Pharmacology: Unit 1 NCLEX practice questions

Pharmacology: Unit 1 NCLEX practice questions

ScienceMedicineNursing ashash453__ Save Pharmacology NCLEX Questions 49 terms notnursingPreview 140 Must Know NCLEX Meds 141 terms eyoung389Preview Pharmacology Exam 1 - Multiple Ch...100 terms dsg2000Preview 75 Free 75 terms car An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?

• The patient and patient's daughter will state the proper way to take the drug.
• The nurse will provide teaching about the drug's adverse effects.
• The patient will state all the symptoms of digitalis toxicity.
• The patient will call the prescriber if adverse effects occur.
• The patient and patient's daughter will state the proper way to take the drug.

A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?

• Activity intolerance
• Risk for injury
• Disturbed body image
• Self-care deficit
• Risk for injury

A patient's chart includes an order that reads as follows: "Atenolol 25 mg once daily at 0900." Which action by the nurse is correct?

• The nurse gives the drug via the transdermal route.
• The nurse gives the drug orally.
• The nurse gives the drug intravenously.
• The nurse contacts the prescriber to clarify the dosage route.
• The nurse contacts the prescriber to clarify the dosage route.

The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient?

• "Do you depend on sleeping pills to get to sleep?"
• "Do you have a family history of heart disease?"
• "When you have pain, what do you do to relieve it?"
• "What childhood diseases did you have?"
• "When you have pain, what do you do to relieve it?"

A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?

• "Many people are allergic to penicillin."
• "This allergy is not of major concern because the drug is given so often."
• "What type of reaction did you have when you took penicillin?"
• "Drug allergies don't usually occur in older individuals due to built-up resistance to allergic reactions."
• "What type of reaction did you have when you took penicillin?"

The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes mellitus. Which of these reflect the correct order of the steps of the nursing process?

• Assessment, Planning, Nursing Diagnoses, Implementation, Evaluation
• Evaluation, Assessment, Nursing Diagnoses, Planning, Implementation
• Nursing Diagnoses, Assessment, Planning, Implementation, Evaluation
• Assessment, Nursing Diagnoses, Planning, Implementation, Evaluation
• Assessment, Nursing Diagnoses, Planning, Implementation, Evaluation

The nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders?(Select all that apply.)

• Metformin (Glucophage) 1000 mg PO twice a day
• Sitagliptin (Januvia) 50 mg daily
• Simvastatin (Zocor) 20 mg PO every evening
• Irbesartan (Avapro) 300 mg PO once a day
• Docusate (Colace) as needed for constipation
• Sitagliptin (Januvia) 50 mg daily
• Docusate (Colace) as needed for constipation

The nurse is reviewing data collected from a medication history. Which of these data are considered objective data? (Select all that apply.)

• White blood cell count 22,000 mm3
• Blood pressure 150/94 mm Hg
• Patient rates pain as an "8" on a 10-point scale
• Patient's wife reports that the patient has been very sleepy during the day
• Patient's weight is 68 kg
• White blood cell count 22,000 mm3
• Blood pressure 150/94 mm Hg
• Patient's weight is 68 kg

An elderly woman took a prescription medicine to help her to sleep; however, she felt restless all night and did not sleep at all. The nurse recognizes that this woman has experienced which type of reaction or effect?

• Allergic reaction
• Idiosyncratic reaction
• Mutagenic effect
• Synergistic effect
• Idiosyncratic reaction

While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?

• Absorption
• Distribution
• Metabolism
• Excretion
• Metabolism

A patient who had a thyroidectomy is now taking levothyroxine, a thyroid hormone, daily. Which term best describes this type of therapy?

• Palliative therapy
• Maintenance therapy
• Supportive therapy
• Supplemental therapy
• Maintenance therapy

The nurse is giving medications to a patient in heart failure. The intravenous route is chosen instead of the intramuscular route. What patient function does the nurse recognize as the most influential when deciding to use the intravenous route of drug administration?

• Altered biliary function
• Increased glomerular filtration
• Reduced liver metabolism
• Diminished circulation
• Diminished circulation

A patient has just received a prescription for an enteric-coated stool softener. When teaching the patient, the nurse should include which statement?

• "Take the tablet with 2 to 3 ounces of orange juice."
• "Avoid taking all other medications with any enteric-coated tablet."
• "Crush the tablet before swallowing if you have problems with swallowing."
• "Be sure to swallow the tablet whole without chewing it."
• "Be sure to swallow the tablet whole without chewing it."

Each statement describes a phase of pharmacokinetics. Put the statements in order, with 1 indicating the phase that occurs first and 4 indicating the phase that occurs last.

• Enzymes in the liver transform the drug into an inactive metabolite.
• Drug metabolites are secreted through passive glomerular filtration into the renal tubules.
• A drug binds to the plasma protein albumin and circulates through the body.
• A drug moves from the intestinal lumen into the mesenteric blood system.
• A drug moves from the intestinal lumen into the mesenteric blood system.
• A drug binds to the plasma protein albumin and circulates through the body.
• Enzymes in the liver transform the drug into an inactive metabolite.
• Drug metabolites are secreted through passive glomerular filtration into the renal tubules.

A drug that delivers 300 mg has a half-life of 4 hours. How many milligrams of drug will remain in the body after 1 half-life?150mg The nurse is reviewing the various forms of topical medications. Which of these are considered topical medications? (Select all that apply.)

• Rectal ointment for hemorrhoids
• Eye drops for inflammation
• Sublingual tablet for chest pain
• Inhaled medication for asthma
• Intradermal injection for tuberculosis testing
• Rectal ointment for hemorrhoids
• Eye drops for inflammation
• Inhaled medication for asthma

The nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug therapy?

• Immature renal system
• Increased peristalsis in the GI tract
• Irregular temperature regulation
• Smaller circulatory capacity
• Immature renal system

The physiologic differences in the pediatric patient compared with the adult patient affect the amount of drug needed to produce a therapeutic effect. The nurse is aware that one of the main differences is that infants have

• increased protein in circulation.
• fat composition lower than 0.001%.
• more muscular body composition.
• water composition of approximately 75%.
• water composition of approximately 75%.