PHARM FINAL- TEST BANK EXAM
QUESTIONS WITH VERIFIED
ANSWERS
The drug of choice for the treatment of partial seizures is what?
A. Carbamazepine (Tegretol)
B. Clorazepate (Tranxene)
C. Felbamate (Felbatol)
D. Gabapentin (Neurontin) - Answer-ANS: A
A 20-year-old female patient has been diagnosed with multiple sclerosis. What drug
will most likely be prescribed?
A) Baclofen (Lioresal)
B) Cyclobenzaprine (Flexeril)
C) Metaxalone (Skelaxin)
D) Orphenadrine (Banflex) - Answer-ANS: A
The nurse is caring for a patient who is being discharged home from the
rehabilitation unit. Baclofen will be discontinued and the patient will begin taking
carisoprodol as an outpatient. What is the nurse's primary consideration about
discontinuing administration of baclofen?
A) Taper drug over 72 hours to reduce dependence on the drug.
B) Alternate doses of baclofen and soma over 10 days to prevent drug withdrawal.
C) Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations.
D) Start carisoprodol immediately while continuing baclofen at full dose to establish
carisoprodol level. - Answer-ANS: C
The nurse is caring for a patient receiving intrathecal baclofen via pump while
participating in rigorous rehabilitation therapy. What is the nurse's priority to monitor
related to adverse effects of this drug?
A) Blood pressure
B) Pulse pressure
C) Spasticity
D) Respiratory status - Answer-ANS: D
A patient is admitted to the unit with central spasticity after a terrible motor vehicle
accident. The doctor places an intrathecal delivery pump. What medication can be
administered via this route to treat the central spasticity?
A) Baclofen (Lioresal)
B) Cyclobenzaprine (Flexeril)
C) Dantrolene (Dantrium)
D) Carisoprodol (Soma) - Answer-ANS: A
Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants. What
adverse effects do drugs in this class have? (Select all that apply.)
A) Coronary artery disease
B) Hypotension
,C) Urinary frequency
D) Dizziness
E) Bone marrow suppression - Answer-ANS: B, C, D
The nurse is caring for a patient who is having a pump placed to deliver intrathecal
baclofen and another patient who will receive dantrolene as a muscle relaxant. What
nursing diagnosis would be appropriate for both care plans? (Select all that apply.)
A) Acute pain related to GI effects of drug
B) Risk for injury related to central nervous system (CNS) effects
C) Disturbed body image related to muscle pain
D) Disturbed thought processes related to CNS effects
E) Deficient knowledge related to procedure - Answer-ANS: A, B, D
When caring for a patient taking dantrolene, what adverse effects would the nurse
monitor for? (Select all that apply.)
A) Bradycardia
B) Hepatitis
C) Urinary retention
D) Fatigue
E) Rash - Answer-ANS: B, D, E
A patient with severe spasticity sees his physician. The physician orders dantrolene.
In what circumstances is the drug dantrolene contraindicated?
A) Spasticity that contributes to upright position
B) Spasticity that involves both legs
C) Spasticity that involves the arm and the leg on the same side
D) Spasticity that contributes to mobility - Answer-ANS: A
A patient has been diagnosed with multiple sclerosis and experiences spasticity in
several muscle groups. What drug would the nurse anticipate will be ordered as the
drug of choice to manage spasticity associated with neuromuscular diseases?
A) Dantrolene (Dantrium)
B) Baclofen (Lioresal)
C) Carisoprodol (Soma)
D) Botulinum toxin type B (Myobloc) - Answer-ANS: A
The nurse is caring for a patient taking dantrolene. How would the nurse assess the
therapeutic effects of this drug?
A) Observe the patient when emotionally stressed to assess for exacerbation of
spasticity.
B) Discontinue the drug for 2 to 4 days and assess for exacerbation of spasticity.
C) Measure the amount of spasticity before and after administration of medication.
D) Collect a thorough history to ask the patient any improvement has been noticed. -
Answer-ANS: B
What drug would the nurse expect to administer to the patient experiencing
malignant hyperthermia?
