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Pharm exam 2

Total questions: 50

Worksheet time: 50mins

Name
Class
Date
1.

The nurse assesses the client for symptoms of hyperthyroidism. Which symptom(s) can indicate hyperthyroidism? (Select all that apply.)

a)

Palpitations

b)

Constipation

c)

Excessive sweating

d)

Tachycardia

e)

Tinnitus

2.

While a client is taking prednisone, which laboratory value would be closely monitored?

a)

Hematocrit

b)

Hemoglobin

c)

Magnesium

d)

Sodium

3.

The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor daily?

a)

CBC

b)

Height and weight

c)

Renal function

d)

Serum glucose

4.

A patient is given desmopressin acetate. The nurse knows that this drug is used to treat which condition?

a)

Gigantism

b)

Diabetes Mellitus

c)

Diabetes Insipidus

d)

Adrenal Insufficiency

5.

A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation. Which medication would be appropriate to treat this child?

a)

Bromocriptine

b)

Conivaptan

c)

Somatrem

d)

Somatroin

6.

Which time frame would the nurse expect the client to experience a hypoglycemic reaction to regular insulin if administration occurs at 0700 and the client does not eat?

a)

0800-0900

b)

0900-1300

c)

1300-1500

d)

1500-1700

7.

Which drug(s) or category(ies) of drug(s) will in-teract with a sulfonylurea? (Select all that apply.

a)

Antacids

b)

Anticoagulants

c)

Anticonvulsants

d)

Aspirin

e)

Cimetidine

8.

The nurse is caring for a patient who has experienced head trauma in a motor vehicle accident. The patient is having excessive output of dilute urine. The nurse will notify the provider and will anticipate administering which medication?

a)

Calcifediol

b)

Corticotropin

c)

Prednisolone

d)

Vasopressin

9.

A patient is receiving a daily dose of NPH insulin at 7:30 a.m. The nurse expects the peak effect of this drug to occur at what time?

a)

0815

b)

1030

c)

1700

d)

2300

10.

A hemoglobin A1c level of 6.7% indicates

a)

Diabetes mellitus

b)

Prediabetes

c)

Hypoglycemia

d)

Normal blood levels

11.

A patient who has type 1 diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to:

a)

Increase the glucocorticoid dose

b)

decrease the insulin dose

c)

increase the glucocorticoid dose

d)

increase the insulin dose

12.

A patient has hypocalcemia caused by parathyroid hormone deficiency. Which medication will the nurse anticipate giving to this patient?

a)

Calcitonin

b)

Calcitriol

c)

Calcium

d)

Vitamin D

13.

A patient is prescribed metoprolol to treat hypertension. It is important for the nurse to monitor the patient for which condition? (Select all that apply.)

a)

Bradycardia

b)

Hypotension

c)

Diaphoresis

d)

Agitation

e)

Erythema

14.

A client with asthma asks the nurse how albuterol inhaler will work to help breathe better. Which response by the nurse best explains the action of the drug?

a)

“Albuterol will increase your heart rate so you will feel like you are able to breathe better.”

b)

“Albuterol causes the airways to open up more in the lungs, improving function.”

c)

“Albuterol will cause an increase in urinary output to remove extra fluid from the lungs.”

d)

“Albuterol causes bronchial smooth muscle contraction that forces air into the lungs.”

15.

A client presents to the clinic with a swollen face and tongue, difficulty breathing, and audible wheezes after eating a peanut butter sandwich for lunch. Which action would the nurse first take?

a)

Ensure a patent airway

b)

obtain an ECG

c)

Administer 1 mg of epinephrine subcut

d)

start an IV normal saline

16.

Which drug(s) is/are classified as beta blockers? (Select all that apply.)

a)

Albuterol

b)

Atenolol

c)

Propranolol

d)

Amphetamine

e)

Acebutolol

17.

The nurse is caring for a patient who will begin taking atenolol (Tenormin). What information will the nurse include when teaching the patient about taking this medication?

a)

The drug must be taken twice daily

b)

The patient must rise slowly from a chair or bed

c)

The medication is safe to take during pregnancy

d)

use NSAIDs as needed for mild to moderate pain

18.

Some over-the-counter (OTC) drugs for cold symptoms contain substances that have sympathetic properties. These drugs are contraindicated in clients with which disease process?

a)

Allergic rhinitis

b)

Hypertension

c)

Orthostatic hypotension

d)

Chronic bronchitis

19.

