Pharmacology for Nurses A Pathophysiologic Approach 4th Edition, Adams Test Bank

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Pharmacology for Nurses A Pathophysiologic Approach 4th Edition, Adams Test Bank

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Test Bank Pharmacology Nurses Pathophysiologic Approach 4th Edition, Adams

CHAPTER 1

Question 1

Type: MCMA

The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key events in the history of pharmacology?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Initial drugs included morphine, cocaine, and penicillin.
  2. Early researchers used themselves as test subjects.
  3. The initial intention of pharmacology was to relieve human suffering.
  4. Modern pharmacology began in the early 1600s.
  5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.

Question 2

Type: MCSA

The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well as microbiology, when he only wants to learn about pharmacology. What is the best response by the instructor?

  1. Because pharmacology is an outgrowth of those subjects.
  2. You must learn all, since those subjects, as well as pharmacology, are part of the curriculum.
  3. Knowledge of all those subjects will prepare you to provide the best patient care, including the administration of medications.
  4. Because an understanding of those subjects is essential to understanding pharmacology.

Question 3

Type: MCMA

The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make which comments?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Pharmacology is the use of drugs to relieve suffering.
  2. Pharmacology is the study of medicines.
  3. Therapeutics is the study of the therapeutic use of drugs.
  4. Therapeutics is the study of drug interactions.
  5. Pharmacology is the study of drugs to prevent disease.

Question 4

Type: MCSA

The nurse administers a vaccine to a child. What is the best understanding of the nurse as it relates to the manufacture of this vaccine?

  1. The vaccine is produced by natural plant extracts in the laboratory.
  2. The vaccine is naturally produced in animal cells or microorganisms.
  3. The vaccine is produced by a combination of animal and plant products.
  4. The vaccine is most commonly synthesized in a laboratory.

Question 5

Type: MCSA

The elderly client has gastrointestinal bleeding. The client says to the nurse I dont understand this. All I did was take ibuprofen (Advil) for my arthritis. Which plan would be best as it relates to the nurses education of this client?

  1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs
  2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol)
  3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC) medications
  4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)

Question 6

Type: MCSA

The elderly client has gastrointestinal bleeding. The client says to the nurse I dont understand this. All I did was take ibuprofen (Advil) for my arthritis. Which plan would be best as it relates to the nurses education of this client?

  1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs.
  2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol).
  3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC) medications.
  4. A plan to teach the advantages and disadvantages of ibuprofen (Advil).

Question 7

Type: MCSA

The pharmaceutical representative comes to the physicians office and says his companys pharmaceutical laboratory is marketing a drug that does not need approval by the Food and Drug Administration (FDA). What is the best response by the nurse?

  1. Any pharmaceutical laboratory in America must have approval from the Food and Drug Administration (FDA) before marketing a drug.
  2. Is this an over-the-counter (OTC) drug? They do not need approval by the Food and Drug Administration (FDA).
  3. Is your pharmaceutical laboratory private? Only public pharmaceutical laboratories need approval from the Food and Drug Administration (FDA).
  4. Your pharmaceutical laboratory must be involved in academic research because they are exempt from approval by the Food and Drug Administration (FDA).

Question 8

Type: MCSA

The nurse is employed by the Food and Drug Administration (FDA), and is involved in clinical investigation. What is the primary role of the nurse in this phase of the review and approval process by the FDA?

  1. To perform tests on the population-at-large
  2. To perform tests on various species of animals
  3. To perform tests on human cells cultured in the laboratory
  4. To perform tests on human clients

Question 9

Type: MCSA

The student nurse is taking a pharmacology course and studying about the Food and Drug Administration (FDA). What has the student learned about how the FDA has decreased the amount of time involved in bringing a new drug to the market?

  1. The Food and Drug Administration (FDA) is not as strict as it once was with regard to drug approval.
  2. Since consumers have demanded more drugs, the Food and Drug Administration (FDA) has streamlined the review/approval process.
  3. Drug manufacturers are required to pay yearly user fees, which allow the Food and Drug Administration (FDA) to hire more employees to increase its efficiency.
  4. Drug manufacturers are required by the Food and Drug Administration (FDA) to test more drugs on an annual basis.

Question 10

Type: MCSA

The student nurse has completed an initial pharmacology course and tells the nursing instructor that it was difficult and she is glad it is over. What is the best response by the nursing instructor?

  1. It may be over, but now you must apply what you have learned to patient care.
  2. Learning is gradual and continuous; we never completely master all areas of pharmacology.
  3. Learning is always painful, but we must continue anyway.
  4. It really isnt over; you should take a graduate course next.

CHAPTER 2

Question 1

Type: MCSA

The nursing instructor teaches the student nurses about the pharmacological classification of drugs. The instructor evaluates that learning has occurred when the students make which response?

  1. An anti-anginal treats angina.
  2. A calcium channel blocker blocks heart calcium channels.
  3. An antihypertensive lowers blood pressure.
  4. An anticoagulant influences blood clotting.

Question 2

Type: MCSA

The nurse is providing medication education to a client with hypertension. The nurse teaches the client that the physician ordered a diuretic to decrease the amount of fluid in his body. Which statement best describes the nurses instruction?