A) Orphenadrine
B) Metaxalone
C) Chlorzoxazone
,D) Dantrolene - Answer-ANS: D
Which muscle relaxant was found to be embryotoxic in animal studies?
A) Carisoprodol (Soma)
B) Botulinum toxin A (Botox)
C) Cyclobenzaprine (Flexeril)
D) Dantrolene (dantrium) - Answer-ANS: D
The nurse is administering morphine to a trauma patient for acute pain. Before
administering the morphine, what common adverse effect should the nurse inform
the patient about?
A) Paresthesia in lower extremities
B) Occipital headache
C) Increased intracranial pressure
D) Drowsiness - Answer-ANS: D
The home care nurse administers oral morphine to the patient with cancer pain.
When will the nurse expect this medication to reach peak activity?
A) 10 minutes
B) 30 minutes
C) 45 minutes
D) 60 minutes - Answer-ANS: D
The nurse is caring for a patient experiencing postoperative pain. The physician
orders 2.5 mg of morphine IV every two hours. Morphine is supplied in 10 mg/mL
vials. How many mL will the nurse administer?
A) 0.25 mL
B) 0.5 mL
C) 1 mL
D) 2 mL - Answer-ANS: A
The patient in labor receives morphine every 2 hours to manage labor pain. After 22
hours of labor the woman delivers a baby boy. What is the nurse's priority action
related to the newborn?
A) Monitor for opioid effects.
B) Administer naloxone.
C) Monitor for withdrawal syndrome.
D) Assess for congenital anomaly. - Answer-ANS: A
A nurse is caring for a 6-year-old patient after surgery. The child has an order for
meperidine (Demerol) 1.8 mg/kg IM every 3 to 4 hour as needed for pain. The child
weighs 30 kg and the meperidine is available as 50 mg/mL. How many mL will the
nurse administer per dose?
A. 1 mL
B. 1.8 mL
C. 0.8 mL
D. 1.08 mL - Answer-ANS: D
The health care provider orders oral (PO) codeine as an adjunctive therapy to pain
control medication. What order would be appropriate for the nurse to administer?
, A) Codeine 5 mg PO every 6 hour
B) Codeine 10 mg PO every 4 hour
C) Codeine 15 mg PO every 2 hour
D) Codeine 20 mg PO every 4 hour - Answer-ANS: D
What drug might the nurse administer for both analgesic and antitussive effects?
A) Codeine
B) Aspirin
C) Ibuprofen
D) Acetaminophen - Answer-ANS: A
Before administering an ergot drug to the patient for the first time, the nurse would
assess the patient's currently prescribed medications for what drug?
A) Antidiabetic agents
B) Beta adrenergic blockers
C) Oral contraceptives
D) Selective serotonin reuptake inhibitors (SSRIs) - Answer-ANS: B
A patient with migraine headaches is changed from an ergot to a prescription for a
triptan. The nurse has completed teaching related to the drug. What statement would
indicate she has a clear understanding of the new drug?
A) My life is over. I can't function not knowing when I'm going to have a headache.
B) I will not have to avoid driving because this medication isn't sedating.
C) I should not experience as many adverse effects from my new medication.
D) I take my medication every hour when I have a headache. - Answer-ANS: C
The nurse receives an order for a triptan for a patient diagnosed with cluster
headaches. What drug would be indicated for this purpose?
A) Almotriptan (Axert)
B) Frovatriptan (Frova)
C) Naratriptan (Amerge)
D) Sumatriptan (Imitrex) - Answer-ANS: D
The nursing instructor asks the student nurse to explain the action of sumatriptan.
What is the student's best response?
A) Vasoconstrictive on cranial blood vessels
B) Depresses pain response in the central nervous system
C) Vasodilation of peripheral blood vessels
D) Binds to acetylcholine receptors to prevent nerve transmission - Answer-ANS: A
The nurse receives a patient into the postanaesthesia care unit who has had surgery
using the anesthetic agent methohexital. The nurse anticipates the patient's need for
what in the postoperative period?
A) Assistance in maintaining respirations
B) Assistance in moving lower extremities
C) Positioning in Semi-Fowler's position
D) Analgesia to control the patient's pain - Answer-ANS: D
QUESTIONS WITH VERIFIED
ANSWERS
The drug of choice for the treatment of partial seizures is what?
