Final Pharm Exam
Document Details
Uploaded by UnfetteredLemur426
Miami Dade College
Tags
Summary
This document contains a selection of multiple choice questions related to pharmacology for a final exam. The topics include acute toxicity, administration, and treatment of particular conditions, such as asthma, hypothyroidism, and glaucoma. The questions are phrased in a way that requires recalling specific information and applying knowledge to patient care scenarios.
Full Transcript
**1-how do you know, how could you identify if your patient has acute acetaminophen or Tylenol toxicity?** Answer: Vomiting. **2- on Tylenol. You\'re caring for a patient that has daily use of acetaminophen to manage mild knee pain. Which one should you further investigate?** Answer:I take over t...
**1-how do you know, how could you identify if your patient has acute acetaminophen or Tylenol toxicity?** Answer: Vomiting. **2- on Tylenol. You\'re caring for a patient that has daily use of acetaminophen to manage mild knee pain. Which one should you further investigate?** Answer:I take over the counter cold medication for my sinus congestion. 3**- Ibuprofen. Your patient is taking ibuprofen for chronic hip pain. Which of the following instructions should the nurse include in the teaching?** Answer: Have a regular eye exam done while taking this med. **4-What do we tell patients that take Enteric-coated naproxen?** Answer:Do not crush or swallow. **5-A nurse is working on a unit. The nurse goes to the PICS and sees another nurse removing a small amount of morphine from a syringe before administering the medication to the client. What should the nurse do?** Answer:Inform the charge nurse about her suspicion. **6-You\'re collecting data on a client who has a prescription for morphine. What should the nurse recognize of this following data is a priority before you administer the medication?** Answer: Respiratory rate. **Note: 9 math questions are desired over half.** **7- what is the antidote for fentanyl?** Answer: naloxone **8-they brought you a patient to the emergency room, with acute toxicity, what do you think the patient gonna be?** Answer: pupillary dilatation **9-what are you gonna teach a PT with codeine before you discharge them?** Answer: change position slowly **10- A PT wants to know of the administration of the Gardasil vaccine, what does this vaccine do?** Answer: help protect against HPV **11-A nurse is preparing to administer the hepatitis B vaccine, how should you administer this vaccine when you are located in the deltoid muscle?** Answer: Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm. **12- You decided to become a public health nurse, and you would be administered a vaccine at a clinic, which of the following should the nurse asked the client before administering vaccine to ensure safety?** Answer: if they have allergies. **13-You are reviewing lab data on a client who has acute leukemia and received an aggressive chemotherapy treatment in 10 days. Which of the following abnormalities should you expect as a nurse to find?** Answer: Decreased platelet count Decreased leukocyte count (⬇️white blood cells ) Decreased erythrocyte count (⬇️red blood cells ) **14-You are treated a patient with chemo for squamous cell carcinomas. Which of the following methods should the nurse anticipate for this chemotherapy?** Answer: give topical application(because it's the skin **15-you administered your daily dose of NPH insulin at 7:30. The nurse should expect this type of insulin to peak within which time frame?** Answer: 4 to 14. **16-You are teaching your PT who has diabetes. PT has a prescription for insulin detemir injection once they leave. When should they administer it?** Answer: I inject my insulin in the evening before bedtime **17- What should you tell people who have to self-administer regular insulin NPH from the same needle?** Answer: Always draw regular insulin (clear) first, followed by NPH insulin (cloudy) to avoid contamination. **18-A nurse is prepared to administer a subcutaneous regular insulin to a client before PT eating breakfast at 8:30. Which of the following actions should you take?** Answer: Give the insulin before(Give insulin at 7:30 after checking the blood glucose level) **19- A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow? ** Answer: 1.Inspect vials for contaminants. 2\. Roll NPH vial between palms of hands. 3.Inject air into the NPH. 4\. Inject air into regular insulin vial **20-**.**A nurse is reinforcing teaching with a client who has hypothyroidism and has been prescribed levothyroxine. What should you tell them, about this medication? How should they take it?** Answer: Take it before meal or several hours after meal. **21-** **Radioactive iodine. What should we tell these patients?** Answer: stay away from friends and their family members. **22- The nurse notes that the client\'s labs reveals a granulocytosis. You placed a patient in a hospital where the patient is in a critical conditions taking PTU, which is propylothiouracil, to treat hyperthyroidism. What should you monitor for?** Answer: Risk of infection. **23- your patient has prednisone for rheumatoid arthritis, what should you tell them in the case that the treatment is being effective?** Answer: They have improved range of motion. 24- **how long should you hold your albuterol-metered dose inhaler for?** Answer: 10 seconds after taking the medication. **25- You\'re caring for a patient that has asthma. The client asks how albuterol helps with breathing.** Answer: decrease coughing episodes, open up your airways, prevent you from wheezing. **26- Your patient is taking rheumatoid arthritis and a new prescription of methotrexate. So, which of the following instructions should the nurse review with the client?** Answer: avoid people who have infections, report any unexplained bruising, not drink alcoholic beverages. **27- what does Albuterol give you? Which is the same as theophylline, like theophylline is in the family.** Answer: Tachycardia. **28- When do you take Montelukas?** Answer: Once a day in the evening **29- You\'re assisting your client about over-the-counter medications to treat insomnia. The nurse should include that which side effect from diphenhydramine, Benadryl. What does Benadryl cause?** Answer: Dry mouth. **30- A nurse is caring for a client who has asthma and taking fluconazole. What is the side effect of fluconazole?** Answer: Oral candidiasis. **31- So, you are teaching your patient about lisinopril. what is the most important that they can be what(contradictions)?** Answer: Pregnant. They cannot take this medication while pregnant. It will cause fetal defects. **32- So, we are still on lisinopril. Which of the following instructions should we include when we discharge a patient?