Pharmacology Exam 1 NCLEX Questions

Pharmacology Exam 1 NCLEX Questions ScienceMedicine sydnee_vacura Save Pharmacology Exam 1 - Multiple Ch...100 terms dsg2000Preview Pharmacology NCLEX Questions 49 terms notnursingPreview

Pharmacology: Unit 1 NCLEX practic...

88 terms ashash453__Preview NCLEX 60 terms car Which components of pharmacokinetics does the nurse need to understand before administering a drug? (Select all that apply.)

• Drugs with a smaller volume of drug distribution have a longer half-life.
• Oral drugs are dissolved through the process of pinocytosis.
• Patients with kidney disease may have fewer protein-binding sites and are at risk for drug toxicity.
• Rapid absorption decreases the bioavailability of the drug.
• When the drug metabolism rate is decreased, excess drug accumulation can occur, which can cause toxicity.

C,E The nurse will question the health care provider if a drug with a half-life ( t ½) of more than 24 hours is ordered to be given more than how often?

• Once daily
• Every other day
• Twice weekly
• Once weekly

A

The nurse is explaining drug action to a nursing student. Which statement made by the nurse is correct?

• Water-soluble and ionized drugs are quickly absorbed.
• A drug not bound to protein is an active drug.
• Most receptors are found under the cell membrane.
• Toxic effects can result if the trough level is low.

B A Native American patient is newly diagnosed with type 2 diabetes mellitus and is prescribed the antidiabetic drug metformin 500 mg per os with morning and evening meals. Which statement best indicates to the nurse that the patient will adhere to the therapeutic regimen?

• I will no longer put sugar on my cereal because that will help me be healthier.
• If I take this medicine, I will feel better soon and won't have to take it anymore.
• To reduce the possibility of damage to my body, I must take the medicine as scheduled.
• I have diabetes because of my ancestry, so there's not much I can do about it.

A The nurse is aware that the rate of absorption can be changed by which actions? (Select all that apply.)

• Modifying gastric emptying time
• Changing gastric pH
• Decreasing inflammation
• Forming drug complexes
• Eating too slowly

A,B,D The nurse is reviewing a patient's medications as part of patient teaching. The nurse is aware that which drug is least likely to cause photosensitivity?

• Penicillins
• Sulfonamides
• Sulfonylureas
• Thiazides

A

The nurse is meeting with a community group about medication safety. The nurse must emphasize that patients at high risk for drug interactions include which groups? (Select all that apply.)

• Older patients
• Patients with chronic health conditions
• Patients taking three or more drugs
• Patients dealing with only one pharmacy
• Patients covered by Medicare or Medicaid

A,B,C The nurse recognizes that when a patient takes a hepatic enzyme inducer, the dose of warfarin is usually modified in which way?

• It is increased.
• It is decreased.
• It remains the same.
• It is unpredictable.

A The nurse is describing to a patient the synergistic effects of two of his medications. Which statement by the nurse is correct about synergistic drug effects?

• Two drugs have antagonistic effects on each other.
• The action of a drug is nullified by another drug.
• One drug acts as an antidote to the side effects of another drug.
• A greater effect is achieved when two drugs are combined.

D A patient asks the nurse about drug interactions with over-the-counter preparations. What is the nurse's best response?

• Discuss this with the health care provider.
• There are not many interactions, so don't worry about it.
• Read the labels carefully, and check with your health care provider.
• Avoid over-the-counter preparations.

C

During a medication review session, a patient says, "I just do not know why I am taking all of these pills." Based on this piece of subjective data, which diagnosis will the nurse identify?

• High risk for injury
• Knowledge deficit
• High risk for aspiration
• Anxiety

B The nurse is developing goals in collaboration with a patient. Which is the best goal statement?

• The patient will self-administer albuterol by tomorrow.
• The patient will self-administer the prescribed dose of albuterol by the end of the second teaching session.
• The patient will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
• The patient will organize his or her medications by tomorrow.

C When developing an effective medication teaching plan, which component will the nurse identify as most essential?

• Written instructions
• The patient's readiness to learn
• Use of colorful charts
• A review of community resources

B When developing an individualized medication teaching plan, which topics will the nurse include? (Select all that apply.)

• The importance of adherence to the prescribed drug regimen
• How to administer medication(s) according to the prescribed route
• The side/adverse effects that should be reported to the health care provider
• If a drug is inadvertently missed, whether to double the next dose
• Notifying the physician prior to taking over-the-counter drugs or supplements

A,B,C,E

The Nursing Alliance for Quality Care's focus is for health care providers to strive for which goal?

• Safety in medication administration
• Confidentiality as determined by the patient
• Development of a patient relationship and family engagement
• Patient independence within the family

C The Quality and Safety Education for Nurses' focus on safety is bestexemplified by which competency?

• Patient advocacy
• Technology-enhanced medication administration
• Infection control
• Patient- and family-centered collaborative care

D