Pharmacology Midterm Test Bank 1
A woman affected person is admitted to the person psychiatric floor with a prognosis of
generalized tension ailment. Anxiolytic medicines and group therapy were prescribed.
Evaluation of healing outcomes related to her acute stay can be measured via which
evaluation(s)? - ANS-She is able to sleep five hours throughout the night.
The tremor and pacing she exhibited on admission are decreased.
She is able to attend and actively take part in group periods.
A long-time period care resident is taking an anticholinergic agent. The nurse observes the
resident to be disoriented and hallucinating. The precedence nursing motion is to -
ANS-provide for resident's protection.
A male affected person turns into verbally aggressive and insists the nurse is poisoning him
as she attempts to administer haloperidol (Haldol). Which movement will the nurse take? -
ANS-Firmly redirect the patient to take the medication.
A newly admitted psychiatric affected person repetitively states, "I want I have been useless.
I just need to kill myself." The precedence nursing presently is to - ANS-provide for affected
person safety.
A nurse is preparing to administer tetracycline to a affected person identified with an
infection. Which medication have to not be administered with tetracycline? - ANS-Mylanta
A patient admitted to a psychiatric facility is hallucinating, pacing, and performing
exceedingly suspicious. Based in this records, the nurse will take which movement(s)? -
ANS-Be open and direct when handling the patient.
Encourage quite a few interactions with others.
Provide high-protein, high-calorie foods.
A patient admitted to the medical institution is exhibiting psychotic behavior. Which sign(s)
and/or symptom(s) might support the analysis of psychosis? - ANS-Deterioration of social
functioning
Reporting that the FBI has solicited crucial mystery facts from his phone conversations
Confirmation of listening to voices in his head
Changing the subject of communique inappropriately
A patient evolved hives and itching after receiving a drug for the first time. Which practise by
the nurse is correct? - ANS-Stop the drugs and encourage the patient to wear a scientific
alert bracelet that explains the allergy.
A patient experiencing chronic ache because of metastatic most cancers has a new order for
fentanyl (Duragesic) transdermal patch. The initial patch is applied at 8 AM on Monday. At 8
PM on Monday, the affected person reports a pain degree of eight. The nurse's pleasant
reaction is to - ANS-offer a PRN analgesic medicine as ordered.
,A patient has been prescribed lorazepam (Ativan), a benzodiazepine used to treat insomnia.
Which action will the nurse take? - ANS-Assess the affected person's blood strain in sitting
and lying positions.
A patient hospitalized in an acute care placing reports to the nurse that considering that
beginning on an adrenergic medicine, he has been feeling "dizzy and vulnerable." The
maximum appropriate motion for the nurse is to - ANS-screen the blood stress in both the
supine and standing positions.
A patient is admitted to an extended-term psychiatric placing. The MAOI remedy formerly
prescribed is discontinued by means of the medical doctor. New orders are acquired to
initiate imipramine remedy. The nurse will offer the first dose of imipramine to the affected
person _____ the MAOI drug. - ANS-in 14 days following the closing dose of
A affected person is being discharged on an adrenergic bronchodilator. Which common
unfavourable impact(s) will the nurse include in discharge teaching? - ANS-Palpitations
Dizziness
Orthostatic hypotension
Tremors
A patient is taking meperidine (Demerol) as needed for slight to severe pain following an
open appendectomy. The nurse assesses the following: contemporary pain level 2,
temperature ninety nine° F, BP 130/76, respirations 10, lung sounds clean, abdomen gentle
and soft, bowel sounds present. Based on this assessment facts, the priority nursing
prognosis is - ANS-altered respiratory pattern.
A patient on anticonvulsant therapy confides to the nurse at an outpatient health center that
she suspects she may be pregnant. The nurse must inspire the affected person to take
which movement(s)? - ANS-Consult an obstetrician.
Carry an identification card.
Provide a list of seizure medicinal drugs.
A affected person receives two hundred mg of a medicine that has a 1/2-lifestyles of 12
hours. How many mg of the drug could continue to be inside the affected person's body after
24 hours? - ANS-50
A affected person receiving diazepam (Valium) is complaining of nausea and vomiting and is
turning into jaundiced. Which sort of blood paintings could be executed? - ANS-Liver
characteristic assessments
A affected person taking rasagiline is classified through the nurse to have a lasting sizeable
increase in blood pressure. When reviewing the patient's modern-day list of medications, the
nurse makes a decision to maintain the next dose of - ANS-ciprofloxacin.
