NURS 170 Pharmacology Test 3 QUESTIONS & ANSWERS: Galen College (New-2022/2023) Pharmacology test 3

NURS 170 Pharmacology Test 3 QUESTIONS & ANSWERS: Galen College (New-2022/2023) Pharmacology test 3 Question 1 1 / 1 pts A patient who experiences motion sickness when flying asks the nurse the best time to take the medication prescribed to prevent motion sickness for a 0900 flight. The nurse will instruct the patient to take the medication at which time? As needed, at the first sign of nausea At 0700, before leaving for the airport At 0830, just prior to boarding the plane When seated, just prior to takeoff Question 2 1 / 1 pts The nurse is caring for a patient who has unexplained, recurrent vomiting and who is unable to keep anything down. Until the cause of the vomiting is determined, the nurse will anticipate administering which treatment? Antibiotics and antiemetics Intravenous fluids and electrolytes Non-prescription antiemetics Prescription antiemetics Question 3 1 / 1 pts A patient is ordered bisacodyl (Ducolax). Before administering the medication, it is important for the nurse to assess the patient for what? Hypertension Anemia Allergy to penicillin Appendicitis Question 4 1 / 1 pts The nurse is teaching a patient who is about to take a long car trip about using dimenhydrinate (Dramamine) to prevent motion sickness. What information is important to include when teaching this patient? “Do not drive while taking this medication.”. “Dry mouth is a sign of toxicity with this mediation.” “Take the medication when you start the drive.” “Take 100 mg up to 6 times daily for best effect.” The nurse is caring for a patient who has postoperative nausea and vomiting. The surgeon has ordered promethazine HCl (Phenergan). Which aspect of this patient’s health history would be of concern? Ulcerative Colitis Diabetes GERD Glaucoma Question 6 1 / 1 pts A patient who is receiving chemotherapy will be given dronabinol (Marinol) to prevent nausea and vomiting. The nurse will tell the patient that this drug will be given at which time? Before and after the chemotherapy During chemotherapy Immediately prior to chemotherapy 24 hours prior to chemotherapy Question 7 1 / 1 pts A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem. The nurse will recommend that the patient take which action first? Contact the provider to discuss a possible need for intravenous fluids. Contact your mother to discuss an antiemetic. Use nonpharmacologic measures such as saltine crackers. Take over-the-counter antiemetics such as diphenhydramine. Question 8 1 / 1 pts The child who is a candidate for treatment with syrup of ipecac after ingestion or an overdose is the child who has ingested which substance? Acetaminophen elixir Chlorine bleach “Do not administer ipecac without consulting a poison control center.” “Expect the onset of emesis to be immediate.” “Give ipecac with a glass of milk to increase its emetic effect.” “Use ipecac fluid extract and not ipecac syrup.” Question 10 1 / 1 pts A patient asks the nurse “how does loperamide (Imodium) work to treat infectious diarrhea.” Which response will the nurse give? “Loperamide results in many central nervous system (CNS) side effects.” “Loperamide has no effect on infectious diarrhea.” “Loperamide is taken once daily.” “Loperamide may slow the transit through the intestines and prolong the symptoms.” Question 11 1 / 1 pts A child is brought to the emergency department after ingestion of a toxic substance. The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior. The nurse will anticipate administering. activated charcoal. an anticholinergic antiemetic. gastric lavage. syrup of ipecac. Question 12 1 / 1 pts A patient who is taking diphenoxylate with atropine (Lomotil) to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added to increase intestinal motility. decrease abdominal cramping. minimize nausea and vomiting. provide analgesia. Question 13 1 / 1 pts A patient asks the nurse the best way to prevent traveler’s diarrhea. The nurse will provide which recommendation to the patient? “Ask your provider for prophylactic antibiotics.” “Eat fresh, raw fruits and vegetables.” “Drink bottled water and eat only well-cooked meats.” “Take loperamide (Imodium) every day.” Question 14 1 / 1 pts The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient? The importance of consuming adequate amounts of water The need to monitor for systemic side effects The onset of action of 30 to 60 minutes after administration The need to use the dry form of Metamucil to prevent cramping Question 15 1 / 1 pts A patient is taking esomeprazole (Nexium) 15 mg per day to treat a duodenal ulcer. After 10 days of treatment, the patient reports that the pain has subsided. The nurse will counsel the patient to reduce the medication dose by half. stop taking the medication. take the medication every other day. complete the medication as prescribed by the physician. Question 16 1 / 