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BSN215
Pharmacology 1 Wk 1-15
| Question | Answer |
|---|---|
| Which fraction would be the result of reducing 6/10 to its lowest terms? Record the answer as a fraction. | 3/5 |
| Convert the improper fraction 7/4 to a mixed number. Record the answer using a whole number and a fraction including a space after the whole number. | 1 3/4 |
| Convert the mixed number 4 3/4 to an improper fraction. Record the answer as a fraction. | 19/4 |
| Which is the lowest common denominator of the fractions 6/10 and 2/5 ? Record the answer using a whole number. | 5 |
| Calculate the equivalent fraction of 2/7 , with the lowest common denominator of 21. 2/7 = ?/21 . | 6/21 |
| Convert 1 3/7 to an equivalent fraction that shares a lowest common denominator with 7/28 . Record the answer without reducing the fraction. | 40/28 |
| Calculate the sum of: 6/7 + 5/6 . Record the answer using a whole number and a fraction including a space after the whole number | 1 29/42 |
| Calculate the sum of: 6 4/5 + 4 2/3 . Record the answer using a whole number and a fraction including a space after the whole number. | 11 7/15 |
| Calculate the difference of: 23/24 - 6/12 . Record the answer as a fraction. | 11/24 |
| Calculate the difference of: 5 9/10 - 2 1/5 . Record the answer using a whole number and a fraction including a space after the whole number. | 3 7/10 |
| Calculate the product of: 4/5 × 6/7 . Record the answer as a fraction. | 24/35 |
| Calculate the product of: 5 2/3 × 4 1/2 . Record the answer using a whole number and a fraction including a space after the whole number. | 25 1/2 |
| Calculate the quotient of: 5/12 ÷ 6/10 . Record the answer as a fraction. | 25/36 |
| Calculate the quotient of: 5/8 / 4/15 | 2 11/32 |
| Calculate the quotient of: 4 4/5 / 2 1/2 | 1 23/25 |
| Calculate the quotient of: 3 5/10 / 2 1/2 | 1 2/5 |
| every hour qh as needed prn after meals pc before meals ac | every hour qh as needed prn after meals pc before meals ac |
| The nurse records a handwritten telephone order for ketorolac 30 mg IM q6h prn for pain. Which signature line would the nurse add in the order? | VORB Dr. John James/Sue Smith, RN |
| A patient is to receive NovoLog 70/30 20 units SC a.c., which should be administered 15 minutes before meals. If dinner is served at 5:30 PM, calculate the time when the nurse will administer the Novolog. Record the answer using the 24-hour clock. | 1715 |
| The nurse is preparing to administer nafcillin 500 mg. The available medication is nafcillin 1 gram per milliliter. Which action will the nurse take to administer the correct dose? | Perform conversion and calculations to determine the correct dose to be administered. |
| According to this medication administration record (MAR), which route is prescribed for amoxicillin? PO | oral |
| Match each part of a drug label with the appropriate description. | Amoxicillin Generic name Suspension Form Oral Route 250 mg/5 mL Dosage strength |
| Which route would the nurse know to be suitable for this medication as indicated by the label? label says IM IV | Intramuscular injection |
| Which routes would be appropriate for the nurse to administer the medication which lists the usual adult dose as “0.75 to 1.5 mL injected subcutaneously, intramuscularly, or slowly intravenously”? | SC, IM, slowly IV |
| Which factor would be a benefit of administering oral medications? Select all that apply. One, some, or all responses may be correct. | Cost Convenience Administration |
| Which medication would be crushed? | Scored tablet |
| Which medication administration device would the nurse use to administer 0.5 mL of a liquid medication? | oral syringe |
| The nurse has calculated a pediatric drug dose of 5.82 mL amoxicillin. Round the answer to the nearest tenth, if applicable. mL | 5.8 |
| The health care provider has prescribed 125 mg spironolactone. The pharmacy provides 50 mg spironolactone tablets. Calculate the number of tablets the nurse would administer. Round the answer to the nearest tenth, if applicable. 2.5 tablets | 2.5 |
| Flat round medication that dissolves in the mouth and is not swallowed Lozenge Medication sprayed into the mouth and upper airway Aerosol | Medication mixed with alcohol extract from plant or vegetable Tincture Medication dissolved in concentrated sugar solution Syrup |
| Which resource would the nurse consult to obtain reconstitution information when no directions are available with the medication? Select all that apply. One, some, or all responses may be correct. | Physician's desk reference PDR Pharmacy Hospital drug formulary |
| Place in order the steps to be followed when reconstituting a medication in a multidose vial. Cleanse rubber diaphragm of both vials. Pull plunger back to fill with the amount of air equal to diluent amount. | Inject air and withdraw diluent from vial. Inject diluent into medication to be reconstituted. Gently roll vial to mix powder with diluent. Withdraw prescribed dose of medication. |
| Which information would the nurse obtain prior to administering penicillin to a patient? | Allergies |
| The health care provider prescribes ampicillin 750 mg for a patient. The pharmacy provides a vial of ampicillin 250 mg/mL after reconstituting with 3.5 mL diluent. Calculate the volume to be administered by using the dimensional analysis method. | 3 |
