Pharmacology Midterm Exam 2023 with 100% correct questions and answers

C What is the most appropriate measurement to determine the therapeutic response of an antipyretic drug? a) Blood Pressure b) Respiratory Rate c) Temperature d) Radial Pulse B, C, F Which of the following examples would be considered objective data? (select all that apply) a) "I have pain in my abdomen" b) Blood pressure is 160/90 c) Skin is mottled d) "I had a lab test last week at my doctor's office" e) Child's mother states, "His temperature was 102 degrees before we came to the hospital" f) Weight gain of 2 pounds in 4 days g) Patient states she has trouble breathing or "catching" her breath A, B, D, E, F Which of the following would be considered examples of the Nine Rights? (select all that apply) a) Right patient b) Right time c) Right room number d) Right to refuse e) Right documentation f) Right reason B Which of the following examples would be considered a contraindication? a) Giving a drug for nausea to a patient who has just vomited b) Giving a drug that causes birth defects to a patient who is 12 week's pregnant c) Giving a drug that may cause dizziness to a patient with high blood pressure d) Giving a drug that may cause an increase in heart rate to a patient who has asthma B The LPN/VN is giving a patient her morning drugs due at 9:00 a.m. After you have already prepared the drug, the patient states, " No, I don't want that pill today." What is your best first action? a) Tell the patient she has to take the drug because it was ordered by the doctor b) Ask the patient to tell you her reason for not taking the drug c) Teach the patient why she needs it and give the drug d) Ask the patient if she has any questions about the drug A What is considered the best resource for current use of drugs at admission to the healthcare setting? a) The patient b) The medical record c) The caregiver d) The prescriber A The LPN/VN is assessing a patient before giving a drug to manage his blood pressure and notes the blood pressure to be 90/50. What is the nurse's best action? a) Hold the drug and report to the RN in charge b) Give the patient a cup of coffee and give the drug c) Come back 30 minutes later and recheck the blood pressure d) Tell the patient to walk in the hall and give the drug D What is the best way to check that you are giving the drug to the right patient? a) Ask the patient's name b) Compare the patient with the room number c) Check the patient's wristband d) Check two unique patient identifiers C Which of the following nine rights should you apply immediately after you give a drug? a) Right drug b) Right patient c) Right documentation d) Right dose B Which priority assessment must you make before giving any patient a drug by mouth? a) Quiz the patient about the action of each drug b) Make sure the patient can swallow c) Find out whether the patient prefers cold or room temperature liquids d) Ask the patient to repeat his or her name and birthdate B According to the patient's record, a controlled substance has been ordered for pain relief. A review of the narcotics log and the patient's drug record indicates the drug has been given as ordered. However, the patient reports not receiving relief of pain. What may be a likely reason for the lack of pain relief? a) The patient may not be telling the truth b) The drug is likely being diverted for illegal purposes c) The patient has an allergy to opioids, and so they are not effective d) The patient was offered the drug, but the refused the dose, and it was discarded A Which patient is most likely to receive an incorrect dose of an over-the-counter drug? a) A 2-year-old child given a liquid drug by his parents b) A 20-year-old woman who experiences frequent migraine headaches c) A 50-year-old man who is taking an anti-inflammatory drug for occasional arthritis pain d) A 13-year-old female student who was given acetaminophen for a headache by the school nurse C You have discovered that you made a potential drug administration error. What is the first step you should take? a) Fill out an incident report b) Call the healthcare provider immediately c) Check your patient and assess vital signs d) Discuss your concerns with the nurse manager B Which drug is classified as a schedule II controlled substance? a) Mescaline b) Morphine c) Pentazocine d) Tylenol #3 D Which action is most likely to ensure you are giving the right drug to the right patient? a) Checking the patient's bed number b) Asking the patient is he is Mr. Jones c) Asking the patient if he has taken this drug before d) Checking the name on the patient"s wristband A, B, C, D, F, H Which information is required for a prescription to be legal? (select all that apply) a) Patient's name b) The instruction "Take with meals" c) Prescriber's signature d) How often the drug is to be taken e) When to notify the prescriber f) Drug dose g) Name of pharmacist h) Route of administration i) How long to take the drug B What is the most important action to perform after giving a patient a drug that has a black box designation? a) Report the event as a drug error b) Observe the patient closely for an adverse reaction c) Be sure to sign out the drug according to agency policy d) Remind the patient to stay in bed for 2 hours after receiving the drug D Which drug route has the fastest action? a) Drugs given by way of a feeding tube b) Drugs given by way subcutaneous injection c) Drugs given sublingually d) Drugs given intravenously A The patient is given a drug that will help him sleep. Instead he stays awake all night. What is this outcome known as? a) Paradoxical response b) Adverse reaction c) Side effect d) Anaphylactic reaction A The patient is prescribed a drug that leads to very difficult breathing. What is the reason for this response? a) Adverse reaction b) Anaphylactic reaction c) Side effect d) Idiosyncratic response c The nurse is giving a drug that blocks the effect of a receptor. What is this response known as? a) Displacement b) Additive effect c) Antagonistic effect d) Interference B The nurse is giving two drugs and finds that the effect of the two drugs taken together is greater than the sum of the effects of each drug were it given alone. What is this response known as? a) Interference b) Synergy c) Displacement d) Incompatibility B, C Which organ(s) is (are) mostly responsible for the elimination of drugs? a) Liver b) Intestines c) Kidney d) Gallbladder A The physician has changed an order from morphine 10 mg intravenously every 2 hours to morphine 30 mg by mouth every 4 hours. What does this nurse recognize about this order? a) The increased dosage is needed because of the "first-pass" effect b) The prescriber has made a drug error c) The dosage change is needed because the patient excretes d) The change is needed because the patient reports the IV dose is ineffective C A patient on a diuretic (increases urine production) complains of leg cramping. Which is the priority action of the nurse? a) Encourage the patient to walk b) Review is the patient's current electrolyte levels for abnormalities c) Offer the patient a bedpan so he/she doesn't need to walk to the bathroom d) Ask the prescriber to order aspirin for pain C Why are drug dosages sometimes reduced in the older patient? a) Older patients have a decrease in body fat b) Older patients have an increase in lean body mass c) Older patients have a decrease in lean body mass d) Older patients have an decrease in hydroric acid