NURS 6551 Final Exam 1

III PHAR I225 IPharmacology

1. A Iprovider Iprescribes Iphenobarbital Ifor Ia Iclient Iwho Ihas Ia Iseizure Idisorder. I The Imedication Ihas Ia Ilong Ihalf-
Ilife Iof I4 Idays. I How Imany Itimes Iper Iday Ishould Ithe Inurse Iexpect Ito Iadminister Ithis Imedication?

A. One
B. Two
C. Three
D. Four

2. A Inurse Ieducator Iis Ireviewing Imedication Imetabolism Iat Ian Iin-service Ipresentation. I Which Iof Ithe Ifollowing
Ifactors Ishould Ithe Ieducator I include Ias Ia Ireason Ito I administer Ilower Imedication Idosages? I(Select Iall Ithat

Iapply.)




A. Increased Irenal Iexcretion
B. Increased Imedication-metabolizing Ienzymes
IC. ILiver Ifailure

D. IPeripheral Ivascular Idisease
E. IConcurrent Iuse Iof Imedication Ithe Isame Ipathway Imetabolizes

3. A Inurse Iis Ipreparing Ito Iadminister Ieye Idrops Ito Ia I client. I Which Iof Ithe Ifollowing Iactions Ishould Ithe Inurse
Itake? I(Select Iall Ithat Iapply.)




A. Have Ithe Iclient Ilie Ion Ione Iside.
B. Ask Ithe Iclient Ito Ilook Iup Iat Ithe Iceiling.
C. Tell Ithe Iclient Ito Iblink Iwhen Ithe Idrops Ienter Ithe Ieye.
D. IDrop Ithe Imedication Iinto Ithe Iclient's Iconjunctival Isac.
E. IInstruct Ithe Iclient Ito Iclose Ithe Ieye Igently Iafter Iinstillation.


4. A Inurse Iis Iteaching Ia Iclient Iabout Itransdermal Ipatches. IWhich Iof Ithe Ifollowing Istatements Ishould Ithe Inurse
Iidentify Ias Ian Iindication Ithat Ithe Iclient Iunderstands?




A. "I Iwill Iclean Ithe Isite Iwith Ian Ialcohol Iswab Ibefore II Iapply Ithe Ipatch."
B. "I Iwill Irotate Ithe Iapplication Isites Iweekly."
C. "I Iwill Iapply Ithe Ipatch Ito Ian Iarea Iof Iskin Iwith Ino Ihair."
D. "I Iwill Iplace Ithe Inew Ipatch Ion Ithe Isite Iof Ithe Iold Ipatch."

5. A Inurse Ireviewing Ia Iclient's Imedical Irecord Inotes Ia Inew Iprescription Ifor Iverifying Ithe Itrough Ilevel Iof Ithe
Iclient's Imedication. I Which Iof Ithe Ifollowing Iactions Ishould Ithe Inurse Itake?




A. Obtain Ia Iblood Ispecimen Iimmediately Iprior Ito Iadministering Ithe Inext Idose Iof Imedication.
B. Verify Ithat Ithe Iclient Ihas Ibeen Itaking Ithe Imedication Ifor I24hr Ibefore Iobtaining Ia Iblood Ispecimen.
C. Ask Ithe Iclient Ito Iprovide Ia Iurine Ispecimen Iafter Ithe Inext Idose Iof Imedication.
D. Administer Ithe Imedication, Iand Iobtain Ia Iblood Ispecimen I30 Imin Ilater.

6. A Inurse Iis Ipreparing Ia Iclient's Imedications. IWhich Ithe Iof Ifollowing Iactions Ishould Ithe Inurse Itake Iin Ifollowing
Ilegal Ipractice Iguidelines? I (Select Iall Ithat Iapply.)



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,A. Teach Ithe Iclient Iabout Ithe Imedication.
B. Determine Ithe Idosage.
C. Monitor Ifor Iadverse Ieffects.
D. Lock Icompartments Ifor Icontrolled Isubstances.
E. Determine Ithe Iclient's Iinsurance Istatus.

7. A Inurse Iis Ipreparing Ito Iadminister Idigoxin Ito Ia Iclient Iwho Istates, I"I Idon't Iwant Ito Itake Ithat Imedication. II Ido
Inot Iwant Ione Imore Ipill." I Which Iof Ithe Ifollowing Iresponses Ishould Ithe Inurse Imake?




A. "Your Iphysician Iprescribed Iit Ifor Iso Iyou Ireally Ishould Itake Iit."
B. "Well, Ilet's Ijust Iget Iit Iover Iquickly Ithen." I you,
C. "Okay, II'll Ijust Igive Iyou Iyour Iother Imedications."
D. "Tell Ime Iyour Iconcerns Iabout Itaking Ithis Imedication."

8. A Inurse Iis Ireviewing Ia Iclient's Iprescribed Imedications. IWhich Iof Ithe Ifollowing Isituations Irepresents Ia
Icontraindication Ito Imedication Iadministration?




