Ati Pharm test 1-5 graded A+ year 2022/2023 with
Questions and correct answers
The student is providing a presentation to the class regarding concepts in pharmacodynamics. Which
statement made by a student in the class best demonstrates understanding of pharmacodynamics? -
ANSWER-"receptor binding is the main component of pharmocodynamics"
The nurse is administering morning medications. A patient questions the nurse, "How does the drug
know where to go?" The nurse's best response to the patient is based on the understanding that a drug
that elicits only those responses for which it is given is considered - ANSWER-selective
A nurse is teaching a continuing education class on pharmacology. The nurse is evaluating the
participants' knowledge and poses the question, "When a disease process triggers increased metabolism
of the drug, the disease has altered the drug's ___________." - ANSWER-pharmacokinetics
A patient with type I diabetes mellitus comes to the clinic with complaints of low blood sugar. The nurse
questions the patient regarding compliance with medications. The patient states that she gives herself
more insulin per dose so she doesn't have to take it as often. Which factors should the nurse educate
the patient about as affecting the patient's response to the medication? - ANSWER-administration
A patient with a history of hepatomegaly secondary to cirrhosis is admitted to a medical-surgical unit.
Among the patient's many medications, acetaminophen (Tylenol) is prescribed. The nurse understands
that this drug should not be used in patients with impaired liver function. Which term describes the
nurse's understanding of the relationship between acetaminophen and its use in patients with impaired
liver function? - ANSWER-a contraindication
The nurse reads the prescriber's orders and prepares to administer a medication "as needed." Which
order would the nurse plan to implement? - ANSWER-Acetaminophen (Tylenol) 650 mg I PO q 4 hours
prn
The nurse is caring for several patients and prepares to administer morning medications. Which high-risk
patient should the nurse monitor most carefully after the drugs are administered? - ANSWER-The young
adult patient with a history of kidney disease
,The charge nurse has just received report from another nurse, who is ill and going home. The nurse gave
medications to his patients about 40 minutes ago. The charge nurse is prioritizing which patient should
be seen first based on the nurse's report. Which patient should the charge nurse assess first? - ANSWER-
A patient with multiple allergies, just started on a new medication with complaints of pruritus
The nurse is preparing to administer medications to a patient admitted with a left total knee
replacement. As part of the preadministration assessment, the nurse would first... - ANSWER-check the
patient's arm band for allergies.
Prior to the administration of penicillin, a nurse reviews medication literature regarding precautions
associated with penicillin. For which patient would the nurse most likely consider these precautions
warranted? - ANSWER-A patient who reports a history of a mild rash from penicillin taken 7 years ago
A nurse on a busy orthopedic unit is preparing to administer morning medications. Which aspect of the
assessment would be most important prior to the administration of an antihypertensive agent PO? -
ANSWER-Patient's blood pressure prior to administration
A nurse is preparing to administer medications. Which patient would the nurse consider to have the
greatest predisposition to an adverse reaction? - ANSWER-A 30-year-old male with kidney disease.
A nurse is providing education to a patient preparing for discharge from the clinic. What is the best way
for the nurse to promote compliance in the patient going home on a new medication? - ANSWER-Ask
the patient to restate the instructions and verify understanding.
A female patient comes to the clinic and is prescribed tetracycline. She tells the nurse, "I'm allergic to
tetracycline. I always get a yeast infection when I take it." The nurse's best response would be... -
ANSWER-"Tell me about other reactions or changes you experience when you take tetracycline."
A nurse is obtaining a health history from a patient. The nurse suspects a drug-drug interaction and
instructs the patient to list every medication he is taking. Which statement would indicate that the
patient needs further teaching regarding inclusion of medication history? - ANSWER-The patient would
be correct to omit listing his daily use of herbal teas.
,A nurse educator is providing a continuing education class on pharmacology. To evaluate the learning of
the nurses in the class, the nurse educator asks, "Which drug name is a generic drug name?" - ANSWER-
Acetaminophen
A researcher working for a pharmaceutical company is providing orientation to a new nurse researcher.
The researcher determines that further education is needed when the nurse states that... - ANSWER-
clinical testing phase 2 involves normal volunteers.
A nurse is providing discharge teaching about an opiate analgesic for a patient. The nurse correctly tells
the patient that the greatest potential for abuse exists with drugs from which schedule? - ANSWER-I
A prescriber orders a drug that is considered "off label." A patient asks what "off label" means. The
nurse correctly explains that "off label" means that a drug is - ANSWER-FDA approved for one use but is
being prescribed for another purpose.
What was the rationale for the 1992 changes in the Food and Drug Administration's regulations to
permit accelerated approval of drugs for the treatment of life-threatening or severely debilitating
disease? - ANSWER-To ensure that the unknown risks associated with early approval are balanced by the
need for effective drugs
The nurse has just administered diphenhydramine (Benadryl) and morphine sulfate to a patient. An hour
has passed, and the nurse is checking on the patient. The patient asks the nurse why he feels so drowsy.
The nurse's best response would be - ANSWER-"Both of these drugs pass the blood-brain barrier,
resulting in sedation."