A patient taking vilazodone has been vomiting persistently for 12 hours. The precedence
nursing analysis for this patient is - ANS-fluid volume deficit
, A affected person who is taking an MAOI to deal with melancholy admits to consuming
pickled herring and cheese and ingesting purple wine. Which evaluation finding indicators
the nurse to a potential worry? - ANS-Neck stiffness
A patient with a history of kind 1 diabetes after myocardial infarction has been placed on a
beta-adrenergic blockading agent. Which assertion by way of the patient suggests a need for
in addition coaching? - ANS-"This medicine lowers my blood stress by using supporting me
do away with fluid."
A affected person with continual obstructive pulmonary disorder (COPD) reviews having
insomnia and a racing heart after beginning terbutaline therapy. Which clarification by means
of the nurse is most accurate? - ANS-"The symptoms will have a tendency to clear up with
continued remedy."
A affected person with Parkinson's sickness asks the nurse why anticholinergics are used
within the remedy. Which response via the nurse is most accurate? - ANS-"These tablets
inhibit the motion of acetylcholine."
A patient with schizophrenia has been nonadherent along with his domestic remedy routine.
He requires frequent admissions to the in depth psychiatric unit for remedy of acute
psychotic episodes. Which medication routine would be suitable for this patient? -
ANS-Administration of depot antipsychotic remedy
A medical doctor's order suggests to administer a medicinal drug to the patient thru the
percutaneous direction. The nurse can expect that the affected person will receive this
medication - ANS-topically.
A young male patient taking an antipsychotic is experiencing an oculogyric disaster. The
nurse prepares to administer - ANS-diphenhydramine.
An 86-year-old affected person who became admitted with GI bleeding due to salicylate
therapy is being discharged. As the nurse critiques the release medicine list, the affected
person states that she does not understand why Tylenol does not paintings in addition to the
aspirin she have been taking. What will be the nurse's best response? - ANS-"Tylenol does
now not help with inflammatory discomfort."
An older adult experiencing shortness of breath is delivered to the clinic by her daughter.
While obtaining the medication records from the affected person and her daughter, the nurse
discovers that neither has a listing of the patient's current medicines or prescriptions. All the
patient has is a weekly tablet dispenser that includes four distinctive drugs. The prescriptions
are filled through the local pharmacy. Which aid(s) would be suitable to apply in determining
the medicine names and doses? - ANS-Physicians' Desk Reference, Section 4
Senior citizens' middle
Patient's home pharmacy
An older grownup affected person is to acquire atenolol, a beta-adrenergic blocking off
agent. Prior to administration of the drug, the nurse assesses an apical pulse charge of 58
A woman affected person is admitted to the person psychiatric floor with a prognosis of
generalized tension ailment. Anxiolytic medicines and group therapy were prescribed.
Evaluation of healing outcomes related to her acute stay can be measured via which
evaluation(s)? - ANS-She is able to sleep five hours throughout the night.
The tremor and pacing she exhibited on admission are decreased.
She is able to attend and actively take part in group periods.
A long-time period care resident is taking an anticholinergic agent. The nurse observes the
resident to be disoriented and hallucinating. The precedence nursing motion is to -
ANS-provide for resident's protection.
A male affected person turns into verbally aggressive and insists the nurse is poisoning him
as she attempts to administer haloperidol (Haldol). Which movement will the nurse take? -
ANS-Firmly redirect the patient to take the medication.
A newly admitted psychiatric affected person repetitively states, "I want I have been useless.
I just need to kill myself." The precedence nursing presently is to - ANS-provide for affected
person safety.
A nurse is preparing to administer tetracycline to a affected person identified with an
infection. Which medication have to not be administered with tetracycline? - ANS-Mylanta
A patient admitted to a psychiatric facility is hallucinating, pacing, and performing
exceedingly suspicious. Based in this records, the nurse will take which movement(s)? -
ANS-Be open and direct when handling the patient.
Encourage quite a few interactions with others.
Provide high-protein, high-calorie foods.
A patient admitted to the medical institution is exhibiting psychotic behavior. Which sign(s)
and/or symptom(s) might support the analysis of psychosis? - ANS-Deterioration of social
functioning
Reporting that the FBI has solicited crucial mystery facts from his phone conversations
Confirmation of listening to voices in his head
Changing the subject of communique inappropriately
A patient evolved hives and itching after receiving a drug for the first time. Which practise by
the nurse is correct? - ANS-Stop the drugs and encourage the patient to wear a scientific
alert bracelet that explains the allergy.
A patient experiencing chronic ache because of metastatic most cancers has a new order for
fentanyl (Duragesic) transdermal patch. The initial patch is applied at 8 AM on Monday. At 8
PM on Monday, the affected person reports a pain degree of eight. The nurse's pleasant
reaction is to - ANS-offer a PRN analgesic medicine as ordered.
,A patient has been prescribed lorazepam (Ativan), a benzodiazepine used to treat insomnia.
