,Chapter 1. History of Pharmacology
x@ x@ x@ x@
Multiple Choicex@
Identify the choice that best completes the statement or answers the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ 1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary tea
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ching has been effective if the patient includes which of the following foods in his daily m
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
enus?
A. Broccoli and kiwi x@ x@
B. Oranges and sweet potatoes x@ x@ x@
C. Kale and cucumbers x@ x@
D. Bananas and melon x@ x@
x @ 2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made fro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m pigs or cows.‖ Which of the following responses by the nurse is best?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. ―Most insulin comes from animal sources, but I’m sure alternative option
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s are available.‖
x@ x@
B. ―Medications that are derived from animals are typically less expensive
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
than synthetic medications, but synthetic insulin is commonly available
x@ x@ x@ x@ x@ x@ x@ x@
.‖
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. ―The animals aren’t hurt in the production of medications, so you don’t ne
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ed to worry.‖ x@ x@
x @ x @ 3. While providing medications to clients on the cardiac unit, the nurse anticipates t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hat hydralazine hydrochloride and isosorbide dinitrate (BiDil) would most likely be presc
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ribed for which of the following clients?
x@ x@ x@ x@ x@ x@
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
x@ x@ x@ x@ x@ x@ x@
B. A 55-year-old African American female diagnosed with hypertension
x@ x@ x@ x@ x@ x@ x@
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
x@ x@ x@ x@ x@ x@ x@ x@
D. A 64-year-old African American male diagnosed with heart failure
x@ x@ x@ x@ x@ x@ x@ x@
x @ 4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefaz
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
olin (Ancef) as ordered 30 minutes pre-
x@ x@ x@ x@ x@ x@
operatively. The nurse knows that teaching has been effective by which of the following clie
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nt statements?
x@
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
after surgery.‖
x@ x@
B. ―This is a palliative medication to help ease the pain from surgery.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
C. ―This medication will replace vitamins and minerals that may be lost d
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ue to bleeding during surgery.‖
x@ x@ x@ x@
D. ―This medication will help the surgeon identify areas of bone destruction d
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ue to arthritis.‖ x@ x@
x @ 5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
following medications to be included in the patient’s medication list?
@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. Levothyroxine sodium (Synthroid) x@ x@
B. Estrogen (Estradiol) x@
C. Iodine 131 x@
D. Carbimazole (Methimazole) x@
, x @ 6. The nurse is receiving a shift-to-
x@ x@ x@ x@ x@ x@
shift report on a medical unit and is informed that a 55-year-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the u
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
pper gastrointestinal tract. Which of the following statements would the nurse include in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@the client’s teaching?
x@ x@
A. ―You will need to drink a large amount of prep to clear out your system bef
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore the test.‖ x@ x@
B. ―It is important that you be given a prophylactic medication to prevent aspir
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ation during the test.‖ x@ x@ x@
C. ―You will be asked to drink a barium contrast about 30 minutes before the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
test to help highlight any digestive problems.‖
x@ x@ x@ x@ x@ x@
D. ―You will be given a sedative to help make you sleepy during the t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
esting procedure.‖ x@
x @ 7. A student nurse is providing care for a 29-year-
x@ x@ x@ x@ x@ x@ x@ x@ x@
old patient with advanced cervical cancer who was recently admitted with metastatic disease
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
. While reviewing the patient’s medication list, the student would categorize which of the fo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
llowing medications as palliative in nature?
x@ x@ x@ x@ x@
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8
x@ x@ x@ x@ x@ x@ x@ x@ x@
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
x@ x@ x@ x@ x@ x@ x@ x@ x@
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy x@ x@ x@ x@ x@ x@ x@
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ 8. A woman experiencing menopausal symptoms asks the nurse about conjugated estroge
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
n (Premarin). Which of the following statements by the individual indicates an understanding
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
of the medication’s origin?
x@ x@ x@ x@
A. ―I’m against animal cruelty, so I don’t want to take anything made from a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nimal flesh.‖ x@
B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. ―I think harvesting medicines from cows seems rather odd.‖
x@ x@ x@ x@ x@ x@ x@ x@
x @ 9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
esting.
A 47-year-old woman reports being allergic to iodine, and thus is unable to have which test?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. Computerized axial tomography (CAT) scan x@ x@ x@ x@
B. Magnetic resonance imaging (MRI) x@ x@ x@
C. Colonoscopy
D. Thyroid scan x@
Multiple Response
x@
Identify one or more choices that best complete the statement or answer the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ x @ 1. While working with patients in home care, a nurse becomes interested in additional w
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ays to support patient healing and comfort. Which of the following is recognized as an alter
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
native therapy? (Select all that apply.)
x@ x@ x@ x@ x@
A. Acupuncture
B. Aromatherapy
C. Therapeutic touch x@
D. Stem cell treatment x@ x@
,
x@ x@ x@ x@
Multiple Choicex@
Identify the choice that best completes the statement or answers the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ 1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary tea
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ching has been effective if the patient includes which of the following foods in his daily m
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
enus?
