WALDEN PRACTICE EXAM 5.NURS MISC

WALDEN PRACTICE EXAM 5.NURS MISCQuestion 1 A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Answer: Narcotics to be used in the hospital are dispensed only with a written prescription. Question 2 A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Answer: The drug will decrease in effectiveness Question 3 A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Answer: Acute Pain, Headache, related to adverse effects of drug therapy Question 4 A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuseconsists mainly of Answer: nonpharmacologic interventions combined with an exercise program. Question 5 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Answer: Pain intensity, respiratory rate, and level of consciousness Question 6 A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Answer: Administering the drug intravenously rather than orally Question 7 A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Answer: The drugs' generic names Question 8 Federal legislation dictates a lengthy and rigorous process of testing for new drugs. Whatis the primary purpose of this testing process? Answer: To ensure the safety of the public Question 9 During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Answer: may cause nutrient deficiencies. Question 10 A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Answer: identify any changes in drug absorption that would change the drug effect. Question 11 What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Answer: Route Question 12 A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of Answer: an adrenergic antagonist. Question 13 Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Answer: Gastrointestinal distress Question 14 A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? Answer: Into the patient shoulder muscle using a small-gauge needle Question 15 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered Answer: orally. Question 16 A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Answer: swallow the tablet with milk or food. Question 17 A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Answer: Possible drug–drug interactions that might occur Question 18 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?