Pharm Exam 3 Evolve Questions
with Verified Answers
A nurse is working with a patient in the setting of goals related to compliance with
medication regimen. Which goal statement reflects best practice?
The patient will take the medication as ordered.
The patient will fill the prescription for each medication at the pharmacy.
The patient will document on a daily basis that prescribed medications were taken.
The patient will be able to state the clinical indications for each medication that was
ordered by the end of the teaching session. - ANSWER-The patient will be able to
state the clinical indications for each medication that was ordered by the end of the
teaching session.
To be effective, goal setting has the following characteristics: realistic, measurable
and reasonable deadlines, acceptable to the patient and within the patient's ability to
perform. As written, the second option provides specific information that satisfies
effective goal setting. The other options do not include all required elements.
A nurse is preparing an educational program for a group of patients on the topic of
health promotion activities. What priority assessment should the nurse include in the
planning of this event?
Preparing handouts for group members
Identification of individual group characteristics such as gender and ethnicity
Recognition of perceived values of the patient group
Developing methods to enhance group interaction - ANSWER-Recognition of
perceived values of the patient group
In terms of patient teaching, whether to an individual or a group, the main focus is on
willingness to learn and investing their learning. If individuals are willing to learn and
perceive value, then learning will be effective. Identifying group characteristics may
be helpful but it is not the priority assessment. Preparing handouts and developing
methods to enhance interaction are necessary but again they are not the priority
assessment.
A nurse is preparing to provide patient teaching to a patient on the medical-surgical
unit. What factor should the nurse identify as a barrier to teaching?
Patient is sitting in a chair in the room.
Patient wears glasses.
Patient's reported pain level post intervention with medication is 7 out of 10.
Patient is resting in bed watching television. - ANSWER-Patient's reported pain level
post intervention with medication is 7 out of 10.
,Pain is considered to be a barrier to teaching. The fact that the patient is still in pain
following a medical intervention should alert the nurse to schedule patient teaching
at a later time. Whether the patient is resting in bed or sitting in a chair and/or
wearing glasses is not considered as a barrier to learning.
A nurse at the health clinic is reviewing a patient's medication history. Which
statement if made by the patient requires additional follow-up?
"I am taking the medication as ordered every morning."
"I have the prescription on auto fill at the pharmacy."
"I take the medication at night with a glass of wine."
"The medication appears to agree with me." - ANSWER-"I take the medication at
night with a glass of wine."
Medications should not be taken with alcohol as it may affect the absorption or alter
the action of the drug. Therefore it is important for the nurse to follow up on this
patient comment. Taking the medications as ordered and having the prescription on
auto fill indicate effective decision making. The subjective statement related to the
medication "agreeing" with the patient does not require follow-up, as it just indicates
that the patient is not having any adverse effects.
A nurse is making a home visit and finds that the elderly patient is having difficulty
taking medications correctly. The patient states that it is becoming too confusing.
Which priority action should the nurse implement?
Suggest the use of a drug box to simplify the process.
Call the health care provider.
Continue to schedule home visits to assist the patient.
Ask the patient if there are any family members that can come over to help. -
ANSWER-Suggest the use of a drug box to simplify the process.
A drug box is used to prepare and organize medications for it provides labeled
compartments based on the day of the week and time of day. This method can help
simplify the medication administration process for patients. It is unrealistic to
continue to schedule home visits for this reason. There is no need to call the health
care provider at this time. Asking the patient if there are family members that can
provide assistance is not the priority action at this time.
The nurse administers a first dose of an antibiotic and upon returning to the patient's
room makes an observation of the patient as a portion of the assessment process.
Which finding(s) is objective data? (Select all that apply.)
Patient complains of itching on fingers
Two plus pitting edema in ankles
Skin free of redness
Denial of pain
Lung sounds clear to auscultation - ANSWER-Denial of pain
Lung sounds clear to auscultation
,Objective data are what the nurse directly observes about the patient's health status.
It involves collecting the patient's health information by using the senses: seeing,
hearing, smelling, and touching. Objective data collection provides additional
information about the patient's symptoms and also targets the organs most likely to
be affected by drug therapy.
The nurse is preparing to teach a patient newly diagnosed with diabetes mellitus how
to inject insulin. Which principle(s) will the nurse include when providing patient
teaching? (Select all that apply.)
The nurse should provide contact information on how to reach the health care
provider.
The nurse must be a passive listener.
Provide simple written materials appropriate for individual patient needs.
Teaching is more effective in a busy environment.
Include a family member or friend in the teaching process.
Assess readiness to learn after information is presented to the patient. - ANSWER-
The nurse should provide contact information on how to reach the health care
provider.
Include a family member or friend in the teaching process.
Assess readiness to learn after information is presented to the patient.
The nurse should include a family member or friend in the teaching process. The
nurse should be an active, not passive, listener. The nurse should assess readiness
to learn before information is presented to the patient. The nurse should provide
simple written materials appropriate for individual patient needs. The nurse should
provide teaching in a quiet environment so that the patient can focus on the
information. The nurse should provide contact information on how to reach the health
care provider in case there are questions or concerns.