A. The Iclient Idrank Igrapefruit Ijuice, Iwhich Icould Ireduce Ia Imedication's Ieffectiveness.
B. The Imedication Ihas Iorthostatic Ihypotension Ias Ian Iadverse Ieffect.
C. A Imedication Iis Iapproved Ifor Iages I12 Iand Iolder, Iand Ithe Iclient Iis I8 Iyears Iold.
D. An Iantianxiety Imedication Ithat Ihas Ian Iadverse Ieffect Iof Idrowsiness Iis Iprescribed Ias Ia Ipreoperative Isedative.

9. A Inurse Iis Iassessing Ia Iclient Ibefore Iadministering Imedications. IWhich Iof Ithe Ifollowing Idata Ishould Ithe Inurse
Iobtain? I(Select Iall Ithat Iapply.)




A. Use Iof Iherbal Iproducts
B. Daily Ifluid Iintake
IC. IAbility Ito Iswallow

D. IPrevious Isurgical Ihistory
IE. IAllergies




10. A Inurse Iis Iworking Iwith Ia Inewly Ilicensed Inurse Iwho Iis Iadministering Imedications Ito Iclients. IWhich Iof Ithe
Ifollowing Iactions Ishould Ithe Inurse Iidentify Ias Ian Iindication Ithat Ithe Inewly Ihired Inurse Iunderstands Imedication

Ierror Iprevention?




A. ITaking Iall Imedications Iout Iof Ithe Iunit-dose Iwrappers Ibefore Ientering Ithe Iclient's Iroom IB.
IChecking Ithe Iprescription Iwhen Ia Isingle Idose Irequires Iadministration Iof Imultiple Itablets

C. IAdministering Ia Imedication, Ithen Ilooking Iup Ithe Iusual Idosage Irange
D. IRelying Ion Ianother Inurse I to Iclarify Ia Imedication Iprescription

11. A Inurse Iin Ia Iclinic Iis Icaring Ifor Ia Igroup Iof Iclients. IThe Inurse Ishould Icontact Ithe Iprovider Iabout Ia Ipotential
Icontraindication Ito Ia Imedication Ifor Iwhich Iof Ithe Ifollowing Iclients? I (Select Iall Ithat Iapply.)




A. IA Iclient Iat I8 Iweeks Iof Igestation Iwho Iasks Ifor Ian Iinfluenza IimmunizationIB.
IA Iclient Iwho Itakes Iprednisone Iand Ihas Ia Ipossible Ifungal Iinfection

C. A Iclient Iwho Ihas Ichronic Iliver Idisease Iand Iis Itaking Ihydrocodone I/ Iacetaminophen
D. A Iclient Iwho Ihas Ipeptic Iulcer Idisease, Itakes Isucralfate, Iand Ihas Istarted Itaking IOTC Ialuminum Ihydroxide
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,E. A Iclient Iwho Ihas Ia Iprosthetic Iheart Ivalve, Itakes Iwarfarin, Iand Ireports Ia Isuspected Ipregnancy

12. A Inurse Iis Ipreparing Ito Iadminister Ian IIM Idose Iof Ipenicillin Ito Ia Iclient Iwho Ihas Ia Inew Iprescription. IThe
Iclient Istates Iwhen Ithey Itook Ipenicillin I3 Iyears Iago, I they Ideveloped Ia Irash. IWhich Iof Ithe Ifollowing Iactions

Ishould Ithe Inurse Itake?




A. IAdminister Ithe Iprescribed Idose.
IB. IWithhold Ithe Imedication.

C. IAsk Ithe Iprovider Ito Ichange Ithe Iprescription Ito Ian Ioral Iform.
D. IAdminister Ian Ioral Iantihistamine Ithe Isame Itime.

13. A Inurse Iis Iproviding Idischarge Iinstructions Ifor Ia Iclient Iwho Ihas Ia Inew Iprescription Ifor Ian Iantihypertensive
Imedication. I Which I of Ithe Ifollowing Istatements Ishould Ithe Inurse Igive?




A. "Be Isure Ito Ilimit Iyour Ipotassium Iintake Iwhile Itaking Ithe Imedication."
B. "You Ishould Icheck Iyour Iblood Ipressure Ievery I8 Ihours Iwhile Itaking Ithis Imedication."
C. "Your Imedication Idosage Iwill Ibe Iincreased Iif Iyou Idevelop Itachycardia."
ID. I"Change Ipositions Islowly Iwhen Iyou Imove Ifrom Isitting Ito Istanding."




14. A Inurse Iis Ireviewing Ia Iclient's Ihealth Irecord Iand Inotes Ithat Ithe Iclient Iexperienced Ipermanent
Iextrapyramidal Ieffects Icaused Iby Ia Iprevious Imedication. I The Inurse Ishould Irecognize Ithat Ithe Imedication

Iaffected Iwhich Iof Ithe Ifollowing Isystems Iin Ithe Iclient?