  1. The nurse provided appropriate medication education.
  2. The nurse explained the drugs mechanism of action.
  3. The nurse taught the client about a prototype drug.
  4. The nurse explained the consequences of not using the drug.

Question 3

Type: MCSA

During pharmacology class, the student nurse asks the nursing instructor how students will ever learn about the individual antibiotic drugs since there are so many. What is the best response by the nursing instructor?

  1. You will learn a little trick called mnemonics.
  2. You will learn how to do a flow chart to enhance memory.
  3. You will learn how to categorize the individual drugs.
  4. You will learn a representative drug from each class.

Question 4

Type: MCSA

The physician ordered a brand name drug for the client, paroxetine (Paxil). After taking this medication for a year, the client tells the nurse that it is no longer working. What is the best assessment of the nurse at this time?

  1. This sounds like your medication needs changing.
  2. Lets look for interactions with other medications you are taking.
  3. Are you taking Paxil or paroxetine?
  4. It is time for us to do the Beck Depression assessment again.

Question 5

Type: MCSA

The physician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too expensive. What is the best plan by the nurse?

  1. Help the client receive free medicine through a patient assistance program.
  2. Ask the physician if a cheaper brand name drug may be substituted.
  3. Ask the physician if a generic drug may be substituted.
  4. Maintain the client on samples of the brand name drug from the physicians office.

Question 6

Type: MCMA

The nurse is teaching a medication class for parents of children with attention-deficit hyperactivity disorder who are receiving stimulant medications. The nurse has reviewed reasons why the medications are restricted. The nurse determines that learning has occurred when the parents make which response(s)?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. The use of these medications is restricted so that the pharmacies can track the rate of drug abuse in our city.
  2. The use of these medications is restricted because the physician needs to evaluate our child more often.
  3. The use of these medications is restricted because they have the potential for abuse.
  4. The use of these medications is restricted so that the drug companies can make a bigger profit.
  5. The use of these medications is restricted because this is the current law.

Question 7

Type: MCSA

The client says to the nurse, My doctor said my drug is a controlled substance; am I considered an addict? What is the best response by the nurse?

  1. Are you concerned about becoming an addict? We can discuss this in more detail it you would like to.
  2. You are not an addict; the Drug Enforcement Administration (DEA) restricts the use of drugs with a high potential for abuse.
  3. Why do you ask about becoming an addict? Not many of our clients have asked this question.
  4. You are not an addict, but the Drug Enforcement Administration (DEA) will monitor you for this.

Question 8

Type: MCSA

The client is receiving methadone (Dolophine), a Schedule II drug. The client says to the nurse, A pharmacist told me his pharmacy must register with the Drug Enforcement Administration (DEA) to give me this drug; will DEA agents be snooping around my house? What is the best response by the nurse?

  1. It is probably unlikely that Drug Enforcement Administration (DEA) agents will be bothering you.
  2. No, the Drug Enforcement Administration (DEA) restricts drugs that have a high potential for abuse.
  3. No. I think our system should be more like Europe; they have fewer controlled drugs.
  4. Thats an interesting question. Are you worried about the Drug Enforcement Administration (DEA)?

Question 9

Type: MCSA

During the admission assessment, the client tells the nurse Sure I smoke a little weed (marijuana) to manage my stress. Doesnt everyone? What is the best assessment question for the nurse to ask?

  1. What other ways do you think you might use to help you to manage your stress?
  2. That is a Schedule I drug; arent you afraid of going to jail for a long time?
  3. Do you really believe that everyone smokes marijuana to manage stress?
  4. How often do you smoke marijuana, and how much each time?

Question 10

Type: MCSA

The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she cant just get refills on the prescription. What is the best response by the nurse?

  1. Just drop by and I will get a prescription for you without seeing your son.
  2. We cant do that; maybe you can find another doctors office that will do it.
  3. The law does not allow us to give you refills on this medication.
  4. The medication can be addictive so your son needs a monthly medical evaluation.

CHAPTER 3

Question 1

Type: MCMA

The physician has ordered several medications for the patient. What does the nurse recognize as responsibilities regarding administration of medications?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Knowing whether or not the medication is on the hospital formulary
  2. Knowing the reason the medication was prescribed for this patient
  3. Knowing how the medication is to be administered.
  4. Knowing how the medication is supplied by the pharmacy
  5. Knowing the name of the medication

Question 2

Type: MCMA

The nurse is preparing medications prior to administration. To promote patient safety, the nurse uses rights of drug administration. What do these rights include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. The right medication
  2. The right time of delivery
  3. The right dose
  4. The right route of administration
  5. The right patient

Question 3

Type: MCSA

The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patients blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?

  1. Taking medication is difficult for many people. What are some of your concerns about the medication?
  2. Your blood pressure is really high; do you realize the serious consequences of not taking your medication?
  3. I really doubt that you are taking your medication. What would you think about talking to the doctor?
  4. You are one of my favorite patients and I want you to be safe. Are you really taking your medication?

Question 4

Type: MCSA

The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse obtains the medication from the pharmacy and administers it to the patient 30 minutes later. Which statement best describes the nurses action?