A client calls the home health agency to tell the nurse about shaking and trembling after using the albuterol inhaler. Which question would the nurse first ask the client?

a)

Are you having any other symptoms?

b)

How long ago did this start?

c)

When was the last time you used your inhaler?

d)

How many puffs did you take?

20.

A client with narrow-angle glaucoma is prescribed an anticholinergic drug. Which action would be a priority by the nurse?

a)

Administer the medication as ordered after verifying the patient’s identity.

b)

Give only one-half of the prescribed dose.

c)

Hold the dose and contact the health care provider.

d)

Wait until after the patient has taken glaucoma medication and then give the drug.

21.

Which outcome to the body would occur from receiving large doses of cholinergic drugs?

a)

Decreased blood pressure

b)

Decreased salivation

c)

Mydriasis

d)

Urinary retention

22.

Which drug treats myasthenia gravis by increasing muscle strength?

a)

Bethanechol

b)

Edrophonium chloride

c)

Neostigmine bromide

d)

Pilocarpine

23.

The nurse would question an order for atropine for which client?

a)

A client with a peptic ulcer

b)

a client with parkinsonism

c)

a client with cirrhosis

d)

a client with narrow-angle glaucoma

24.

The client has been taking bethanechol and is experiencing flushing, sweating, nausea, and abdominal cramps. Which action would be best for the nurse to take?

a)

Document the manifestations

b)

Give the client a laxative

c)

increase fluid intake

d)

obtain an order to administer atropine

25.

The nurse is administering bethanechol, a cholinergic agonist, and should know that the expected cholinergic effects include which of the following?

a)

Increased heart rate

b)

decreased peristalsis

c)

decreased salivation

d)

increased pupil constriction

26.

Cholinergic drugs have specific effects on the body. What are the actions of cholinergic medications? (Select all that apply

a)

Dilate pupils

b)

decrease heart rate

c)

stimulate gastric muscle

d)

increase salivation

e)

dilate blood vessels

27.

When a patient has a cholinergic overdose from excessive dosing of bethanechol, the nurse anticipates administration of which drug as the antidote?

a)

Atropine

b)

Tolterodine

c)

Benztropine

d)

Metoclopramide

28.

A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse about long-term adverse effects of this type of medication. The nurse will explain to the patient that these drugs

a)

can cause cardiac dysrhythmias/palpitations with continued use.

b)

contribute to the development of narcolepsy

c)

do not have severe effects when used properly.

d)

. will cause orthostatic hypotension.

29.

What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant?

a)

Keep the patient on bed rest

b)

Monitor the patient for seizure activity

c)

Continuously monitor the patient's pulse rate

d)

Obtain a bedside commode for the patient

30.

A patient taking lorazepam asks the nurse how this drug works. The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism?

a)

Depressing the central nervous system, leading to a loss of consciousness

b)

Depressing the central nervous system, including the motor and sensory activities

c)

Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to GABA receptors

d)

Creating an epidural block by placement of the local anesthetic into the epidural space

31.

The client works 12-hour night shifts one week and 12-hour day shifts the next week. the client tells the nurse that “some kind of sleeping pill from the drugstore” is used to help with sleep. What does the nurse suspect is the most likely main ingredient in the over-the-counter sleep drug?

a)

Antihistamine

b)

Barbiturates

c)

Benzodiazepines

d)

Opioid Agonists

32.

Which class of drug is the most commonly prescribed drug to assist patients with sleep disorders?

a)

Analeptic

b)

Anesthetic

c)

Sedative-Hypnotic

d)

Triptan

33.

The nurse witnesses a patient’s seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure?

a)

Myoclonic

b)

Absence

c)

Tonic-Clonic

d)

Pyschomotor

34.

When administering phenytoin, the nurse realizes more teaching is needed if the patient makes which statement?

a)

“I must shake the oral suspension very well before pouring it in the dose cup.”

b)

“I cannot drink alcoholic beverages when taking phenytoin.”

c)

“I should take phenytoin 1 hour before meals.”

d)

“I will need to get periodic dental checkups.”

35.

A patient is admitted to the emergency department with status epilepticus. Which drug should the nurse most likely prepare to administer to this patient? (Select all that apply.)

a)

Diazepam

b)

Midazolam

c)

Gabapentin

d)

Levetiracetam

36.

