Amanda Burton
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Pharmacology Quiz on Pharmacology Final Review , created by Amanda Burton on 19/10/2017.

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Pharmacology Final Review

Question 1 of 131

1

The nursing process consists of many steps and they are

Select one or more of the following:

  • Assessment

  • Diagnosis

  • Planning

  • Implementation

  • Evaluation

  • Right Drug

  • Right Time

  • Right dose

  • Right patient

  • Right route

Explanation

Question 2 of 131

1

Fill the blank spaces to complete the text.

What are the 6 rights of med administration for the patient.





Explanation

Question 3 of 131

1

This is information given by the patient or family, include the concerns or symptoms felt by the patient.

Select one of the following:

  • Subjective data

  • Objective data

Explanation

Question 4 of 131

1

This involves looking and listening carefully, it is a process that helps you get information about the patient, the patient's problem, and anything that may influence the choice of drug to be given to the patient.

Select one of the following:

  • Assessment

  • Database

  • Diagnosis

  • Planning

  • Implementation

  • Evaluation

Explanation

Question 5 of 131

1

This is measurable data and are obtained when the health care provider gives the patient a physical examination.

Select one of the following:

  • Subjective

  • Objective

Explanation

Question 6 of 131

1

The most important time to obtain assessment data on the patient is:

Select one of the following:

  • any time care is administered by the nurse

  • when the patient is first admitted to the hospital

  • when the patient's condition changes significantly

  • any time additional objective data is required

Explanation

Question 7 of 131

1

The nurse is considering various factors in planning to give a medication. The highest priority step in the planning process is:

Select one of the following:

  • collect and use information about the patient and the medication

  • develop a teaching plan for the patient

  • decide on a reason for the administration

  • plan for special equipment that will be needed

Explanation

Question 8 of 131

1

The LPN is collecting data for the initial assessment of a patient upon admission to the hospital. Which action should the LPN consider to be the highest priority?

Select one of the following:

  • Decide on special equipment that will be needed to administer the patient’s medication.

  • Monitor the patient for his response to administered medication.

  • Collect and document a complete set of baseline vital signs.

  • Review the nursing care plan to verify that it is being followed accurately.

Explanation

Question 9 of 131

1

Which patient is most at risk to experience a medication error?

Select one of the following:

  • A 38-year old male patient admitted for repair of a fractured femur

  • A 14 year old female patient who is experiencing a UTI

  • A 52 year old female presurgical patient who speaks English as a second language

  • An 82 year old make who is experiencing a cardiac dysrhythmia

Explanation

Question 10 of 131

1

What are some ways to identify your patient:

Select one or more of the following:

  • Name

  • Birth date

  • Wrist band

  • Room number

  • Name on outside of door

  • Name on the MAR

  • Name on Medications

Explanation

Question 11 of 131

1

Fill the blank spaces to complete the text.

Evaluation requires the nurse to watch for the patient's response to a drug, noting both and findings.

Explanation

Question 12 of 131

1

These type of drugs have a potential for high abuse, an example of some of these drugs are herion, LSD, marijuana, peyote, and methamphetamine.

Select one of the following:

  • Scheduled 1 narcotic

  • Scheduled 2 narcotic

  • Scheduled 3 narcotic

  • Scheduled 4 narcotic

Explanation

Question 13 of 131

1

These types of drugs have a high potential for abuse may lead to severe psychologic or physical dependence, some examples of these type of drugs are amphetamines, methadone, morphine, pentobarbital, oxycodone (Percocet).

Select one of the following:

  • Scheduled 1 narcotics

  • Scheduled 2 narcotics

  • Scheduled 3 narcotics

  • Scheduled 4 narcotics

Explanation

Question 14 of 131

1

Which statements describe the nurse's responsibilities when working with controlled substances?

Select one of the following:

  • Medication not administered during a patient's stay can be used for another patient.

  • The ability to administer controlled substances is determined by state nurse practice acts.

  • Controlled substances should be monitored for potential health care provider abuse

  • Nurses can only possess a controlled substance if they are administering them, are in control of a supply, or if the drugs have been prescribed for personal use.

  • Nurses should immediately discard any refused scheduled controlled medication in the trash.

Explanation

Question 15 of 131

1

Whether the prescription is for hospitalized or non-hospitalized patients, the order contains the same information:

Select one or more of the following:

  • Patients full name

  • Date

  • Name of drug

  • Route

  • Dose

  • Frequency

  • Duration

  • Signature of Prescribers

Explanation

Question 16 of 131

1

A physician has prescribed a "now" dose of Lasix 50 mg IV push, this dose should be administered?

