Pharmacy
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
"I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset about
having to test my blood sugars." - ANS D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy & gave the
med 2 hrs after the scheduled dose was due. What type of problem does this represent?
a. right time
b. right dose
c. right route
d. right medication - ANS A
The nurse has been monitoring the pt's progress on a new drug regimen since the first dose &
documenting the pt's therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - ANS D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - ANS D
Which activity best reflects the implementation phase of the nursing process for the pt who is
newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment regimen -
ANS A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before beginning
chemotherapy to prevent nausea." The nurse notes that the route is missing from the order.
What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - ANS C
,When the nurse considers the timing of a drug dose, which factor is appropriate to consider
when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - ANS C
The nurse is performing an assessment of a newly admitted pt. Which is an example of
subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis - ANS C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both drugs are
absorbed into the circulation in identical amounts. Which term is used to identify this principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state - ANS A
The nurse is administering parenteral drugs. Which statement is true regarding parenteral
drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream - ANS A
When monitoring the pt receiving an intraveous infusion to reduce BP, the nurse notes that the
pt's BP is extremely low, & the pt is lethargic & difficult to awaken. This would be classified as
which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction - ANS D
When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works
by selective enzyme interaction. Which of these processes describes selective enzyme
interaction?
a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that
receptor
d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's action w/ the
normal target cell - ANS D
When administering a new medication to a pt, the nurse reads that is highly protein bound.
Assuming that the pt's albumin levels are normal, the nurse would expect which result, as
compared to a medication that is not highly protein bound?
a. renal excretion will be faster
, b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer - ANS D
The pt is experiencing chest pain & needs to take a sublingual form of nitroglycerin. Where does
the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum - ANS A
The nurse is administering medications to the pt who is in renal failure resulting from endstage
renal disease. The nurse is aware that pts w/ kidney failure would most likely have problems w/
which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion - ANS D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
c. diphenhydramine elixir
d. levothyroxine tablets
e. transdermal nictotine patches
f. esomephrazole capsules
g. penicillin given by IV piggyback infusion - ANS C, D, F
Drug transfer to the fetus is more likely during the last trimester of pregnancy for which reason?
a. decreased fetal surface area
b. increased placental surface area
c. enhanced blood flow to the fetus
d. increased amount of protein-bound drug in maternal circulation - ANS C
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - ANS C
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment
for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
b. Nervousness
c. Nausea and vomiting
d. Dizziness - ANS c
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is experiencing
polypharmacy. Which statement most accurately illustrates polypharmacy?
a. the pt is experiencing multiple illnesses
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
"I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset about
having to test my blood sugars." - ANS D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy & gave the
med 2 hrs after the scheduled dose was due. What type of problem does this represent?
a. right time
b. right dose
c. right route
d. right medication - ANS A
The nurse has been monitoring the pt's progress on a new drug regimen since the first dose &
documenting the pt's therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - ANS D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - ANS D
Which activity best reflects the implementation phase of the nursing process for the pt who is
newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment regimen -
ANS A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before beginning
chemotherapy to prevent nausea." The nurse notes that the route is missing from the order.
What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - ANS C
,When the nurse considers the timing of a drug dose, which factor is appropriate to consider
when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - ANS C
The nurse is performing an assessment of a newly admitted pt. Which is an example of
subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis - ANS C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both drugs are
absorbed into the circulation in identical amounts. Which term is used to identify this principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state - ANS A
The nurse is administering parenteral drugs. Which statement is true regarding parenteral
drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream - ANS A
When monitoring the pt receiving an intraveous infusion to reduce BP, the nurse notes that the
pt's BP is extremely low, & the pt is lethargic & difficult to awaken. This would be classified as
which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction - ANS D
When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works
by selective enzyme interaction. Which of these processes describes selective enzyme
interaction?
a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that
receptor
d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's action w/ the
normal target cell - ANS D
When administering a new medication to a pt, the nurse reads that is highly protein bound.
Assuming that the pt's albumin levels are normal, the nurse would expect which result, as
compared to a medication that is not highly protein bound?
a. renal excretion will be faster
, b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer - ANS D
The pt is experiencing chest pain & needs to take a sublingual form of nitroglycerin. Where does
the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum - ANS A
The nurse is administering medications to the pt who is in renal failure resulting from endstage
renal disease. The nurse is aware that pts w/ kidney failure would most likely have problems w/
which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion - ANS D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
c. diphenhydramine elixir
d. levothyroxine tablets
e. transdermal nictotine patches
f. esomephrazole capsules
g. penicillin given by IV piggyback infusion - ANS C, D, F
Drug transfer to the fetus is more likely during the last trimester of pregnancy for which reason?
a. decreased fetal surface area
b. increased placental surface area
c. enhanced blood flow to the fetus
d. increased amount of protein-bound drug in maternal circulation - ANS C
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - ANS C
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment
for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
b. Nervousness
c. Nausea and vomiting
d. Dizziness - ANS c
The nurse is assessing a newly admitted 83 year old pt & determines that the pt is experiencing
polypharmacy. Which statement most accurately illustrates polypharmacy?
a. the pt is experiencing multiple illnesses
