lOMoARcPSD| 63525276
Exam 1 Pharm
1. Which medication is considered a “rescue inhaler” A. Glucocorticoid such as
beclomethasone (Beconase)
B. Mucolytic agent such as acetylcysteine (Mucomyst)
C. Short-acting beta2 agonist such as albuterol (Proventil)
D. Mast cell stabilizer such as cromolyn sodium (Nasalcrom)
2. Which of the following medication is not classified as a topcolytic
A. Oxytocin (Pitocin)
B. Nifedipine (Procardia)
C. Magnesium Sulfate
D. Indomethacin (Indocin)
3. A home care nurse is visiting a client with asthma who suddenly experiences an acute
asthma attack. Which drug should the nurse prepare to administer
A. Mucomyst (Acetylcysteine)
B. Spiriva (Tiotropium bromide)
C. Singulair (Montelukast)
D. Proventil (Albuterol)
4. A woman who has just delivered her infant observes the nurse administering
ophthalmic ointment into her infant’s eyes, and she asks why this is done. The nurse
will explain that this ointment is given for which purpose?
A. To prevent infection
B. To prevent chemical conjunctivitis
C. To provide moisture
D. To treat infection
5. A client will be using an albuterol metered-dose inhaler to treat asthma symptoms. The
client asks the nurse about the difference between the effects of inhaled albuterol
versus an oral form of albuterol. How should the nurse best explain the difference
between inhaled and oral albuterol?
A. The inhaled form will not lead to increased doses
B. The inhaled form requires an increased dose
C. The inhaled form has a more immediate onset of action
D. The inhaled form may cause more side effect than the oral form
6. A client with diabetes has been scheduled for a CT scan of the abdomen with oral and
IV contrast. Which medication would be of concern?
, lOMoARcPSD| 63525276
A. Metformin
B. Insulin glargine
C. Glipizide
D. Acarbose
7. The nurse administered 12 units of regular insulin to the client with type 1 diabetes at
0700. Which meal prevents the client from experiencing hypoglycemia from this
administration?
A. HS snack
B. Lunch
C. Breakfast
D. Supper
8. A client has the feeling of having “chest tightness” while experiencing “cold-like”
symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin
(Mucinex) to help with secretions. When teaching about this medication, what should
the nurse instruct?
A. “Take it with an oral antihistamine for better effectiveness “
B. “Monitor urine output closely”
C. “Avoid driving or using heavy machinery while on this medication”
D. “Drink extra water while taking this medication”
9. The nurse is caring for a client who has experienced head trauma in a motor vehicle
accident. The client is having excessive urine output. The nurse should notify the
provider and anticipate administering which medication?
A. Corticotropin (ACTH or adrenocorticotropic hormone)
B. Calciferol (Ergocalciferol)
C. Vasopressin (AVP or Argipressin)
D. Prednisolone (Prelone)
10. Which medication is prescribed for a client with COPD to treat acute bronchospasm?
A. Tiotropium
B. Theophylline
C. Montelukast
D. Epinephrine
11. When are glucocorticoids (steroids) prescribed?
A. Severe asthmatic attack
B. Asthma that is unresponsive to bronchodilator therapy
C. Maintenance therapy of controlled chronic asthma
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D. Acute allergic reaction
12. What is the rationale for rotating insulin injection sites?
A. Decrease potential for insulin shock
B. It prevents insulin resistance
C. Prevents an allergic raction
D. Avoids development of lipodystrophy
, lOMoARcPSD| 63525276
13. Which of the following would the nurse have readily available for a client who is
receiving magnesium sulfate to treat severe preeclampsia?
A. Ferrous sulfate
B. Potassium chloride
C. Calcium carbonate
D. Calcium gluconate
14. What type of insulin should be readily available in client care areas to treat
potential emergencies? What type of insulin should be readily available in client
care areas to treat potential emergencies?
A. Insulin lispro
B. NPH insulin
C. Regular Insulin
D. Insulin glargine
15. A patient is prescribed Glucophage (metformin). Which is a side effect/adverse
affect almost occur when clients take metformin?
A. Renal failure
B. Lactic acidosis or severe increases in lactic acid
C. Seizures
D. Bitter or metallic taste
16. What is the most common side effect of insulin administration?
A. Nausea
B. Anaphylaxis
C. Hypoglycemia
D. Lipodystrophy
17. A nurse gives a patient who is post-op 2 days (Appendectomy) NPH insulin at
8:00am. At 2:00pm the nurse finds the patient guarding his right lower abdomen
but extremely lethargic but conscious. The patient is diaphoretic and slightly
combative. The patients vital signs are as follows. T=99.1; HR=80; BP=109/62’
RR=18; SPO2=97%; The nurse should first:
A. Administer the next dose of insulin STAT
B. Call the health care provider an inform him/her that patient is n
hypoglycemic shock
C. Administer Narcan (Naloxone) STAT
D. Administer 2L O2 via nasal canula
E. Assess the patients blood sugar using a bedside finger stick blood glucose test
B.