Which action will the nurse take? - ANS-Assess the affected person's blood strain in sitting
and lying positions.
A patient hospitalized in an acute care placing reports to the nurse that considering that
beginning on an adrenergic medicine, he has been feeling "dizzy and vulnerable." The
maximum appropriate motion for the nurse is to - ANS-screen the blood stress in both the
supine and standing positions.
A patient is admitted to an extended-term psychiatric placing. The MAOI remedy formerly
prescribed is discontinued by means of the medical doctor. New orders are acquired to
initiate imipramine remedy. The nurse will offer the first dose of imipramine to the affected
person _____ the MAOI drug. - ANS-in 14 days following the closing dose of
A affected person is being discharged on an adrenergic bronchodilator. Which common
unfavourable impact(s) will the nurse include in discharge teaching? - ANS-Palpitations
Dizziness
Orthostatic hypotension
Tremors
A patient is taking meperidine (Demerol) as needed for slight to severe pain following an
open appendectomy. The nurse assesses the following: contemporary pain level 2,
temperature ninety nine° F, BP 130/76, respirations 10, lung sounds clean, abdomen gentle
and soft, bowel sounds present. Based on this assessment facts, the priority nursing
prognosis is - ANS-altered respiratory pattern.
A patient on anticonvulsant therapy confides to the nurse at an outpatient health center that
she suspects she may be pregnant. The nurse must inspire the affected person to take
which movement(s)? - ANS-Consult an obstetrician.
Carry an identification card.
Provide a list of seizure medicinal drugs.
A affected person receives two hundred mg of a medicine that has a 1/2-lifestyles of 12
hours. How many mg of the drug could continue to be inside the affected person's body after
24 hours? - ANS-50
A affected person receiving diazepam (Valium) is complaining of nausea and vomiting and is
turning into jaundiced. Which sort of blood paintings could be executed? - ANS-Liver
characteristic assessments
A affected person taking rasagiline is classified through the nurse to have a lasting sizeable
increase in blood pressure. When reviewing the patient's modern-day list of medications, the
nurse makes a decision to maintain the next dose of - ANS-ciprofloxacin.
A patient taking vilazodone has been vomiting persistently for 12 hours. The precedence
nursing analysis for this patient is - ANS-fluid volume deficit
, A affected person who is taking an MAOI to deal with melancholy admits to consuming
pickled herring and cheese and ingesting purple wine. Which evaluation finding indicators
the nurse to a potential worry? - ANS-Neck stiffness
A patient with a history of kind 1 diabetes after myocardial infarction has been placed on a
beta-adrenergic blockading agent. Which assertion by way of the patient suggests a need for
in addition coaching? - ANS-"This medicine lowers my blood stress by using supporting me
do away with fluid."
A affected person with continual obstructive pulmonary disorder (COPD) reviews having
insomnia and a racing heart after beginning terbutaline therapy. Which clarification by means
of the nurse is most accurate? - ANS-"The symptoms will have a tendency to clear up with
continued remedy."
A affected person with Parkinson's sickness asks the nurse why anticholinergics are used
within the remedy. Which response via the nurse is most accurate? - ANS-"These tablets
inhibit the motion of acetylcholine."
A patient with schizophrenia has been nonadherent along with his domestic remedy routine.
He requires frequent admissions to the in depth psychiatric unit for remedy of acute
psychotic episodes. Which medication routine would be suitable for this patient? -
ANS-Administration of depot antipsychotic remedy
A medical doctor's order suggests to administer a medicinal drug to the patient thru the
percutaneous direction. The nurse can expect that the affected person will receive this
medication - ANS-topically.
A young male patient taking an antipsychotic is experiencing an oculogyric disaster. The
nurse prepares to administer - ANS-diphenhydramine.
An 86-year-old affected person who became admitted with GI bleeding due to salicylate
therapy is being discharged. As the nurse critiques the release medicine list, the affected
person states that she does not understand why Tylenol does not paintings in addition to the
aspirin she have been taking. What will be the nurse's best response? - ANS-"Tylenol does
now not help with inflammatory discomfort."
An older adult experiencing shortness of breath is delivered to the clinic by her daughter.
While obtaining the medication records from the affected person and her daughter, the nurse
discovers that neither has a listing of the patient's current medicines or prescriptions. All the
patient has is a weekly tablet dispenser that includes four distinctive drugs. The prescriptions
are filled through the local pharmacy. Which aid(s) would be suitable to apply in determining
the medicine names and doses? - ANS-Physicians' Desk Reference, Section 4
Senior citizens' middle
Patient's home pharmacy
An older grownup affected person is to acquire atenolol, a beta-adrenergic blocking off
agent. Prior to administration of the drug, the nurse assesses an apical pulse charge of 58