** Answer: Notify your provider if you immediately become pregnant. Monitor your blood pressure regularly. Report the development of persistent dry cough. **33. spironolactone, your patient has liver failure with ascites, and these are your lab results. Which of the following is an adverse effect of this medication?** Answer: potassium 5.2 **34. We\'re still on spironolactone. You note that your client\'s potassium labs are 6.8. What are we going to do for this patient?** Answer: EKG. **35- You are treating your patient for hypertension, and they have a new prescription of verapamil. What foods should they avoid while taking this medication?** Answer: Grapefruit juice. **36-You\'re preparing to administer digoxin to a client who has heart failure. For which of the following should you withhold and report to the provider?** Answer: Blurred vision. **37-PT is taking Digoxin 0.25 for heart failure daily. PT BP is 144 over 96, heart rate is 54, respirations are 18, And his temp is 37. As a nurse, what should you do?** Answer: withhold for decreased heart rate **38- PT is taking atorvastatin. So, what do we need to tell them that he needs his baseline examinations prior to starting this?** Answer: Liver function test. **39- A nurse is reinforcing teaching with a client who has hyperlipidemia and is taking atorvastatin daily. what would you tell them to report to you?** Answer: I will notify my provider if my arms feel weak. **40- What is the antidote for heparin?** Answer: protamine sulphate **41-Pt with a new prescription of warfarin. What is the antidote?** Answer: Vitamin K **42-PT has a new prescription for Warfarin, which one of herbal medications should you tell them It\'s contraindicated?(SATA)** Answer: They cannot have saw palmetto. They cannot have glucosamine. They Cannot have glycosylation. **43-If your patient is on clopidogrel, which is Plavix for placement of a cardiac stent, what are you going to tell them is an adverse effect, if they are on an anticoagulant? ** Answer: Bloody or black stools **44-. You have a patient taking omeprazole for four weeks. How do you know that this medication has been effective?** Answer: they report that they don\'t have any more acid in digestion **45- your patient has a duodenal ulcer and has a new prescription for sucralfate. How do you know that it is working?** Answer: It protects against acid erosion (need to take medication at night on empty stomach) it protects the coat. **46- A nurse is working in the orthopedic section. And one of the patients is scheduled for surgical repair of femur fracture. They have a prescription for lorazepam preoperatively. How do you know this medication was effective?(SATA)** Answer: Sedated, drowsy, sleepy. **47-You have a patient that has GERD and a prescription for metoclopramide, which is reglan also. For which of the following adverse effects should you monitor?** Answer: Sedation. **48-. iron supplements, with what should you take this medication?** Answer: Orange juice. **49- You\'re preparing to administer buspirone to a client who has general anxiety disorder. The nurse should monitor the client for which of the following adverse effects?** Answer: Headache. **50-PT that have anemia. They should explain the following food sources contains iron and that is most easily absorbed by the body.** Answer: Chicken **51-Where do we inject vitamin K intramuscular to a newborn?** Answer: Vastus lateralis. **52- If any of us have vitamin B12 deficiency, what manifestations could happen if they\'re left untreated?** Answer: Mood changes, mobility challenges, and visual deficit. **53- you are caring for a client that has hypomagnesemia, and you are giving them IV magnesium replacement. how do you know that they\'re having magnesium toxicity?** Answer: prolonged PR interval on EKG. **54-. A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)** ================================================================================================================================================================================================================================================================================= Answer: repeat blood serum potassium ensure that the client\'s urine output is 1 ml kilograms per hour cardiac monitoring during infusion Educate the client regarding high-potassium food sources. **55- A nurse is giving you depo medroxyprogesterone. Which of the following should the nurse administer it?** Answer: deep intramuscular (IM) injection **56-. what does Sildenafil do to the old guys?** Answer: Ingestion of this medication with nitrates causes hypotension. **57- So, if PT is taking this for rectal dysfunction, what should you tell them? For How long?** Answer: Four hours. **58-. For administer insulin IM, what is the angle, guys?** Answer: 90 degrees. **59- A nurse is working on the unit. She just got a patient that came back from surgery and has a history of anaphylaxis in response to penicillin. She notices the client\'s postoperative prescription included a dose of cephalexin, which is the following action should the nurse take?** Answer: request that the surgeon prescribe a different antibiotic, **60-Cephalexin has penicillin in it. So, as a nurse, what are we gonna give the PT?** Answer: Fluoroquinolone. **61-. You\'re receiving an injection of penicillin G. Then you notice that your patient all of a sudden became anaphylactic. What should you do first?** Answer: We\'re gonna give PT an epi. **62: You are taking care of a patient that has chlamydia, and they have a prescription for azithromycin. Which of the following information should the nurse include in this reinforcement?** Answer: notify your provider if you experience sore throat or fever while taking this med. **63-. Your patient has osteoporosis and a new prescription of alendronate. What is the adverse effects that you\'re gonna teach this patient?** Answer: Jaw pain. Blurred vision. Dysphasia **64-A nurse gave a PT alendronate 70 milligrams per week. Which of the following statements prove that the Client needs further teaching** Answer: I take my alendronate at the same day every week with 8 ounces of milk. **65- A nurse is giving to a PT an sulfamethoxazole-Trimithoprim. What is the adverse effects? (It's an antibiotic),** Answer: Photosensitivity. **66-Your patient with open angle glaucoma has a prescription for timolol (These are drop) For which of the following adverse effects should you monitor?** Answer: bradycardia. **67-, how should you administer this medication (timolol) ? Where?** Answer: Conjunctival sac. **68-Patient taking quetiapine. What is an adverse effect of this medication?** Answer: Sedation.