Select one of the following:

  • Immediately

  • Within 1.5 hours

  • With regular scheduled meds

  • When you finally notice the order has been put in

Explanation

Question 17 of 131

1

This is the tendency of the molecules of a substance to move from a region of high concentration to one of lower concentration.

Select one of the following:

  • Diffusion

  • Osmosis

  • Filtration

Explanation

Question 18 of 131

1

This is the diffusion of fluid through a semipermeable membrane; the flow is primarily from the thicker or more concentrated solution or less concentrated solution.

Select one of the following:

  • Diffusion

  • Osmosis

  • Filtration

Explanation

Question 19 of 131

1

This is the passage of a substance through a filter or through a material that prevents passage of certain molecules.

Select one of the following:

  • Diffusion

  • Osmosis

  • Filtration

Explanation

Question 20 of 131

1

Per Mrs. Stockdale what is one of the major symptoms of someone who abuses narcotics?

Select one of the following:

  • Constipation

  • Headache

  • Diarrhea

  • Memory loss

Explanation

Question 21 of 131

1

This is another route for enteral medications, for patients who cannot swallow or who are weal or nauseated may be able to take medications through this tube. It leads directly through the nose and into the stomach.

Select one of the following:

  • Nasogastric

  • Epigastric

  • Orogastric

  • Trachostomy

Explanation

Question 22 of 131

1

How far in front of the patients mouth should they hold the inhaler or nebulizer for effective administration.

Select one of the following:

  • 1 to 2 inches

  • 2 to 4 inches

  • Inside the lips

  • 1.5 to 3 inches

Explanation

Question 23 of 131

1

What are you going to do before you squeeze the canister for the patient to inhale the medication.

Select one of the following:

  • Have the patient exhale

  • Have the patient hold their breath

  • Have the patient Tilt their head back

  • Have the patient put their chin to their chest

Explanation

Question 24 of 131

1

The patient has an order to receive packed red blood cells. The most appropriate needle gauge for the nurse to choose is:

Select one of the following:

  • 25

  • 23

  • 21

  • 19

Explanation

Question 25 of 131

1

The nurse has just administered an intradermal injection. The nurse should inspect the injection site afterward for evidence of a

Select one of the following:

  • blister

  • bleb

  • bruise

  • blood droplet

Explanation

Question 26 of 131

1

The nurse is administering an IM injection. The most appropriate angle for administration is:

Select one of the following:

  • 90 degrees

  • 45 degrees

  • 30 degrees

  • 15 degrees

Explanation

Question 27 of 131

1

The nurse believes that the client is experiencing an allergic response to the IV fluid that is infusing. The highest priority initial action by the nurse should be:

Select one of the following:

  • clamp the tubing

  • stop the infusion

  • monitor the patient closely

  • notify the physician

Explanation

Question 28 of 131

1

These are used for the relief of overactive or nonproductive coughs.

Select one of the following:

  • Antitussives

  • Decongestant

  • Expectorant

  • Antihistamines

Explanation

Question 29 of 131

1

A popular Xanthine Bronchoilator that is effective in management of bronchial constriction and spasm, that is used to relax the smooth muscle cells in the bronchi and blood vessels in the lungs.

Select one of the following:

  • theophylline (Elixophyllin)

  • albuterol (Proventil)

  • fluticasone (Flovent)

  • ipratropium bromide (Atrovent)

Explanation

Question 30 of 131

1

These directly affect the alpha receptors of blood vessels in the nasal mucosa, causing vasoconstriction and are used to relieve nasal congestion that accompanies allergic rhinitis, sinusitis, and upper respiratory tract infections.

Select one of the following:

  • Antitussives

  • Decongestants

  • Expectorant

  • Antihistamines

Explanation

Question 31 of 131

1

When your taking a decongestant because it is over the counter it is safe to use for as long as you experience symptoms.

Select one of the following:

  • True
  • False

Explanation

Question 32 of 131

1

These are agents that decrease the thickness of respiratory secretions and aid in their removal; So Guaifenesin is used to treat symptoms of productive cough, these type of products may be useful in chronic respiratory disease when thick mucus is a complication and are indicated in patients with cough.

