Pharmacology: Long Quiz 2013

1. Epinephrine is added to local anesthetic preparations to: A. Prolong anesthetic action B. Lower blood pressure

C. Prevent arrhythmias D. Increase blood flow to injection site

2. Kristine complains of a severe sore throat after the extraction of her two wisdom teeth. Viscous lidocaine (Xylocaine) is ordered. Which of the following should be included in client teaching concerning the use of viscous lidocaine? A. Take viscous lidocaine with fluids to soothe sore throat B. Instruct client to use a humidifier while taking viscous lidocaine C. Advise client to wait 60 minutes before eating after drug application D. Encourage client to take viscous lidocaine with food to reduce GI distress 3. Which statement by Trinity indicates a need for more teaching about baclofen (Lioresal) by the nurse? A. Ill take my pills with my meals. C. I wont have wine with dinner anymore. B. Ill drive myself to work each day. D. Ill use sunscreen when I go outside. 4. Which statement by the patient indicates a need for more teaching by the nurse concerning fluoxetine (Prozac) therapy? A. I will take this medication in the morning. D. I will check with my doctor before I take any other B. I will use calamine lotion if I get a skin rash. medications. C. It will take a month before I feel better. 5. Which of the following interventions should the nurse stress to Camille, diagnosed with bipolar disorder, while on lithium therapy to control the manic phase A. Weigh self once a month D. Avoid eating cheese and bananas and drinking B. Restrict fluid intake to prevent edema wine C. Do not restrict sodium intake 6. The following can be used as antiparkinsons agent except: A. Bromocriptine (Parlodel) B. Chlorpromazine (Thorazine) C. Carbidopa levodopa D. Diphenhydramine (Benadryl)

7. The nurse instills 2 drops of 0.5% solution of atropine (Isopto-Atropine) in each eye to dilate the pupils, paralyze the eye muscles, and facilitate the eye examination. Which statement by Mr. Manuel indicates that he understands the instructions given following instillation of atropine? A. My son will drive me home after the exam. C. I plan to go to the beach after this appointment. B. If my eyes itch its OK to rub them. D. I will mow the lawn as soon as I get home. 8. All of the following are cholinergics except: A. Edrophonium HCl (Tensilon) B. Bethanecol (Urecholine)

C. Biperiden (Akineton) D. Pilocarpine HCl

9. All of the following are effects of parasympathomimetics except: A. Miosis C. Bronchoconstriction B. Increased heart rate D. urinary bladder contraction 10. All of the following are adrenergics except: A. Terbutaline sulfate (Bricanyl) B. Propranolol (Inderal)

C. Albuterol (Ventolin) D. Dopamine (Intropin)

11. Administering a beta blocker to a patient who is also receiving a calcium channel blocker may result to: A. Hypertension and bradycardia C. Hypotension and bradycardia B. Tachycardia and hypertension D. Tachycardia and hypotension 12. The physician decides to order nitroglycerin transdermal patches. Which instruction is important for the client? A. Remove patch when showering B. Replace the transdermal patch every 8 hours C. Do not stand near microwave ovens while in use D. Put on an extra transdermal patch if chest pain occurs

1|Pharmacology Long Quiz (2

n d

Sem SY 12-13)