A. Carbamazepine (Tegretol)
B. Clorazepate (Tranxene)
C. Felbamate (Felbatol)
D. Gabapentin (Neurontin) - Answer-ANS: A
A 20-year-old female patient has been diagnosed with multiple sclerosis. What drug
will most likely be prescribed?
A) Baclofen (Lioresal)
B) Cyclobenzaprine (Flexeril)
C) Metaxalone (Skelaxin)
D) Orphenadrine (Banflex) - Answer-ANS: A
The nurse is caring for a patient who is being discharged home from the
rehabilitation unit. Baclofen will be discontinued and the patient will begin taking
carisoprodol as an outpatient. What is the nurse's primary consideration about
discontinuing administration of baclofen?
A) Taper drug over 72 hours to reduce dependence on the drug.
B) Alternate doses of baclofen and soma over 10 days to prevent drug withdrawal.
C) Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations.
D) Start carisoprodol immediately while continuing baclofen at full dose to establish
carisoprodol level. - Answer-ANS: C
The nurse is caring for a patient receiving intrathecal baclofen via pump while
participating in rigorous rehabilitation therapy. What is the nurse's priority to monitor
related to adverse effects of this drug?
A) Blood pressure
B) Pulse pressure
C) Spasticity
D) Respiratory status - Answer-ANS: D
A patient is admitted to the unit with central spasticity after a terrible motor vehicle
accident. The doctor places an intrathecal delivery pump. What medication can be
administered via this route to treat the central spasticity?
A) Baclofen (Lioresal)
B) Cyclobenzaprine (Flexeril)
C) Dantrolene (Dantrium)
D) Carisoprodol (Soma) - Answer-ANS: A
Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants. What
adverse effects do drugs in this class have? (Select all that apply.)
A) Coronary artery disease
B) Hypotension
,C) Urinary frequency
D) Dizziness
E) Bone marrow suppression - Answer-ANS: B, C, D
The nurse is caring for a patient who is having a pump placed to deliver intrathecal
baclofen and another patient who will receive dantrolene as a muscle relaxant. What
nursing diagnosis would be appropriate for both care plans? (Select all that apply.)
A) Acute pain related to GI effects of drug
B) Risk for injury related to central nervous system (CNS) effects
C) Disturbed body image related to muscle pain
D) Disturbed thought processes related to CNS effects
E) Deficient knowledge related to procedure - Answer-ANS: A, B, D
When caring for a patient taking dantrolene, what adverse effects would the nurse
monitor for? (Select all that apply.)
A) Bradycardia
B) Hepatitis
C) Urinary retention
D) Fatigue
E) Rash - Answer-ANS: B, D, E
A patient with severe spasticity sees his physician. The physician orders dantrolene.
In what circumstances is the drug dantrolene contraindicated?
A) Spasticity that contributes to upright position
B) Spasticity that involves both legs
C) Spasticity that involves the arm and the leg on the same side
D) Spasticity that contributes to mobility - Answer-ANS: A
A patient has been diagnosed with multiple sclerosis and experiences spasticity in
several muscle groups. What drug would the nurse anticipate will be ordered as the
drug of choice to manage spasticity associated with neuromuscular diseases?
A) Dantrolene (Dantrium)
B) Baclofen (Lioresal)
C) Carisoprodol (Soma)
D) Botulinum toxin type B (Myobloc) - Answer-ANS: A
The nurse is caring for a patient taking dantrolene. How would the nurse assess the
therapeutic effects of this drug?
A) Observe the patient when emotionally stressed to assess for exacerbation of
spasticity.
B) Discontinue the drug for 2 to 4 days and assess for exacerbation of spasticity.
C) Measure the amount of spasticity before and after administration of medication.
D) Collect a thorough history to ask the patient any improvement has been noticed. -
Answer-ANS: B
What drug would the nurse expect to administer to the patient experiencing
malignant hyperthermia?
