Nursing Pharmacology FINAL
Exam Review LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+
A nurse is concerned that a client has not been taking the prescribed antihypertensive
medication because the patient's blood pressure remains elevated. What is the best therapeutic
response by the nurse?
A. Taking medication can be difficult for some people. What are some of your concerns about
the medication?
B. Your blood pressure is really high; do you realize the serious consequences of not taking your
medication?
C. I really doubt that you are taking your medication. What would you think about talking to the
physician?
D. You are one of my favorite patients and I want you to be safe. Are you really taking your
medication? - CORRECT ANSWER-A. Taking medication can be difficult for some people. What
are some of your concerns about the medication?
The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse
obtains the medication from the pharmacy and administers it to the patient 30 mins later.
Which statement best describes the nurse's actions?
A. The medication should have been administered immediately.
,B. The physician should have specified the time frame for the medication.
C. The medication should have been administered within a 5 minute time frame.
D. The nursing action was correct because the medication was not on the unit. - CORRECT
ANSWER-C. The medication should have been administered within a 5 minute time frame.
A nurse is preparing to administer oral medication to a client. What is the primary nursing
assessment of the client prior to receiving this medication?
A. Understanding the medication
B. Ability to swallow
C. Allergies
D. Eyesight - CORRECT ANSWER-B. Ability to swallow
A nurse incorrectly administered an oral medication intravenously. What is the best analysis of
the nurse's action?
A. An antidote cannot be given
B. The nurse will be terminated from her job
C. The medication cannot be retrieved
D. A lawsuit by the patient will be impending - CORRECT ANSWER-C. The medication cannot be
retrieved
A nurse is conducting medication education for patients with hypertension. The focus of the
education is on enhancing the absorption of their medications. The nurse determines that
learning has occures when the patients make which statement?
A. We can safely take the drug test for at least 6 months beyond the expiration date
B. We don't need to worry about storage of the drug, it won't lost potency
C. We should not take our medications with milk or dairy products
D. We need to be careful about taking the medication with certain foods - CORRECT ANSWER-D.
We need to be careful about taking the medication with certain foods.
,A client prescribed a loading dose to be followed by a lower maintenance dose asks the nurse
why the maintenance dose is lower. Which response should the nurse provide the client?
A. The initial dose shortens the half-life, so the medication would work more quickly
B. We always give medications this way; the healthcare provider did not make a mistake
C. You had a larger dose initially so that the medication would work more quickly
D. Giving a larger dose initially will reduce the chance of side effects - CORRECT ANSWER-C. You
had a larger dose initially so that the medication would work more frequently
The client is malnourished and has a low serum albumin. The physician has ordered aspirin, a
highly protein-bound drug, for the patient. Which evaluation by the nurse best describes the
effect this will have on the client?
A. The client will be at risk to experience a decreased effectiveness of the drug.
B. The client will be at risk to experience toxic effects of the drug.
C. The client's kidneys will excrete the drug at a faster rate.
D. The client's serum globulin is more important than serum albumin. - CORRECT ANSWER-B.
The client will be at risk to experience toxic effects of the drug
Prior to administering medications, the student nurse reviews the therapeutic index. Which
statement best describes the student's understanding of the therapeutic index?
A. The student is able to determine if the physician prescribed the best drug for the patient
B. The student is able to determine if the patients are receiving safe doses of the medications
C. The student is able to identify interactions among the drugs each patient is receiving
D. The student is able to identify the patient's who will need to have serum blood levels
monitored. - CORRECT ANSWER-D. The student is able to identify the patient's who will need to
have serum blood levels monitored.
, The patient receives antibiotics for a serious infection. The patient asks the nurse: "Why don't
you just give me more of that drug to cure this infection faster?" What is the best response by
the nurse?
A. I will check with the physician to see if it is time to increase the medication
B. You are at a maximum dose; taking more will cause interactions with other medications
C. You must stay on this drug for 2 more weeks before it can be increased
D. You are at a maximum dose, taking more will not help. - CORRECT ANSWER-D. You are at a
maximum dose, taking more will not help.
The nurse administers narcotics to a surgical patient. Which statement represents the nurse's
best understanding as it relates to the potency of different narcotics?
A. Codeine is less potent than morphine; it will not produce an allergic reaction
B. Morphine is more potent than codeine; a lesser dose will be required
C. Morphine is more potent than codeine; it will produce more adverse affects
D. Codeine is less potent than morphine; it will not relieve pain as well. - CORRECT ANSWER-B.
Morphine is more potent than codeine, a lesser dose will be required.
Which factor is used to help predict the safety of the dose of drug for a client?
A. Potency
B. Efficacy
C. Graded dose response
D. Frequency distribution curve - CORRECT ANSWER-C. Graded dose response
The home health nurse notes that the elderly patient doubled up on his pain medication, even
though the prescribed dose was at a therapeutic level. The patient says, "if one pill is good, two
pills are better." Which statement best describes the result of the patient's action?