1 pts A patient with a peptic ulcer has been diagnosed with H. pylori. The provider has ordered lansoprazole (Prevacid), and clarithromycin (Biaxin). The patient asks the nurse why two medications are needed. The nurse will explain that two drugs. Decrease gastric motility combat nausea and vomiting. have synergistic effects. improve acid suppression. Question 17 1 / 1 pts Ondansetron (Zofran) has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for? Headache, dizziness, and fatigue Anorexia and hair loss Abdominal cramping and irritability Psychosis and middle ear disturbances Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes that Dulcolax is incompatible with alcohol consumption. should be avoided during pregnancy as it is teratogenic. increases peristalsis to produce a bowel movement. may lead to paralytic ileus. Question 19 1 / 1 pts Lactulose is ordered for a patient with liver disease. What would indicate the medication is exerting a positive therapeutic effect on the patient? Decreased ascites Decreased ammonia level Decreased jaundice Decreased blood pressure Question 20 1 / 1 pts A patient who takes propantheline bromine (Pro-Banthine) and omeprazole (Prilosec) for an ulcer will begin taking an antacid. The nurse will give which instruction to the patient regarding how to take the antacid? Take the antacid 2 hours after taking the propantheline Take the antacid along with a meal. Take the antacid with milk. Take the antacid with the propantheline bromine. Question 21 1 / 1 pts A patient reports experiencing flatulence and abdominal distension to the nurse. Which over-thecounter medication will the nurse recommend? Alka-Seltzer “I need to increase my fluid intake.” “I need to report pain or vomiting of blood.” “I need to take Carafate 30 minutes after meals.” “I need to report changes in the color of my urine.” Question 23 1 / 1 pts An older adult patient reports taking aluminum hydroxide (Amphojel) on a daily basis to relieve symptoms of GERD. The nurse needs to evaluate for which condition? Diarrhea Abdominal pain Constipation Flatulence Question 24 1 / 1 pts A patient with a gastric ulcer is ordered sucralfate (Carafate). This medication works to calm the patient to reduce acid production. block the H2 receptors. neutralize the gastric acids. coat the gastric lining. Question 25 1 / 1 pts A patient with a history of renal problems is asking for advice about which antacid he should use. The nurse will make which recommendation? “Patients with renal problems cannot use antacids.” “Aluminum-based antacids are the best choice for you.” “Calcium-based antacids are the best choice for you.” “Magnesium-based antacids are the best choice for you.” Question 26 1 / 1 pts A 30-year-old patient is taking simethicone (Mylicon) for excessive flatus associated with diverticulitis. During a patient teaching session, the nurse explains the mechanism of action of simethicone by saying: “It neutralizes gastric pH, thereby preventing gas.” “It buffers the effects of pepsin on the gastric wall.” “It decreases gastric acid secretion and thereby minimizes flatus.” “It causes mucus-coated gas bubbles to break into smaller ones.” The nurse is preparing to administer the first dose of misoprostol (Cytotec) for a patient who has been diagnosed with a gastric ulcer. What condition would be a contraindication to this medication? Hypothyroidism Type 2 diabetes mellitus Pregnancy Hypertension Instructing the patient to open the capsule and chew the contents for best absorption Administering the PPI only when the patient complains of heartburn Giving the PPI with meals Making sure the patient does not crush or chew the capsules Question 29 1 / 1 pts The parents of an 11-year-old boy ask about growth hormone therapy for their child who is shorter than his 10-year-old sister. The nurse will tell the parents that growth hormone does not affect other hormones when given. is available as an oral tablet to be taken once daily. is given after tests prove that it is necessary. may be given until the child’s desired height is reached. Question 30 1 / 1 pts The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor closely? Complete blood count Asthma Malnutrition Enuresis Prader-Willi syndrome Question 32 1 / 1 pts The nurse is caring for a patient who has experienced head trauma in a motor vehicle accident. The patient is having excessive output of dilute urine. The nurse will notify the provider and will anticipate administering which medication? Calcifediol (Calderol) Corticotropin (Acthar) Vasopressin (Pitressin) Prednisolone (AK-Pred) Question 33 1 / 1 pts A 35-year-old woman reports lethargy, difficulty remembering things, facial edema, dry skin, and cessation of menses. The nurse notes a heart rate of 60 beats per minute and a weight increase of 5 pounds from a previous visit. The nurse will notify the provider of which possible condition? Cretinism Early menopause Hyperthyroidism