The nurse is caring for a patient who has a seizure disorder being treated with phenytoin. The nurse notes that the patient has reddened gums that bleed when brushing. The nurse recognizes this finding as:

a)

an adverse effect of the phenytoin

b)

likely due to a drug interaction with aspirin.

c)

a symptom of hepatotoxicity.

d)

. a sign of poor self-care.

37.

Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care?

a)

Report an abnormal phenytoin level of 18 mcg/mL.

b)

Monitor complete blood count levels for early detection of blood dyscrasias.

c)

Encourage the patient to brush teeth vigorously to prevent plaque buildup.

d)

Teach the patient to stop the drug immediately when passing pinkish-red or reddish-brown urine

38.

An older patient exhibits a shuffling gait, lack of facial expression, and tremors at rest. The nurse will expect the provider to order which medication for this patient?

a)

Carbidopa/levidopa

b)

donepezil

c)

rivastigmine

d)

tacrine

39.

A patient is receiving carbidopa-levodopa for Parkinson disease. What is most important for the nurse know about this drug?

a)

Carbidopa-levodopa may lead to hypertension.

b)

Carbidopa-levodopa may lead to salivation.

c)

Dopaminergics may lead to drowsiness.

d)

Dopaminergics are contraindicated in glaucoma.

40.

A client taking carbidopa-levodopa tablets for parkinsonism is complaining of dizziness, diarrhea, anxiety, and nasal stuffiness. Which complaints would the nurse recognize as a possible side effect of carbidopa-levodopa?

a)

Dizziness

b)

Diarrhea

c)

Anxiety

d)

Nasal stuffiness

41.

The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multiple sclerosis?

a)

The disease has periods of exacerbations followed by periods of remissions.

b)

Goals of treatment are to decrease the inflammation in the nervous system

c)

Patients experience muscle weakness, fatigue, vision and emotional problems

d)

Multiple sclerosis is an autoimmune disorder that causes plaque to develop

42.

The nurse is assessing a client who is receiving treatment for myasthenia gravis with pyridostigmine. Which clinical manifestations would be

noted if the drug is working

a)

Increased salivation

b)

maintenance of muscle strength

c)

miosis

d)

tachycardia

43.

Levodopa is prescribed for a patient with Parkinson’s disease. At discharge, which of the following teaching points should the nurse include?

a)

Monitor blood pressure every 2 hours for the first 2 weeks.

b)

Report the development of diarrhea

c)

Take the pill on an empty stomach or 2 hours after a meal containing protein.

d)

If tremors seem to worsen, take a double dose for two doses and call the provider

44.

The nurse suspects that a patient who is experiencing facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face may have which condition?

a)

Akathisia

b)

Acute dystonia

c)

Tardive dyskinesia

d)

Pseudoparkinsonism

45.

An antipsychotic agent, fluphenazine, is ordered for a patient with psychosis. The nurse understands that this agent can lead to symptoms of extrapyramidal syndrome (EPS). What are the symptoms of EPS?

a)

Parkinsonism

b)

Nausea and vomiting

c)

Hyperthermia and dysrhythmias

d)

Tremors, rigidity, and shuffling gait

46.

Neuroleptic drugs are useful in the management of which type of medical condition?

a)

Anxiety disorders

b)

Depressive disorders

c)

Psychotic Disorders

d)

Psychosomatic disorders

47.

Which food(s) or beverage(s) is/are contraindicated in a client that is prescribed isocarboxazid? (Select all that apply.)

a)

Bananas

b)

Chocolate

c)

Chicken

d)

Milk

e)

Wine

48.

Which effect is an advantage of taking selective serotonin reuptake inhibitors (SSRIs) over tricyclic antidepressants (TCAs)?

a)

Fewer sexual side effects

b)

Increased appetite

c)

Less sedation

d)

Less tachycardia

49.

Which nursing intervention is most important for a client taking lithium?

a)

Advising the client that the drug can be stopped when not in a manic phase

b)

Emphasizing the importance of client-adjusted dosage

c)

Monitoring for excessive thirst, weight gain, and increased urination

d)

Teaching the client to limit fluid intake to pre-vent weight gain

50.

The client is currently taking lithium for bipolar disorder, manic phase. Which laboratory value would the nurse monitor?

a)

BUN

b)

Blood glucose

c)

INR

d)

Platelet count