Exam 1 LPN PHARM101: Pharmacology I Fall 2024 PDF

Exam 1 LPN PHARM101: Pharmacology I(Fall 2024)(Evening) Time Limit: 1hr 30m Start Date: Sep 12th 2024, 7:00 PM Instructor: AMI Exams End Date: Sep...

Exam 1 LPN PHARM101: Pharmacology I(Fall 2024)(Evening) Time Limit: 1hr 30m Start Date: Sep 12th 2024, 7:00 PM Instructor: AMI Exams End Date: Sep 12th 2024, 10:00 PM 1st Attempt: Sep 12th 2024, 7:09 PM My Performance Pass 8 / 40 80th Status Rank Percentile Attempt Details 51 / 60 85% 1hr 10m 4s Points Score Percentage Score Time Spent Roster Performance 61.3% 66.7% 17 Average Score Median Score Standard Deviation 0% 95% 57s Low Score High Score Average Time Spent Questions (50) 01 Multiple Select Which factor(s) in a patient would influence GI absorption of medications? (Select all that apply.) Time Spent Stomach pH 4m 43s Level of consciousness Time Spent Fever Blood flow to gastric mucosa Weight Body surface area 02 Multiple Choice Which life-threatening illness may occur as a result of aspirin (salicylate) administration during viral illness to patients younger than 20 years of age? Time Spent Anaphylactic shock 20s Reye's syndrome Time Spent Chickenpox Influenza A 03 Multiple Choice Which drug reference contains monographs about virtually every single-entity drug available in the United States and describes therapeutic uses of drugs, including approved and unapproved uses? Time Spent Martindale: The Complete Drug Reference 23s AHFS Drug Information Time Spent Drug Reference Drug Facts and Comparisons 04 Multiple Choice Which task is included in the assessment step of the nursing process? Time Spent Establishing patient goals/outcomes 2m 1s Implementing the nursing care plan (NCP) Time Spent Measuring goal/outcome achievement Collecting and communicating data 05 Multiple Choice Which step of the nursing process is being used when it has been determined that the pain medication given to patient an hour ago has been effective? Time Spent Evaluation 1m 5s Intervention Time Spent Nursing diagnosis Planning 06 Multiple Select Which statement(s) will be included when planning patient teaching regarding drug names? (Select all that apply.) Time Spent Most drug companies place their products on the market under generic names. 16s Time Spent The official name is the name under which the drug is listed by the US Food and Drug Administration (FDA). Brand names are easier to pronounce, spell, and remember. The first letter of the generic name is not capitalized. The chemical name is most meaningful to the patient. 07 Multiple Choice Which intervention would be considered to reduce accumulation of a drug in a patient who has decreased liver function? Time Spent Decreasing the time interval between dosages 1m 8s Reducing the dosage Time Spent Administering the medication intravenously Changing the drug to one that has a longer half-life 08 Multiple Choice What is the process by which a drug is transported by circulating body fluids to receptor sites? Time Spent Osmosis 14s Distribution Time Spent Absorption Biotransformation 09 Multiple Choice An obese patient did not meet the goal of "by the end of the second week, is able to follow a 1500 calorie diet." What will the nurse and the patient reassess? Time Spent Patient's weight 18s Patient's understanding of the 1500 calorie diet Time Spent Nurse's feelings about obese patients Healthcare agency's ability to provide the prescribed diet 10 Multiple Choice What will the nurse need to determine first in order to mix two drugs in the same syringe? Time Spent Absorption rate of the drugs 2m 14s Compatibility of the drugs Time Spent Drug blood level of each drug Medication adverse effects 11 Multiple Choice Which medication should not be administered with tetracycline? Time Spent Ativan 35s Tylenol Time Spent Colace Mylanta 12 Multiple Choice Which step of the nursing process is being used when prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range? Time Spent Assessment 33s Nursing diagnosis Time Spent Planning Evaluation 13 Multiple Choice Which explanation by the nurse is most helpful when teaching an elderly patient with difficulty swallowing about medications? Time Spent "Enteric coated tablets can be crushed and taken with applesauce." 50s Time Spent "Tablets that are scored can be broken in half." "Medications labeled ‘SR' can be crushed." "Avoid taking medications in liquid form." 14 Multiple Choice Which blood level determines the lowest amount of medication present in the patient? Time Spent Peak 35s Serum Time Spent Therapeutic Trough 15 Multiple Choice A patient developed hives and itching after receiving a drug for the first time. Which instruction by the nurse is accurate? Time Spent Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy. 2m 50s Time Spent Explain to the patient that these are signs and symptoms of an anaphylactic reaction. Emphasize to the patient the importance to inform medical personnel that in the future a lower dosage of this drug is necessary. Instruct the patient that it would be safe to take the drug again because this instance was a mild reaction. 