Pharmacology: Long Quiz 2013

13. The nurse is teaching Mr. Sevilla about his warfarin sodium therapy? Which statement by the nurse is incorrect? A. If you miss your daily dose of Coumadin, take 2 tablets the next day. B. Use waxed dental floss while on Coumadin therapy. C. Notify your physician before taking any other medication. D. Avoid drinking alcohol in any form while on Coumadin therapy. 14. Which statement by Mr. Lozada indicates a need for more teaching about cholestyramine by the nurse? A. I will continue going to exercise class. C. I will dissolve the drug in liquid before taking it. B. I will take the drug with meals. D. I will increase the fiber in my diet. 15. Which of these statements, if made by a patient who has a prescription for sublingual nitroglycerin tablets, would indicate a correct understanding of the medication instructions? A. I should take these pills with a full glass of water. B. I should protect these pills from light. C. I should wait 30 minutes before taking the second pill. D. I should chew the pill for a faster effect. 16. Which statement made by Mr. Jose best indicates his understanding of cimetidine therapy? A. I will stop taking cimetidine when my stomach pain is gone. B. I will stop smoking. C. I will take cimetidine on an empty stomach. D. I know that cimetidine will turn my stools black. 17. The nurse tells Mrs. Lopez that the first effect she should expect from taking Maalox is A. Constipation C. Alleviation of burning pain B. Decrease of gastric acid secretion D. Diarrhea 18. The nurse should not administer a laxative to a client who states he has A. Nausea C. Increase in appetite B. Excess body weight D. Painful defecation 19. Mrs. Lewis has been instructed that to enhance the effectiveness of ipecac syrup she should: A. Give with milk B. Repeat dose every 15 minutes until vomiting occurs C. Give after a dose of activated charcoal D. Follow dose with water 20. Which of the following teaching points about sucralfate should the nurse emphasize with Ms. Reyes to ensure success with the therapy? A. Discontinue the drug if indigestion occurs B. Use the drug on an as-needed basis if future ulcer problems occur C. Constipation may occur with long-term use D. Take the drug 1 hour before meals or 2 hours after meals and at bedtime 21. Which of the following fluids should be avoided while the patient is taking theophylline? A. ginger ale B. Apple juice C. Hot chocolate 22. Which of the following should be available for clients receiving Mucomyst? A. A glass of water C. Suction set-up B. Tracheostomy set-up D. Room deodorizer 23. Mrs. De Leon asks the nurse the purpose of offering theophylline. The nurses best response is: A. This drug decreases inflammation in the bronchi. B. Theophyllines antihistamine effect will counteract bronchospasm. C. This drug will help to facilitate removal of secretions. D. Theophylline dilates the bronchial tree and will make breathing easier.

D. Milk

2|Pharmacology Long Quiz (2

n d

Sem SY 12-13)

Pharmacology: Long Quiz 2013

24. Which of the following points should be made to Jeff regarding guaifenesin by the nurse? A. Guaifenesin has a high incidence of adverse effects B. Increase fluid intake to help liquefy and loosen secretions while taking guafenesin C. Guaifenesin has a large alcohol content D. This drug can cause blood glucose level to rise 25. After a week, Jeff returns to the student health center and states he feels better but his cough is interfering with his sleep. The physician now orders an antitussive for Jeff. In which situation would the use of an antitussive be inappropriate? A. The clients cough is interfering with eating meals B. The clients cough is associated with a suppurative lung disorder C. The clients cough is the source of a complication such as a rib fracture D. The clients cough is irritating to the respiratory tract 26. Which group of clients needs special monitoring by the nurse while receiving furosemide therapy? A. Premature infants C. Asthmatics B. Diabetics D. Clients with peripheral vascular disease (PVD) 27. Which nursing action is NOT appropriate while caring for a client receiving intravenous mannitol? A. Using an intravenous filter when giving the client a concentration of mannitol of 15% or higher B. Placing the bottle of mannitol in warm water to dissolve crystals appearing in the drug solution C. Using the drug solution if at least half of the crystals are dissolved D. Monitoring the intravenous flow rate to keep the urine output at 30-50 ml per hour 28. The nurse is teaching a client about insulin injections. Which statement is correct? A. Insulin needs to be shaken well before being drawn up into the syringe B. Long-acting insulins are clear in color C. When putting regular and NPH insulin in the same syringe, draw regular insulin up first D. NPH is compatible with regular and lente insulin 29. Mr. Victoria tells the nurse that his brother has type I diabetes and he takes insulin. Mr. Victoria asks the nurse why his brother cannot take an oral antidiabetic agent. The nurse explains that oral antidiabetic agents are not effective in type I diabetes because people with type I diabetes A. Have little or no endogenous insulin that can be released B. Are allergic to oral antidiabetic agents C. Would need so much of an oral antidiabetic agent that it would be financially prohibitive for them to take one D. Would have more episodes of hypoglycemia with oral antidiabetic agents 30. Before administering levothyroxine (Synthroid) to Mr. Tan, the nurse should A. Check Mr. Tans pulse C. Take Mrs. Tans temperature B. Listen to Mrs. Tans chest D. Assess Mrs. Tans neuro status

3|Pharmacology Long Quiz (2

n d

Sem SY 12-13)