| The health care provider prescribes erythromycin 250 mg for a patient. The pharmacy provides a bottle of erythromycin 200 mg/5 mL after reconstituting with 140 mL water. Calculate the volume to be administered by using the dimensional analysis method. | 6.3 |
| The health care provider prescribes methylprednisolone sodium succinate 125 mg for a patient. The pharmacy provides a vial of methylprednisolone sodium succinate 500 mg/8 mL after reconstituting with 7.2 mL normal saline. Calculate | 2 |
| Which device regulates the rate of infusion via gravity? | Clamp |
| Which information would the nurse require to calculate the drops per minute? | Tubing drop factor |
| Which complication can occur when administering intravenous (IV) fluids at an incorrect rate? Select all that apply. One, some, or all responses may be correct. | Infiltration Fluid overload Dehydration |
| The health care provider prescribes azithromycin 250 mg in 200 mL of diluent to infuse over 60 minutes. Using dimensional analysis, calculate the flow rate (mL/hour) for which the nurse would program the infusion pump. | 200 |
| An adolescent is brought to the emergency department by a parent who reports that the patient took a whole bottle of extended-release acetaminophen tablets somewhere between 8 and 10 hours ago. | Acetylcysteine [Mucomyst] |
| Which patients should be given antibiotics prophylactically? | Patients with compound fractures undergoing surgical repair Patients with certain congenital heart defects at risk for bacterial endocarditis |
| A nursing student wants to know the differences between hospital-associated methicillin-resistant S. aureus (HA-MRSA) and community-associated methicillin-resistant S. aureus (CA-MRSA). | CA-MRSA is less dangerous than HA-MRSA 20% to 30% of the general population are colonized with CA-MRSA Boils caused by CA-MRSA can be treated without antibiotics |
| Besides the cost of administering a given drug, which are considerations when a provider selects a cephalosporin to treat an infection? (Select all that apply) | A. Antimicrobial spectrum C. Adverse effects E. Pharmacokinetics |
| A patient received 500 mg of azithromycin [Zithromax] at 0800 as a first dose. What are the usual amount and time of the second dose of azithromycin? | 250 mg at 0800 the next day |
| Which patients may receive gentamicin safely? (Select all that apply) | B. A 6-day-old newborn C. A woman breast-feeding an infant E.A 5-year-old child |
| A nurse teaches a patient about sulfonamides. Which statement by the patient indicates a need for further teaching? | “I should stop taking this drug when my symptoms are gone.” |
| Nitrofurantoin [Macrodantin] is prescribed for an adolescent female patient with acute cystitis. What should the nurse include in the teaching for this patient? (Select all that apply) | “Headaches and drowsiness can occur and are mild side effects.” “If you experience any tingling or numbness, stop taking the drug and call the clinic immediately.” “tell your prescriber if you might be pregnant.” ur urine may have a brown tinge while” |
| A patient newly diagnosed with tuberculosis asks the nurse why oral medications must be given in the clinic. The nurse will tell the patient that medications are given in the clinic so that: | Clinic staff can observe adherence to drug regimens |
| Which antibiotics may be administered topically? (Select all that apply) | Polymyxin B Bacitracin |
| Vasoconstrictors are combined with local anesthetics for which reasons? (Select all that apply) | To prolong anesthesia To reduce the risk of toxicity |
| A patient will receive intravenous midazolam [Versed] combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure. | “The patient will not remember the procedure.” |
| A nurse is administering morphine sulfate to a postoperative patient. Which are appropriate routine nursing actions when giving this drug? (Select all that apply) | Encouraging physical activity and offering increased fluids Counting respirations before and after giving the medication Palpating the patient’s lower abdomen every 4 to 6 hours |
| A patient who has developed opioid tolerance will experience which effect? | Decreased analgesic effect |
| A patient on the unit complains of cluster headaches. A new graduate nurse is asked to differentiate between a migraine headache and cluster headaches. cluster | Throbbing, sometimes piercing pain Short duration (15 minutes to 2 hours) Male sex |
| Parents ask the nurse why an over-the-counter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct? | “Infants are more susceptible to central nervous system effects than are adults.” |
| A nurse caring for a 5-year-old child notes that the child has discoloration of several teeth. When taking a medication history, the nurse will ask about which group of medications? | Tetracyclines |
| A child will receive 750 mg of an antibiotic for 10 days. The child attends day care. The drug may be dosed in several ways and is available in two concentrations. Which dosing regimen will the nurse discuss with the child’s provider? | 500 mg/5 mL to 375 mg PO twice daily |
| A thin older adult woman is admitted to the hospital after several days of vomiting, diarrhea, and poor intake of foods and fluids. She has not voided since admission. In preparing to care for this patient, the nurse will look | Creatinine clearance Plasma drug levels Serum albumin |
| A nurse is making a home visit to an older adult woman who was recently discharged home from the hospital with a new prescription. The nurse notes that a serum drug level drawn the day before was subtherapeutic. What will the nurse do next? | Count the pills in the prescription bottle |