16 Multiple Choice Which online drug reference makes available to healthcare providers and the public a standard, comprehensive, up-to-date look up and downloadable resource about medicines? Time Spent American Drug Index 9s American Hospital Formulary Time Spent DailyMed Drug Reference 17 Multiple Select Which action will the nurse take when formulating a plan to meet the patient's needs in the planning phase of the nursing process for a new admission to a long-term care facility? (Select all that apply.) Time Spent Formulate nursing interventions. 3m 20s Collect data. Time Spent Make a clinical judgment about the patient. Set priorities. Develop measurable goals. 18 Multiple Choice The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes after administration, the nurse finds the patient agitated and stating that "everyone is out to get me." Which Time Spent term is used for this unusual reaction? Desired action 2m 14s Time Spent Adverse effect Idiosyncratic reaction Allergic reaction 19 Multiple Choice Which outcome statement identified by the nurse is written correctly? Time Spent After surgery, patient will express acceptance of loss of breast. 18s Patient will die with dignity. Time Spent At the end of the shift, the nurse will determine whether the patient is more comfortable. Within the next 8 hours, urine output will be greater than 30 mL/hr. 20 Multiple Choice Which priority action should be implemented when hives are assessed on a patient started on a new medication? Time Spent Notify physician of allergic reaction. 1m 43s Notify physician of idiosyncratic reaction. Time Spent Notify physician of potential teratogenicity. Notify physician of potential tolerance. 21 Multiple Choice Which statement best describes the planning phase of the nursing process? Time Spent Administer insulin subcutaneously (subcut) in the abdominal area. 2m 9s Patient is at high risk for falls related to hypotension. Time Spent The patient will state the expected adverse effects of medication by the end of the teaching session. Itching has resolved; medication given is effective. 22 Multiple Choice Which drug reference contains drug monographs that describe all drugs in a therapeutic class? Time Spent Drug Facts and Comparisons 22s Drug Interaction Facts Time Spent Handbook on Injectable Drugs Martindale-The Complete Drug Reference 23 Multiple Choice What is the nurse's primary source of information when obtaining a patient history? Time Spent The physician 15s The patient record Time Spent The family The patient 24 Multiple Choice When is the ideal time for a nursing mother to take her own medications? Time Spent Before the infant latches on to begin to breastfeed. 4m 42s As soon as the mother wakes up in the morning. Time Spent Right before the mother goes to sleep at night. As soon as the infant finishes breastfeeding. 25 Multiple Choice Which classification of medications commonly causes allergic reactions in children? Time Spent Antacids 28s Analgesics Time Spent Antibiotics Anticonvulsants 26 Multiple Choice Which term describes when two drugs compete for the same receptor site, resulting in increased activity of the first drug? Time Spent Desired action 29s Synergistic effect Time Spent Carcinogenicity Displacement 27 Multiple Choice Which is an example of an interdependent nursing action? Time Spent Assess lung sounds every 4 hours. 1m 46s Educate the patient about the prescribed medication. Time Spent Administer Demerol 50 mg intramuscularly (IM) every 4 hours PRN. Encourage the patient to express feelings. 28 Multiple Choice Which patient statement indicates the need for further teaching after giving instructions to an expectant mother about taking medications during pregnancy? Time Spent "I will not take herbal medicines during pregnancy." 19s "For morning sickness, I will try crackers instead of taking a Time Spent drug." "If I get a cold, I will avoid taking nonprescription medications until I check with my physician." "I will limit my alcohol intake to only one glass of wine weekly." 29 Multiple Choice What do drug blood levels indicate? Time Spent They confirm if the patient is taking a generic form of a drug. 1m 26s They determine if the patient has sufficient body fat to metabolize the drug. Time Spent They verify if the patient is taking someone else's medications. They determine if the amount of drug in the body is in a therapeutic range. 30 Multiple Choice Which type of nursing diagnosis will be written when the patient exhibits factors that make him or her susceptible to the development of a problem? Time Spent Actual diagnosis 1m 59s Risk diagnosis Time Spent Possible diagnosis Wellness diagnosis 31 Multiple Choice Which patient would the nurse identify as having the lowest rate of absorption of enteral medications? Time Spent A 5-year-old boy 15s An 18-year-old woman Time Spent A 55-year-old man An 85-year-old woman 32 Multiple Select Which explanation indicates the difference between a nursing diagnosis and a medical diagnosis? (Select all that apply.) Time Spent Statement of the patient's alterations in structure and functions 3m 52s Description of the patient's ability to function in relation to Time Spent impairment Tend to remain the same throughout the course of illness or recovery from injury Varies depending on patient's state of recovery Based on research done by nurses Conditions can be accurately identified by nursing assessment methods 33 Multiple Choice Which statement is true about over-the-counter (OTC) drugs? Time Spent They are not listed in the USP NF. 16s A prescription from a healthcare provider is needed. Time Spent They are sold without a prescription. They are known only by their brand names. 