A. The patient develops tolerance and does not experience any difference
B. The pateient experiences more pain releif from the additional dose
Exam Review LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+
A nurse is concerned that a client has not been taking the prescribed antihypertensive
medication because the patient's blood pressure remains elevated. What is the best therapeutic
response by the nurse?
A. Taking medication can be difficult for some people. What are some of your concerns about
the medication?
B. Your blood pressure is really high; do you realize the serious consequences of not taking your
medication?
C. I really doubt that you are taking your medication. What would you think about talking to the
physician?
D. You are one of my favorite patients and I want you to be safe. Are you really taking your
medication? - CORRECT ANSWER-A. Taking medication can be difficult for some people. What
are some of your concerns about the medication?
The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse
obtains the medication from the pharmacy and administers it to the patient 30 mins later.
Which statement best describes the nurse's actions?
A. The medication should have been administered immediately.
,B. The physician should have specified the time frame for the medication.
C. The medication should have been administered within a 5 minute time frame.
D. The nursing action was correct because the medication was not on the unit. - CORRECT
ANSWER-C. The medication should have been administered within a 5 minute time frame.
A nurse is preparing to administer oral medication to a client. What is the primary nursing
assessment of the client prior to receiving this medication?
A. Understanding the medication
B. Ability to swallow
C. Allergies
D. Eyesight - CORRECT ANSWER-B. Ability to swallow
A nurse incorrectly administered an oral medication intravenously. What is the best analysis of
the nurse's action?
A. An antidote cannot be given
B. The nurse will be terminated from her job
C. The medication cannot be retrieved
D. A lawsuit by the patient will be impending - CORRECT ANSWER-C. The medication cannot be
retrieved
A nurse is conducting medication education for patients with hypertension. The focus of the
education is on enhancing the absorption of their medications. The nurse determines that
learning has occures when the patients make which statement?
A. We can safely take the drug test for at least 6 months beyond the expiration date
B. We don't need to worry about storage of the drug, it won't lost potency
C. We should not take our medications with milk or dairy products
D. We need to be careful about taking the medication with certain foods - CORRECT ANSWER-D.
We need to be careful about taking the medication with certain foods.
,A client prescribed a loading dose to be followed by a lower maintenance dose asks the nurse
why the maintenance dose is lower. Which response should the nurse provide the client?
A. The initial dose shortens the half-life, so the medication would work more quickly
B. We always give medications this way; the healthcare provider did not make a mistake
C. You had a larger dose initially so that the medication would work more quickly
D. Giving a larger dose initially will reduce the chance of side effects - CORRECT ANSWER-C. You
had a larger dose initially so that the medication would work more frequently
The client is malnourished and has a low serum albumin. The physician has ordered aspirin, a
highly protein-bound drug, for the patient. Which evaluation by the nurse best describes the
effect this will have on the client?
A. The client will be at risk to experience a decreased effectiveness of the drug.
B. The client will be at risk to experience toxic effects of the drug.
C. The client's kidneys will excrete the drug at a faster rate.
D. The client's serum globulin is more important than serum albumin. - CORRECT ANSWER-B.
The client will be at risk to experience toxic effects of the drug
Prior to administering medications, the student nurse reviews the therapeutic index. Which
statement best describes the student's understanding of the therapeutic index?
A. The student is able to determine if the physician prescribed the best drug for the patient
B. The student is able to determine if the patients are receiving safe doses of the medications
C. The student is able to identify interactions among the drugs each patient is receiving
D. The student is able to identify the patient's who will need to have serum blood levels
monitored. - CORRECT ANSWER-D. The student is able to identify the patient's who will need to
have serum blood levels monitored.
, The patient receives antibiotics for a serious infection. The patient asks the nurse: "Why don't
you just give me more of that drug to cure this infection faster?" What is the best response by
the nurse?
A. I will check with the physician to see if it is time to increase the medication
B. You are at a maximum dose; taking more will cause interactions with other medications
C. You must stay on this drug for 2 more weeks before it can be increased
D. You are at a maximum dose, taking more will not help. - CORRECT ANSWER-D. You are at a
maximum dose, taking more will not help.
The nurse administers narcotics to a surgical patient. Which statement represents the nurse's
best understanding as it relates to the potency of different narcotics?
A. Codeine is less potent than morphine; it will not produce an allergic reaction
B. Morphine is more potent than codeine; a lesser dose will be required
C. Morphine is more potent than codeine; it will produce more adverse affects
D. Codeine is less potent than morphine; it will not relieve pain as well. - CORRECT ANSWER-B.
Morphine is more potent than codeine, a lesser dose will be required.
Which factor is used to help predict the safety of the dose of drug for a client?
A. Potency
B. Efficacy
C. Graded dose response
D. Frequency distribution curve - CORRECT ANSWER-C. Graded dose response
The home health nurse notes that the elderly patient doubled up on his pain medication, even
though the prescribed dose was at a therapeutic level. The patient says, "if one pill is good, two
pills are better." Which statement best describes the result of the patient's action?
A. The patient develops tolerance and does not experience any difference
B. The pateient experiences more pain releif from the additional dose