  1. The medication should have been administered immediately.
  2. The physician should have specified the time frame for the medication.
  3. The medication should have been administered within a 5-minute time frame.
  4. The nursing action was correct because the medication was not on the unit.

Question 5

Type: MCSA

The nurse uses the nursing process prior to administering any medications. Which step will assure the best patient safety?

  1. Assess the patients developmental level.
  2. Assess the patients medical history.
  3. Assess the patients disease process.
  4. Assess the patients learning needs.

Question 6

Type: MCSA

The physician prescribes an oral medication for the patient. What is the primary nursing assessment of the patient prior to receiving this medication?

  1. The patients understanding of the medication
  2. The patients ability to swallow
  3. The patients allergies
  4. The patients eyesight

Question 7

Type: MCSA

The physician ordered an oral medication. The nurse incorrectly administered the medication intravenously. What does the best analysis of the nurses action reveal?

  1. An antidote cannot be given.
  2. The nurse will be terminated from her job.
  3. The medication cannot be retrieved.
  4. A lawsuit by the patient will be impending.

Question 8

Type: MCSA

What is the best plan as the nurse prepares to administer a topical medication?

  1. Check the medication for interactions with other medications.
  2. Take the patients vital signs.
  3. Educate the patient to not disturb the patch.
  4. Assess the patients skin where the medication will be applied.

Question 9

Type: MCSA

The physician ordered an intravenous medication for a patient with nausea. The patient asks the nurse how it will help his nausea. What is the best response by the nurse?

  1. We have more intravenous drugs for nausea than we do oral drugs.
  2. If you take an oral medication, you will just vomit it up.
  3. This will work much faster for your nausea.
  4. You cant have anything by mouth, so will receive the medication intravenously.

Question 10

Type: MCSA

The physician orders enteric-coated aspirin, 300 mg every day, for the patient with a nasogastric tube. What is the priority action by the nurse?

  1. Crush the tablet, dissolve it in 30 mL of water, and administer through the tube.
  2. Put the tablet in the tube, milk it down the tube, and then flush the tube with 60 mL of water.
  3. Withhold the medication and contact the physician.
  4. Substitute plain aspirin, dissolve it in 30 mL of water, and administer through the tube.

CHAPTER 4

Question 1

Type: MCSA

The nurse is conducting medication education for patients with hypertension. The focus of the education is on enhancing the absorption of their medications. The nurse determines that learning has occurred when the patients make which statement?

  1. We can safely take the drug for at least 6 months beyond the expiration date.
  2. We dont need to worry about storage of the drug, it wont lose potency.
  3. We should not take our medications with milk or dairy products.
  4. We need to be careful about taking the medication with certain foods.

Question 2

Type: MCSA

The physician ordered a loading dose of medication for the patient; it is to be followed by a lower dose. When the patient receives the lower dose, she says to the nurse, I think my doctor made a mistake; my medication dose is too low. What is the best response by the nurse?

  1. The initial dose shortened the half-life, so the medication would work more quickly.
  2. We always give medications this way; the doctor did not make a mistake.
  3. You had a larger dose initially so that the medication would work more quickly.
  4. Giving a larger dose initially will reduce the chance of side effects.

Question 3

Type: MCSA

The patient has meningitis. The physician initially prescribed a water-soluble drug. Another physician changed the order to a lipid-soluble drug. The patient is confused about this. Which plan best resolves the patients concern?

  1. Teach the patient that lipid-soluble drugs are better because of protein binding.
  2. Teach the patient that lipid-soluble drugs are more effective in treating his illness.
  3. Teach the patient that lipid-soluble drugs are better because they have fewer side effects.
  4. Teach the patient that lipid-soluble drugs are more effective because they are excreted at a slower rate.

Question 4

Type: MCSA

The patient is malnourished and has a low serum albumin. The physician has ordered aspirin, a highly protein-bound drug, for the patient. Which evaluation by the nurse best describes the effect this will have on the patient?

  1. The patient will be at risk to experience a decreased effectiveness of the drug.
  2. The patient will be at risk to experience toxic effects of the drug.
  3. The patients kidneys will excrete the drug at a faster rate.
  4. The patients serum globulin is more important than serum albumin.

Question 5

Type: MCSA

The patient is admitted to the hospital in chronic renal failure, and is on several medications. What best describes the nurses assessment of this patient?

  1. The patients liver may compensate for renal failure; the drugs may be effective.
  2. The patient may have drug toxicity from all the drugs.
  3. The patient may have drug toxicity only if the drugs are excreted by the kidneys.
  4. The patient may have decreased effectiveness of the drugs.

Question 6

Type: MCSA

The patient comes to the emergency department following an overdose of aspirin, an acidic drug. What will the best plan of the nurse include?

  1. Administration of intravenous fluids to flush the kidneys
  2. Administration of ammonium chloride to the patient
  3. Administration of sodium bicarbonate to the patient
  4. Administration of intravenous proteins to bind the aspirin

Question 7

Type: MCSA

The patient is complaining of a severe headache. The physician orders aspirin. Which action by the nurse will result in the fastest relief of the patients headache?