A. Broccoli and kiwi x@ x@
B. Oranges and sweet potatoes x@ x@ x@
C. Kale and cucumbers x@ x@
D. Bananas and melon x@ x@
x @ 2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made fro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m pigs or cows.‖ Which of the following responses by the nurse is best?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. ―Most insulin comes from animal sources, but I’m sure alternative option
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s are available.‖
x@ x@
B. ―Medications that are derived from animals are typically less expensive
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
than synthetic medications, but synthetic insulin is commonly available
x@ x@ x@ x@ x@ x@ x@ x@
.‖
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. ―The animals aren’t hurt in the production of medications, so you don’t ne
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ed to worry.‖ x@ x@
x @ x @ 3. While providing medications to clients on the cardiac unit, the nurse anticipates t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hat hydralazine hydrochloride and isosorbide dinitrate (BiDil) would most likely be presc
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ribed for which of the following clients?
x@ x@ x@ x@ x@ x@
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
x@ x@ x@ x@ x@ x@ x@
B. A 55-year-old African American female diagnosed with hypertension
x@ x@ x@ x@ x@ x@ x@
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
x@ x@ x@ x@ x@ x@ x@ x@
D. A 64-year-old African American male diagnosed with heart failure
x@ x@ x@ x@ x@ x@ x@ x@
x @ 4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefaz
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
olin (Ancef) as ordered 30 minutes pre-
x@ x@ x@ x@ x@ x@
operatively. The nurse knows that teaching has been effective by which of the following clie
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nt statements?
x@
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
after surgery.‖
x@ x@
B. ―This is a palliative medication to help ease the pain from surgery.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
C. ―This medication will replace vitamins and minerals that may be lost d
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ue to bleeding during surgery.‖
x@ x@ x@ x@
D. ―This medication will help the surgeon identify areas of bone destruction d
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ue to arthritis.‖ x@ x@
x @ 5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
following medications to be included in the patient’s medication list?
@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. Levothyroxine sodium (Synthroid) x@ x@
B. Estrogen (Estradiol) x@
C. Iodine 131 x@
D. Carbimazole (Methimazole) x@
, x @ 6. The nurse is receiving a shift-to-
x@ x@ x@ x@ x@ x@
shift report on a medical unit and is informed that a 55-year-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the u
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
pper gastrointestinal tract. Which of the following statements would the nurse include in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@the client’s teaching?
x@ x@
A. ―You will need to drink a large amount of prep to clear out your system bef
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore the test.‖ x@ x@
B. ―It is important that you be given a prophylactic medication to prevent aspir
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ation during the test.‖ x@ x@ x@
C. ―You will be asked to drink a barium contrast about 30 minutes before the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
test to help highlight any digestive problems.‖
x@ x@ x@ x@ x@ x@
D. ―You will be given a sedative to help make you sleepy during the t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
esting procedure.‖ x@
x @ 7. A student nurse is providing care for a 29-year-
x@ x@ x@ x@ x@ x@ x@ x@ x@
old patient with advanced cervical cancer who was recently admitted with metastatic disease
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
. While reviewing the patient’s medication list, the student would categorize which of the fo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
llowing medications as palliative in nature?
x@ x@ x@ x@ x@
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8
x@ x@ x@ x@ x@ x@ x@ x@ x@
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
x@ x@ x@ x@ x@ x@ x@ x@ x@
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy x@ x@ x@ x@ x@ x@ x@
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ 8. A woman experiencing menopausal symptoms asks the nurse about conjugated estroge
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
n (Premarin). Which of the following statements by the individual indicates an understanding
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
of the medication’s origin?
x@ x@ x@ x@
A. ―I’m against animal cruelty, so I don’t want to take anything made from a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nimal flesh.‖ x@
B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. ―I think harvesting medicines from cows seems rather odd.‖
x@ x@ x@ x@ x@ x@ x@ x@
x @ 9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
esting.
A 47-year-old woman reports being allergic to iodine, and thus is unable to have which test?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A. Computerized axial tomography (CAT) scan x@ x@ x@ x@
B. Magnetic resonance imaging (MRI) x@ x@ x@
C. Colonoscopy
D. Thyroid scan x@
Multiple Response
x@
Identify one or more choices that best complete the statement or answer the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x @ x @ 1. While working with patients in home care, a nurse becomes interested in additional w
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ays to support patient healing and comfort. Which of the following is recognized as an alter
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
native therapy? (Select all that apply.)
x@ x@ x@ x@ x@
A. Acupuncture
B. Aromatherapy
C. Therapeutic touch x@
D. Stem cell treatment x@ x@
,
