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PHARM FINAL

Total questions: 87

Worksheet time: 1hrs 5mins

Name
Class
Date
1.

A Patient is receiving candesartan.  The nurse understands that this drug acts in which manner?

a)

Inhibits the movement of calcium ions across the heart and arterial muscle cell membranes

b)

Increases the excretion of sodium water from the kidney

c)

Prevents angiotensin converting enzyme from converting angiotensin I to angiotensin II

d)

Selective binds with angiotensin II receptors in the vascular smooth muscle

2.

Which of the following instructions would be appropriate to include in the teaching plan for a patient taking digoxin at home?  Select all that apply.

a)

Notify your doctor if your pulse is below 60 beats per minute."

b)

"Check your pulse every day before taking the medication."

c)

"Take the drug with some type of food to avoid an upset stomach."

d)

"Weigh yourself each day at the same time and wearing the same amount of clothing."

e)

"Call your doctor if you notice an irregular heart rhythm or you feel nauseated."

3.

A nurse is planning an in-service program for a group of staff nurses about heart failure and its treatment.  The nurse would identify which agent as the most commonly used drug for treatment?

a)

ACE inhibitors

b)

Hydrochlorothiazide

c)

Digoxin

d)

Human B type natriuretic peptide

4.

To maximize absorption of digoxin, the nurse would instruct the patient to take the drug for which of the following?

a)

After a meal

b)

With a small glass of water

c)

With an antacid

d)

On an empty stomach

5.

The nurse would anticipate the need for an increased dosage of digoxin if the patient is taking which of the following?

a)

Amiodarone

b)

Erythomycin

c)

Verapamil

d)

Thyroid hormones

6.

A patient calls the clinic because he is concerned about his pulse rate.  The patient is taking digoxin.  The nurse would tell the patient to hold the medication if he reports a pulse rate of which of the following?

a)

66 beats/minute

b)

78 beats/minute

c)

52 beats/minute

d)

84 beats/minute

7.

A patient is receiving digoxin.  The nurse monitors the patient's digoxin level.  Which finding would the nurse interpret as therapeutic?

a)

2.2 ng/mL

b)

2.5 ng/mL

c)

3.1 ng/mL

d)

1.5 ng/mL

8.

A group of students are reviewing the drugs used to treat heart failure.  The students demonstrate understanding of the information when they identify which agent as a phosphodiesterase inhibitor?

a)

Milrinone

b)

Captopril

c)

Digoxin

d)

Hydrochlorothiazide

9.

When describing the action of chlorothiazide, which of the following would a nurse include?

a)

Blocking of the chloride pump

b)

Blocking the action of carbonic anhydrase

c)

Acting as an aldosterone antagonist

d)

Blocking of potassium secretion through the tubule

10.

After reviewing information about thiazide diuretics, a group of students demonstrate the need for additional teaching when they identify which of the following as a possible adverse effect?

a)

Hyperuricemia

b)

Hypocalcemia

c)

Hyperglycemia

11.

After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states which of the following?

a)

"I can still use my salt substitute if I want to."

b)

"I need to take the drug on an empty stomach."

c)

"I need to make sure I don't eat too many high potassium foods."

12.

The risk for __________________ increases if the loop diuretics are combined with aminoglycosides.

a)

Ototoxity

b)

Otoxicity

13.

A group of students are reviewing the various classes of diuretics.  The students demonstrated understanding of the information when they identify which of the following as a loop diuretic?

a)

Mannitol

b)

Furosemide

c)

Indapamide

14.

The nurse instructs a patient to take his prescribed simvastatin at bedtime to promote which of the following?

a)

Improved compliance with therapy

b)

Increase absorption of the drug

c)

Enhanced drug effectiveness

15.

After reviewing the various antihypertensive agents, a group of students demonstrate the need for additional teaching when they identify which agent as a calcium channel blocker?

a)

Nicardipine

b)

Verapamil

c)

Valsartan

16.

The prototype angiotensin II receptor blocker is _______________________.

a)

Losartan

b)

Losartan

17.