  1. Administer the aspirin with an alkaline food, like cottage cheese.
  2. Administer the aspirin in an enteric-coated formulation.
  3. Administer the aspirin with a high-fat food, like peanut butter.
  4. Administer the aspirin on an empty stomach.

Question 8

Type: MCSA

The patient is receiving lithium (Eskalith) and asks the nurse why he has to have blood drawn so often. What is the best response by the nurse?

  1. To detect side effects before they become a problem.
  2. To be sure the medication is working properly.
  3. To determine if your body is responding as it should.
  4. To be sure you have the correct amount of medication in your system.

Question 9

Type: MCSA

The nursing mother asks the nurse if it is all right to take St. Johns wort for mild depression. What is the best response by the nurse?

  1. No, it will probably cause your baby to have more allergies.
  2. No, because it might decrease the amount of milk you produce.
  3. No, it could be excreted in your milk and affect the baby.
  4. No, it will affect the taste of your milk, and your baby might reject nursing.

Question 10

Type: MCMA

The nursing instructor is teaching pharmacology to student nurses. What will the nursing instructor include as the four major components of pharmacokinetics?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. How drugs move from the site of administration to circulating fluids
  2. How drugs are converted to a form that is easily removed from the body
  3. How drugs change body illnesses and pathogens
  4. How drugs are transported throughout the body
  5. How drugs are removed from the body

CHAPTER 5

Question 1

Type: MCSA

A patient looks up the drug he is taking in a drug guide. The patient asks the nurse why the physician prescribed a medication that has a lethal dose measure. What is the best response by the nurse?

  1. It just refers to what is done in research; it is not used by doctors prescribing drugs.
  2. It is a value determined during research, which helps to determine the safe dose to give.
  3. All that means is that the drug could be lethal, but I will watch you for side effects.
  4. Dont worry about that, Ill have your doctor explain it to you.

Question 2

Type: MCSA

Prior to administering medications, the student nurse reviews the therapeutic index. Which statement best describes the students understanding of therapeutic index?

  1. The student is able to determine if the physician prescribed the best drug for the patient.
  2. The student is able to determine if the patients are receiving safe doses of the medications.
  3. The student is able to identify interactions among the drugs each patient is receiving.
  4. The student is able to identify the patients who will need to have serum blood levels monitored.

Question 3

Type: MCSA

The nursing instructor prepares to teach student nurses about how mean effective doses of medications are related to clinical practice. As a result of the instruction, what is the best understanding of the student nurses?

  1. About 50% of patients will experience severe side effects from the drug.
  2. Some patients will respond differently depending on their ethnic background.
  3. About 50% of patients will not experience any effect from the drug.
  4. Some patients will require more or less than the average dose of the drug.

Question 4

Type: MCSA

The patient receives antibiotics for a serious infection. The patient asks the nurse, Why dont you just give me more of that drug to cure this infection faster? What is the best response by the nurse?

  1. I will check with the doctor to see if it is time to increase the medication.
  2. You are at a maximum dose; taking more will cause interactions with other medications.
  3. You must stay on this drug for 2 more weeks before it can be increased.
  4. You are at a maximum dose; taking more will not help.

Question 5

Type: MCSA

The nurse administers narcotics to surgical patients. Which statement represents the nurses best understanding as it relates to the potency of different narcotics?

  1. Codeine is less potent than morphine; it will not produce an allergic reaction.
  2. Morphine is more potent than codeine; a lesser dose will be required.
  3. Morphine is more potent than codeine; it will produce more adverse effects.
  4. Codeine is less potent than morphine; it will not relieve pain as well.

Question 6

Type: MCSA

The nurse is conducting medication education about the difference between potency and efficacy to a group of patients. The nurse correctly determines that learning has occurred when the patients makes which response?

  1. The best drug for us is the one with the highest potency.
  2. The best drug for us is the one with the greatest efficacy.
  3. Drugs with the greatest efficacy will produce the least side effects.
  4. Low potency drugs have efficacy and do not produce side effects.

Question 7

Type: MCMA

The patient has had hypertension for many years. The physician orders an antihypertensive drug that has just come on the market. The nurse teaches the patient that this drug works more effectively than his prior drug, and has fewer side effects. The patient asks how this can be. What is the best response by the nurse?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Newer drugs are altered to affect your cells receptors in a different way.
  2. Receptors tend to burn-out, so newer drugs are required.
  3. Research into receptors helps fine-tune drugs to be more effective.
  4. Changing the response of the drug to protein receptor-complexes produces fewer side effects.
  5. It is a process of trial and error with receptors until the new drug proves effective.

Question 8

Type: MCSA

The nurse plans to teach a group of patients about how their medications work in their bodies. If education has been successful, what will be the best understanding of the patients?

  1. Medications change the function of the cells in the body.
  2. Medications help the body produce new enzymes.
  3. Medications change how body tissues function.
  4. Medications work by enhancing or blocking normal body functioning.

Question 9

Type: MCSA

The patient and his wife receive the same medication for hypertension. The patients wife asks the nurse why she is receiving a higher amount of the medication. What is the best response by the nurse?

  1. Females have a higher metabolism, so you need more medication.
  2. Everyone is unique and responds differently to medications.
  3. Your hormones are different from your husbands, so you need more medication.
  4. You have a greater percentage of body fat, so more medication is needed.