Select one of the following:

  • Antitussive

  • Decongestant

  • Expectorant

  • Antihistamine

Explanation

Question 33 of 131

1

While administering a expectorant your nursing actions should be to educate your patient on things that need to be done while taking this medication. You should teach them that

Select one or more of the following:

  • They should drink a full 8 oz glass of water while taking this medication

  • They should use a air humidifier while using this medication

  • They should double the dose if the original dose isn't working

  • They should continue to take this dose for as long as symptoms persist

Explanation

Question 34 of 131

1

A patient tells the nurse that he frequently treats his child's chronic allergies with OTC antihistamines. The most appropriate response from the nurse should be:

Select one of the following:

  • "Antihistamines are excellent drugs to use to treat children."

  • "Antihistamines can be used with children if the child is monitored closely."

  • "Antihistamines are usually not effective when given to children."

  • "Antihistamines overdosage can be fatal, especially in children."

Explanation

Question 35 of 131

1

Your doctor has placed you on Flonase for your nasal congestion, is it safe for him to also administer your immunizations while on this prescription.

Select one of the following:

  • True
  • False

Explanation

Question 36 of 131

1

What is the drug of choice in the prophylactic treatment of TB infections.

Select one of the following:

  • Isoniazid (INH)

  • Ciprofloxacin

  • norfloxacin (Noroxin)

  • levofloxacin (Levaquin)

Explanation

Question 37 of 131

1

When a drug is described as an agonist, it means it:

Select one or more of the following:

  • can only work by absorption

  • will be effective against bacteria

  • produces an action similar to the body's own chemical

  • stops other chemicals from working in the body

Explanation

Question 38 of 131

1

Drugs that act on a receptor in the body to stop a reaction are referred to as

Select one of the following:

  • agonists

  • partial agonists

  • antagonists

  • antireceptors

Explanation

Question 39 of 131

1

You've administered a medication to your patient for the first time, with a rapid response they start experiencing tightness in their throat, bronchospasm, feelings of apprehension, tingling and swelling in the face or throat, decrease in BP and elevation of heart rate, or in severe cases loss of consciousness or death.

Select one of the following:

  • An allergic reaction

  • An anaphylactic reaction

  • An idiosyncratic response

  • A normal side effect

Explanation

Question 40 of 131

1

A patient comes into the clinic complaining of a nonproductive cough and muscle aches for 5 days. She has no sore throat, fever, or swollen lymph nodes. She is coughing so much that she is unable to sleep at night. The physician might order which of the following.

Select one of the following:

  • A decongestant

  • An expectorant

  • An antitussive

  • An antibiotic

Explanation

Question 41 of 131

1

A patient is experiencing severe headache and pressure over her eyes. She feels congested. She has no temperature elevation. She has a past history of sinus infection. The physician might order which of the following?

Select one of the following:

  • An expectorant

  • An antibiotic

  • An antitussive

  • A decongestant

Explanation

Question 42 of 131

1

You are visiting an 80 year old patient in her home. She is recieving 0.125 mg of oral digoxin (Lanoxin) daily. She also takes hydrochlorothiazide 50 mg bid. She complains of blurred vision and nausea. You observe that she is confused and disoriented at times. Which of the following might be the problem?

Select one of the following:

  • The patient needs to have her hydrochlorothiazide increased.

  • The patient may have digitalis toxicity

  • The patient may have developed chronic heart failure

  • The patient may have Alzheimer disease

Explanation

Question 43 of 131

1

What are some most common adverse reactions to Antiinfectives?

Select one or more of the following:

  • hypersensitivity

  • organ toxicity

  • superinfection

  • C Diff

  • hemolysis

  • QT interval prolongation

Explanation

Question 44 of 131

1

Fill the blank space to complete the text.

When your 80 year old patient is in need of medication that could possible cause a toxicity because it stores in their fat cells and builds and builds instead of working, what is a phrase that you can remember to remind you that elderly patients should take less medicine.

Explanation

Question 45 of 131

1

The patient is prescribed transmucosal nitroglycerin tablets. These tablets should be:

Select one of the following:

  • chewed

  • swallowed

  • placed on the tongue

  • placed inside the cheek

Explanation

Question 46 of 131

1

The nurse is caring for a patient who presents to the ED with symptoms of lightheadness and palpitations. The patient is treated for supraventricular tachycardia. Once stabilized, she is discharged home with a prescription for an oral calcium channel blocker, Which medication does the nurse anticipate that the doctor will prescribe?

Select one of the following:

  • Propranolol (Inderal)

  • Verapamil (Calan)

  • Adenosine (Adenocard)

  • Disopyramide (Norpace)

Explanation

Question 47 of 131

1

A patient has been prescribed Pyridium as part of treatment for a UTI. Which manifestation warrants the nurse's immediate intervention?

