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ASN Pharm exam 1

Total questions: 13

Worksheet time: 7mins

Name
Class
Date
1.

When assessing a patient’s pain, which statement by the nurse reflects best practice?

a)

Pain is only real if we can see it.

b)

Pain is what the patient says it is.

c)

Pain should be treated only if it’s above a 5.

d)

Pain is usually the same for everyone.

2.

A patient taking cyclobenzaprine (Flexeril) reports feeling dizzy and drowsy. What is the nurse’s best response?

a)

Discontinue the medication immediately

b)

Encourage the patient to increase fluid intake

c)

Advise the patient to avoid driving or operating machinery

d)

Recommend taking the medication with caffeine

3.

A patient is prescribed zolpidem (Ambien) for insomnia. What should the nurse include in the teaching?

a)

Take the medication with a large meal

b)

Avoid alcohol while taking this medication

c)

Expect increased alertness during the day

d)

Take the medication in the morning

4.

Before administering an opioid analgesic, which assessment is most important for the nurse to perform?

a)

Blood glucose level

b)

Respiratory rate and depth

c)

Bowel sounds

d)

Skin turgor

5.

Which OTC medication is associated with hepatotoxicity?

a)

Ibuprofen

b)

Pseudoephedrine

c)

Acetaminophen

d)

Aspirin

6.

When administering opioid analgesics, which nursing action is most critical to ensure patient safety?

a)

Encourage the patient to ambulate frequently

b)

Monitor respiratory rate and depth

c)

Provide a high-protein diet

d)

Administer the drug with antacids

7.

A nurse is caring for a patient prescribed diazepam for anxiety. Which adverse effect should the nurse monitor most closely in older adults?

a)

Hypertension

b)

Insomnia

c)

Fall risk due to dizziness and lethargy

d)

Increased appetite

8.

During preoperative assessment, which finding would require the nurse to notify the anesthesia provider immediately?

a)

History of seasonal allergies

b)

Use of herbal supplements

c)

Family history of malignant hyperthermia

d)

Mild anxiety about surgery

9.

A nurse is monitoring a patient who received general anesthesia. Which finding requires immediate intervention?

a)

Oxygen saturation of 96%

b)

Heart rate of 72 bpm

c)

Muscle rigidity and dark-colored urine

d)

Mild drowsiness and confusion

10.

A nurse is caring for a patient with chronic kidney disease who is prescribed a nephrotoxic drug. What should the nurse prioritize to prevent drug toxicity in this patient?

a)

Administer diuretics to enhance drug elimination.

b)

Encourage the patient to drink more fluids.

c)

Adjust the drug dosage based on renal function tests.

d)

Monitor the patient's blood pressure regularly.

11.

A nurse is educating a patient with asthma about the use of an inhaled corticosteroid. Which statement indicates the patient understands the correct use of this medication?

a)

I can skip doses when I feel better.

b)

I should use the inhaler before using my rescue inhaler.

c)

I need to rinse my mouth after using the inhaler.

d)

I should use the inhaler only during an asthma attack.

12.

The first pass effect will cause

a)

More bioavailability

b)

Less bioavailability

c)

No effect on the patient

13.

A patient receiving morphine has a respiratory rate of 8 breaths/min and shallow breathing. What is the nurse’s priority intervention?

a)

Administer naloxone

b)

Elevate the head of the bed

c)

Provide emotional support

d)

Encourage deep breathing exercises