NURS 472A NURSING PHARMACOLOGY COMPREHENSIVE EXAMINATION WITH ANSWERS LATEST UPDATE
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Course
NURSING PHARMACOLOGY
Institution
NURSING PHARMACOLOGY
Nurse Cynthia is recruited in a research project on determining effectiveness of Plant X as management for pressure ulcer care among elderly. Nurse Cynthia decides to drop out of the project because the principal investigators refuse to discuss the full details of the project. Is this the right thi...
NURSING PHARMACOLOGY
COMPREHENSIVE EXAMINATION
1. Nurse Cynthia is recruited in a research project on determining effectiveness of Plant X as
management for pressure ulcer care among elderly. Nurse Cynthia decides to drop out of the project
because the principal investigators refuse to discuss the full details of the project. Is this the right thing
for Nurse Cynthia to do?
A. No, this is negligence on her part because human subjects are involved
B. Yes, the nurse should be fully aware of what the study is all about
C. No, Nurse Cynthia is already bounded by a contract for this study
D. Yes, since pharmaceutical research is beyond the scope of nursing practice
2. Which type of order is carried out upon judgment of the nurse depending on the client’s condition?
A. Standing order C. Single order
B. STAT order D. PRN order
3. A client that is hooked to Plain Normal Saline Solution running at 30 ml/hour is complaining of pain in
the IV site. You have observed the hand is red and tender and the IV is no longer flowing. Which
among the following was neglected by the nurse?
A. Right Route B. Right Drug C. Right Frequency D. Right Time
4. A client will be discharged will several take home medications. As the nurse, you will be providing
health teachings on how to take the medications. Which factor is most important to consider before you
give out the health teachings?
A. The client’s health status C. The client’s readiness to learn
B. The client’s developmental status D. The client’s understanding of the drugs
5. Nurse Paul was unable to read the medication written by the physician on the order sheet, what would
be the most appropriate action by Nurse Paul?
A. Get a drug handbook and determine the ordered medication
B. Ask the pharmacist to help you verify the order
C. Call the physician and verify the order
D. Ask another nurse to help you in determining the order
6. Which among the following parenteral routes will provide immediate therapeutic response?
A. Intramuscular B. Subcutaneous C. Intradermal D. Intravenous
7. The physician orders 1 g of Xylocaine in 250 cc D5W to run for 3 mg/min. The nurse receives 2%
Xylocaine in a 50 mL vial. What is the regulation in microdrops per minute (mcgtts/min)?
A. 40 mcgtts/min C. 54 mcgtts/min
B. 46 mcgtts/min D. 60 mcgtts/min
8. The physician orders Gentamycin 50 mg IM q12h. How much Gentamycin will be administered if the
pharmacy gives a vial containing 80mg/2ml?
A. 1 mL B. 1.25 mL C. 1.5 mL D. 1.75 mL
9. The physician orders 5 g of magnesium sulfate to be incorporated in 500 mL of D5W to run for 8 hours.
The stock dose is 25% in 10 mL ampule. What is the regulation of the IVF in mcgtts/min?
A. 50 mcgtts/min C. 60 mcgtts/min
B. 55 mcgtts/min D. 65 mcgtts/min
10. The nurse will incorporate 10 mEq KCl to 1L of D5NR. How many mL of KCl will be incorporated if the
stock dose is 40 mEq/20 mL?
A. 3 mL B. 4 mL C. 5 mL D. 6 mL
11. The nurse will infuse 1L of PNSS for 8 hours. What will be the regulation in gtts/min if the drop factors is
20 gtts/mL?
A. 42 gtts/min B. 44 gtts/min C. 46 gtts/min D. 47 gtts/min
, 13. A client with pneumonia was prescribed with oral Amoxicillin, on his 3rd day, he is having watery stools.
What should be advised to the client?
A. Reduce your intake of fiber C. Take the drug on an empty stomach
B. Add yogurt in your diet D. Avoid drinking juice with the drug
14. Melinda, who was discharged 2 days ago after having pneumonia went to the emergency room
complaining of severe headache, vomiting, diarrhea, and excessive sweating. She was provided with
take home medications of Cefuroxime, N-Acetylcysteine, and Ascorbic Acid. Which statement made by
the client prompts you about the possible cause of the manifestations?
A. “I was not able to hear the alarm and I missed my morning dose.”
B. “I took Cefuroxime and NAC at the same time.”
C. “I was at a party a while ago and had a sip of wine.”
D. “I ate pizza with a lot of mozzarella cheese.”
15. Which among the following is true regarding Erythromycin?
A. The drug is absorbed faster when taken on an empty stomach
B. Milk and dairy products should be avoided when taking this drug
C. For immediate drug response, this drug must be taken with meals
D. This drug must be chewed thoroughly before drinking water
16. Which among the following medications increases the risk of teeth staining among pediatric clients?
A. Rifampicin B. Doxycycline C. Chloramphenicol D. Cefaclor
17. What is the most important health teaching for a client taking Trimethoprim-Sulfamethoxazole
(Bactrim)?
A. Apply sunscreen, wear long sleeves and sunglasses when going out in the day
B. Consume more fiber in your diet and lessen fat intake
C. Ensure that you are taking more than 8 glasses of water per day
D. Avoid concurrent use with Calcium containing supplements
18. A client with tuberculosis receives Streptomycin as part of the treatment regimen. Which verbalization
made by the client indicates that an adverse reaction commonly associated with this drug was
experienced?
A. “I was walking in the garden when suddenly I felt dizzy and got out of balance.”
B. “I noticed that my urine is reddish and my sweat is discolored too.”
C. “I couldn’t sleep at night because my heart was pounding.”
D. “I was a reading a book and suddenly my vision just got blurry.”
19. Which questions made by the nurse would assess if the client is experiencing any adverse reaction
associated with Clindamycin?
A. “Have you had any headaches since you were given Clindamycin?”
B. “Do you experience any pain in the eye when looking at the light?”
C. “How many times have you pass out stools today?”
D. “Do you hear any ringing in your ears lately?”
20. Which among the following adverse reactions is associated with Linezolid?
A. Steven Johnson Syndrome C. Neuroleptic Malignant Syndrome
B. Extrapyramidal Syndrome D. Serotonin Syndrome
21. Which question should be asked to a client taking Nitrofurantoin to assess possibility of an adverse
reaction?
A. “Do you experience any tingling sensations in your hands?”
B. “Do you find it difficult to maintain balance?”
C. “Have you become irritable lately?”
D. “Are there any unusual rash that you have seen on your body?”
22. A client with MRSA pneumonia was receiving Vancomycin IV and had rashes all over his face and
chest area. What could have went wrong to the patient?
A. There was failure to do a sensitivity test to Vancomycin
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