The nurse is providing discharge instructions to a patient regarding his/her new
medication regimen. Which information should the nurse include? (Select all that
apply.)
Clear written and verbal directions.
Provide your health care provider with any updates if you add any OTC medication
to your regimen.
Advise the patient of potential adverse effects that may be associated with this new
medication.
Location of available pharmacies for filling of prescriptions.
Advise the patient to take the medication as best works in his/her schedule. -
ANSWER-Clear written and verbal directions.
Provide your health care provider with any updates if you add any OTC medication
to your regimen.
Advise the patient of potential adverse effects that may be associated with this new
medication.
Instructions given to a patient for a new medication should focus on clear written and
verbal directions. The patient should be advised to update the health care provider
with any OTC medication that is added to the treatment regimen. The patient should
, also be told of the potential adverse effects for this medication. In terms of
scheduling, the patient should be directed to take the medication as ordered rather
than based on individual preferences. The nurse can provide specific information
related to the health care provider and pharmacy but is not obligated to provide the
locations of available pharmacies for the filling of the prescription.
The nurse is reading a medication order and is not sure of the drug's name. What
action will the nurse perform first?
Look up the generic name of the medication.
Ask the patient what medications he or she was taking at home.
Call the pharmacy.
Call the health care provider. - ANSWER-Call the health care provider.
If the nurse cannot understand all components of a drug order, the nurse needs to
call the health care provider who wrote the order. If the health care provider is not
available, the pharmacist may be able to identify which drug has been prescribed.
The nurse checks a medication dose that seems outside the recommended dose.
What is the nurse's priority action?
Administer the dose anyway.
Consult a pharmacist.
Consult another nurse to double-check calculations.
Call the health care provider. - ANSWER-Call the health care provider.
The nurse can have others double-check the dosage or the math calculations;
however, the nurse should call the health care provider who ordered the medication
to report the discrepancies in the dose. Patient safety is the primary concern.
The nurse administered an opioid medication. What intervention is most important to
perform after the medication has been administered and the administration
documented?
Write a nursing note.
Assess the patient's vital signs.
Teach the patient about the medication action.
Document patient response to the medication. - ANSWER-Document patient
response to the medication.
Documentation of the patient's response to the medication is required.
The nurse is uncertain regarding directions for preparing a medication. For
clarification, who should the nurse contact?
The shift supervisor
The charge nurse
The facility pharmacy
The health care provider - ANSWER-The facility pharmacy
with Verified Answers
A nurse is working with a patient in the setting of goals related to compliance with
medication regimen. Which goal statement reflects best practice?
The patient will take the medication as ordered.
The patient will fill the prescription for each medication at the pharmacy.
The patient will document on a daily basis that prescribed medications were taken.
The patient will be able to state the clinical indications for each medication that was
ordered by the end of the teaching session. - ANSWER-The patient will be able to
state the clinical indications for each medication that was ordered by the end of the
teaching session.
To be effective, goal setting has the following characteristics: realistic, measurable
and reasonable deadlines, acceptable to the patient and within the patient's ability to
perform. As written, the second option provides specific information that satisfies
effective goal setting. The other options do not include all required elements.
A nurse is preparing an educational program for a group of patients on the topic of
health promotion activities. What priority assessment should the nurse include in the
planning of this event?
Preparing handouts for group members
Identification of individual group characteristics such as gender and ethnicity
Recognition of perceived values of the patient group
Developing methods to enhance group interaction - ANSWER-Recognition of
perceived values of the patient group
In terms of patient teaching, whether to an individual or a group, the main focus is on
willingness to learn and investing their learning. If individuals are willing to learn and
perceive value, then learning will be effective. Identifying group characteristics may
be helpful but it is not the priority assessment. Preparing handouts and developing
methods to enhance interaction are necessary but again they are not the priority
assessment.
A nurse is preparing to provide patient teaching to a patient on the medical-surgical
unit. What factor should the nurse identify as a barrier to teaching?
Patient is sitting in a chair in the room.
Patient wears glasses.
Patient's reported pain level post intervention with medication is 7 out of 10.
Patient is resting in bed watching television. - ANSWER-Patient's reported pain level
post intervention with medication is 7 out of 10.
,Pain is considered to be a barrier to teaching. The fact that the patient is still in pain
following a medical intervention should alert the nurse to schedule patient teaching
at a later time. Whether the patient is resting in bed or sitting in a chair and/or
wearing glasses is not considered as a barrier to learning.
A nurse at the health clinic is reviewing a patient's medication history. Which
statement if made by the patient requires additional follow-up?
"I am taking the medication as ordered every morning."
"I have the prescription on auto fill at the pharmacy."
"I take the medication at night with a glass of wine."
"The medication appears to agree with me." - ANSWER-"I take the medication at
night with a glass of wine."