Question 10

Type: MCSA

The student nurse has been reading about the Human Genome Project and asks the nursing instructor how this will impact future pharmacological therapies. What is the best response by the instructor?

  1. We will be able to alter genes so we will not need drugs.
  2. We will be able to standardize drug doses to make prescribing easier.
  3. It will help prevent disease through gene manipulation, but will not impact drugs.
  4. It will help to individualize drug therapy for people in a more effective way.

CHAPTER 6

Question 1

Type: MCSA

The nurse follows the nursing process when conducting medication education about insulin. The step of evaluation is best demonstrated by which question?

  1. Is your abdomen the best place to inject insulin?
  2. What questions do you have about insulin?
  3. Can you recognize when you are experiencing hypoglycemia?
  4. Can you tell me four points you remember about how to take your insulin?

Question 2

Type: MCMA

The nurse assesses the patient with diabetes mellitus prior to administering medications. Which questions are important to ask the patient?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Are you allergic to any medications?
  2. Are you taking any herbal or over-the-counter medications?
  3. How difficult is it for you to maintain your ideal body weight?
  4. Will you please tell me about the kind of diet you follow?
  5. What other medications are you currently taking?

Question 3

Type: MCSA

The physician has prescribed a nitroglycerine (Nitrodur) patch for the patient. What is the best outcome for this patient as it relates to use of the medication?

  1. Patient will be able to identify the expiration date of the medication prior to discharge.
  2. Patient will verbalize three side effects of the medication prior to discharge.
  3. Patient will state the reason for receiving the medication prior to discharge.
  4. Patient will demonstrate correct application of the patch prior to discharge.

Question 4

Type: MCSA

The patient is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the initial nursing intervention as it relates to this medication?

  1. Monitor the patient for relief of bronchospasms.
  2. Monitor the patient for nausea and headache.
  3. Monitor the patients serum drug levels.
  4. Provide the patient with age-appropriate education about albuterol (Proventil).

Question 5

Type: MCSA

The patient is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The patients outcome is Patient will state a key point about antibiotic treatment for cellulitis. Which statement by the patient provides the best evaluation by the nurse at this time?

  1. If the pain gets too bad, I can take my prescribed pain medication.
  2. If the swelling continues, I can apply an ice pack.
  3. I need to take all the pills even if my leg looks better.
  4. I must keep my leg elevated until the swelling goes down.

Question 6

Type: MCMA

The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory hallucinations. The patient has stopped taking the medication. The nurse incorrectly uses the diagnosis of noncompliance. What is essential for the nurse to assess prior to using this nursing diagnosis?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Do cultural or religious issues have an impact on taking the medication?
  2. Has the patient made an informed decision not to take the medication?
  3. Is the noncompliance related to a lack of finances?
  4. Did the patient understand why the medication had been prescribed?
  5. Are side effects causing the patient to refuse the medication?

Question 7

Type: MCSA

The nurse is preparing for medication administration to a group of patients. What is the best overall outcome for the patients?

  1. Patients will take the medications after receiving medication instruction.
  2. Patients will receive the best therapeutic outcome from the medications.
  3. Patients will state the reason they are receiving the medications.
  4. Patients will experience minimal side effects after taking the medications.

Question 8

Type: MCSA

The nurse is managing care for several patients at a diabetic treatment center. What is the primary intervention for the nurse?

  1. To administer the correct medicine to the correct patient at the correct dose and the correct time via the correct route
  2. To return the patient to an optimum level of wellness while limiting adverse effects related to the patients medical diagnosis
  3. To include any cultural or ethnic preferences in the administration of the medication
  4. To answer any questions the patient may have about the medicine, or any possible side effect of the medication

 

Question 9

Type: MCSA

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission (TJC)?

  1. Planning care
  2. Teaching
  3. Assessment
  4. Evaluating care

Question 10

Type: MCSA

The Joint Commission (TJC) documented that patient education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention?

  1. Providing educational pamphlets about medications to the patients.
  2. Asking the physicians to provide medication education to the patients.
  3. Discussing medications each time they are administered to patients.
  4. Requesting more frequent pharmacy consults for the patients.

CHAPTER 7

Question 1

Type: MCMA

The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the presentation?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. The nurse miscalculates the medication dose.
  2. The nurse does not check the patients identification band.
  3. The nurse does not validate an order with the physician.
  4. The nurse misinterprets a physicians order.
  5. The nurse administers the incorrect drug.

Question 2

Type: MCSA

The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to administration?

  1. The nursing supervisor
  2. The nursing unit manager
  3. The pharmacist
  4. The physician

Question 3

Type: MCSA

The nurse makes a medication error and a patient dies. In court, the attorney for the family of the deceased patient asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question?

  1. Did you follow agency guidelines as in previous circumstances?
  2. Did you follow the physicians orders and double-check them before administration?
  3. Did you do the three checks and follow the five rights as taught in school?
  4. Did you do what another nurse would have done under similar circumstances?

Question 4

Type: MCSA

The nurse manager plans to teach the graduate nurse the reason why the nursing unit has policies and procedures. What best describes the reason for policies and procedures?