| patient and her newborn immediately after delivery. The patient’s medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she was pregnant, occasional use of an albuterol inhale, iv morphine | Monitor the infant’s respirations and prepare to administer naloxone if needed |
| A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage? | They may need to be given in higher doses if they undergo renal clearance |
| A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teaching? | “Spironolactone, which reduces androgens and facial hair, is helpful if I’m trying to conceive.” |
| An adult male patient will begin androgen therapy for testicular failure. Which statement by the patient indicates understanding of the treatment regimen? | “My libido may improve while I am taking this medication.” |
| A nurse is teaching a group of parents about the role of testosterone in puberty for boys. To evaluate the group’s understanding, the nurse asks, “What physiologic effects related to testosterone can you expect to see in your sons?” Which responses ind | “It promotes skeletal muscle growth.” “It increases height and weight.” “It causes acne.” |
| A child is diagnosed with rickets. The nurse knows that this child is most likely deficient in which vitamin? | Vitamin D |
| Besides having diuretic effects for patients with congestive heart failure, thiazides are also used to treat what? (Select all that apply) | Hepatic failure Postmenopausal osteoporosis Diabetes insipidus |
| A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which diuretic agent ordered by the prescriber should the nurse question? | Spironolactone [Aldactone] |
| Which laxatives may be used safely in infants? (Select all that apply) | Lactulose Glycerin suppositories Docusate sodium (Colace) |
| A patient with a history of chronic alcohol abuse has been admitted to the unit with cirrhosis. Upon review of the patient’s laboratory test results, the nurse notes that the patient’s ammonia level is elevated at 218 mcg/dL. what med? | Lactulose |
| A patient has had blood pressures of 150/95 and 148/90 mm Hg on two separate office visits. The patient reports a blood pressure of 145/92 mm Hg taken in an ambulatory setting. The patient’s diagnostic tests are all normal. | A thiazide diuretic |
| A nurse is discussing how beta blockers work to decrease blood pressure with a nursing student. Which statement by the student indicates a need for further teaching? | “Beta blockers block the actions of angiotensin II.” |
| A 5-year-old patient seen in an outpatient clinic is noted to have hypertension on three separate visits. Ambulatory blood pressure monitoring confirms that the child has hypertension. | Perform a detailed health history on the child |
| A nurse has provided education for a patient newly diagnosed with hypertension who is just beginning therapy with antihypertensive medications. | “When my symptoms subside, I may discontinue the medications.” |
| A 60-year-old African American patient has a blood pressure of 120/80 mm Hg and reports a family history of hypertension. The patient has a body mass index of 22.3. The patient reports consuming alcohol occasionally. | Sodium restriction |
| Which drugs are used to treat COPD? (Select all that apply) | Glucocorticoids Anticholinergic medications Long-acting beta2 agonists |
| A patient with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist medication. What will the nurse tell this patient? | LABAs are safer than short acting beta2 agonists |
| A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold symptoms. Which response by the nurse is correct? | Benadryl must be given in higher doses to provide relief for cold symptoms |
| A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has i | Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn |
| A patient is being started on nicotinic acid [Niaspan] to reduce triglyceride levels. The nurse is providing patient education and should include teaching about which adverse effects? (Select all that apply) | Gastric upset Itching Facial flushing |
| A pediatric patient ingested a narcotic analgesic at the grandparent’s house 15 minutes before arriving in the emergency department. The nurse is preparing to administer activated charcoalA patient overdosed on aspirin | “The charcoal will cause the child’s stools to be black.” |
| A patient overdosed on aspirin several hours ago and is brought to the emergency department. The nurse assists with supportive care and then asks the provider about an order for which drug? | Sodium bicarbonate |
| A patient asks a nurse about who is eligible to receive anthrax vaccine [BioThrax]. The nurse will respond by saying that which groups of people would be candidates for this vaccine? | Military personnel Laboratory workers Veterinarians |
| A nurse is attending a conference about terrorism and emergency response. During a discussion of radiation emergencies, the use of potassium iodide is reviewed. When should potassium iodide be administered to be most effective after exposu | Immediately after exposure |
| Terrorists have detonated a “dirty bomb” in a shopping center. Nurses are called to the site to assist with triage of victims. Besides treating injuries incurred from the blast itself, the priorities for | Removing clothing and bathing victims |
Created by:
iobraztsov