34 Multiple Choice A physician's order indicates to administer a medication to the patient via the percutaneous route. Which route will the nurse anticipate the patient will receive this medication? Time Spent Intramuscularly 1m 29s Subcutaneously Time Spent Topically Rectally 35 Multiple Choice Which assessment data would the nurse identify as having the most effect on drug metabolism? Time Spent History of liver disease 50s Intake of a vegetarian diet Time Spent Sedentary lifestyle Teacher as an occupation 36 Multiple Choice Which blood level is assessed to determine the amount of circulating medication in a patient? Time Spent Peak 20s Trough Time Spent Drug Therapeutic 37 Multiple Choice Which source contains information specific to nutritional supplements? Time Spent USP Dictionary of USAN & International Drug Names 49s Natural Medicines Comprehensive Database Time Spent United States Pharmacopoeia/National Formulary (USP NF) Drug Interaction Facts 38 Multiple Choice What is a critical care pathway? Time Spent Nursing care plan for a patient in a critical care unit 1m 9s Standardized care plan derived from best practice patterns Time Spent Care plan that has been critiqued by a quality improvement officer Care plan based on measurable goals and outcomes 39 Multiple Select Which reason(s) explains why elderly patients are at increased risk for drug interactions and toxicity? (Select all that apply.) Time Spent Higher incidence of malnourishment 3m 6s Renal function is enhanced Time Spent Increased use of multiple medications Hepatic function is reduced Issues with swallowing 40 Multiple Choice What time will the trough blood level need to be drawn if the nurse administers the intravenous medication dose at 9:00 AM? Time Spent 6:30 AM 9s 8:30 AM Time Spent 9:30 AM 11:30 AM 41 Multiple Choice The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis. Which patient problem would the nurse consider the highest priority? Time Spent Decreased appetite 25s Thickened mucus secretions Time Spent Lack of knowledge about the disease process Decreased mobility 42 Multiple Choice Which action should the nurse implement when a resident in a long-term care facility reports difficulty swallowing enteric coated aspirin and asks the nurse to crush it prior to administration? Time Spent Crush the tablet and mix with applesauce. 19s Encourage the resident to swallow the tablet with a full glass of Time Spent water. Hold the medication and notify the physician. Substitute a regular aspirin for the enteric coated tablet. 43 Multiple Choice Which age-related change would affect transdermal drug absorption in geriatric patients the most? Time Spent Difficulty swallowing 4m 36s Diminished kidney function Time Spent Changes in pigmentation Altered circulatory status 44 Multiple Choice Which classification does meperidine (Demerol) fall under? Time Spent I 11s II Time Spent III IV 45 Multiple Choice What is the primary purpose of the nursing assessment? Time Spent Identifying underlying pathologic conditions 3m 50s Assisting the physician in identifying medical conditions Time Spent Determining the patient's mental status Exploring patient responses to health problems 46 Multiple Choice An older adult experiencing shortness of breath is brought to the hospital by her daughter. While obtaining the medication history from the patient and her daughter, the nurse discovers that neither Time Spent has a list of the patient's current medications or prescriptions. The patient has is a weekly pill dispenser that contains four different pills. The prescriptions are filled through the local pharmacy. Which resource would be appropriate to use in determining the medication names and doses? 12s Time Spent Martindale-The Complete Drug Reference Drugs and Facts Comparisons Senior citizens' center Patient's home pharmacy 47 Multiple Choice Which legislation authorizes the FDA to determine the safety of a drug before its marketing? Time Spent Federal Food, Drug, and Cosmetic Act (1938) 15s Durham Humphrey Amendment (1952) Time Spent Controlled Substances Act (1970) Kefauver Harris Drug Amendment (1962) 48 Multiple Choice Which medication ordered for a patient with a substance abuse history has the greatest risk for abuse? Time Spent Lomotil 32s Diazepam Time Spent Phenobarbital Lortab 49 Multiple Choice Which name identifies a drug listed by the US Food and Drug Administration (FDA)? Time Spent Brand 6s Nonproprietary Time Spent Official Trademark 50 Multiple Choice When a nursing diagnosis statement is written, who or what directs the nurse to identify appropriate nursing interventions? Time Spent Other nurses on staff who have experience with the diagnoses 7m 39s The patient and family who have an interest in the outcome Time Spent The etiologies of the problems identified in the nursing diagnoses The medical staff who have more expertise than the nurses