  1. The policies and procedures establish standards of care for the institution.
  2. The policies and procedures indicate how nursing personnel are to perform skills.
  3. The policies and procedures establish how the health care facility is to be run.
  4. The policies and procedures indicate the steps that must be taken when a medication error occurs.

Question 5

Type: MCSA

The nurse in the emergency department administers an adult dose of an antibiotic to a 3-month-old baby. As a result, the baby suffers permanent brain damage. What best describes the effect of this error on the health care facility?

  1. The professional license of the nurse will be lost.
  2. The morale of the staff involved will be depleted.
  3. The reputation of the health care facility will suffer.
  4. The health care facility will pay a very large settlement.

Question 6

Type: MCSA

The nurse administers an evening medication to the patient in the morning. The medication did go to the correct patient. What is the nurses best course of action at this time?

  1. Change the medication administration time to the morning.
  2. Notify the physician about the error and complete an incident report.
  3. Tell the evening nurse to hold the evening dose just for tonight.
  4. Notify the physician and ask if any further action needs to be taken.

Question 7

Type: MCSA

The nurse is preparing medications for a group of patients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first nurse?

  1. Ask the second nurse to help with administering medications so they can have more time to talk.
  2. Continue to prepare the medications for administration and pretend to listen to the first nurse.
  3. Stop preparing medications until the first nurse has finished talking about her engagement.
  4. Tell the second nurse that the conversation is distracting and must cease while medications are being prepared.

Question 8

Type: MCSA

The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior?

  1. This was acceptable as long as the nurse looked up the action and side effects of the drug later.
  2. An error could have occurred because the nurse was unfamiliar with the medication.
  3. The nurse manager was partially at fault because the nursing unit was understaffed and the nurse was too busy.
  4. An error did occur because the nurse could have administered the medication via the incorrect route.

Question 9

Type: MCSA

The nurse commits a medication error. The nurse documents the error in the patients record and completes the incident report. What does the nurse recognize as the primary reason for doing this?

  1. To verify that the patients safety was protected
  2. To protect the patient from further harm
  3. To protect the health care facility from litigation
  4. To protect the nurse from liability

Question 10

Type: MCMA

The nurse is working very hard to prevent medication errors. What plan(s) will assist the nurse in preventing most errors?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Plan to always check the patients identification band prior to administration of medications.
  2. Plan to open all of the medications immediately prior to administration.
  3. Plan to tell physicians that verbal orders will not be accepted.
  4. Plan to record the medication on the medication administration record (MAR) immediately prior to administration.
  5. Plan to validate all orders with another nurse prior to administration of medications.

CHAPTER 8

Question 1

Type: MCSA

The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a patient makes which response?

  1. The baby can only be harmed by medications during the first trimester.
  2. It is important to not take over-the-counter (OTC) drugs during my pregnancy.
  3. Exposure to teratogens can result in my babys death or in malformations.
  4. If I breastfeed my baby, drugs can come through my breast milk.

Question 2

Type: MCSA

The pregnant patient plans to breastfeed her baby. She asks the nurse about the use of herbal products during breastfeeding. What is the best response by the nurse?

  1. Be sure to check the label to see if the herbal product could be used during breastfeeding.
  2. Most drugs can be transferred to the infant during breastfeeding, so this is not recommended.
  3. Herbal products are considered natural, so it should be fine to use them during breastfeeding .
  4. This should be fine, as long as there is at least 12 hours between the time you use the product and when you breastfeed.

Question 3

Type: MCMA

The nurse plans to teach a safety class to parents of toddlers about household exposure to medications. What will the best plan of the nurse include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Keep the toddler awake and observe for side effects of the medication.
  2. Keep all medications locked up and stored out of reach of the toddler.
  3. Use syrup of ipecac immediately if the toddler has ingested medication.
  4. Call the Poison Control Center for guidance with any medication ingested.
  5. Teach the toddler that medications are for adult use only.

Question 4

Type: MCMA

The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What is the best information to include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Food and Drug Administration (FDA) Pregnancy Category C is safe to use during pregnancy.
  2. Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women.
  3. Food and Drug Administration (FDA) Pregnancy categories for individual drugs seldom change once they are established.
  4. Food and Drug Administration (FDA) Pregnancy categories are based on studies using clinical human research trials.
  5. Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.

Question 5

Type: MCSA

The nurse plans to administer medication to the preschool child. Which approach indicates the nurse has an understanding of growth and development?

  1. The child is often more cooperative if the parent is not in the room.
  2. The child does better with verbal instruction than with play instruction.
  3. There should be no need to restrain a child of this age.
  4. Use a brief rationale, followed by quick administration of the medication.

Question 6

Type: MCSA

The nurse will administer medication to a school-age child. What is the preferred action by the nurse?

  1. Teach the child the action and expected side effects of the medication.
  2. Tell the child he will not be allowed to go to recess if the medication is not taken.
  3. Offer the child a choice of beverage with which to take the medication.
  4. Offer to play with the child prior to medication administration.

Question 7

Type: MCSA

An adolescent patient comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurses suspicion that the adolescent has body image concerns?