Two nurses are discussing drugs that are affected by the first-pass effect. The nurses understand that a
prime example of a drug affected by the first-pass effect is _____ given _____. - ANSWER-nitroglycerin;
orally
A nurse administers warfarin (Coumadin) to a patient who is concurrently taking drug X, which also is
highly protein bound. The nurse would anticipate that drug X will act at the receptor site as a - ANSWER-
competitive antagonist
A patient is being discharged home on enteric-coated aspirin (Ecotrin). A nurse is providing patient
education regarding the rationale for the enteric coating. Which statement made by the patient
, indicates understanding of the purpose of the enteric coating on the aspirin? - ANSWER-Enteric coating
means that the acids of the gut will not destroy the aspirin
The nurse is preparing to administer a medication via the parenteral route. Which medication order best
demonstrates this route of administration? - ANSWER-Insulin NPH 30 units subcutaneously
A patient is receiving morphine sulfate 4 mg intravenously every 3 hours for pain. The nurse
understands that the half-life for morphine sulfate is approximately 3 hours. Which statement made by
the nurse best demonstrates understanding of the meaning of half-life? - ANSWER-The half life of a
medication refers to the time required for the amount of drug in the body to decrease by 50%
A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular
drug. A patient has been taking this drug for 1 week. What is the most significant implication for the
nurse who is caring for this patient? - ANSWER-The patient should be monitored carefully for toxicity.
A prescriber has written an order for a pain medication: Drug X 50 mg PO every 6 hours. The patient has
had right arm pain since surgery, rated as a 7 on a scale of 0 to 10, with 10 being the greatest pain. The
half-life for the drug is approximately 12 hours. The nurse should first take which action? - ANSWER-The
nurse should question the frequency of the medication.
An adult male patient is 1 day postoperative from a total hip replacement. The patient is rocking back
and forth with a facial grimace. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient
reports a pain level of 10. Which medications would be most appropriate for the nurse to administer to
this patient? - ANSWER-6 mg morphine sulfate intravenously
A patient with a history of cardiac problems is admitted to a telemetry unit. The prescriber orders
digoxin (Lanoxin) at a high dose for 2 days, followed by a lower dose thereafter. What is the nurse's best
action? - ANSWER-Administer the drug per the prescription, recognizing that a loading dose, followed by
a maintenance does, is being given
A prescriber has just ordered a medication for a patient and has ordered a larger dose than is normally
indicated. The patient questions the nurse and asks why the dose is so large. The nurse would be correct
to explain that - ANSWER-the initial dose is sometimes higher to reach a therapeutic level more quickly.
Questions and correct answers
The student is providing a presentation to the class regarding concepts in pharmacodynamics. Which
statement made by a student in the class best demonstrates understanding of pharmacodynamics? -
ANSWER-"receptor binding is the main component of pharmocodynamics"
The nurse is administering morning medications. A patient questions the nurse, "How does the drug
know where to go?" The nurse's best response to the patient is based on the understanding that a drug
that elicits only those responses for which it is given is considered - ANSWER-selective
A nurse is teaching a continuing education class on pharmacology. The nurse is evaluating the
participants' knowledge and poses the question, "When a disease process triggers increased metabolism
of the drug, the disease has altered the drug's ___________." - ANSWER-pharmacokinetics
A patient with type I diabetes mellitus comes to the clinic with complaints of low blood sugar. The nurse
questions the patient regarding compliance with medications. The patient states that she gives herself
more insulin per dose so she doesn't have to take it as often. Which factors should the nurse educate
the patient about as affecting the patient's response to the medication? - ANSWER-administration
A patient with a history of hepatomegaly secondary to cirrhosis is admitted to a medical-surgical unit.
Among the patient's many medications, acetaminophen (Tylenol) is prescribed. The nurse understands
that this drug should not be used in patients with impaired liver function. Which term describes the
nurse's understanding of the relationship between acetaminophen and its use in patients with impaired
liver function? - ANSWER-a contraindication
The nurse reads the prescriber's orders and prepares to administer a medication "as needed." Which
order would the nurse plan to implement? - ANSWER-Acetaminophen (Tylenol) 650 mg I PO q 4 hours
prn
The nurse is caring for several patients and prepares to administer morning medications. Which high-risk
patient should the nurse monitor most carefully after the drugs are administered? - ANSWER-The young
adult patient with a history of kidney disease
,The charge nurse has just received report from another nurse, who is ill and going home. The nurse gave
medications to his patients about 40 minutes ago. The charge nurse is prioritizing which patient should
be seen first based on the nurse's report. Which patient should the charge nurse assess first? - ANSWER-
A patient with multiple allergies, just started on a new medication with complaints of pruritus
The nurse is preparing to administer medications to a patient admitted with a left total knee
replacement. As part of the preadministration assessment, the nurse would first... - ANSWER-check the
patient's arm band for allergies.