A. Cardiovascular
B. Immune
C. Central Inervous
D. Gastrointestinal

15. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Itaking Ioral Ioxycodone. IThe Iclient Iis Ialso Itaking Iibuprofen Iin Ithree
Irecommended Idoses Idaily. I The Inurse Ishould Iidentify Ithat Ian Iinteraction Ibetween Ithese Itwo Imedications Iwill

Icause Iwhich Iof Ithe Ifollowing Ifindings?

A. A Idecrease Iin Iblood Ilevels Iof Iibuprofen, Ipossibly Ileading Ito Ia Ineed Ifor Iincreased Idoses Iof Ithis Imedication
B. A Idecrease Iin Iblood Ilevels Iof Ioxycodone, Ipossibly Ileading Ito Ia Ineed Ifor Iincreased Idoses Iof Ithis Imedication.IC.
IAn Iincrease Iin Ithe Iexpected Itherapeutic Ieffect Iof Iboth Imedications

D. IAn Iincrease Iin Iexpected Iadverse Ieffects Ifor Iboth Imedications

16. A Inurse Iis Ipreparing Ito Iadminister Imedications Ito Ia I4-month-old Iinfant. IWhich Iof Ithe Ifollowing
Ipharmacokinetic I principles Ishould Ithe Inurse Iconsider Iwhen Iadministering Imedications Ito Ithis Iclient? I(Select

Iall Ithat Iapply.)




A. IInfants Ihave Ia Imore Irapid Igastric Iemptying Itime.IB.
IInfants Ihave Iimmature Iliver Ifunction.

C. Infants' Iblood-brain Ibarrier Iis Ipoorly Ideveloped.
D. Infants Ihave Ian Iincreased Iability Ito Iabsorb Itopical Imedications.
E. Infants Ihave Ian Iincreased Inumber Iof Iprotein-binding Isites.


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, 17. A Inurse Iin Ia Iprovider's Ioffice Iis Ireviewing Ithe Imedical Irecord Iof Ia Iclient Iwho Iis Ipregnant Iand Iat Ithe Ifirst
Iprenatal Ivisit. I Which Iof Ithe Ifollowing Iimmunizations Ican Ithe Inurse Iadminister Isafely Ito Ithis Iclient?




A. Varicella Ivaccine
B. Rubella Ivaccine
C. Inactivated Iinfluenza Ivaccine
D. Measles Ivaccine

18. A Inurse Ion Ia Imedical-surgical Iunit Iadministers Ia Ihypnotic Imedication Ito Ian Iolder Iadult Iclient Iat I2100. IThe
Inext Imorning, Ithe Iclient Iis Idrowsy Iand Iwants Ito Isleep Iinstead Iof Ieating Ibreakfast. IWhich Iof Ithe I following

Ifactors Ishould Ithe Inurse Iidentify Ias Ia Ipossible Ireason Ifor Ithe Iclient's Idrowsiness?




A. Reduced Icardiac Ifunction
B. First-pass Ieffect
C. Reduced Ihepatic Ifunction
D. Increased Igastric Imotility

19. A Inurse Iis Icaring Ifor Ia Iclient Iwho Ihas Iincreased Iliver Ienzymes Iand Iis Itaking Iherbal Isupplements. IWhich Iof
Ithe Ifollowing Iherbal Isupplements Ishould Ithe Inurse Ireport Ito Ithe Iprovider Ias Ithe Ipotential Icause?




A. Glucosamine
B. Saw Ipalmetto
IC. IKava

D. ISt. IJohn's IWort
2. A Inurse Iis Icaring Ifor Ia Iclient Iwho Irequests Iinformation Ion Ithe Iuse Iof Ifeverfew. I Which Iof Ithe Itallowing
Iresponses Ishould Ithe Inurse Imake?




A. "It Iis Iused Ito Itreat Iskin Iinfections."
B. "It Ican Idecrease Ithe Ifrequency Iof Imigraine Iheadaches."
C. "It Ican Ilessen Ithe Inasal Icongestion Iin Ithe Icommon Icold."
D. "It Ican Irelieve Inausea Iof Imorning Isickness Iduring Ipregnancy."

20. A Inurse Iis Ireviewing Ia Iclient's Icurrent Imedications. I The Iclient Istates, I"I Ialso Itake Iginkgo Ibiloba." I Which Iof
Ithe Ifollowing Imedications Ihas Ithe Ipotential Ito Iinteract Iwith Iginkgo Ibiloba?




A. IAcetaminophen
IB. IWarfarin

C. IDigoxin
D. ILisinopril

21. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iasks Iabout Ithe Ipotential Iadverse Ieffects Iof Ismoking Icannabis. IWhich Iof
Ithe Ifollowing Imanifestations Ishould Ithe Inurse Iinclude Iin Ithe Iresponse? I (Select Iall Ithat Iapply.)




A. IDecreased Iheart Irate
IB. IDry Imouth

C. Hallucinations
D. Hypertension
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