Focus on Nursing Pharmacology 5th Edition Karch Test Bank

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Focus on Nursing Pharmacology 5th Edition Karch Test Bank

  • ISBN-10: 1451143362
  • ISBN-13: 978-1451143362


Focus on Nursing Pharmacology 5th Edition Karch Test Bank

  • ISBN-10: 1451143362
  • ISBN-13: 978-1451143362



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Free Nursing Test Questions:


1. A patient comes to the clinic with what appears to be a cold. What group of upper respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow?
  A)  Antitussives    B)  Decongestants    C)  Expectorants    D)  Mucolytics


2. What would be the nurse’s best response if a patient calls the clinic and reports that he has had a persistent cough for 2 weeks and he asks the nurse for a recommendation for a cough medicine?
  A) “Look for dextromethorphan as an ingredient in any OTC cough preparation.”
  B) “The doctor could order an antihistamine, which might dry up your secretions and stop the cough.”
  C) “You should come to the clinic to be evaluated.  A cough that lasts that long might be an indication of an underlying medical problem.”
  D) “Drink a lot of fluids and take aspirin, which should reduce the irritation in your throat.”


3. You are caring for a patient who is receiving acetylcysteine (Mucomyst) by face mask.  What would be an appropriate nursing diagnosis?
  A) Impaired swallowing C) Risk for falls
  B) Risk for impaired skin integrity D) Sleep deprivation


4. A nurse is caring for a 15-year-old patient with cystic fibrosis who has been prescribed dornase alfa (Pulmozyme) to relieve the build up of secretions and keep airways open and functioning longer.  What will the nurse instruct the patient to do concerning the use of this drug?
  A) Use in home nebulizer up to 4 times a day if needed
  B) Stop all other medications while using the drug
  C) Store the drug in the refrigerator, protected from light
  D) Expect a severe headache after each use


5. A nurse in a pediatric clinic that treats children with respiratory problems has received orders for 4 patients.  What medication order will she question?
  A) Tetrahydrozoline (Tyzine) 3 drops in each nostril for an 8-year-old
  B) Hydrocodone (Hycodan) 10 mg PO for a 5-year-old
  C) Pseudoephedrine (Dorcol) 15 mg PO for a 2-year-old
  D) Diphenhydramine (Benadryl) 5 mg/kg IM for a 10-year-old


6. Parents who treat their children’s cold and flu symptoms at home should be educated concerning the reading and understanding of OTC labels. Why is this statement true?
  A) Many of these preparations contain the same active ingredients and inadvertent overdose is a common problem
  B) Each product is best used for one particular symptom
  C) Some of these products do not contain any drugs
  D) Some of these products could interfere with breast-feeding


7. A patient presents at the clinic with a dry, non-productive cough. The patient is diagnosed with bronchitis and it is determined that they need help thinning their sputum so their cough can become productive. What does the nurse expect the physician will prescribe?
  A) Benzonatate (Tessalon) C) Dextromethorphan (Benylin)
  B) Guaifenesin (Mucinex) D) Hydrocodone (Hycodan)


8. A patient presents at the clinic with signs and symptoms of seasonal allergic rhinitis. The patient is prescribed a nasal steroid to relieve their symptoms. Two days later the patient calls the clinic and tells the nurse that he is frustrated and wants a new drug.  What is the most appropriate response by the nurse?
  A) “It may take up to 2 weeks to get the full clinical effect.  Try to keep using the drug as ordered.”
  B) “The drug must not work for you.  Let’s change to an oral steroid.”
  C) “You probably are administering the drug incorrectly.  Come in and we can review the process.”
  D) “You probably need to try a different nasal steroid.  This one should be effective by now.”


9. A patient has an important presentation to make in 4 hours and he needs relief from the congestion of seasonal rhinitis. The patient calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice this patient?
  A) Diphenhydramine (Benadryl) C) Loratadine (Claritin)
  B) Dexchlorpheniramine (Polaramine) D) Hydroxyzine (Atarax)


10. A 71-year-old man with a history of heart disease and diabetes has had an antihistamine prescribed. The nurse is concerned with this prescription because of the risk for what?
  A) Cardiac arrhythmias C) Severe constipation
  B) Increased salivation and choking D) Insomnia


11. A 29-year-old female client has sinusitisRemember, the physician orders a topical nasal decongestant. What instructions should be given?
  A) Avoid becoming pregnant during decongestant therapy
  B) Increase fluids to 2 L per day
  C) Restrict fluids to 500 mL per day
  D) Take the medication with meals


12. What statement by a 61-year-old client who is to take an antitussive with codeine indicates that your teaching has been effective?
  A) “I will take this medication anytime I start to cough.”
  B) “This medication may make me anxious and nervous.”
  C) “I should call the physician if I develop nausea, diarrhea, or stomach cramps while taking this medication.”
  D) “This medication can cause drowsinessRemember, I will avoid driving while I use it.”


13. Which of the following statements by your client leads you to believe that he needs additional instruction regarding his nasal decongestant?
  A) “I will blow my nose before instilling the nasal spray.”
  B) “I will report any dizziness, drowsiness, or rapid pulse.”
  C) “I will drink 2,000 to 3,000 mL of fluid daily.”
  D) “I will use it only when I have nasal discharge.”


