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A sample midterm exam for a nursing course. It contains multiple-choice questions related to drug therapy and patient care. The questions cover topics such as drug administration, adverse effects, contraindications, and patient education. The exam is designed to test the student's knowledge of pharmacology and nursing practice. selected answers for each question, allowing students to check their understanding and identify areas for improvement.
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A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? Selec ted Answ er: Take it on an empty stomach, 1 hour before or 2 hours after meals Selec ted Answ er: Amoxicillin, Metronidazole, and Bismuth
- Question^2 0 out of 1 points
- Question^3 1 out of 1 points - Question^4 1 out of 1 points A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the Nurse Practitioner's immediate attention? Selec ted Answ er: Increased blood glucose A Nurse Practitioner is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called Selected Answer:
- Question^7 1 out of 1 points - Question^8 1 out of 1 points Selec ted Answ er: a diuretic. A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? Selec ted Answ er: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided A Nurse Practitioner working for a drug company is involved in phase III drug evaluation studies. Which of the following might the Nurse Practitioner be responsible for during this stage of drug development?
- Question^9 1 out of 1 points Selec ted Answ er: Administering investigational drugs to patients After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient? Selec ted Answ er: "Make sure that you take this at the scheduled times, regardless of whether you feel short of breath." Selected Answer: - Question^10 1 out of 1 points Which of the following patients is most likely to benefit from the administration of an adrenergic agonist?
- Question^13 1 out of 1 points A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Selec ted Answ er: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the- counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer:
- Question^14 0 out of 1 points - Question^15 1 out of 1 points may cause nutrient deficien cies. The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selec ted Answ er: The carina, where the trachea bifurcates into two bronchi, closes off the lower airway in response to noxious stimuli. A 70-year-old man who enjoys good health began taking low-dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his
- Question^18 1 out of 1 points Selec ted Answ er:
Proton Pump Inhibitor A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self- administration of a drug? Selec ted Answ er: The therapeutic effects and possible adverse effects
- Question^17 1 out of 1 points You are seeing a 55 year old patient recently diagnosed with a bleeding ulcer. What should be the initial treatment choice for this patient?
- Question^19 1 out of 1 points - Question^20 0 out of 1 points A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He has been prescribed theophylline by his family doctor. What effect will the patient's smoking status have on the therapeutic use of theophylline? Selec ted Answ er: The patient may require higher doses of theophylline than a nonsmoker A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Selec ted Answ er: The number of cigarettes smoked per day
- Question^23 1 out of 1 points A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of Selec ted Answ er: low blood pressure. A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in Selec ted Answ er: 15 to 30 minutes.
- Question^24 0 out of 1 points - Question^25 0 out of 1 points A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? Selec ted Answ er: Blood glucose levels A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? Selected Answer:
- Question^28 1 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by: Selec ted Answ er: Combined state medical / pharmacy / nursing prescribing board regulations A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selec ted Answ er: Mesala min e
- Question^29 1 out of 1 points - Question^30 1 out of 1 points A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? Selec ted Answ er: Triglyceride levels A Nurse Practitioner is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following? Selec ted Answ er: Co ffe e
- Question^33 1 out of 1 points - Question^34 1 out of 1 points Select ed Answ ers: Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by Selec ted Answ er: inhibiting the movement of calcium ions across the cardiac muscle cell membrane. A Nurse Practitioner has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The
- Question^35 1 out of 1 points Nurse Practitioner notices that the oral dosage is considerably higher than the parenteral dose and understands that this due to Selec ted Answ er: first- pass effec t. Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for "investigational use only" by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this? Selec ted Answ er: Schedule 1
