NURS 1140: PHARMACOLOGY: EXAM QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Pharmacology

NURS 1140: PHARMACOLOGY: EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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1) Which record is used to store pertinent information?
A) Kardex
B) Patient education
C) Unscheduled medication
D) Medication administration -- Correct Answer โœ”โœ” A. Kardex
2) Which form is required when seeking permission from a patient before starting
any treatment?
A) Consent
B) Patient history
C) Physician's order
D) Physical examination -- Correct Answer โœ”โœ” A. Consent
3) Which information can be documented in an order form? Select all that apply.
A) Laboratory tests
B) Diagnostic procedures
C) Problems to be corrected
D) Medications and treatments
E) Improvements in the patient's condition -- Correct Answer โœ”โœ” A,
B, D
NURS 1140: PHARMACOLOGY: EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
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  1. Which record is used to store pertinent information? A) Kardex B) Patient education C) Unscheduled medication D) Medication administration -- Correct Answer โœ”โœ” A. Kardex
  2. Which form is required when seeking permission from a patient before starting any treatment? A) Consent B) Patient history C) Physician's order D) Physical examination -- Correct Answer โœ”โœ” A. Consent
  3. Which information can be documented in an order form? Select all that apply. A) Laboratory tests B) Diagnostic procedures C) Problems to be corrected D) Medications and treatments E) Improvements in the patient's condition -- Correct Answer โœ”โœ” A, B, D

NURS 1140: PHARMACOLOGY: EXAM QUESTIONS WITH COMPLETE

SOLUTIONS

  1. Which drug has reduced absorption in an infant? A) Ampicillin B) Phenytoin C) Ibuprofen D) Chloramphenicol palmitate -- Correct Answer โœ”โœ” D. Chloramphenicol palmitate
  2. For which medication can blood and urine samples be obtained for legal purposes? A) Cocaine B) Digoxin C) Gentamicin D) Phenobarbital -- Correct Answer โœ”โœ” A. Cocaine
  3. Which class of drugs is categorized as water soluble? A) Phenothiazines B) Antidepressants C) Aminoglycosides D) Calcium channel blockers -- Correct Answer โœ”โœ” C. Aminoglycosides
  4. Which parameter should be monitored to determine optimal functioning of the kidneys in an elderly patient? A) Serum proteins B) Serum creatinine C) Urinary creatinine D) Blood urea nitrogen -- Correct Answer โœ”โœ” C. Urinary creatinine
  5. Which drug interferes with the metabolism of a nursing infant? A) Aspirin B) Alprazolam C) Cytarabine D) Amphetamine -- Correct Answer โœ”โœ” C. Cytarabine

B) Suboptimal drug therapy decisions C) Drug for patient with known allergy or intolerance D) Suboptimal assessment of drug response or revision of regimen E) Misinterpretation or misunderstanding of drug ordered or any directions listed -- Correct Answer โœ”โœ” A, D