14. What is an adverse reaction commonly experienced by people taking nasal decongestants?
  A)  Diarrhea    B)  Rhinitis medicamentosa    C)  Rash    D)  Headache


15. What medications, if administered with dextromethorphan, could cause hypotension?
  A) Calcium-channel blockers C) Beta blockers
  B) MAO inhibitors D) Thiazide diuretics


16. Which instructions should be given to the mother of a 3-month-old infant who has an upper respiratory tract infection and has been prescribed a pseudoephedrine nasal solution?
  A) Instill the medication 20 to 30 minutes before feeding
  B) Keep the baby on clear liquids until the nasal discharge has resolved
  C) Start the baby on cereal, because she is having difficulty sucking right now
  D) Give the medication immediately after feeding


17. Which of the following is an additional indication for acetylcysteine (Mucomyst)?
  A) Conversion of cardiac dysrhythmias C) Antidote for acetaminophen poisoning
  B) Treatment of peptic ulcer disease D) Decreased bronchospasm


18. The nursing instructor is teaching their lab students the best position for the administration of nasal sprays. What position would the instructor teach the students?
  A)  Supine    B)  Semi-Fowler’s    C)  High Fowler’s    D)  Side-lying


19. Chronic use of nasal decongestants may cause which of the following conditions?
  A) Mucosal ulcerations C) Increased risk of infection
  B) Decreased drainage D) Asthma


20. What drugs would the pharmacology instructor tell their students may increase the effects of nasal decongestants?
  A) Oral antidiabetics C) Proton-pump inhibitors
  B) Thiazide diuretics D) Thyroid preparations


21. Which classification of drugs is commonly found in OTC combined cold medications?
  A)  Stimulants    B)  Mucinex    C)  Oral decongestants    D)  Antitussive


22. A patient visits the clinic and is diagnosed with acute sinusitis. To promote sinus drainage what medication might be ordered?
  A) Topical nasal steroid decongestants C) Second- generation antihistamines
  B) First-generation antihistamines D) Topical decongestants


23. The nurse is caring for a patient who needs education on his medication therapy for allergic rhinitis. The patient is to take clemastine (Tavist) daily. In providing educational interventions regarding this medication, what is the most important instruction on the action of the medication?
  A) It blocks the effects of histamine.
  B) It is used to treat atrial and ventricular dysrythmias.
  C) It competitively inhibits the rate-limiting enzyme in the liver.
  D) It leads to bronchodilation and relaxes smooth muscle in the bronchi.


24. The nursing instructor is discussing the administration of nasal spray with the nursing students. What information is most important to include in this discussion?
  A) Finish the bottle of nasal spray to clear the infection effectively
  B) Nasal spray can be shared between family members only
  C) Administer the nasal spray in a prone position
  D) Overuse of nasal spray may cause rebound congestion


25. As a clinic nurse you are caring for a patient who has been prescribed fexofenadine for hay fever. When you are assessing this patient’s medication history what drug would make you question the order for fexofenadine?
  A)  Tetracycline    B)  Penicillin    C)  Gentamycin    D)  Ketoconazole


26. As a student nurse you are doing research consisting of chart audits of 25 patients with a diagnosis of chronic pharyngitis. You are researching what medication has been prescribed the most. What type of medication would you expect to find in the majority of the chart audits?
  A)  Antitussives    B)  Nasal sprays    C)  Oral decongestants    D)  Mucolytics


27. You are teaching a group of patients with allergic rhinitis about the use of their medications. What would be the most essential information to give these patients about preventing possible drug interactions?
  A) OTC medications are safe to use
  B) Use only one pharmacy so the pharmacist can check drug interactions for you
  C) Read drug labels before taking OTC medications
  D) Ask the pharmacy tech to assist you in selecting an OTC medication


28. A patient has been prescribed a nasal steroid. The patient asks the nurse about the infection that the nasal steroid has been prescribed for. What would be an appropriate response by the nurse?
  A) Nasal steroids are only used for a sinus infection
  B) Nasal steroids are in the presence of an acute infection
  C) Nasal steroids are used for an infection in the adenoids
  D) Nasal steroids are used for all acute upper respiratory infections


29. You are writing a care plan for a patient who has been prescribed a nasal steroid. What would be an appropriate nursing diagnosis for this patient?
  A) Disturbed sensory perception (kinesthetic) related to CNS effects
  B) Risk for injury related to suppression of inflammatory reaction
  C) Ineffective airway clearance related to bronchospasm
  D) Ineffective airway related to nasal obstruction


30. The family nurse practitioner is caring for a Hispanic female who is 83-years-old. The patient has been non-compliant with the care regimen the nurse practitioner has previously outlined for treatment of sinusitis. What should the nurse practitioner do that can assist the patient in being more compliant with the prescribed treatment regimen?
  A) Provide instructions in writing
  B) Provide the instructions in large font
  C) Give the treatment instructions to a member of the family
  D) Give the treatment instructions to the woman’s husband



Answer Key


1. B
2. C
3. B
4. C
5. B
6. A
7. B
8. A
9. C
10. A
11. B
12. D
13. D
14. B
15. B
16. A
17. C
18. C
19. A
20. D
21. C
22. D
23. A
24. D
25. D
26. A
27. C
28. B
29. B
30. A



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