A patient is receiving an ACE inhibitor.  The nurse ensures that the patient's hydration status is maintained to prevent which of the following?

a)

Renal failure

b)

Cardiac arrhythmias

c)

Excessive hypotension

18.

A patient is receiving fosinopril.  Which adverse effect would the nurse caution the patient about to help to promote compliance?

a)

Constipation

b)

Cough

c)

Photosensitivity 

19.

The nurse administering a beta blocker to a patient with hypertension.  Which of the following would the nurse expect this drug to do?  Select all that apply.

a)

Block vasodilation

b)

Decrease cardiac muscle contraction

c)

Increase renal blood flow

d)

Increase renin release

e)

Decrease HR

20.

A patient is receiving carvedilol to treat his hypertension.  The nurse identifies this as which of the following?

a)

Alpha-1 blocker

b)

Beta adrenergic blocker

c)

Alpha-2 agonist

d)

Alpha- and beta-blocker

21.

A patient is receiving a diuretic as part of his treatment plan for hypertension.  The nurse would monitor the patient for signs and symptoms of hyperkalemia if the patient was receiving which agent?

a)

Spirolactone

b)

Hydrochlorothiazide

22.

 

Prazosin is a(n)_____________blocker that is used to treat hypertension.

a)

Alpha

b)

Alpha-1

23.

A patient is receiving verapamil.  Which of the following would be important for the nurse to stress that the patients avoid?

a)

Apple Juice

b)

Grapefruit Juice

c)

Milk

24.

Which of the following would alert the nurse to suspect that a patient receiving HMG-CoA inhibitors is developing rhabdomyolysis?

a)

Flatulence and abdominal bloating

b)

Increased bleeding and bruising

c)

Muscle pain and weakness

25.

Which of the following lipid levels would the nurse interpret as being high?

a)

LDL level of 180 mg/dL

b)

Triglyceride level  of 160 mg/dL

c)

Total cholesterol of 200 mg/dL

26.

When describing the action of atorvastatin, which of the following would the nurse include?

a)

Blocking the enzyme that is involved in cholesterol synthesis

b)

Stimulating the breakdown of lipoproteins from the tissues

27.

After teaching a group of students about topical nasal steroid decongestants, the instructor determines the need for additional teaching when the students identify which of the following as an example?

a)

Fluticasone

b)

Tetrahydrozoline

28.

A group of students demonstrate understanding of topical decongestants, identifying them as which of the following?

a)

Parasympatholytics

b)

Sympathomimetics

29.

Guaifensin

a)

Expectorant

b)

Expectorant

30.

Acetylcysteine

a)

Mucolytics

b)

Mucolytics

31.

Benzonatate

a)

Antitussives

b)

Antitussives

32.

Dextromethorphan

a)

Antitussives

b)

Antitussives

33.

Diphenhydramine

a)

Antihistamine

b)

Antihistamine

34.

After teaching a group of students about inhaled steroids, the instructor determines that the teaching was successful when the students state which of the following?

a)

e drugs action leads to suppression of beta adrenergic receptor activity

b)

he drugs are not for use during an acute attack.

35.

Isoproterenol is an anticholinergic agent.

a)

True

b)

False

36.

A patient who is prescribed ipratroprium administers the drug at 9:15 am.  The patient should begin to notice the drug beginning to act at which time?

a)

10:00 am

b)

9:30am

37.

A therapeutic theophylline level ranges from 10 to 20 mcg/mL.

a)

True

b)

False

38.

A group of students are reviewing the various drugs that affect inflammation.  The students demonstrate understanding when they identify which agent as a mast cell stabilizer?

a)

Calfactant

b)

Montelukast

c)

Cromolyn

39.

Which of the following would the nurse include as possible adverse effects when teaching a patient about albuterol?  Select all that apply

a)

hypotension

b)

Bronchospasm

c)

Nervousness

d)

Sweating

40.

The nurse instructs a patient who is using albuterol for exercise induced bronchospasm to use the inhaler at which time?

a)

15 minutes prior to exercising

b)

Immediately on beginning to exercise

41.

Which agent would be used as part of a treatment plan for narcotic detoxification?  Multiple choice

a)

Oxycodone

b)

Methadone

c)

Tranmadol

42.

Which if the following would a nurse have readily available should a patient who is receiving morphine experience significant respiratory depression?  Multiple choice

a)

Naloxone

b)

Buprenorphine

43.

The nurse is preparing a class on narcotic agonists and their use during pregnancy and lactation.  The nurse would include which agent as being classified as pregnancy category B?  Multiple choice

a)

Oxycodone

b)

Fentanyl

44.

Which agent would a nurse expect to be prescribed with migraine headaches?

a)

Sumatriptan

b)

Hydrocodone

45.

Morphine when administered orally, has a duration of action of 5 to 7 hours.

a)

True

b)

False

46.

A patient has received a narcotic agonist for pain relief.  The nurse would monitor the patient for which of the following?

a)

Pupil constriction

b)

Tachypnea

47.

The nurse administers morphine intravenously.  The nurse would expect the drug to exert its peak effects within which time frame?

a)

20

b)

30

c)

50

48.

Which of the following most likely would be a component of a narcotic cough syrup?

a)

Levorphanol

b)

Hydrocodone

c)

methadone

49.

Which of the following would a nurse have readily available should a patient who is receiving morphine experience significant respiratory depression?

a)

Naloxone

b)

Ergotamine

c)

Nalbuphine

50.

The nurse is assessing a patient who has just received naloxone.  Which of the following would the nurse expect to assess?  Select all that apply.

a)

Tremulousness

b)

Pain

c)

pulmonary edema

d)

Bradycardia

51.

A patient who is taking aspirin daily is scheduled to undergo a colonoscopy.  The patient stops taking the aspirin as ordered before the procedure.  The nurse would instruct the patient that she could resume taking aspirin after which time?  Multiple choice

a)

7 days

b)

2 days

c)

5 Days

d)

10 days

52.

A patient who is taking salicylates comes to the emergency department for evaluation.  Which of the following would lead the nurse to suspect acute salicylate toxicity?  Select all that apply

a)

Tetany

b)

Hypernea

c)

Exitement

53.

A patient takes ibuprofen at approximately 10:00 am.  The patient would most likely feel peak effects of the drug at which time?  Multiple choice

a)

12:00pm

b)

6:00pm

54.

The most frequently used agent for managing pain and fever in children is __________________________.  Fill in the blank

a)

Acetaminophen

b)

Acetaminophen

55.

Acetaminophen acts directly on the thermoregulatory cells in the _______________ to cause sweating and vasodilation.  Fill in the blank

a)

hypothalamus 

b)

hypothalamus 

56.

A patient with a peptic ulcer who uses NSAIDs is at high risk for __________________  _____________. Fill in the blanks

a)

gastrointestinal bleeding

b)

gastrointestinal bleeding

57.

A patient receives a beta-specific agonist.  Which of the following would lead the nurse to determine that the drug is effective?

a)

Bronchodilation

b)

Decreased heart rate.

58.

Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm?

a)

Epinephrine

b)

Norepinephrine

59.

Which agent would the nurse expect to find when reviewing over-the-counter allergy products?

a)

Phenylephrine

b)

Dopamine

c)

Midodrine

60.

A nurse would instruct a patient to apply a clonidine patch at which frequency?

a)

Every 7 days

b)

Every 5 days

61.

Which of the following would be the nurse need to keep in mind about the use of dobutamine for treating heart failure?

a)

Does not raise myocardial oxygen demand

b)

Has a slight preference for beta-2 receptors

62.

A patient is to receive atropine prior to surgery.  The nurse would teach the patient about which would of the following as possible adverse effects?  Select all that apply

a)

DIzzniness

b)

dry mouth

c)

Blurred vision

d)

Sensitivity to light

63.

Which of the following would be important for a patient who has received an anticholinergic agent?  Select all that apply.

a)

Monitoring Urine outout

b)

Monitoring heart rate

c)

Administering an antidiarrheal agent

d)

Auscultating bowel sounds

64.

After teaching a group of students about beta-1 selective blockers, the instructor determines that the teaching was successful when the students identify which of the following as a contradiction for using this group of drugs?

a)

COPD

b)

Thyroid disease

c)

Diabetes

d)

Sinus bradycardia

65.

