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Pharm 101: Pharmacology Quiz Review – Weekly Assessment for Nursing Course (Pharm 101, Rasmussen University)

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Pharm 101: Pharmacology Quiz Review – Weekly Assessment for Nursing Course (Pharm 101, Rasmussen University)

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Pharm 101: Pharmacology Quiz Review – Weekly Assessment for Nursing
Course (Pharm 101, Rasmussen University)


MODULE 1

1. Question 1

Use the following scenario to answerquestions 1and 2:

Scenario:You are a nurse working in a family practice. Mr. Jones, a
74-year-old African American man, has had three blood pressure
readings of 160/90 mm Hg or higher on three separate occasions. The
family physician you are working with has prescribed lisinopril 10 mg
PO once a day.
When considering a new medication for a client, which of the following
medication characteristicsareimportant to take into consideration?

(Select all that apply.)
1. Effectiveness
2. Safety
3. Selectivity
4. Year of development
5. Non-selectivity
2. Question 2

What properties should be considered when selecting this medication
for Mr. Jones?
(Select all that apply.)
1. Low cost
2. Ease of administration
3. Freedom from interactions
4. Unpredictability
5. Irreversible action
3. Question 3

What is a desired outcome when a drug is described as easy to
administer?
1. It can be stored indefinitely without need for registration.
2. It does not interact significantly with other medications.
3. It enhances patient adherence to the drug regimen.
4. It is usually relatively inexpensive to produce.
4. Question 4

The nurse is reviewing pharmacology termswitha group of newly
graduated nurses. Which sentence defines a drug’s half-life?
1. The time it takes for the drug to cause half of its
therapeutic response

, 2. The time it takes for one half of the original amount of a
drug to reach the target cells
3. The time it takes for one half of the original amount of a
drug to be removed from the body
4. The time it takes for one half of the original amount of a
drug to be absorbed into the circulation
5. Question 5

The nurse is teaching aclient howa medicationworks to treat an
illness. To do this, the nurse will rely on knowledge of which topic?
1. Clinical pharmacology
2. Drug efÏcacy
3. Pharmacokinetics
4. Pharmacotherapeutics
6. Question 6

Use the following scenario to answer questions 6 through 10:

Scenario:You are the emergency department nurse caring for a 72-
year-old man who sustained a fracture to his right femur and left ankle
when he fell off the roof of his two-story home. Your client is
complaining of pain that is a 9 on a scale of 0 to 10. You note that he
has no medications ordered for pain.
All of the following would be proper nursing interventions to help
decrease the client’s current pain levelexceptwhich?

1. Waiting 30 minutes to see if the pain has subsided on its
own.
2. Offering nonpharmacological interventions like music or
distraction to ease the pain.
3. Identifying increased heart rate and blood pressure as an
indicator of pain and offering repositioning.
4. Calling the provider to request orders for pain
medications after completing your assessment.
7. Question 7

Which route of administration for the medication might be best for this
client?
1. Oral (extended-release)
2. Oral (immediate-release)
3. Intravenous
4. Inhalation
8. Question 8

, After contacting the provider for an order for pain medication, you
check the electronic MAR and see that the following order has been
entered: "hydromorphone 0.5 mg STAT." What should you do?
1. Administer the medication intravenously.
2. Administer the medication by mouth.
3. Verify the order with the prescriber.
4. Ask the client how they would like their medication to be
given.
9. Question 9

A medication order states, administer acetaminophen 975mgPO
now. Available is acetaminophen 325 mg/tablet. How many tablets
should the nurse administer?
1. 2.5
2. 1.5
3. 2
4. 3
10. Question 10

When given an intravenous medication, theclientsays to the nurse, “I
usually take pills. Why does this medication have to be given in the
arm?” What is the nurse’s best answer?
1. “The medication will cause fewer adverse effects when
given intravenously.”
2. “The intravenous medication will have delayed
absorption into the body’s tissues.”
3. “The action of the medication will begin sooner when
given intravenously.”
4. “There is a lower chance of allergic reactions when drugs
are given intravenously.”
11. Question 11

Use the following scenario to answer questions 11 and 12.Scenario:
Mr. H has been admitted to the acute care facility for 1-day
chemotherapy treatment for metastatic diseasetothe bone caused by
prostate cancer. He is in extreme pain. When the nurse evaluates Mr.
H, he states, "This is the worst pain I have ever had in my life. My back
hurts so bad." The nurse is most concerned about relieving Mr. H's
pain. The nurse looks at his admission orders and notes the following:
"morphine sulfate6 mg IVevery 4 hours PRN, and oxycodone PO 5/325
mg 1 or 2 tabs every 4-6 hours PRN." Mr. H is concerned about
becoming dependent on painkillers.

, The nurse is preparing to draw up the6 mgof morphine
intravenouslyfrom avialthatcontains3 mg of morphinesulfateper
1mL.How manymLswill the nurse draw up?
1. 2 mL
2. There is not enough in a single vial for this patient’s
ordered dose.
3. 1 mL
4. 0.5 mL
12. Question 12

When addressing Mr. H's concern about becoming addicted to the
morphine, the nurse will consider all of the following except which
strategy?
1. Educate Mr. H. about the importance of reaching a
therapeutic threshold to alleviate pain.
2. Educate Mr. H about the difference between addiction
and tolerance.
3. Explain that Mr. H should avoid asking for medication too
often or he could become addicted.
4. Explain the pathophysiology of pain and how opioids work
in the body to alleviate pain.


13. Question 13

Use the following scenario to answer questions 13 through 15:Scenario: You are
a new nurse who recently completed orientation on the medical/surgical unit.
Your first client of the day was prescribed ampicillin 1 g/100 mL to infuse over 30
minutes to be administered 1 hour before a colonoscopy. You review your
medications in your drug guide and find that ampicillin is an antibiotic and should
not be administered to clients allergic to penicillin. You review the client's history
and see that the record reveals an allergy to penicillin and shellfish. You decide
to review this history with the client.


What question would be most appropriate to ask this client given the above
scenario?
1. Ask the client what happens when he or she takes
penicillin.
2. Ask the client why he or she was previously prescribed
penicillin.
3. Ask the client if they would like to refuse the ampicillin
infusion because of their allergy.
4. Ask the client when their last colonoscopy was done?
14. Question 14

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