Prior to the administration of penicillin, a nurse reviews medication literature regarding precautions
associated with penicillin. For which patient would the nurse most likely consider these precautions
warranted? - ANSWER-A patient who reports a history of a mild rash from penicillin taken 7 years ago
A nurse on a busy orthopedic unit is preparing to administer morning medications. Which aspect of the
assessment would be most important prior to the administration of an antihypertensive agent PO? -
ANSWER-Patient's blood pressure prior to administration
A nurse is preparing to administer medications. Which patient would the nurse consider to have the
greatest predisposition to an adverse reaction? - ANSWER-A 30-year-old male with kidney disease.
A nurse is providing education to a patient preparing for discharge from the clinic. What is the best way
for the nurse to promote compliance in the patient going home on a new medication? - ANSWER-Ask
the patient to restate the instructions and verify understanding.
A female patient comes to the clinic and is prescribed tetracycline. She tells the nurse, "I'm allergic to
tetracycline. I always get a yeast infection when I take it." The nurse's best response would be... -
ANSWER-"Tell me about other reactions or changes you experience when you take tetracycline."
A nurse is obtaining a health history from a patient. The nurse suspects a drug-drug interaction and
instructs the patient to list every medication he is taking. Which statement would indicate that the
patient needs further teaching regarding inclusion of medication history? - ANSWER-The patient would
be correct to omit listing his daily use of herbal teas.
,A nurse educator is providing a continuing education class on pharmacology. To evaluate the learning of
the nurses in the class, the nurse educator asks, "Which drug name is a generic drug name?" - ANSWER-
Acetaminophen
A researcher working for a pharmaceutical company is providing orientation to a new nurse researcher.
The researcher determines that further education is needed when the nurse states that... - ANSWER-
clinical testing phase 2 involves normal volunteers.
A nurse is providing discharge teaching about an opiate analgesic for a patient. The nurse correctly tells
the patient that the greatest potential for abuse exists with drugs from which schedule? - ANSWER-I
A prescriber orders a drug that is considered "off label." A patient asks what "off label" means. The
nurse correctly explains that "off label" means that a drug is - ANSWER-FDA approved for one use but is
being prescribed for another purpose.
What was the rationale for the 1992 changes in the Food and Drug Administration's regulations to
permit accelerated approval of drugs for the treatment of life-threatening or severely debilitating
disease? - ANSWER-To ensure that the unknown risks associated with early approval are balanced by the
need for effective drugs
The nurse has just administered diphenhydramine (Benadryl) and morphine sulfate to a patient. An hour
has passed, and the nurse is checking on the patient. The patient asks the nurse why he feels so drowsy.
The nurse's best response would be - ANSWER-"Both of these drugs pass the blood-brain barrier,
resulting in sedation."
Two nurses are discussing drugs that are affected by the first-pass effect. The nurses understand that a
prime example of a drug affected by the first-pass effect is _____ given _____. - ANSWER-nitroglycerin;
orally
A nurse administers warfarin (Coumadin) to a patient who is concurrently taking drug X, which also is
highly protein bound. The nurse would anticipate that drug X will act at the receptor site as a - ANSWER-
competitive antagonist
A patient is being discharged home on enteric-coated aspirin (Ecotrin). A nurse is providing patient
education regarding the rationale for the enteric coating. Which statement made by the patient
, indicates understanding of the purpose of the enteric coating on the aspirin? - ANSWER-Enteric coating
means that the acids of the gut will not destroy the aspirin
The nurse is preparing to administer a medication via the parenteral route. Which medication order best
demonstrates this route of administration? - ANSWER-Insulin NPH 30 units subcutaneously
A patient is receiving morphine sulfate 4 mg intravenously every 3 hours for pain. The nurse
understands that the half-life for morphine sulfate is approximately 3 hours. Which statement made by
the nurse best demonstrates understanding of the meaning of half-life? - ANSWER-The half life of a
medication refers to the time required for the amount of drug in the body to decrease by 50%
A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular
drug. A patient has been taking this drug for 1 week. What is the most significant implication for the
nurse who is caring for this patient? - ANSWER-The patient should be monitored carefully for toxicity.
A prescriber has written an order for a pain medication: Drug X 50 mg PO every 6 hours. The patient has
had right arm pain since surgery, rated as a 7 on a scale of 0 to 10, with 10 being the greatest pain. The
half-life for the drug is approximately 12 hours. The nurse should first take which action? - ANSWER-The
nurse should question the frequency of the medication.
An adult male patient is 1 day postoperative from a total hip replacement. The patient is rocking back
and forth with a facial grimace. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient
reports a pain level of 10. Which medications would be most appropriate for the nurse to administer to
this patient? - ANSWER-6 mg morphine sulfate intravenously
A patient with a history of cardiac problems is admitted to a telemetry unit. The prescriber orders
digoxin (Lanoxin) at a high dose for 2 days, followed by a lower dose thereafter. What is the nurse's best
action? - ANSWER-Administer the drug per the prescription, recognizing that a loading dose, followed by
a maintenance does, is being given
A prescriber has just ordered a medication for a patient and has ordered a larger dose than is normally
indicated. The patient questions the nurse and asks why the dose is so large. The nurse would be correct
to explain that - ANSWER-the initial dose is sometimes higher to reach a therapeutic level more quickly.