  1. The adolescent says, Everyone makes a big deal about what I eat, so dont ask.
  2. The adolescent tells the nurse, I have been sexually active with my boyfriend.
  3. The adolescent reports, My periods are irregular. Should I see a doctor?
  4. The adolescent tells the nurse, I just cant seem to get along with my parents.

Question 8

Type: MCSA

The nurse provides care for elders in an assisted living facility. What does the nurse assess as a primary contributing factor for medication complications in the elderly?

  1. The elderly often abuse alcohol.
  2. The elderly are frequently dehydrated.
  3. The elderly are frequently constipated.
  4. The elderly have decreased stomach acid.

Question 9

Type: MCSA

The pregnant patient tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the nurse?

  1. This is because your blood volume has increased.
  2. Tell me how you have been taking your medication.
  3. This is because your baby is receiving part of the medication.
  4. Maybe the medication has expired; check the label.

Question 10

Type: MCSA

The toddler refuses to take his oral medication. What is the best suggestion to the mother from the nurse for ensuring the toddler receives his medication?

  1. Tell him you will buy him a toy if he takes the medication.
  2. Crush the tablet and mix it with a small amount of jam.
  3. Crush the tablet and mix it with milk.
  4. Tell him he will be punished if he does not take the medicine.

CHAPTER 9

Question 1

Type: MCMA

The nurse is doing a holistic assessment on a patient prior to the initiation of antihypertensive medication. What will the best assessment include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Blood pressure
  2. The cause of the hypertension
  3. Mood
  4. Level of education
  5. Belief in a higher power

Question 2

Type: MCSA

The adolescent Hispanic male has been diagnosed with attention-deficit hyperactivity disorder (ADHD), and is taking methylphenidate (Ritalin). Even though the drug helps with focus and grades, the adolescent will not go to the school office at noon for his medication. Which statement best describes the result of the nurses evaluation?

  1. The adolescent has developed alternative coping mechanisms to increase his focus during classes.
  2. The adolescent is fearful that this drug may be a gateway drug and he will abuse other substances.
  3. The adolescent really does not need an additional dose of methylphenidate (Ritalin) at school.
  4. The adolescent is embarrassed about having to take medicine at school; it is a social stigma.

Question 3

Type: MCSA

The patient is from an Arab culture and is in labor and delivery. Her husband insists he must stay with her, and will not allow her to receive any analgesia during the experience. What is the best action by the nurse?

  1. Inform the husband that it is his wifes choice whether or not to receive analgesia.
  2. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital.
  3. Allow the request, but inform the husband that the physician will make the final decision about analgesia.
  4. Allow this request, and be available in the event the request changes.

Question 4

Type: MCSA

A patient is diagnosed with cancer. The physician has recommended chemotherapy, which would likely save the patients life. The patient tells the nurse, This is punishment from God for sins I have committed; some women at my church say so. What will the best plan of the nurse include?

  1. With the patients permission, plan to involve a hospital minister to discuss the patients perspective about cancer.
  2. With the patients permission, plan to bring the case before the hospitals board of ethics.
  3. With the patients permission, plan to contact the patients minister to discuss the patients perspective about cancer.
  4. With the patients permission, plan to meet with family members to discuss the patients perspective about cancer.

Question 5

Type: MCSA

The African American patient has panic attacks, is suicidal, and is on an inpatient psychiatric unit. The psychiatrist orders sertraline (Zoloft) and clonazepam (Klonopin). The patient refuses the drugs; he requests to have herbs and African objects in his room to remove the curse. What is the priority action by the nurse?

  1. Allow the request without seeking further information from the patient.
  2. Allow the request as long as the herbs and objects do not pose a safety risk for the patient or other patients.
  3. Allow the request after the patient signs a release of responsibility to avoid litigation.
  4. Allow the request after all members of the treatment team agree to it.

Question 6

Type: MCSA

The public health nurse notices that several patients in the hypertension clinic have poorly controlled hypertension, even though they have been prescribed appropriate antihypertensive drugs. Which question will best enable the nurse to assess these patients?

  1. Does your religion allow the use of high blood pressure medication?
  2. Do you think your high blood pressure is a problem?
  3. Can you afford the high blood pressure medication?
  4. Does your culture use herbs to treat high blood pressure?

Question 7

Type: MCSA

The nurse is providing group education about warfarin (Coumadin) to minority patients who have experienced strokes (brain attacks). The nurse determines that learning has occurred when the patients make which statement?

  1. We may need to have more frequent blood tests.
  2. We may need to have less frequent blood tests.
  3. We may need more medication than other ethnic groups.
  4. We may need less medication than other ethnic groups.

Question 8

Type: MCMA

The nurse is conducting a holistic assessment of a patient with alcoholism. What are the important questions to ask?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. How is drinking alcohol viewed by your culture?
  2. Have you ever attended Alcoholic Anonymous meetings?
  3. Did you see your parents drinking alcohol when you were growing up?
  4. Have you been in alcohol rehabilitation before now?
  5. What blood relatives of yours are addicted to alcohol?

