Pharmacology Practice Quiz 9

November 20, 2020

Pharmacology Practice Quiz 9

Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.

Topics

Topics or concepts included in this exam are:

Pharmacology nursing
Drug computation and dosages
Administration of medicine

Guidelines

To make the most out of this exam, follow the guidelines below:

Read each question carefully and choose the best answer.
You are given one minute per question. Spend your time wisely!
Answers and rationales (if any) are given below. Be sure to read them.
If you need more clarifications, please direct them to the comments section.

Pharmacology

Pharmacology Practice Quiz 9

1 / 10

Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:

decrease the risk of agranulocytosis postoperatively.

prevent tetany while the client is under general anesthesia.

reduce the size and vascularity of the thyroid and prevent hemorrhage.

potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia.

2 / 10

An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?

21 butterfly

3 / 10

A 25-year-old woman is in her fifth month of pregnancy. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been well controlled with this dosage. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy?

Are you sure all this insulin won’t hurt my baby?

I’ll probably need my daily insulin dose raised.

I will continue to take my regular dose of insulin.

These finger sticks make my hand sore. Can I do them less frequently?

4 / 10

Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

The impact of lithium on the client’s energy level and lifestyle

The need for consistent blood level monitoring

The potential side effects of lithium

What the client’s friends think of his need to take medication

5 / 10

Mrs. Johanson’s physician has prescribed tetracycline 500 mg. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

Administer the dose of tetracycline

Notify the physician that Mrs. Johanson is taking oral contraceptives

Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline

Tell Mrs. Johanson, to use another form of birth control for at least two months

6 / 10

Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

The impact of lithium on the client’s energy level and lifestyle.

The need for consistent blood level monitoring

The potential side effects of lithium

What the client’s friends think of his need to take medication

7 / 10

An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:

as soon as food is ingested.

in two to four hours.

in six hours.

in ten to twelve hours.

8 / 10

The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. What is the primary reason for this action?

Multiple medications can lead to dementia

The medications can provide clues regarding his medical background

Ability to recall medications is a good assessment of the client’s level of orientation

Medications taken by a client are part of every nursing assessment

9 / 10

A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect?

Gold sodium thiomalate (Myochrysine)

Azathioprine (Imuran)

Prednisone (Deltasone)

Naproxen (Naprosyn)

10 / 10

An adult is hospitalized for treatment of deep electrical burns. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include:

severe burning pain for a few minutes following application.

possible severe metabolic alkalosis with continued use.

black discoloration of everything that comes in contact with this drug.

chilling due to evaporation of solution from the moistened dressings.

Your score is

Please rate this quiz

Q.1 An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?

A. 18

B. 20

C. 21 butterfly

D. 25

View Answer

Q.2 A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect?

A. Gold sodium thiomalate (Myochrysine)

B. Azathioprine (Imuran)

C. Prednisone (Deltasone)

D. Naproxen (Naprosyn)

View Answer

Q.3 Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

A. The impact of lithium on the client’s energy level and lifestyle.

B. The need for consistent blood level monitoring

C. The potential side effects of lithium

D. What the client’s friends think of his need to take medication

View Answer

Q.4 Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

A. The impact of lithium on the client’s energy level and lifestyle

B. The need for consistent blood level monitoring

C. The potential side effects of lithium

D. What the client’s friends think of his need to take medication

View Answer

Q.5 The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. What is the primary reason for this action?

A. Multiple medications can lead to dementia

B. The medications can provide clues regarding his medical background

C. Ability to recall medications is a good assessment of the client’s level of orientation

D. Medications taken by a client are part of every nursing assessment

View Answer

Q.6 A 25-year-old woman is in her fifth month of pregnancy. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been well controlled with this dosage. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy?

A. Are you sure all this insulin won’t hurt my baby?

B. I’ll probably need my daily insulin dose raised.

C. I will continue to take my regular dose of insulin.

D. These finger sticks make my hand sore. Can I do them less frequently?

View Answer

Q.7 Mrs. Johanson’s physician has prescribed tetracycline 500 mg. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

A. Administer the dose of tetracycline

B. Notify the physician that Mrs. Johanson is taking oral contraceptives

C. Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline

D. Tell Mrs. Johanson, to use another form of birth control for at least two months

View Answer

Q.8 An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:

A. as soon as food is ingested.

B. in two to four hours.

C. in six hours.

D. in ten to twelve hours.

View Answer

Q.9 An adult is hospitalized for treatment of deep electrical burns. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include:

A. severe burning pain for a few minutes following application.

B. possible severe metabolic alkalosis with continued use.

C. black discoloration of everything that comes in contact with this drug.

D. chilling due to evaporation of solution from the moistened dressings.

View Answer

Q.10 Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:

A. decrease the risk of agranulocytosis postoperatively.

B. prevent tetany while the client is under general anesthesia.

C. reduce the size and vascularity of the thyroid and prevent hemorrhage.

D. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia.

View Answer

Pharmacology Practice Quiz 8

Pharmacology Practice Quiz 10

Pharmacology Practice Quiz 9

Topics

Guidelines

Q.1 An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?

Q.2 A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect?

Q.3 Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

Q.4 Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

Q.7 Mrs. Johanson’s physician has prescribed tetracycline 500 mg. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

Q.8 An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:

Q.10 Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:

Question Details: