WorksheetsPHARM FINAL
Total questions: 87
Worksheet time: 1hrs 5mins
A Patient is receiving candesartan. The nurse understands that this drug acts in which manner?
Inhibits the movement of calcium ions across the heart and arterial muscle cell membranes
Increases the excretion of sodium water from the kidney
Prevents angiotensin converting enzyme from converting angiotensin I to angiotensin II
Selective binds with angiotensin II receptors in the vascular smooth muscle
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.
Notify your doctor if your pulse is below 60 beats per minute."
"Check your pulse every day before taking the medication."
"Take the drug with some type of food to avoid an upset stomach."
"Weigh yourself each day at the same time and wearing the same amount of clothing."
"Call your doctor if you notice an irregular heart rhythm or you feel nauseated."
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?
ACE inhibitors
Hydrochlorothiazide
Digoxin
Human B type natriuretic peptide
To maximize absorption of digoxin, the nurse would instruct the patient to take the drug for which of the following?
After a meal
With a small glass of water
With an antacid
On an empty stomach
The nurse would anticipate the need for an increased dosage of digoxin if the patient is taking which of the following?
Amiodarone
Erythomycin
Verapamil
Thyroid hormones
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?
66 beats/minute
78 beats/minute
52 beats/minute
84 beats/minute
A patient is receiving digoxin. The nurse monitors the patient's digoxin level. Which finding would the nurse interpret as therapeutic?
2.2 ng/mL
2.5 ng/mL
3.1 ng/mL
1.5 ng/mL
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?
Milrinone
Captopril
Digoxin
Hydrochlorothiazide
When describing the action of chlorothiazide, which of the following would a nurse include?
Blocking of the chloride pump
Blocking the action of carbonic anhydrase
Acting as an aldosterone antagonist
Blocking of potassium secretion through the tubule
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?
Hyperuricemia
Hypocalcemia
Hyperglycemia
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?
"I can still use my salt substitute if I want to."
"I need to take the drug on an empty stomach."
"I need to make sure I don't eat too many high potassium foods."
The risk for __________________ increases if the loop diuretics are combined with aminoglycosides.
Ototoxity
Otoxicity
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?
Mannitol
Furosemide
Indapamide
The nurse instructs a patient to take his prescribed simvastatin at bedtime to promote which of the following?
Improved compliance with therapy
Increase absorption of the drug
Enhanced drug effectiveness
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?
Nicardipine
Verapamil
Valsartan
The prototype angiotensin II receptor blocker is _______________________.
Losartan
Losartan
A patient is receiving an ACE inhibitor. The nurse ensures that the patient's hydration status is maintained to prevent which of the following?
Renal failure
Cardiac arrhythmias
Excessive hypotension
A patient is receiving fosinopril. Which adverse effect would the nurse caution the patient about to help to promote compliance?
Constipation
Cough
Photosensitivity
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.
Block vasodilation
Decrease cardiac muscle contraction
Increase renal blood flow
Increase renin release
Decrease HR
A patient is receiving carvedilol to treat his hypertension. The nurse identifies this as which of the following?
Alpha-1 blocker
Beta adrenergic blocker
Alpha-2 agonist
Alpha- and beta-blocker
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?
Spirolactone
Hydrochlorothiazide
Prazosin is a(n)_____________blocker that is used to treat hypertension.
Alpha
Alpha-1
A patient is receiving verapamil. Which of the following would be important for the nurse to stress that the patients avoid?
Apple Juice
Grapefruit Juice
Milk
Which of the following would alert the nurse to suspect that a patient receiving HMG-CoA inhibitors is developing rhabdomyolysis?
Flatulence and abdominal bloating
Increased bleeding and bruising
Muscle pain and weakness
Which of the following lipid levels would the nurse interpret as being high?
LDL level of 180 mg/dL
Triglyceride level of 160 mg/dL
Total cholesterol of 200 mg/dL
When describing the action of atorvastatin, which of the following would the nurse include?
Blocking the enzyme that is involved in cholesterol synthesis
Stimulating the breakdown of lipoproteins from the tissues
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?
Fluticasone
Tetrahydrozoline
A group of students demonstrate understanding of topical decongestants, identifying them as which of the following?
Parasympatholytics
Sympathomimetics
Guaifensin
Expectorant
Expectorant
Acetylcysteine
Mucolytics
Mucolytics
Benzonatate
Antitussives
Antitussives
Dextromethorphan
Antitussives
Antitussives
Diphenhydramine
Antihistamine
Antihistamine
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?
e drugs action leads to suppression of beta adrenergic receptor activity
he drugs are not for use during an acute attack.
Isoproterenol is an anticholinergic agent.
True
False
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?
10:00 am
9:30am
A therapeutic theophylline level ranges from 10 to 20 mcg/mL.
True
False
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?
Calfactant
Montelukast
Cromolyn
Which of the following would the nurse include as possible adverse effects when teaching a patient about albuterol? Select all that apply
hypotension
Bronchospasm
Nervousness
Sweating
The nurse instructs a patient who is using albuterol for exercise induced bronchospasm to use the inhaler at which time?
15 minutes prior to exercising
Immediately on beginning to exercise
Which agent would be used as part of a treatment plan for narcotic detoxification? Multiple choice
Oxycodone
Methadone
Tranmadol
Which if the following would a nurse have readily available should a patient who is receiving morphine experience significant respiratory depression? Multiple choice
Naloxone
Buprenorphine
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
Oxycodone
Fentanyl
Which agent would a nurse expect to be prescribed with migraine headaches?
Sumatriptan
Hydrocodone
Morphine when administered orally, has a duration of action of 5 to 7 hours.
True
False
A patient has received a narcotic agonist for pain relief. The nurse would monitor the patient for which of the following?
Pupil constriction
Tachypnea
The nurse administers morphine intravenously. The nurse would expect the drug to exert its peak effects within which time frame?
20
30
50
Which of the following most likely would be a component of a narcotic cough syrup?
Levorphanol
Hydrocodone
methadone
Which of the following would a nurse have readily available should a patient who is receiving morphine experience significant respiratory depression?
Naloxone
Ergotamine
Nalbuphine
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.
Tremulousness
Pain
pulmonary edema
Bradycardia
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
7 days
2 days
5 Days
10 days
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
Tetany
Hypernea
Exitement
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
12:00pm
6:00pm
The most frequently used agent for managing pain and fever in children is __________________________. Fill in the blank
Acetaminophen
Acetaminophen
Acetaminophen acts directly on the thermoregulatory cells in the _______________ to cause sweating and vasodilation. Fill in the blank
hypothalamus
hypothalamus
A patient with a peptic ulcer who uses NSAIDs is at high risk for __________________ _____________. Fill in the blanks
gastrointestinal bleeding
gastrointestinal bleeding
A patient receives a beta-specific agonist. Which of the following would lead the nurse to determine that the drug is effective?
Bronchodilation
Decreased heart rate.
Which of the following would the nurse expect to be given to a patient experiencing acute bronchospasm?
Epinephrine
Norepinephrine
Which agent would the nurse expect to find when reviewing over-the-counter allergy products?
Phenylephrine
Dopamine
Midodrine
A nurse would instruct a patient to apply a clonidine patch at which frequency?
Every 7 days
Every 5 days
Which of the following would be the nurse need to keep in mind about the use of dobutamine for treating heart failure?
Does not raise myocardial oxygen demand
Has a slight preference for beta-2 receptors
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
DIzzniness
dry mouth
Blurred vision
Sensitivity to light
Which of the following would be important for a patient who has received an anticholinergic agent? Select all that apply.
Monitoring Urine outout
Monitoring heart rate
Administering an antidiarrheal agent
Auscultating bowel sounds
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?
COPD
Thyroid disease
Diabetes
Sinus bradycardia
A patient is to receive metoprolol. Which of the following would the nurse include in the teaching plan for this patient?
"Take this drug with food to help promote its absorption."
"You should notice an increase in your energy level with this drug."
"This drug should have no effect on your sexual activity level."
Which of the following would be contraindication to the use of non-selective adrenergic blocker?
Heart block
Myocardial infarction
Bronchospasm
Which agent would be used to counteract a severe reaction occurring with the use of neostigmine?
Atropine
Edrophonium
Phentolamine
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?
Hypertension
Diarrhea
Urinary urgency
When explaining the action of terazosin to a patient, which of the following would the nurse include?
Blocks alpha-1 adrenergic receptors
Interferes with DNA replication
Which of the following would a nurse expect to be prescribed for a patient experiencing bladder spasms?
Oxybutynin
Phenazopyridine
Which of the following would be most important prior to beginning therapy with a urinary anti-infective agent?
Obtaining a urine culture and sensitivity test
Inspecting the skin for rashes
Which drug would the nurse identify as turning a patient's urine reddish brown?
Norfloxacin
Phenazopyridine
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?
Providing citrus juices
Instructing the patient to complete the full course of therapy
Which of the following H-2 antagonists would the nurse identify as most potent?
Famotidine
Cimetidine
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?
Tachycardia
Intolerance to cold
When describing the thyroid function, the nurse would emphasize the need for intake of which of the following?
Vitamin B6
Iodine
A patient has hypocalcemia secondary to hypoparathyroidism. Which of the following would the nurse expect to be ordered?
Propylthiouracil
Calcitriol
Desmopressin is a synthetic form of antidiuretic hormone.
true
false
A patient is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic?
Omeprazole
Magaldrate
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?
Histamine-2 receptor antagonist
Prostaglandin
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?
Constipation
Muscle twitching
If a patient is receiving sucralfate and omeprazole, the doses can be taken together.
True
False
Which of the following would be most important to include when teaching a patient using psyllium?
Taking the agent wit a large amount of water
Taking other prescribed drugs along with the psyllium
A physician prescribes a chemical stimulant laxative. Which of the following would be appropriate?
Bisacodyl
Lactulose
___________________________ _________________________ an antidiarrheal agent has been found helpful in treating traveler's diarrhea and preventing cramping and distention associated with dietary excess.
Loperamide
subsalicylate
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?
Glipizide
Metformin
The pancreas releases _________________________, a hormone that counteracts the effects of insulin and work to increase glucose levels.
Glucagon
Glucagon
