Pharmacology I RN Quiz

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Pharmacology I RN Quiz Pharmacology I RN Quiz Page #1 Pharmacology I RN Quiz 1 The nurse is administering an IM injection to a patient. When the nurse aspirates, there is a blood return. What i... s the most appropriate action for the nurse to take? 1. Continue to administer the medication. 2. Withdraw the needle and administer in another site. 3. Withdraw the needle; discard the medication and start over. 4. Change the needle before administering the medication in another site. 2. What is the proper technique for administering an intramuscular injection? 1. Pull the skin taut. Insert a 21-gauge needle at a 90-degree angle. 2. Pinch the skin. Insert a 25-gauge needle at a 45-degree angle. 3. Stretch the skin taut. Insert a 25-gauge needle at a 10-degree angle. 4. Pinch the skin. Insert a 21-gauge needle at a 60-degree angle. 3. The nurse is to administer an IM injection to a 6-month-old. What is the most appropriate site to utilize? 1. Vastus lateralis. 2. Dorsal gluteal. 3. Ventral gluteal. 4. Iliac crest. 4. Ringer’s Lactate is running at 125 ml/hr. The administration set has 15 drops / ml. What should the drip rate be? 1. 8 drops / min. 2. 31 drops / min. 3. 50 drops / min. 4. 67 drops / min. 5. Meperidine HCl (Demerol) 75 mg IM stat is ordered. The label on the available medication reads Meperidine HCl 50 mg / ml. What is the best action for the nurse to take? 1. Give 0.67 ml. 2. Give 0.75 ml. 3. Give 1.50 ml. 4. Wait for the pharmacy to send 75 mg/ml dose.Pharmacology I RN Quiz Pharmacology I RN Quiz Page #2 6. An adult client has an order for 1000 ml of dextrose 5% in water. It is to be administered over a 10 hour period using a 12 drop administration set. What is the infusion rate? 1. 32 drops per minute 2. 25 drops per minute 3. 20 drops per minute 4. 15 drops per minute 7. Which of the following persons would be least likely to receive tetracycline? 1. An adolescent with acne. 2. A woman with chlamydia who is 7 months pregnant. 3. A 10 year old with Rocky Mountain spotted fever. 4. A 32-year-old man with walking pneumonia. 8. An adult is receiving Gantrisin 1 GM p.o. qid for a urinary tract infection. Which statement she makes indicates a need for more teaching? 1. “I am going to the beach this weekend.” 2. “I will take my pills with a full glass of water.” 3. “I will take all the pills even if I feel better.” 4. “I will tell the doctor if I develop a rash.” 9. An adult client is seen in clinic and methenamine mandelate (Mandelamine) is prescribed. Which information is most appropriate for the nurse to include in the teaching? 1. You should drink several glasses of cranberry juice each day. 2. If it upsets your stomach, try taking it with an antacid. 3. Avoid going out in the sun while taking Mandelamine. 4. Take the tablets with orange juice or milk. 10. An adult client has pulmonary tuberculosis. He is receiving isoniazid and rifampin. He complains of orange urine. The nurse should include which information when replying. 1. He may be receiving too much isoniazid. 2. This is a common but not dangerous side effect when taking rifampin. 3. The client needs to be evaluated for urinary tract infection. 4. He needs to take pyridoxine to prevent this.Pharmacology I RN Quiz Pharmacology I RN Quiz Page #3 11. An adult client has pulmonary tuberculosis. He is receiving INH 300 mg p.o. and Ethambutol 1 GM p.o. daily and streptomycin 1 GM I.M. three times a week. What teaching is important for this patient? 1. Take pyridoxine daily. 2. Expect red colored urine and feces. 3. Stop the medications when his cough is gone. 4. Ask his doctor for oral streptomycin. 12. An adult client is being treated for genital herpes with acyclovir (Zovirax) tablets. Which statement she makes indicates she understands her disease and therapy? 1. “I am so glad there is a cure for this annoying disease.” 2. “I will start taking the medicine again if the blisters come back”.” 3. “I won’t drink alcohol when I take this medicine.” 4. “I know I should never have a baby since I have herpes. ” 13. The clinic nurse is teaching an adult male who has AIDS. He is receiving zidovudine. Which statement he makes indicates he understands the medication regimen? 1. “If I get a sore throat and it is hard to swallow my capsules, I can empty the capsule into applesauce.” 2. “I am hopeful that this drug will get rid of this awful disease.” 3. “I understand I might need a transfusion. 4. “I should take acetaminophen (Tylenol), not aspirin if I get a fever.” 14. Sumitriptan is prescribed for an adult who has frequent migraine headaches. The client asks how this drug works. What information should be included in the nurse’s response? 1. It is an analgesic and alters the perception of pain. 2. It has a vasoconstricting effect on blood vessels in the brain. 3. It stops allergic responses in the brain 4. It increases blood flow to the brain. 15. Phenytoin (Dilantin) has been prescribed for an adult. Which findings are indicative of side effects of phenytoin? Select all that apply. ____1. Red tinged urine ____2. Gingival hyperplasia ____3. Painful urination ____4. Drowsiness ____5. Diarrhea 16. An adult had a knee replacement and is discharged with a prescription for vicodin (acetaminophen/hydrocodone). What should be included in the discharge instructions? 1. Take on an empty stomach for best results..Pharmacology I RN Quiz Pharmacology I RN Quiz Page #4 2. Do not eat dairy products when you take this drug. 3. Stay away from people who have infections while taking this drug. 4. Take a stool softener while taking this drug. 17. An adult client has rheumatoid arthritis. Aspirin 975 mg q 4 hrs prn is ordered for joint pain. At 2 p.m. the client requests pain medication for severe joint pain. Aspirin was last given at 9:30 a.m. The most appropriate initial action for the nurse to take is 1. Give the aspirin as ordered. 2. Question the order as it is a higher than normal dosage. 3. Attempt to divert the client’s attention from the pain. 4. Assess the nature of the pain. 18. An elderly adult is scheduled for repair of a fractured femur this morning. The nurse goes in to administer pre- op medication of Demerol 75 mg and Atropine 0.4 mg I.M. The client asks the nurse if he should take his eye drops before surgery. What is the best initial response for the nurse to make? 1. “You can take them when you get back from surgery.” 2. “I’ll give them to you now.” 3. “Let me check with your physician.” 4. “What kind of eye drops are you taking? 19. An adult woman is taking cortisone for an acute exacerbation of rheumatoid arthritis. She is upset about the fat face she has developed. She says to the nurse, “I’m going to quit taking that cortisone.” The nurse’s response should be based on the understanding that 1. Cortisone does not cause a fat face. 2. The symptoms will get less as her body adjusts to the medication. 3. The drug should be immediately discontinued when adverse effects occur. 4. Cortisone should never be abruptly discontinued. 20. An adult is hospitalized for an acute attack of gout. Which medication should the nurse expect to administer? 1. Morphine 2. Colchicine 3. Allopurinol 4. Ibuprofen [Show More]

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