UNIT 2 | NUR 210 PHARMACOLOGY (LATEST 2025/2026) PRACTICE QUESTIONS-
GALEN
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient describes having vivid dreams to the nurse. The nurse understands that these occur during
which stage of sleep?
a. Rapid eye movement (REM) sleep
b. Stage 2 non rapid eye movement sleep
c. Stage 3 non rapid eye movement sleep
d. Stage 4 non rapid eye movement sleep
2. Children who experience nightmares have these during which stage of sleep?
a. Early morning sleep
b. Non rapid eye movement (NREM) sleep
c. Rapid eye movement (REM) sleep
d. Sleep induction
3. A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient does not
want to take medications to help with sleep. What non-pharmacologic measure will the nurse
recommend?
a. “Exercise in the evening to promote bedtime fatigue.”
b. “Get out of bed at the same time each morning.”
c. “Have a glass of wine at bedtime to help you relax.”
d. “Take daytime naps to minimize daytime fatigue.”
4. A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell the patient
that the active ingredient in these products is often a(n)
a. antiemetic.
b. antihistamine.
c. barbiturate.
d. benzodiazepine.
5. An older adult patient reports frequent nighttime awakening because of arthritis pain and asks the
nurse about taking an over-the-counter product to help with this problem. The nurse will recommend
that the patient discuss which medication with the provider?
a. Ibuprofen (Motrin)
b. Nytol
c. Sominex
d. Tylenol PM
6. A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy and
having difficulty performing tasks at work most mornings. The nurse suspects that which drug
effects have occurred?
a. Dependence
b. Hangover
c. Tolerance
d. Withdrawal
, 7. The nurse is providing teaching for a patient who will begin taking zolpidem tartrate (Ambien) 10
mg at bedtime as a sleep aid. Which statement by the patient indicates understanding of the
teaching?
a. “I should take this medication with food to avoid stomach upset.”
b. “I will take this medication within 30 minutes of bedtime.”
c. “If this medication is not effective, I may increase the dose to 15 mg.”
d. “Tolerance and drug dependence do not occur with this medication.”
8. A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop
taking the medication. The nurse will suggest that the patient taper the dose gradually to avoid which
effect?
a. Depression
b. Hangover
c. Hypnotic rebound
d. Withdrawal
9. The nurse is preparing a patient for surgery. The patient received a hypnotic medication the night
prior and the nurse is administering midazolam (Versed) and atropine. The patient asks why all of
these medications are necessary. The nurse will tell the patient that they are given for which reason?
a. To decrease the amount of general anesthesia needed
b. To minimize postoperative drowsiness
c. To prolong the anesthetized state
d. To speed up anesthesia induction
10. During balanced anesthesia, which type of medication is given while the surgery is performed?
a. Anticholinergics
b. Benzodiazepines
c. Hypnotics
d. Inhaled anesthetic
11. The nurse performs a preoperative assessment on a patient and asks about alcohol use. The patient
asks why this information is important. The nurse will explain that patients who consume increased
amounts of alcohol
a. may have a prolonged postoperative recovery time.
b. may not be eligible for surgery.
c. may not receive inhaled gases for anesthesia.
d. may require changes in anesthesia drug doses.
12. The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic.
Which action will the nurse perform?
a.Ambulate the patient as soon as consciousness returns.
b.Elevate the head of the bed to a semi-Fowler’s position.
c.Have the patient lay flat for 6 to 8 hours after the surgery.
d.Turn the patient from side to side every 15 minutes.
13. A nursing student asks the nurse to explain the role of cyclooxygenase-2 (COX-2) and its role in
inflammation. The nurse will explain that COX-2
a. converts arachidonic acid into a chemical mediator for inflammation.
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