A) Orphenadrine
B) Metaxalone
C) Chlorzoxazone
,D) Dantrolene - Answer-ANS: D
Which muscle relaxant was found to be embryotoxic in animal studies?
A) Carisoprodol (Soma)
B) Botulinum toxin A (Botox)
C) Cyclobenzaprine (Flexeril)
D) Dantrolene (dantrium) - Answer-ANS: D
The nurse is administering morphine to a trauma patient for acute pain. Before
administering the morphine, what common adverse effect should the nurse inform
the patient about?
A) Paresthesia in lower extremities
B) Occipital headache
C) Increased intracranial pressure
D) Drowsiness - Answer-ANS: D
The home care nurse administers oral morphine to the patient with cancer pain.
When will the nurse expect this medication to reach peak activity?
A) 10 minutes
B) 30 minutes
C) 45 minutes
D) 60 minutes - Answer-ANS: D
The nurse is caring for a patient experiencing postoperative pain. The physician
orders 2.5 mg of morphine IV every two hours. Morphine is supplied in 10 mg/mL
vials. How many mL will the nurse administer?
A) 0.25 mL
B) 0.5 mL
C) 1 mL
D) 2 mL - Answer-ANS: A
The patient in labor receives morphine every 2 hours to manage labor pain. After 22
hours of labor the woman delivers a baby boy. What is the nurse's priority action
related to the newborn?
A) Monitor for opioid effects.
B) Administer naloxone.
C) Monitor for withdrawal syndrome.
D) Assess for congenital anomaly. - Answer-ANS: A
A nurse is caring for a 6-year-old patient after surgery. The child has an order for
meperidine (Demerol) 1.8 mg/kg IM every 3 to 4 hour as needed for pain. The child
weighs 30 kg and the meperidine is available as 50 mg/mL. How many mL will the
nurse administer per dose?
A. 1 mL
B. 1.8 mL
C. 0.8 mL
D. 1.08 mL - Answer-ANS: D
The health care provider orders oral (PO) codeine as an adjunctive therapy to pain
control medication. What order would be appropriate for the nurse to administer?
, A) Codeine 5 mg PO every 6 hour
B) Codeine 10 mg PO every 4 hour
C) Codeine 15 mg PO every 2 hour
D) Codeine 20 mg PO every 4 hour - Answer-ANS: D
What drug might the nurse administer for both analgesic and antitussive effects?
A) Codeine
B) Aspirin
C) Ibuprofen
D) Acetaminophen - Answer-ANS: A
Before administering an ergot drug to the patient for the first time, the nurse would
assess the patient's currently prescribed medications for what drug?
A) Antidiabetic agents
B) Beta adrenergic blockers
C) Oral contraceptives
D) Selective serotonin reuptake inhibitors (SSRIs) - Answer-ANS: B
A patient with migraine headaches is changed from an ergot to a prescription for a
triptan. The nurse has completed teaching related to the drug. What statement would
indicate she has a clear understanding of the new drug?
A) My life is over. I can't function not knowing when I'm going to have a headache.
B) I will not have to avoid driving because this medication isn't sedating.
C) I should not experience as many adverse effects from my new medication.
D) I take my medication every hour when I have a headache. - Answer-ANS: C
The nurse receives an order for a triptan for a patient diagnosed with cluster
headaches. What drug would be indicated for this purpose?
A) Almotriptan (Axert)
B) Frovatriptan (Frova)
C) Naratriptan (Amerge)
D) Sumatriptan (Imitrex) - Answer-ANS: D
The nursing instructor asks the student nurse to explain the action of sumatriptan.
What is the student's best response?
A) Vasoconstrictive on cranial blood vessels
B) Depresses pain response in the central nervous system
C) Vasodilation of peripheral blood vessels
D) Binds to acetylcholine receptors to prevent nerve transmission - Answer-ANS: A
The nurse receives a patient into the postanaesthesia care unit who has had surgery
using the anesthetic agent methohexital. The nurse anticipates the patient's need for
what in the postoperative period?
A) Assistance in maintaining respirations
B) Assistance in moving lower extremities
C) Positioning in Semi-Fowler's position
D) Analgesia to control the patient's pain - Answer-ANS: D
