *a.* Dobutamine *b.* Abciximab *c.* Alteplase *d.* Warfarin
answer: B
A patient diagnosed with systemic lupus erythematous develops a dysrhythmia. Which medication if ordered by the physician, should the nurse question? *a.* Lidocaine *b.* Procainamide *c.* Disopyramide *d.* Amiodarone
answer: B
A patient is prescribed lovastatin. The nurse will teach the patient to take the medication at which time? *a.* with any meal *b.* with the evening meal *c.* 1 hour before breakfast *d.* 2 hours after a meal
answer: B
The nurse will teach a patient who is prescribed niacin to prevent flushing of the face by doing what? *a.* drinking a full glass of water after taking the medication *b.* taking 325mg of aspirin 30 minutes before each dose *c.* ingesting a meal before taking the medication *d.* increasing dietary fiber before and after each dose
answer: B
A patient has been diagnosed with a STEMI. Which medications does the nurse expect to be prescribed for this patient? *a.* Beta blocker, angiotensin II receptor blocker, and Oxygen *b.* Aspirin, angiotensin-converting enzyme inhibitor, and diuretics *c.* Aspirin, beta blocker, oxygen, morphine, and nitroglycerin *d.* Heparin, nitroprusside, morphine, and calcium channel blocker
answer: C
A patient is prescribed a nitroglycerin patch. The nurse should include which statement when teaching the patient how to use this medication? *a.* "Apply the patch to the chest over the heart" *b.* "Change the patch each week" *c.* "Remove the patch at bedtime" *d.* "Put on the patch before exercising"
answer: C
During administration of alteplase the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate? *a.* Discontinue the infusion of alteplase *b.* Assess the patient's vital signs *c.* Apply direct pressure over the puncture site *d.* Administer aminocaproic acid
answer: C
The nurse administers an IV infusion of amiodarone to a patient to prevent recurrent episodes of ventricular fibrillation. It is most important for the nurse to assess the patient for which condition? *a.* Urinary Retention *b.* Hypercalcemia *c.* Hypotension *d.* Metallic Taste
answer: C
The nurse teaches a patient diagnosed with chronic stable angina about the mechanism of action of nitroglycerin. The nurse should include which instruction? *a.* "Nitroglycerin reduces vasospasms of the heart's arteries, which improves blood supply" *b.* "Nitroglycerin opens the arteries to allow more oxygen to be delivered to the heart muscle" *c.* "Nitroglycerin dilates veins, which decreases the amount of oxygen needed by the heart" *d.* "Nitroglycerin improves blood flow to the heart muscle by increasing blood pressure"
answer: C
What is the antidote for heparin? *a.* Ferrous sulfate *b.* Atropine Sulfate *c.* Protamine Sulfate *d.* Magnesium Sulfate
answer: C
Which patient does the nurse identify as most likely needing an increased dose of warfarin to have the same anticoagulant effect? *a.* Patient taking acetaminophen for back pain *b.* Patient taking cimetidine to prevent gastric ulcers *c.* Patient taking oral contraceptives to prevent pregnancy *d.* Patient taking prednisone for rheumatoid arthritis
answer: C
A female patient who is diabetic sustained an ST-elevation myocardial infarction. The nurse provides discharge teaching. Which statement, made by the patient, indicates that further teaching is required? *a.* "Medications are needed to prevent heart failure" *b.* "I will take aspirin, atenolol, and captopril indefinitely" *c.* "My blood pressure should be less than 130/80 mm Hg" *d.* "Daily estrogen will prevent another heart attack"
answer: D
A patient in the ER is diagnosed with ST-elevation myocardial infarction. The patient has been prescribed 325mg of aspirin. Which action by the nurse is appropriate? *a.* Administer the medication to the patient if a headache develops *b.* Administer the medication with a full glass of water *c.* Instruct the patient to let the tablet dissolve under the tongue *d.* Tell the patient to chew the tablet thoroughly
answer: D
A patient is prescribed sustained-release oral nitroglycerin capsules for chronic stable angina. The nurse should include which instruction? *a.* "Avoid exercising to help prevent chest pain" *b.* "Place the capsule under the tongue if the chest pain occurs" *c.* "Take the capsule as needed before exercise or exertion" *d.* "Sit or lie down if dizziness or lightheadedness occurs"
answer: D
The nurse is preparing to administer adenosine to a patient to treat paroxysmal supraventricular tachycardia (SVT). Which action by the nurse is most appropriate? *a.* Inject the medication into the peripheral IV line *b.* Infuse the dose by diluting the drug in 100 ml of saline *c.* Administer a small test dose to determine hypersensitivity *d.* Give the medication through the central line catheter
answer: D