Select one of the following:

  • Reddish-orange urine

  • Vertigo

  • N & V

  • Yellow Sclera

Explanation

Question 48 of 131

1

Which patient statement indicates an accurate understanding of the correct way to store nitroglycerin?

Select one of the following:

  • "I can keep my medication in a cardboard shoe box."

  • "I can keep my nitroglycerin together with my other pills in my daily container."

  • "I should keep my medication in the original container including the cotton."

  • "I should store my nitroglycerin in the refrigerator."

Explanation

Question 49 of 131

1

A nurse is caring for a patient with a history of CAD who reports CP 6/10. After obtaining the pt's V/S and administering nitroglycerin, the nurse carefully monitors the patient for which adverse reaction?

Select one of the following:

  • Tachypnea

  • Bradycardia

  • Hypotension

  • Hypothermia

Explanation

Question 50 of 131

1

The nurse is caring for a patient who is receiving nitroglycerin. Which symptom would prompt the nurse to intervene immediately?

Select one of the following:

  • Blurred vision

  • Flushed face

  • Headache

  • Dizziness

Explanation

Question 51 of 131

1

The LPN has been assigned to care for a patient who is receiving a cardiotonic drug. Before administering the medication, what priority action should the nurse take?

Select one of the following:

  • Verify the patients BUN and creatinine levels

  • Obtain the patients temperature

  • Auscultate the apical pulse rate for 60 seconds

  • Auscultate the lungs for wheezing

Explanation

Question 52 of 131

1

Which symptoms are indicative of digitalis toxicity?

Select one or more of the following:

  • Tachycardia

  • Mania

  • Headache

  • Nausea

  • Reddish-orange urine

  • Anorexia

Explanation

Question 53 of 131

1

The patient has been prescribed niacon. The nurse anticipates tthat the patient will have the most difficulty adjusting to the side effect of:

Select one of the following:

  • hyperuricemia

  • glucose tolerance

  • flushing

  • constipation

Explanation

Question 54 of 131

1

Your going to administer Digoxin 0.125 mg to your patient for Atrial flutter; once obtaining their apical pulse what is a accurate pulse rate to give this medication under?

Select one of the following:

  • < 60 or >100

  • > 60 or <100

  • > 50 or < 90

  • anywhere it doesn't matter about heart rate

Explanation

Question 55 of 131

1

What is a appropriate Digoxin level

Select one of the following:

  • 0.5-2

  • 1-1.5

  • 10-20

  • 12-20

Explanation

Question 56 of 131

1

Lidocaine (Xylocaine) may be used for treating which of the following dysrhythmias?

Select one of the following:

  • A fib

  • A flutter

  • Life-threatening ventricular dysrhythmias

  • Premature Atrial Contractions

Explanation

Question 57 of 131

1

Which of the following is a nitrate compound that is used therapeutically to abort acute attacks of angina pectoris?

Select one of the following:

  • Quinidine sulfate

  • Nirtoglycerin

  • Digoxin

  • Minoxidil

Explanation

Question 58 of 131

1

A patient is scheduled to leave he hospital tomorrow. He has been instructed to take nitroglycerin sublingually if angina is experienced. Which of the following instructions concerning dosage would he be given?

Select one of the following:

  • During an acute attack of angina, he may repeat the dose after 5 to 10 minutes if the pain is not relieved.

  • He should never repeat a dose but should notify the physician if the pain is not relieved.

  • If pain is not relieved within 3 to 5 minutes after taking a dose, he should repeat it. He may do this for three doses. If the pain is not relieved, he should chew an aspirin and go immediately to an emergency room.

  • He can take as many tablets as necessary until relief occurs.

Explanation

Question 59 of 131

1

The negative chronotropic side effect in patients receiving Digoxin is evidenced by:

Select one of the following:

  • increased heart rate

  • decreased heart rate

  • decreased contraction

  • increased ectopic beats

Explanation

Question 60 of 131

1

These products are vasodilators and so have a direct action on vascular smooth muscle and cause it to relax, they increase the use of the other small blood vessels in the heart so that there is better oxygen supply to the inner layers of the heart muscle.

Select one of the following:

  • Nitrates

  • Calcium channel blocker

  • Peripheral Vasodilators

  • Angioedema

Explanation

Question 61 of 131

1

Your patient has come to the office experiencing chest pain and elevated heart rate of 120 Sinus tachycardia, you would expect the doctor to write them a prescription for what type of dysrhythmia treatment.