Question 9

Type: MCSA

The patient is an American Indian admitted to the hospital for chemotherapy. At any given time, five family members are in the patients room, which is private. The nurse tells the patient that according to hospital policy; only two visitors at a time are allowed. What does the best analysis by the nurse manager reveal about the nurses action?

  1. The nurse should have assessed the patients preferences about how many family members she wanted to be present.
  2. The nurse should have called the physician and obtained an order for additional family members to be present.
  3. This was the correct action; the nurse was following protocol by informing the patient about hospital policy.
  4. The nurse should have allowed the patient to have as many family members as she wanted to be present.

Question 10

Type: MCSA

The physician has prescribed a chemotherapeutic drug for the patient with cancer. This drug commonly causes loss of hair. The patient asks the nurse, Will all of my hair fall out? What is the most therapeutic response by the nurse?

  1. We are not really sure; applying an ice bag to your head may help.
  2. Dont worry, we can recommend an excellent wig company if need be.
  3. Yes, that is one of the expected side effects of this medication.
  4. It might. Have you discussed this with your physician?

CHAPTER 10

Question 1

Type: MCSA

The patient confides in the nurse that she is drawn to complementary and alternative medicine because it promotes the whole person. The patient would like spirituality and prayer included in her plan of care. What is the best response by the nurse?

  1. We will include spirituality in your plan. Would you like to say a prayer?
  2. I think your spiritual concerns are best left up to you and your minister.
  3. What exactly do you mean by spirituality and prayer?
  4. We usually do not pray with patients; is there something you are worried about?

Question 2

Type: MCSA

The nurse plans to teach patients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse?

  1. Herbs, like prescription drugs, usually only contain one active ingredient.
  2. The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts.
  3. Most herbs, like prescription drugs, are standardized and regulated by the Food and Drug Administration (FDA).
  4. Herbs are considered to be safer than prescription medications as they are natural.

Question 3

Type: MCMA

The patient tells the nurse that she plans to take St. Johns wort to treat her depression. What is the best response by the nurse?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. That should be fine as long as you are not suicidal.
  2. St. Johns wort is successfully used in Europe for minor depression.
  3. It would be a good idea to try this before paying for a prescription medication.
  4. It would be better to have a psychiatric assessment first.
  5. Herbal preparations can interact with many other medications.

Question 4

Type: MCSA

The patient tells the nurse that he has been taking herbal preparations to boost his immune system functioning. He does not know the names of the preparations. What is the best assessment question for the nurse to ask?

  1. Would you please tell your doctor about the herbs during the next visit?
  2. Would you please ask your wife to discuss this with me during her next visit?
  3. Would you please have your wife bring the bottles to the hospital?
  4. Would you please ask your wife to call the hospital pharmacist with the names?

Question 5

Type: MCSA

The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement?

  1. Products can make claims based on body structure and function like promotes healthy urinary tract.
  2. Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer.
  3. The Food and Drug Administration (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the market.
  4. The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement.

Question 6

Type: MCSA

The patient uses Ginkgo biloba to enhance memory functioning, but has not told the nurse about this herb. The physician orders warfarin (Coumadin) for the patient. What will the best assessment of the nurse include?

  1. Headache, dizziness, sweating, and agitation
  2. A blood glucose of 56
  3. An international normalized ratio (INR) of 3.0
  4. Petechiae and bleeding from the gums

Question 7

Type: MCMA

Which patient would be most likely to seek complementary and alternative therapies as a treatment modality?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. A 48-year-old male who wants to boost his immune system
  2. A 22-year-old male athlete who is preparing for the Olympics
  3. A 50-year-old female going through menopause
  4. A 58-year-old male with prostate problems
  5. A 28-year-old female who is healthy

Question 8

Type: MCSA

Patients at a senior citizen center have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan by the nurse?

  1. Herbal preparations are safe as long as you carefully read the label.
  2. As long as the herbal preparation has been tested in the clinical setting, it is safe.
  3. Herbal preparations actually are drugs; you must be careful with them.
  4. Herbal preparations can be dangerous if you are allergic to them.

Question 9

Type: MCSA

The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse?

  1. Fish oil will help to enhance your brain function.
  2. Chromium will help you achieve and maintain optimum weight.
  3. Dietary supplements will help support and maintain hydration.
  4. Soy isoflavone will help prevent Alzheimer disease.

Question 10

Type: MCSA

The patient takes St. Johns wort for depression, but does not tell anyone about this. The psychiatrist prescribes an MAO inhibitor. What will the best assessment of the nurse reveal?

  1. Blood pressure of 210/100 mmHg
  2. Serum glucose level of 340
  3. Blood pressure of 78/40 mmHg
  4. Serum potassium of 6.0

CHAPTER 11

Question 1

Type: MCMA

The nurse is managing care for a group of substance abusers. The patients have completed group education about the disease of addiction. The nurse determines that learning has occurred when the patients make which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. A heroin addict can die from heroin withdrawal.
  2. Substance abuse depends on complex variables.
  3. Most addicts became addicted from pain medication in a hospital.
  4. Addiction includes a compulsion to use a mood-altering substance.
  5. There is most likely a genetic component to addiction.

Question 2

Type: MCSA

The adolescent patient is in a drug rehabilitation program. The mother of this patient

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