pharm test 5 test bank Questions with
Correct Answers
A patient is receiving an aluminum-containing antacid. The nurse will inform the patient
to watch for which possible adverse effect? - ANSWERSconstipation
When reviewing the health history of a patient who will be receiving antacids, the nurse
recalls that antacids containing magnesium need to be used cautiously in patients with
which condition? - ANSWERSrenal failure
The nurse is reviewing the medication orders for a patient who will be taking an H2
antagonist. Which drug may have an interaction if taken along with the H2 antagonist? -
ANSWERSKetoconazole
A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to
say that the medication has not been effective. The nurse reviews his history and notes
that which factor may be influencing the effectiveness of this drug? - ANSWERSHe
smokes two packs of cigarettes a day.
A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux
disease (GERD). The nurse will include which statement in the teaching plan about this
medication? - ANSWERS"The entire capsule must be taken whole, not crushed,
chewed, or opened."
A patient has excessive and painful gas. The nurse checks the patient's medication
orders and prepares to administer which drug for this problem? -
ANSWERSSimethicone (Mylicon)
A 75-year-old woman comes into the clinic and states she has had muscle twitching,
nausea, and headache. She tells the nurse that she has been taking sodium
bicarbonate five or six times
a day for the past 3 weeks. The nurse will assess for which potential problem that may
occur with overuse of sodium bicarbonate? - ANSWERSMetabolic alkalosis
A patient will be taking a 2-week course of combination therapy with omeprazole
(Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse
expects a drug from which class to be ordered with the omeprazole? -
ANSWERSantibiotic
A patient is asking advice about which over-the-counter antacid is considered the most
safe to use for heartburn. The nurse explains that the reason that calcium antacids are
, not used as frequently as other antacids is for which of these reasons? -
ANSWERSTheir use may result in kidney stones.
At 0900, the nurse is about to give morning medications, and the patient has asked for a
dose of antacid for severe heartburn. Which schedule for the antacid and medications is
correct? - ANSWERSGive the medications at 0900, and then the antacid at 1000.
During an admission assessment, the patient tells the nurse that he has been self-
treating his heartburn for 1 year with over-the-counter Prilosec OTC (omeprazole, a
proton pump inhibitor). The nurse is aware that this self-treatment may have which
result? - ANSWERSMasked symptoms of serious underlying diseases
An older adult patient had gastric surgery due to a gastrointestinal bleed 3 days ago,
and he has been stable since the surgery. This evening, his daughter tells the nurse,
"He seems to be more confused this afternoon. He's never been like this. What could be
the problem?" The nurse reviews the patient's medication record and suspects that
which drug could be the cause of the patient's confusion? - ANSWERSCimetidine
(Tagamet)
The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term
therapy about potential adverse effects. Which statement is correct? - ANSWERSLong-
term use of these drugs may contribute to osteoporosis.
A patient in the intensive care unit has a nasogastric tube and is also receiving a proton
pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect? -
ANSWERSPrevent stress ulcers
The nurse is providing patient teaching about antacids. Which statements about
antacids are accurate? (Select all that apply.) - ANSWERSAntacids neutralize acid in
the stomach.
Rebound hyperacidity may occur with calcium-based antacids.
Magnesium-based antacids cause diarrhea.
The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take
measures to prevent which potential problem that may occur with mineral oil? -
ANSWERSLipid pneumonia
When administering a bulk-forming laxative, the nurse instructs the patient to drink the
medication mixed in a full 8-ounce glass of water. Which statement best explains the
rationale for this instruction? - ANSWERSThese laxatives may cause esophageal
obstruction if taken with insufficient water.
A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When
reviewing the patient's other ordered medications, the nurse recognizes that which
medication or medication class will interact significantly with the Pepto-Bismol? -
ANSWERSHypoglycemic drugs
Correct Answers
A patient is receiving an aluminum-containing antacid. The nurse will inform the patient
to watch for which possible adverse effect? - ANSWERSconstipation
When reviewing the health history of a patient who will be receiving antacids, the nurse
recalls that antacids containing magnesium need to be used cautiously in patients with
which condition? - ANSWERSrenal failure
The nurse is reviewing the medication orders for a patient who will be taking an H2
antagonist. Which drug may have an interaction if taken along with the H2 antagonist? -
ANSWERSKetoconazole
A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to
say that the medication has not been effective. The nurse reviews his history and notes
that which factor may be influencing the effectiveness of this drug? - ANSWERSHe
smokes two packs of cigarettes a day.
A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux
disease (GERD). The nurse will include which statement in the teaching plan about this
medication? - ANSWERS"The entire capsule must be taken whole, not crushed,
chewed, or opened."
A patient has excessive and painful gas. The nurse checks the patient's medication
orders and prepares to administer which drug for this problem? -
ANSWERSSimethicone (Mylicon)
A 75-year-old woman comes into the clinic and states she has had muscle twitching,
nausea, and headache. She tells the nurse that she has been taking sodium
bicarbonate five or six times
a day for the past 3 weeks. The nurse will assess for which potential problem that may
occur with overuse of sodium bicarbonate? - ANSWERSMetabolic alkalosis
A patient will be taking a 2-week course of combination therapy with omeprazole
(Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse
expects a drug from which class to be ordered with the omeprazole? -
ANSWERSantibiotic
A patient is asking advice about which over-the-counter antacid is considered the most
safe to use for heartburn. The nurse explains that the reason that calcium antacids are
, not used as frequently as other antacids is for which of these reasons? -
ANSWERSTheir use may result in kidney stones.
At 0900, the nurse is about to give morning medications, and the patient has asked for a
dose of antacid for severe heartburn. Which schedule for the antacid and medications is
correct? - ANSWERSGive the medications at 0900, and then the antacid at 1000.
During an admission assessment, the patient tells the nurse that he has been self-
treating his heartburn for 1 year with over-the-counter Prilosec OTC (omeprazole, a
proton pump inhibitor). The nurse is aware that this self-treatment may have which
result? - ANSWERSMasked symptoms of serious underlying diseases
An older adult patient had gastric surgery due to a gastrointestinal bleed 3 days ago,
and he has been stable since the surgery. This evening, his daughter tells the nurse,
"He seems to be more confused this afternoon. He's never been like this. What could be
the problem?" The nurse reviews the patient's medication record and suspects that
which drug could be the cause of the patient's confusion? - ANSWERSCimetidine
(Tagamet)
The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term
therapy about potential adverse effects. Which statement is correct? - ANSWERSLong-
term use of these drugs may contribute to osteoporosis.
A patient in the intensive care unit has a nasogastric tube and is also receiving a proton
pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect? -
ANSWERSPrevent stress ulcers
The nurse is providing patient teaching about antacids. Which statements about
antacids are accurate? (Select all that apply.) - ANSWERSAntacids neutralize acid in
the stomach.
Rebound hyperacidity may occur with calcium-based antacids.
Magnesium-based antacids cause diarrhea.
The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take
measures to prevent which potential problem that may occur with mineral oil? -
ANSWERSLipid pneumonia
When administering a bulk-forming laxative, the nurse instructs the patient to drink the
medication mixed in a full 8-ounce glass of water. Which statement best explains the
rationale for this instruction? - ANSWERSThese laxatives may cause esophageal
obstruction if taken with insufficient water.
A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When
reviewing the patient's other ordered medications, the nurse recognizes that which
medication or medication class will interact significantly with the Pepto-Bismol? -
ANSWERSHypoglycemic drugs