Select one of the following:

  • propranolol

  • digoxin

  • lidocaine

  • verapamil

Explanation

Question 62 of 131

1

Your patient has been seen in the office for a dysrhythmia, heart rate 160 irregular Afib, what would you expect the doctor to write this particularity patient a prescription for:

Select one of the following:

  • propranolol

  • digoxin

  • lidocaine

  • verapamil

Explanation

Question 63 of 131

1

They prescribed your patient propranolol daily for high blood pressure, you know that this know as what type of drug

Select one of the following:

  • Beta blocker

  • Ace inhibitor

  • Statin

  • Loop diuretics

Explanation

Question 64 of 131

1

They prescribed your patient lisinopril daily for blood pressure, you know that this know as what type of drug

Select one of the following:

  • Beta blocker

  • ACE inhibitor

  • Statins

  • Loop Diuretics

Explanation

Question 65 of 131

1

A severe side effect of ACE inhibitors is

Select one of the following:

  • Angioedema

  • Hypotension

  • Flushing

  • Alopecia

Explanation

Question 66 of 131

1

Your patient has presented with hyperlipidemia, they doctor has prescribed a HMG-CoA you understand this is what type of drug:

Select one of the following:

  • Beta blocker

  • ACE Inhibitor

  • Statins

  • Loop Diuretics

Explanation

Question 67 of 131

1

The action of all diuretics is to increase fluid loss from the body. This type of drug acts directly to dilate the smooth muscles in the arterioles and works to prevent the reabsorption of sodium and chloride, may lead to the loss of large amounts of potassium and also works to promote reabsorption of calcium.

Select one of the following:

  • Thiazides

  • Loop diuretics

  • Potassium-sparing diuretics

  • Thiazide-like sulfonamides

Explanation

Question 68 of 131

1

The action of all diuretics is to increase fluid loss from the body. This acts by blocking active transport of chloride, sodium, and potassium in the thick ascending loop of Henle. These are often used in patients with kidney disease and to treat CHF, cirrhosis of the liver.

Select one of the following:

  • Thiazide

  • Thiazide-like sulfonamides

  • Loop diuretics

  • Potassium-sparing diuretics

Explanation

Question 69 of 131

1

The action of all diuretics is to increase fluid loss from the body. This type increases the excretion of water and sodium but saves K+, These drugs are used in patients with kidney disease, in older adult patients with poor kidney function who have hypokalemia, or in those patients with the risk for having hypokalemia.

Select one of the following:

  • Thiazide

  • Thiazide-like sulfonamides

  • Loop diuretic

  • Potassium-sparing diuretic

Explanation

Question 70 of 131

1

When giving elderly patients antihypertensive medications this must be done with precaution because they are most at risk for what type of side effect?

Select one of the following:

  • hypertensive crisis

  • postural hypotension

  • angioedema

  • hypokalemia

Explanation

Question 71 of 131

1

Nerves send or transmit information from the brain through chemical messengers known as:

Select one of the following:

  • basal ganglia

  • peripheral nervous system

  • neurotransmitters

  • central nervous system

Explanation

Question 72 of 131

1

Patients taking phenytoin (Dilatin), should be instructed to:

Select one of the following:

  • comply with serum liver function lab appointments

  • include foods high in vitamin D and folic acid in their diets

  • monitor for signs of infection

  • take the drug in the morning to mimic natural body systems responses

Explanation

Question 73 of 131

1

Antivertigo-antiemtic drugs act by:

Select one of the following:

  • causing an increase threshold in the vomiting center

  • producing a therapeutic serum level that is monitored monthly

  • producing drowsiness and thus inhibiting nausea

  • reducing the levels of dopamine and acetylcholine

Explanation

Question 74 of 131

1

These type of agents block nerve impulses in the receptors of the sympathetic nervous system and so may be used for either prevention or treatment and should be given as soon as the pain begins.

Select one of the following:

  • Antimigraine

  • Anticholinergic

  • Antiepileptic

  • Anticonvulsants

Explanation

Question 75 of 131

1

Your diabetic patient is having symptoms: sudden onset of nervousness, visual disturbances, hunger, malaise, cold, clammy skin, lethargy, pallor, diaphoresis, change in level of consciousness, confusion, abnormal behavior, shallow respiration's, feeling of heart pounding or racing, shakiness, sudden anxiety or tingling sensation around the mouth.

Select one of the following:

  • hypoglycemia

  • hyperglycemia

Explanation

Question 76 of 131

1

Your diabetic patient is having symptoms: Increased thirst, dry mouth, frequent urination, fatigue, headache, blurred vision.