Medications should not be taken with alcohol as it may affect the absorption or alter
the action of the drug. Therefore it is important for the nurse to follow up on this
patient comment. Taking the medications as ordered and having the prescription on
auto fill indicate effective decision making. The subjective statement related to the
medication "agreeing" with the patient does not require follow-up, as it just indicates
that the patient is not having any adverse effects.
A nurse is making a home visit and finds that the elderly patient is having difficulty
taking medications correctly. The patient states that it is becoming too confusing.
Which priority action should the nurse implement?
Suggest the use of a drug box to simplify the process.
Call the health care provider.
Continue to schedule home visits to assist the patient.
Ask the patient if there are any family members that can come over to help. -
ANSWER-Suggest the use of a drug box to simplify the process.
A drug box is used to prepare and organize medications for it provides labeled
compartments based on the day of the week and time of day. This method can help
simplify the medication administration process for patients. It is unrealistic to
continue to schedule home visits for this reason. There is no need to call the health
care provider at this time. Asking the patient if there are family members that can
provide assistance is not the priority action at this time.
The nurse administers a first dose of an antibiotic and upon returning to the patient's
room makes an observation of the patient as a portion of the assessment process.
Which finding(s) is objective data? (Select all that apply.)
Patient complains of itching on fingers
Two plus pitting edema in ankles
Skin free of redness
Denial of pain
Lung sounds clear to auscultation - ANSWER-Denial of pain
Lung sounds clear to auscultation
,Objective data are what the nurse directly observes about the patient's health status.
It involves collecting the patient's health information by using the senses: seeing,
hearing, smelling, and touching. Objective data collection provides additional
information about the patient's symptoms and also targets the organs most likely to
be affected by drug therapy.
The nurse is preparing to teach a patient newly diagnosed with diabetes mellitus how
to inject insulin. Which principle(s) will the nurse include when providing patient
teaching? (Select all that apply.)
The nurse should provide contact information on how to reach the health care
provider.
The nurse must be a passive listener.
Provide simple written materials appropriate for individual patient needs.
Teaching is more effective in a busy environment.
Include a family member or friend in the teaching process.
Assess readiness to learn after information is presented to the patient. - ANSWER-
The nurse should provide contact information on how to reach the health care
provider.
Include a family member or friend in the teaching process.
Assess readiness to learn after information is presented to the patient.
The nurse should include a family member or friend in the teaching process. The
nurse should be an active, not passive, listener. The nurse should assess readiness
to learn before information is presented to the patient. The nurse should provide
simple written materials appropriate for individual patient needs. The nurse should
provide teaching in a quiet environment so that the patient can focus on the
information. The nurse should provide contact information on how to reach the health
care provider in case there are questions or concerns.
The nurse is providing discharge instructions to a patient regarding his/her new
medication regimen. Which information should the nurse include? (Select all that
apply.)
Clear written and verbal directions.
Provide your health care provider with any updates if you add any OTC medication
to your regimen.
Advise the patient of potential adverse effects that may be associated with this new
medication.
Location of available pharmacies for filling of prescriptions.
Advise the patient to take the medication as best works in his/her schedule. -
ANSWER-Clear written and verbal directions.
Provide your health care provider with any updates if you add any OTC medication
to your regimen.
Advise the patient of potential adverse effects that may be associated with this new
medication.
Instructions given to a patient for a new medication should focus on clear written and
verbal directions. The patient should be advised to update the health care provider
with any OTC medication that is added to the treatment regimen. The patient should
, also be told of the potential adverse effects for this medication. In terms of
scheduling, the patient should be directed to take the medication as ordered rather
than based on individual preferences. The nurse can provide specific information
related to the health care provider and pharmacy but is not obligated to provide the
locations of available pharmacies for the filling of the prescription.
The nurse is reading a medication order and is not sure of the drug's name. What
action will the nurse perform first?
Look up the generic name of the medication.
Ask the patient what medications he or she was taking at home.
Call the pharmacy.
Call the health care provider. - ANSWER-Call the health care provider.
If the nurse cannot understand all components of a drug order, the nurse needs to
call the health care provider who wrote the order. If the health care provider is not
available, the pharmacist may be able to identify which drug has been prescribed.
The nurse checks a medication dose that seems outside the recommended dose.
What is the nurse's priority action?
Administer the dose anyway.
Consult a pharmacist.
Consult another nurse to double-check calculations.
Call the health care provider. - ANSWER-Call the health care provider.
The nurse can have others double-check the dosage or the math calculations;
however, the nurse should call the health care provider who ordered the medication
to report the discrepancies in the dose. Patient safety is the primary concern.
The nurse administered an opioid medication. What intervention is most important to
perform after the medication has been administered and the administration
documented?
Write a nursing note.
Assess the patient's vital signs.
Teach the patient about the medication action.
Document patient response to the medication. - ANSWER-Document patient
response to the medication.
Documentation of the patient's response to the medication is required.
The nurse is uncertain regarding directions for preparing a medication. For
clarification, who should the nurse contact?
The shift supervisor
The charge nurse
The facility pharmacy
The health care provider - ANSWER-The facility pharmacy