Hypothyroidism Question 34 1 / 1 pts A patient is admitted to the hospital to treat hypothyroidism. For rapid improvement in symptoms, the nurse will expect to administer which medication? evothyroxine sodium (Synthroid) -T4 Liothyronine (Cytomel) -T3 Liotrix (Thyrolar) Thyroid desiccated (Armor Thyroid) Question 35 1 / 1 pts A patient who has hyperthyroidism will begin treatment with an antithyroid medication. The patient asks the nurse about dietary requirements. The nurse will counsel the patient to avoid which food(s)? Fava beans Foods high in purine Grapefruit Shellfish Question 36 1 / 1 pts The nurse is caring for a patient who is being treated for hypothyroidism. The patient reports insomnia, nervousness, and flushing of the skin. Before notifying the provider, the nurse will perform which action? Assess serum glucose to evaluate possible hypoglycemia. Check the patient’s heart rate to assess for tachycardia. Perform an assessment of hydration status. Take the patient’s temperature to evaluate for infection. Question 37 1 / 1 pts A patient with Graves’ disease exhibits tachycardia, heat intolerance, and exophthalmos. Prior to surgery, which drug is used to alter thyroid hormone levels? Liotrix (Thyrolar) Propranolol (Inderal) Propylthiouracil (PTU) Thyroid (Thyrotab Question 38 1 / 1 pts A patient is receiving a glucocorticoid medication to treat an inflammatory condition, and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition? Acromegaly Adrenocortical insufficiency Hypertensive crisis Thyroid storm Question 39 1 / 1 pts A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes is generally triggered by medications. is not as common as type 1 diabetes. is often related to heredity and obesity. will not require insulin therapy. The nurse is teaching a patient how to administer insulin. The patient is thin with very little body fat. The nurse will suggest injecting insulin use a 21-gauge needle at a 90-degree angle the abdomen only with the needle at a 90-degree angle. subcutaneously with the needle at a 45- to 60-degree angle. using the thigh and buttocks areas exclusively. Question 41 1 / 1 pts The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10 units. The nurse will perform which action? Administer the dose as ordered. Clarify the insulin type and route. Give the drug subcutaneously. Question the insulin dose. Question 42 1 / 1 pts The nurse is teaching a patient about home administration of insulin. The patient will receive regular (Humulin R) and NPH (Humulin NPH) insulin at 0700 every day. What is important to teach this patient? “Draw up the medications in separate syringes.” “Draw up the NPH insulin first.” “Draw up the regular insulin first.” “Draw up the medications after mixing them in a vial.” Question 43 1 / 1 pts A patient has administered regular insulin 30 minutes prior but has not received a breakfast tray. The patient is experiencing nervousness and tremors. What is the nurse’s first action? Administer glucagon. Give the patient long acting insulin. Notify the kitchen to deliver the tray. Perform bedside glucose testing. Question 44 1 / 1 pts A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose level of 160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has which condition? Diabetes mellitus Hypoglycemia Normal blood levels Prediabetes Question 45 1 / 1 pts A patient is ordered to receive insulin lispro (rapid acting) at mealtimes. The nurse will instruct this patient to administer the medication at which time? 5 minutes before eating 15 minutes after eating 30 minutes before eating 10 minutes after eating Question 46 1 / 1 pts The parent of a junior high-school child who has type 1 diabetes asks the nurse if the child can participate in sports. The nurse will tell the parent that strenuous exercise is not recommended for children with diabetes. that the child must be monitored for hyperglycemia while exercising. to administer an extra dose of regular insulin prior to exercise. to send a snack with the child to eat just prior to exercise. Question 47 1 / 1 pts A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to decrease the glucocorticoid dose. “I will have an increased risk for hypoglycemia.” “I will leave this on when bathing or swimming.” “I will not need to count carbohydrates anymore.” “I will still need to monitor serum glucose.” Question 49 1 / 1 pts A patient who is unconscious is brought to the emergency department. The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus. His blood sugar is 52 mg/dl. The nurse will anticipate an order to administer cardiopulmonary resuscitation (CPR). glucagon. insulin orange juice. Question 50 1 / 1 pts A patient who has been taking a sulfonylurea antidiabetic medication will begin taking metformin (Glucophage) along with the sulfonylurea. The nurse understands that this patient is at increased risk for which condition? Hypoglycemia Hyperglycemia Anaphylaxis Respiratory distress