  1. Which medication order process is most likely to result in a medication error? A) PRN B) Single C) Verbal D) Standing -- Correct Answer โœ”โœ” C. Verbal
  2. Which statement is true about the floor or ward system with regard to medication administration in the hospital? A) It reduces medication errors B) It diminishes the drug deterioration C) It minimizes the return of medications D) It requires infrequent total drug inventories -- Correct Answer โœ”โœ” C. It minimizes the return of medications
  3. Which statement is true about the use of identification bracelets in the administration of medications? A) One patient identifier is enough to confirm the identity B) It is not necessary to check the identification bracelet every time C) Children should be asked their names before administering a drug D) Verbal confirmation of the name of all patients on the ID bracelet is needed -- Correct Answer โœ”โœ” D. Verbal confirmation of the name of all patients on the ID bracelet is needed
  4. Which record verifies the 24-hour history of a patient's pulse, temperature, and blood pressure? A) Graphic B) Laboratory tests C) Patient education D) Medication administration -- Correct Answer โœ”โœ” A. Graphic
  1. Which order allows the nurse to judge when a medication should be administered on the basis of the patient's need? A) Stat B) PRN C) Single D) Standing -- Correct Answer โœ”โœ” B. PRN
  2. Which practice helps ensure safety when administering medications such as heparin? A) Receiving verbal orders for drug administration B) Developing a list of current medications being administered C) Using a computerized provider order entry for controlled administration D) Avoiding the use of brand names and generic names on medication administration records -- Correct Answer โœ”โœ” C. Using a computerized provider order entry for controlled administration
  3. Which dispensing system eliminates the need for change-of-shift narcotic counts? A) Narcotic control B) Automated dispensing C) Long-term care unit dose D) Unit-dose drug distribution -- Correct Answer โœ”โœ” B. Automated dispensing
  4. Which information about pregnancy-related issues is required to be on drug labels per the Food and Drug Administration (FDA) rules? Select all that apply. A) Contraception B) Pregnancy testing C) Infertility D) Risks when taking while breastfeeding E) Dietary requirements -- Correct Answer โœ”โœ” A, B, C, D
  5. When should blood samples be taken to measure peak value for an oral medication?
  1. Which number is the pH in the stomach of a premature infant? A) 2 B) 3 C) 5 D) 6 -- Correct Answer โœ”โœ” D. 6
  2. Which number is the gastric pH of a full-term newborn after 24 hours? A) 4 B) 5 C) 6 D) 7 -- Correct Answer โœ”โœ” A. 4
  3. Which factor is the reason for administering a higher dose of a water-soluble drug on a milligram-per-kilogram (mg/kg) basis to an infant? A) Lean body mass B) High fat content C) Larger volume of distribution D) Low percentage of total body water -- Correct Answer โœ”โœ” C. Larger volume of distribution
  4. When initiating drug therapy in elderly adults, at which range are prescribed medications are typically started? A) 1/4 to 1/ B) 1/8 to 1/ C) 1/3 to 1/ D) 1/2 to 3/4 -- Correct Answer โœ”โœ” C. 1/3 to 1/
  5. Which class of drugs would be given at higher than normal doses in an infant? A) Phenothiazines B) Benzodiazepines C) Calcium channel blockers D) Aminoglycoside antibiotics -- Correct Answer โœ”โœ” D. Aminoglycoside antibiotics
  1. Which genetic factor influences how a person responds to a medication? A) Genome B) Polymorphisms C) Pharmacokinetics D) Pharmacogenetics -- Correct Answer โœ”โœ” B. Polymorphisms
  2. Which phenomenon occurs in the body as a person ages? A) Lean body mass decreases B) Total body water increases C) Total fat content decreases D) Protein needs peak at adolescence -- Correct Answer โœ”โœ” A. Lean body mass decreases
  3. Which statement made by a nurse indicates effective teaching on the cumulative effects of drugs? A) "It may occur because of administration of benzodiazepines." B) "Excessive accumulation of drugs may cause toxicity." C) "It occurs when a patient has no control over consumption of drugs." D) "It may lead to psychological symptoms when the drug is withdrawn." -- Correct Answer โœ”โœ” B. "Excessive accumulation of drugs may cause toxicity."
  4. Which actions are examples of independent nursing actions? Select all that apply. A) Collecting the premedication assessment B) Reviewing the diagnostic test along with pharmacist results C) Evaluating the lab test results with the primary healthcare provider D) Selecting needle gauge for the administration of the medication E) Following the medication order written by the primary healthcare provider -- Correct Answer โœ”โœ” A, D
  5. Arrange the human needs based on priority according to Maslow's hierarchy of needs. -- Correct Answer โœ”โœ” Physiologic needs Safety needs Belonging needs Self-esteem needs
  1. Which factor is associated with "deficient knowledge" as a nursing diagnosis? A) Low cognitive level B) Poor economic resources C) Differences in cultural factors D) Insufficient or improper patient education -- Correct Answer โœ”โœ” D. Insufficient or improper patient education
  2. Which step in the nursing process is executed when the nurse collects the lab results of direct and total bilirubin levels of a patient with jaundice? A) Planning B) Evaluation C) Assessment D) Implementation -- Correct Answer โœ”โœ” C. Assessment
  3. What does the classification system NMDS stand for? A) New Medicine Detail Service B) Nursing and Medicine Data Service C) Nursing Minimum Data Set D) National Medicine Details Set -- Correct Answer โœ”โœ” C. Nursing Minimum Data Set
  4. When a patient's family members report that the patient is depressed because of problems related to personal and professional life, which category of human needs is at greatest risk in the patient? A) Belonging B) Physiologic C) Self-esteem D) Self-actualization -- Correct Answer โœ”โœ” D. Self-actualization
  5. Which patient information should be gathered when developing a "risk" nursing diagnosis? A) Functional disability B) Psychological changes C) Lifestyle modifications