A patient is to receive metoprolol.  Which of the following would the nurse include in the teaching plan for this patient?

a)

"Take this drug with food to help promote its absorption."

b)

"You should notice an increase in your energy level with this drug."

c)

"This drug should have no effect on your sexual activity level."

66.

Which of the following would be contraindication to the use of non-selective adrenergic blocker?

a)

Heart block

b)

Myocardial infarction

c)

Bronchospasm

67.

Which agent would be used to counteract a severe reaction occurring with the use of neostigmine?

a)

Atropine

b)

Edrophonium

c)

Phentolamine

68.

After teaching a group of students about direct acting cholinergic agonists, the instructor determines that additional teaching is necessary when students identify which of the following as an adverse effect?

a)

Hypertension

b)

Diarrhea

c)

Urinary urgency

69.

When explaining the action of terazosin to a patient, which of the following would the nurse include?

a)

Blocks alpha-1 adrenergic receptors

b)

Interferes with DNA replication

70.

Which of the following would a nurse expect to be prescribed for a patient experiencing bladder spasms?

a)

Oxybutynin

b)

Phenazopyridine

71.

Which of the following would be most important prior to beginning therapy with a urinary anti-infective agent?

a)

Obtaining a urine culture and sensitivity test

b)

Inspecting the skin for rashes

72.

Which drug would the nurse identify as turning a patient's urine reddish brown?

a)

Norfloxacin

b)

Phenazopyridine

73.

An instructor is teaching a group of students about appropriate interventions for patients with cystitis who is receiving norfloxacin.  The instructor determines that the students need additional teaching when they identify which intervention as appropriate?

a)

Providing citrus juices

b)

Instructing the patient to complete the full course of therapy

74.

Which of the following H-2 antagonists would the nurse identify as most potent?

a)

Famotidine

b)

Cimetidine

75.

A patient is receiving a thyroid hormone to treat hypothyroidism.  Which of the following would indicate to the nurse that the patient needs a reduced dosage of the drug?

a)

Tachycardia

b)

Intolerance to cold

76.

When describing the thyroid function, the nurse would emphasize the need for intake of which of the following?

a)

Vitamin B6

b)

Iodine

77.

A patient has hypocalcemia secondary to hypoparathyroidism.  Which of the following would the nurse expect to be ordered?

a)

Propylthiouracil

b)

Calcitriol

78.

Desmopressin is a synthetic form of antidiuretic hormone.

a)

true

b)

false

79.

A patient is diagnosed with peptic ulcer due to H. pylori.  The nurse would anticipate administering which agent in conjunction with an antibiotic?

a)

Omeprazole

b)

Magaldrate

80.

Which of the following would a nurse expect to administer if the goal of therapy is to block the release of hydrochloric acid in the stomach?

a)

Histamine-2 receptor antagonist

b)

Prostaglandin

81.

A group of students are reviewing the signs and symptoms of systemic alkalosis that can occur as a result of using sodium bicarbonate.  The students demonstrate a need for additional teaching when they identify which of the following as a possible manifestation?

a)

Constipation

b)

Muscle twitching

82.

If a patient is receiving sucralfate and omeprazole, the doses can be taken together.

a)

True

b)

False

83.

Which of the following would be most important to include when teaching a patient using psyllium?

a)

Taking the agent wit a large amount of water

b)

Taking other prescribed drugs along with the psyllium

84.

A physician prescribes a chemical stimulant laxative.  Which of the following would be appropriate?

a)

Bisacodyl

b)

Lactulose

85.

___________________________  _________________________ an antidiarrheal agent has been found helpful in treating traveler's diarrhea and preventing cramping and distention associated with dietary excess.

a)

Loperamide

b)

subsalicylate

86.

After teaching a class about the various drugs used to control blood glucose, the instructor determines that the teaching was successful when the class identifies which of the following as biguanide?

a)

Glipizide

b)

Metformin

87.

The pancreas releases _________________________, a hormone that counteracts the effects of insulin and work to increase glucose levels.

a)

Glucagon

b)

Glucagon