Select one of the following:

  • hypoglycemia

  • hyperglycemia

Explanation

Question 77 of 131

1

The nurse is caring for a patient who is receiving treatment with an MAO inhibitor (MAOI) medication. Which patient statement indicates that the patient correctly understands dietary restrictions associated with MAOIs?

Select one of the following:

  • "I should refrain from eating any ice cream."

  • I should refrain from drinking orange juice."

  • "I should refrain from eating chicken."

  • "I should refrain from eating avocados."

Explanation

Question 78 of 131

1

The LPN is caring for a patient who is being treated with an ergot alkaloid medication. Which statement about ergot alkaloids as prophylactic treatment of vascular headaches is correct?

Select one of the following:

  • Ergot alkaloids are cholinergic drugs

  • Ergot alkaloids are adrenergic-blocking agents.

  • Ergot alkaloids are anticholinergic agents.

  • Ergot alkaloids are sympathomimetic drugs.

Explanation

Question 79 of 131

1

A patient calls the office and states that he has been taking sertraline (Zoloft) for almost a week without any symptom relief. How should the nurse advise the patient?

Select one of the following:

  • "The drug should have an immediate effect on your symptoms."

  • "It may take a few weeks before you experience significant effects of the medication."

  • "You need to increase your dose of the sertraline."

  • "Your health care provider needs to add additional medications."

Explanation

Question 80 of 131

1

This drug is used intravenously to control seizures and is the drug of choice for treatment of status epilepticus.

Select one of the following:

  • Diazepam (Valium)

  • Phenobarbital (Luminal)

  • pheytoin (Dilantin)

  • gabapentin ((Neurontin)

Explanation

Question 81 of 131

1

Your checking your patients labs and you notice that their Lithium level is within range at:

Select one of the following:

  • 1-1.5

  • 10-20

  • 3.5-5

  • 0.8-2

Explanation

Question 82 of 131

1

What is the go to drug for antiparkinsinians?

Select one of the following:

  • carbidopa-levodopa (Sinemet)

  • diphenhydramine (Benadryl)

  • diazepam (Valium)

  • lorazepam (Ativan)

Explanation

Question 83 of 131

1

MAOI may cause very dangerous reactions if taken with certain foods or beverages containing what ingredient?

Select one of the following:

  • tyramine

  • milk

  • peanuts

  • shellfish

Explanation

Question 84 of 131

1

Which signs and symptoms are associated with narcotic use?

Select one or more of the following:

  • Confusion

  • Diarrhea

  • Psychologic dependence

  • Decreased urine output

  • Respiratory stimulation

Explanation

Question 85 of 131

1

The LPN is caring for a patient who is scheduled to receive his first dose of a pain medication. Which information is most important for the nurse to obtain?

Select one of the following:

  • Ask the patient to rate his pain using a 1-to-10 scale.

  • Ask the patient about his history of allergies.

  • Ask the patient to describe his coping methods.

  • Ask the patient to describe unusual symptoms with this medication.

Explanation

Question 86 of 131

1

Which analgesics are classified as Schedule II drugs?

Select one or more of the following:

  • Codeine

  • Fentanyl

  • Meperidine

  • Pentazocine

  • Methadone

  • Propoxyphene

Explanation

Question 87 of 131

1

Which patient on opioid therapy is most susceptible to the side effect of constipation?

Select one of the following:

  • A 25-year-old female receiving chemotherapy for ovarian cancer

  • A 42-year-old male with depression

  • A 55-year-old female with sickle cell crisis

  • A 74-year-old male with a femur fracture

Explanation

Question 88 of 131

1

The LPN suspects that a patient may have overdosed on narcotics. Which medication does the nurse anticipate that the physician will order?

Select one of the following:

  • Naloxone

  • Methadone

  • Nalbuphine

  • Butorphanol

Explanation

Question 89 of 131

1

The LPN is caring for a patient who is being treated with intramuscular injections of pentazocine. Which action is most important for the nurse to take?

Select one of the following:

  • Rotate injection sites with every dose of medication.

  • Give the medication subcutaneously every three doses.

  • Ask the physician if the patient can take the medication orally.

  • Monitor the patient for development of blood clots.

Explanation

Question 90 of 131

1

A 2-year-old child has returned from surgical repair of a wrist fracture and is crying from pain. In addition to administering the prescribed analgesic, which nonpharmacologic treatment should the nurse implement?

Select one of the following:

  • Guided imagery

  • Heat

  • Distraction

  • TENS

Explanation

Question 91 of 131

1

Name three drugs classified as opioid agonist analgesics

Select one or more of the following:

  • Codeine

  • Hydrocodone

  • Oxycodone

  • Narcan

Explanation

Question 92 of 131

1

This type of pain is usually related to an injury, such as recent surgery, trauma, or infection, and ends within an expected time.