Exam 1 Pharm
1. Which medication is considered a “rescue inhaler” A. Glucocorticoid such as
beclomethasone (Beconase)
B. Mucolytic agent such as acetylcysteine (Mucomyst)
C. Short-acting beta2 agonist such as albuterol (Proventil)
D. Mast cell stabilizer such as cromolyn sodium (Nasalcrom)
2. Which of the following medication is not classified as a topcolytic
A. Oxytocin (Pitocin)
B. Nifedipine (Procardia)
C. Magnesium Sulfate
D. Indomethacin (Indocin)
3. A home care nurse is visiting a client with asthma who suddenly experiences an acute
asthma attack. Which drug should the nurse prepare to administer
A. Mucomyst (Acetylcysteine)
B. Spiriva (Tiotropium bromide)
C. Singulair (Montelukast)
D. Proventil (Albuterol)
4. A woman who has just delivered her infant observes the nurse administering
ophthalmic ointment into her infant’s eyes, and she asks why this is done. The nurse
will explain that this ointment is given for which purpose?
A. To prevent infection
B. To prevent chemical conjunctivitis
C. To provide moisture
D. To treat infection
5. A client will be using an albuterol metered-dose inhaler to treat asthma symptoms. The
client asks the nurse about the difference between the effects of inhaled albuterol
versus an oral form of albuterol. How should the nurse best explain the difference
between inhaled and oral albuterol?
A. The inhaled form will not lead to increased doses
B. The inhaled form requires an increased dose
C. The inhaled form has a more immediate onset of action
D. The inhaled form may cause more side effect than the oral form
6. A client with diabetes has been scheduled for a CT scan of the abdomen with oral and
IV contrast. Which medication would be of concern?
, lOMoARcPSD| 63525276
A. Metformin
B. Insulin glargine
C. Glipizide
D. Acarbose
7. The nurse administered 12 units of regular insulin to the client with type 1 diabetes at
0700. Which meal prevents the client from experiencing hypoglycemia from this
administration?
A. HS snack
B. Lunch
C. Breakfast
D. Supper
8. A client has the feeling of having “chest tightness” while experiencing “cold-like”
symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin
(Mucinex) to help with secretions. When teaching about this medication, what should
the nurse instruct?
A. “Take it with an oral antihistamine for better effectiveness “
B. “Monitor urine output closely”
C. “Avoid driving or using heavy machinery while on this medication”
D. “Drink extra water while taking this medication”
9. The nurse is caring for a client who has experienced head trauma in a motor vehicle
accident. The client is having excessive urine output. The nurse should notify the
provider and anticipate administering which medication?
A. Corticotropin (ACTH or adrenocorticotropic hormone)
B. Calciferol (Ergocalciferol)
C. Vasopressin (AVP or Argipressin)
D. Prednisolone (Prelone)
10. Which medication is prescribed for a client with COPD to treat acute bronchospasm?
A. Tiotropium
B. Theophylline
C. Montelukast
D. Epinephrine
11. When are glucocorticoids (steroids) prescribed?
A. Severe asthmatic attack
B. Asthma that is unresponsive to bronchodilator therapy
C. Maintenance therapy of controlled chronic asthma
, lOMoARcPSD| 63525276
D. Acute allergic reaction
12. What is the rationale for rotating insulin injection sites?
A. Decrease potential for insulin shock
B. It prevents insulin resistance
C. Prevents an allergic raction
D. Avoids development of lipodystrophy
, lOMoARcPSD| 63525276
13. Which of the following would the nurse have readily available for a client who is
receiving magnesium sulfate to treat severe preeclampsia?
A. Ferrous sulfate
B. Potassium chloride
C. Calcium carbonate
D. Calcium gluconate
14. What type of insulin should be readily available in client care areas to treat
potential emergencies? What type of insulin should be readily available in client
care areas to treat potential emergencies?
A. Insulin lispro
B. NPH insulin
C. Regular Insulin
D. Insulin glargine
15. A patient is prescribed Glucophage (metformin). Which is a side effect/adverse
affect almost occur when clients take metformin?
A. Renal failure
B. Lactic acidosis or severe increases in lactic acid
C. Seizures
D. Bitter or metallic taste
16. What is the most common side effect of insulin administration?
A. Nausea
B. Anaphylaxis
C. Hypoglycemia
D. Lipodystrophy
17. A nurse gives a patient who is post-op 2 days (Appendectomy) NPH insulin at
8:00am. At 2:00pm the nurse finds the patient guarding his right lower abdomen
but extremely lethargic but conscious. The patient is diaphoretic and slightly
combative. The patients vital signs are as follows. T=99.1; HR=80; BP=109/62’
RR=18; SPO2=97%; The nurse should first:
A. Administer the next dose of insulin STAT
B. Call the health care provider an inform him/her that patient is n
hypoglycemic shock
C. Administer Narcan (Naloxone) STAT
D. Administer 2L O2 via nasal canula
E. Assess the patients blood sugar using a bedside finger stick blood glucose test
B.