D) Structural modifications -- Correct Answer โœ”โœ” C. Lifestyle modifications

  1. Which are examples of self-actualization needs? Select all that apply. A) Dignity B) Improved values C) Increased creativity D) Group companionship E) Less rigid conventionally -- Correct Answer โœ”โœ” B, C, E
  2. Which information is considered objective data? A) Chief problem B) Laboratory results C) Medical history of a patient D) Review of body systems -- Correct Answer โœ”โœ” B. Laboratory results
  3. Diagnosis represents which phase of the five-step nursing process? A) First B) Second C) Third D) Fourth -- Correct Answer โœ”โœ” B. Second
  4. Which differentiates a problem that requires a nursing diagnosis from a collaborative problem? A) Monitoring and evaluating the condition B) Implementing the prescriptive orders of medicine and dentistry C) Prescribing and implementing interventions in the domain of nursing D) Prescribing and executing the interventions that are definitive for prevention, treatment, and promotion -- Correct Answer โœ”โœ” D. Prescribing and executing the interventions that are definitive for prevention, treatment, and promotion

D) Providing teaching information in small increments -- Correct Answer โœ”โœ” B. Asking whether or not the patient has understood

  1. Which patient is learning in the psychomotor domain? A) A patient who learns from previous experiences B) A patient who identifies from previous experiences C) A patient who learns a new technique or procedure D) A patient who expresses the importance of a healthy lifestyle -- Correct Answer โœ”โœ” C. A patient who learns a new technique or procedure
  2. Which source is appropriate for the patient seeking information about sickle cell anemia? A) Krames Online B) Therapeutic Choices C) Health on the Net Foundation D) Healthcare institution intranet -- Correct Answer โœ”โœ” A. Krames Online
  3. Which teaching material is essential to teach the basics of diabetes to a patient? A) Models B) Computers C) Photographs D) Video recording -- Correct Answer โœ”โœ” C. Photographs
  4. Which statement describes the objective of health teaching for a pregnant patient with diabetes who complains of nausea and vomiting? A) Encourage the patient to exercise B) Improve the patient's fluid intake C) Teach the patient the interrelationship of food and insulin D) Encourage the patient to eat hot instead of cold meals -- Correct Answer โœ”โœ” B. Improve the patient's fluid intake
  5. Which principle is involved in the teach-back method?

A) Considering learning styles B) Considering education level C) Organizing teaching sessions D) Motivating the individual to learn -- Correct Answer โœ”โœ” C. Organizing teaching sessions

  1. The cognitive domain involves which portion of the learning process? A) Feeling B) Thinking C) Doing D) Observing -- Correct Answer โœ”โœ” B. Thinking
  2. Which factor acts as a key to evaluate a patient's psychomotor skills after a lesson? A) Asking for further queries B) Reviewing the previous session C) Asking for return demonstrations D) Considering the patient's language abilities -- Correct Answer โœ”โœ” C. Asking for return demonstrations
  3. Which statement is true about culture and ethnic diversity? A) Beliefs are similar among cultures B) Unless an assessment of psychosocial needs is performed on the patient, the true meaning of an illness may never be uncovered C) African-American patients prefer to have their first name used D) Direct eye contact is valued by Native Americans and Asians -- Correct Answer โœ”โœ” B. Unless an assessment of psychosocial needs is performed on the patient, the true meaning of an illness may never be uncovered
  4. Which ability of an adult patient should be identified before assigning a task? A) Vision B) Motor C) Hearing D) Memory -- Correct Answer โœ”โœ” B. Motor
  1. Which principle is involved in teaching a patient based on his or her view of the illness? A) Utilization of relevant content B) Organization of teaching session C) Consideration of education level D) Determination of readiness to learn -- Correct Answer โœ”โœ” A. Utilization of relevant content
  2. Which teaching method is most effective when educating patients about medications? A) Presenting content in a few long sessions B) Designing a teaching method and pace for each patient C) Using a single teaching method for all patients D) Encouraging all family members to be present for each teaching session -- Correct Answer โœ”โœ” B. Designing a teaching method and pace for each patient
  3. How can the nurse positively influence the teaching and learning process? A) By being enthusiastic about the content to be taught B) By reviewing a session which has already been taught C) By stopping the presentation when the patient is anxious D) By rescheduling the session when the patient is not ready to learn -- Correct Answer โœ”โœ” A. By being enthusiastic about the content to be taught
  4. Which type of learning is involved in the cognitive domain? A) Beliefs B) Feelings C) Knowledge D) New procedures -- Correct Answer โœ”โœ” C. Knowledge