Select one of the following:

  • Acute

  • Chronic

Explanation

Question 93 of 131

1

This type of pain is any pain that continues beyond the usual course of an acute injury process.

Select one of the following:

  • Acute

  • Chronic

Explanation

Question 94 of 131

1

This opioid mechanism of action is it binds with the receptors to activate and produce the maximum response of the individual receptor.

Select one of the following:

  • Agonist

  • Partial agonist

  • Agonist antagonist

Explanation

Question 95 of 131

1

This opioid mechanism of action that produces a partial response.

Select one of the following:

  • Agonist

  • Partial agonist

  • Agonist antagonist

Explanation

Question 96 of 131

1

The opioid mechanism of action that acts as an agonist at one type of receptor and as a competitive antagonist at another type of receptor.

Select one of the following:

  • Agonist

  • Partial agonist

  • Agonist antagonist

Explanation

Question 97 of 131

1

Opioid overdosage may produce sedation and respiratory depression.

Select one of the following:

  • True
  • False

Explanation

Question 98 of 131

1

What is the first line of defense drug with osteoarthritis?

Select one of the following:

  • Acetaminophen

  • NSAIDS

  • ibuprofen

  • Tordal

Explanation

Question 99 of 131

1

This type of antiinflammatory and analgesic agent causes peptic ulcers or GI bleeding if over used.

Select one of the following:

  • Aspirin

  • Acetaminophen

  • Ibuprofen

  • NSAIDS

Explanation

Question 100 of 131

1

This is going to be the select all that apply question on the final so remember verbatim!!!

List four adverse reactions to thrombolytic agents?

Select one or more of the following:

  • Bleeding

  • hypersensitivity

  • dysrhythmias

  • polyneuropathy

  • hypotension

  • cholesterol embolism

  • pulmonary embolism

Explanation

Question 101 of 131

1

A patient is admitted to the hospital inpatient treatment unit for alcohol intoxication. After 2 days without alcohol, he is medically stable enough to begin therapy. He begins individual therapy and group sessions with AA. Prior to discharge, the physician might also start him on which of the following.

Select one of the following:

  • Simethicone

  • Disulfiram

  • Psyllium seed

  • Magnesium hydroxide

Explanation

Question 102 of 131

1

A laxative that works to soften the stool is an

Select one of the following:

  • lubricant laxative

  • stimulant laxative

  • bulk forming laxative

  • emollient laxative

Explanation

Question 103 of 131

1

AquaMEPHYTON, vitamin K1, is an example of a/an:

Select one of the following:

  • anticoagulant

  • hematinic

  • thrombolytic

  • hemostatic

Explanation

Question 104 of 131

1

Vitamin K is the antidote for heparin overdose

Select one of the following:

  • True
  • False

Explanation

Question 105 of 131

1

Coumarin or indandione derivatives are indicatedfor long term therapy.

Select one of the following:

  • True
  • False

Explanation

Question 106 of 131

1

The coumarin and indandione derivatives destroy existing blood clots

Select one of the following:

  • True
  • False

Explanation

Question 107 of 131

1

Select from the dropdown list to complete the text.

All anticoagulants prevent ( formation of blood clots, block the ability of platelets to stick ), or thrombi, by interfering with this complex clotting mechanisms of blood and increasing the time it takes for blood to clot.

Explanation

Question 108 of 131

1

Vitamin K must be present to produce and other clotting factors that are made in the:

Select one of the following:

  • liver

  • small intestine

  • large intestine

  • gallbladder

Explanation

Question 109 of 131

1

Fill the blank space to complete the text.

is the drug of choice in treating ischemic stroke.

Explanation

Question 110 of 131

1

The prothrombin time (PT) of a patient who is on long term Coumadin prophylaxis should be:

Select one of the following:

  • within the range of the activated partial thromboplastin time (PTT)

  • unchanged

  • 1.5 to 2 times the normal valve

  • 3 o 4 times the normal valve

Explanation

Question 111 of 131

1

An OTC medication used for a suspected thrombolytic event is

Select one of the following:

  • Coumadin

  • aspirin

  • streptokinase

  • Tylenol

Explanation

Question 112 of 131

1

A patient receiving long-term anticoagulant therapy (Coumadin) should:

Select one of the following:

  • receive daily assessment of INR levels

  • consume foods high in vitamin C

  • limit foods high in vitamin K

  • use aspirin for pain relief

Explanation

Question 113 of 131

1

List examples of when anticoagulant therapy is used:

Select one or more of the following:

  • to prevent new clot formation

  • stop existing clots from growing

  • prophylactically during & after surgery

  • patient with heart valve disease

  • hemodialysis

  • head injury

Explanation

Question 114 of 131

1

List some drugs that increase the risk of bleeding and hemorrhage in a patient receiving heparin.

