Pharm Final- Test Bank Comprehensive Test Bank:
Questions with Verified Answers, Exams
An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has
been prescribed for him or her. What nursing diagnosis would be appropriate if the child
demonstrated adverse effects to the drug?
A) Deficient fluid volume
B) Impaired skin integrity related to dermatological effects C) Noncompliance for drug therapy
D) Sleep deprivation ANS: B
A patient is admitted to the emergency department with severe recurrent convulsive seizures.
What drug would the nurse expect to be ordered for use in emergency control of status
epilepticus?
A) Phenytoin (Dilantin)
B) Diazepam (Valium)
C) Phenobarbital (Luminal)
D) Ethosuximide (Zarontin) ANS: C
A patient is brought into the emergency department in status epilepticus. The nurse administers
phenobarbital 320 mg IV according to protocol. Family members ask the nurse how long it will
take to stop the seizures. What is the nurse's best response?
A) The onset of action for the medication is 5 minutes.
B) We should see results in about 10 minutes.
C) It will probably take about 30 minutes before the seizures begin to subside.
D) It may be an hour before the seizures stop. ANS: A
A patient is brought to the emergency department in the midst of an active clonictonic seizure.
What is the most appropriate antiseizure drug for the nurse to administer intravenously to
terminate acute convulsive seizures?
A) Diazepam (Valium)
B) Phenytoin (Dilantin)
C) Ethosuximide (Zarontin)
D) Gabapentin (Neurontin) ANS: A
A patient, newly diagnosed with a seizure disorder, has been prescribed valproic acid. What is
one adverse effect of valproic acid that the nurse should include in the medication teaching
plan?
A) Liver toxicity
B) Esophageal irritation C) Cardiac insufficiency D) Muscle weakness ANS: A
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,A patient has a new order for carbamazepine (Tegretol). What does the nurse know is a
contraindication to administration of carbamazepine?
A) Bone marrow depression
B) Bipolar disorder
C) Allergy to sulfonamides
D) Diabetes ANS: A
The pharmacology instructor is discussing drugs used for the treatment of partial seizures. What
accurately describes the physiological action of carbamazepine?
A) Reduces electrical activity
B) Alters sodium and calcium channels
C) Increases gamma-aminobutyric acid (GABA) activity and blocks sodium and calcium channels
to stop action potentials
D) Depresses conduction in the brainstem and cortex ANS: C
The drug of choice for the treatment of partial seizures is what?
A. Carbamazepine (Tegretol)
B. Clorazepate (Tranxene)
C. Felbamate (Felbatol)
D. Gabapentin (Neurontin) 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) 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. 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
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,D) Respiratory status 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) 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 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 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 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 ANS: A
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, 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) 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. ANS: B
What drug would the nurse expect to administer to the patient experiencing malignant
hyperthermia?
A) Orphenadrine
B) Metaxalone
C) Chlorzoxazone
D) Dantrolene 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) 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 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 ANS: D
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Questions with Verified Answers, Exams
An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has
been prescribed for him or her. What nursing diagnosis would be appropriate if the child
demonstrated adverse effects to the drug?
A) Deficient fluid volume
B) Impaired skin integrity related to dermatological effects C) Noncompliance for drug therapy
D) Sleep deprivation ANS: B
A patient is admitted to the emergency department with severe recurrent convulsive seizures.
What drug would the nurse expect to be ordered for use in emergency control of status
epilepticus?
A) Phenytoin (Dilantin)
B) Diazepam (Valium)
C) Phenobarbital (Luminal)
D) Ethosuximide (Zarontin) ANS: C
A patient is brought into the emergency department in status epilepticus. The nurse administers
phenobarbital 320 mg IV according to protocol. Family members ask the nurse how long it will
take to stop the seizures. What is the nurse's best response?
A) The onset of action for the medication is 5 minutes.
B) We should see results in about 10 minutes.
C) It will probably take about 30 minutes before the seizures begin to subside.
D) It may be an hour before the seizures stop. ANS: A
A patient is brought to the emergency department in the midst of an active clonictonic seizure.
What is the most appropriate antiseizure drug for the nurse to administer intravenously to
terminate acute convulsive seizures?
A) Diazepam (Valium)
B) Phenytoin (Dilantin)
C) Ethosuximide (Zarontin)
D) Gabapentin (Neurontin) ANS: A
A patient, newly diagnosed with a seizure disorder, has been prescribed valproic acid. What is
one adverse effect of valproic acid that the nurse should include in the medication teaching
plan?
A) Liver toxicity
B) Esophageal irritation C) Cardiac insufficiency D) Muscle weakness ANS: A
1|Page
,A patient has a new order for carbamazepine (Tegretol). What does the nurse know is a
contraindication to administration of carbamazepine?
A) Bone marrow depression
B) Bipolar disorder
C) Allergy to sulfonamides
D) Diabetes ANS: A
The pharmacology instructor is discussing drugs used for the treatment of partial seizures. What
accurately describes the physiological action of carbamazepine?
A) Reduces electrical activity
B) Alters sodium and calcium channels
C) Increases gamma-aminobutyric acid (GABA) activity and blocks sodium and calcium channels
to stop action potentials
D) Depresses conduction in the brainstem and cortex ANS: C
The drug of choice for the treatment of partial seizures is what?
A. Carbamazepine (Tegretol)
B. Clorazepate (Tranxene)
C. Felbamate (Felbatol)
D. Gabapentin (Neurontin) 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) 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. 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
2|Page
,D) Respiratory status 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) 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 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 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 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 ANS: A
3|Page
, 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) 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. ANS: B
What drug would the nurse expect to administer to the patient experiencing malignant
hyperthermia?
A) Orphenadrine
B) Metaxalone
C) Chlorzoxazone
D) Dantrolene 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) 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 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 ANS: D
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