Select one or more of the following:

  • Coumarin

  • methimazole

  • propylthiouracil

  • ASA

  • NSAIDS

  • Antihistamines

  • digitalis

  • nicotine

  • tetracycline

Explanation

Question 115 of 131

1

Select from the dropdown list to complete the text.

The nurse should carefully monitor the vital signs of a patient receiving thrombolytic therapy and carefully observe for ( bleeding, loss of consciousness, confusion, need for urination ).

Explanation

Question 116 of 131

1

List two uses for thrombolytic agents.

Select one or more of the following:

  • to dissolve clots from pulmonary emboli or a coronary artery thrombosis

  • clear IV catheters obstructed by clotted blood or fibrin

  • to form clot to keep patient from bleeding

  • an agent you place in the IV to keep the blood from back up into it

Explanation

Question 117 of 131

1

What is the typical INR goal for a patient

Select one of the following:

  • 2-3

  • 1-1.5

  • 10-20

  • 0.8-2

Explanation

Question 118 of 131

1

How do they determine the dose for heparin therapy?

Select one of the following:

  • WT

  • HT

  • BMI

  • AGE

Explanation

Question 119 of 131

1

You can give heparin two ways:

Select one or more of the following:

  • IV

  • SUBQ

  • IM

  • TABLET

Explanation

Question 120 of 131

1

What is the lab for Heparin check

Select one of the following:

  • aPTT

  • PT/INR

  • PT

  • INR

Explanation

Question 121 of 131

1

What is the Lab check for warfarin/coumadin?

Select one of the following:

  • PCTA

  • aPTT

  • DVT

  • PT/INR

Explanation

Question 122 of 131

1

This type of insulin normal ends in Log is always clear has an onset of 5-15 mins. Examples: Lispro (Humalog), aspart (Novolog)

Select one of the following:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

Explanation

Question 123 of 131

1

This type of insulin normal begins with an R is clear is the only one that can be given IV has an onset of 30-60 mins.

Select one of the following:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

Explanation

Question 124 of 131

1

This type of insulin always begins with an N, never used on a sliding scale, cloudy in color has an onset of 2-4 hours

Select one of the following:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

Explanation

Question 125 of 131

1

This type of insulin always begins with an L is never used on sliding scale is clear in color, used in high doses, never mixed with anything requires NO CBG or accucheck with this one and has no peak time.

Select one of the following:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

Explanation

Question 126 of 131

1

This is a proton pump inhibitor that decreases the amount of acid produced in the stomach

Select one of the following:

  • Protonix

  • Levothyroxine

  • Simethicone

  • Acetaminophen

Explanation

Question 127 of 131

1

A patient is found to have hyperthyroidism. The doctor wants to start her on medication therapy before performing surgery. He is most likely to prescribe which of the following?

Select one of the following:

  • Levothyroxine (Levothrid, Synthroid, others)

  • Liotrix (Thyrolar)

  • Liothyronine (Cytomel, Triostat)

  • Propylthiouracil (PTU)

Explanation

Question 128 of 131

1

Select from the dropdown list to complete the text.

( Hyperthyroidism, Hypothyroidism ) is where your fingers are clubbed, you have tremors, elevated diarrhea, intolerance to heat, fine straight hair, bulging eyes, facial flushing, enlarged thyroid, tachycardia, elevated BP, breast enlargement, WT loss, muscle wasting and localized edema.

Explanation

Question 129 of 131

1

Select from the dropdown list to complete the text.

( Hypothyroidism, Hyperthyroidism ) is where you have hair loss, apathy, lethargy, dry skin, muscle aches, constipation, intolerance to cold, receding hairline, facial and eyelid edemas, dull-blank expression, extreme fatigue, thick tongue, slow speech, anorexia, brittle nails and hair, and menstrual disturbances.

Explanation

Question 130 of 131

1

Your checking your patient's PT/INR what is the normal ranges that your looking for?

Select one of the following:

  • 1.5-3.5

  • 2-3

  • 0.5-2

  • 10-20

Explanation

Question 131 of 131

1

Your patient's specific gravity should be within 1.010-1.030

Select one of the following:

  • True
  • False

Explanation