PHARMA MIDTERM EXAM (Copy)

Select the best answer.

Points:
50/60
Time:
01:27:11
Correct
1/1 Points
1.Ringer’s lactate 1000mL is ordered to be given within 12 hours for a
hyperthermic patient. The tubing set has a drop factor of 15 gtt/ml. Calculate for
the drop rate.

20 gtt/min
21 gtt/min
25 gtt/min
30 gtt/min
Correct
1/1 Points
2.An elderly patient with history of falls is diagnosed with Hypertension II and was
prescribed Prazosin to maintain her blood pressure. Which of the following
should the nurse watch out for?
Noncompliance
Increase cardiac output
Orthostatic hypotension
Irritability 
Correct
1/1 Points
3.The nurse is computing for the drop rate of the microset. Which of the
following drop factors will the nurse utilize?
10gtt/min
15gtt/min
30 gtt/min
60 gtt/min
Correct
1/1 Points
4.A patient after administration of Edrophonium suddenly demonstrated
bradycardia, constricted pupils, skin flushing and extreme muscle weakness.
Which of the following crisis constitutes these symptoms?
Cholinergic crisis
Myasthenic crisis
Hypertensive crisis
Anaphylactic crisis
Correct
1/1 Points
5.Which of the following will be most likely given to a patient with general tonic-
clonic seizures? 
Atropine sulfate
Levodopa
Lidocaine
Phenytoin
Correct
1/1 Points
6.Which of the following nursing diagnosis will be most appropriate for a 60 year
old patient who will be driving himself home after administration of
benzodiazephine: Diazepam?

Risk for impaired skin integrity related to IV drug administration

Risk for injury related to drug-induced drowsiness
Imbalanced nutrition less than body requirements related to decreased appetite
Risk for accident related to medication administration
Correct
1/1 Points
7.The same patient was prescribed with Prazosin was assessed by the nurse for
his pulse rate. Which of the following measurement would the nurse delay the
administration of this medication?
50 bpm
60 bpm
100 bpm
120 bpm
Incorrect
0/1 Points
8.The following are ways to terminate the synaptic transmission EXCEPT:

Enzyme reuptake
Diffusion away from the gap
Enzyme degradation
Nerve terminal reuptake
Correct
1/1 Points
9.Norepinephrine is a known catecholamine adrenergic agonist. Which of the
following should the nurse watch out for? 
Bradycardia
Urinary Frequency
Tissue necrosis
Low Blood pressure
Incorrect
0/1 Points
10.Eliza was conversing with the student nurse how to manage nausea and
vomiting associated with one of her prescribed medications. Which of the
following is the most appropriate intervention from the student nurse?

Advise patient to continue taking the drug without fail

Advise the patient to seek medical advise immediately 
Advise the patient to increase oral fluid intake during nausea and vomiting
Advise the patient to take the drug with food 
Incorrect
0/1 Points
11.Chlorpromazine 4mg/kg body weight is ordered for a child weighing 64.8 lbs.
The medication is available 500mg/4mL. How many mL should the nurse
administer?  

0.5 mL
0.9 mL
1 mL
1.17 mL
Correct
1/1 Points
12.Which of the following foods should be used with extreme caution with MAO-
inhibitors? 

Wine
Butter
Lettuce
Bread
Correct
1/1 Points
13.
Which of the following describes the receptors for the Sympathetic Nervous
System?

Alpha 1, Alpha 2, Beta 1, Beta 2

Alpha 1, Alpha 2, Alpha 3, Alpha 4
Alpha 1, Beta 1, Beta 2, Beta 3
Beta 1, Beta 2, Beta 3, Beta 4
Incorrect
0/1 Points
14.An Albuterol inhaler was prescribed as maintenance medication to a patient
newly diagnosed with Asthma. Which of the following statements prove that the
patient understands the nurse teaching about the medication?
“I have to wait for 2 hours before taking my next dose”
“I have to take my breakfast first before taking this medication”
“I should not take this medication during an asthma attack”
“I should take this medication before my morning exercise to improve my respiration”
Correct
1/1 Points
15.The patient has been started on an antipsychotic medication for treatment of
her schizophrenia. She asks the nurse when she will start to feel better. What is
the nurse’s best response?

“You will only feel better when you start psychotherapy, too.”
“Responses vary, but it may be about 6 weeks.”
“It may take up to 3 days to start to feel the effects.”
 “You should start to feel better within 30-60 minutes.”
Correct
1/1 Points
16.A nurse is assessing a male client who recently began taking haloperidol
(Haldol). Which of the following findings is the highest priority to report to the
provider?

Shuffling gait
Neck spasms
Drowsiness
Impotence
Correct
1/1 Points
17.Lorazepam is an anxiolytic drug but it can be prescribed for other purposes.
For which other conditions might it be prescribed? Select all that apply. 
Muscle Spasms
Psychoses
Emesis
Alcohol withdrawal
Status epilepticus
Correct
1/1 Points
18.A nurse is providing discharge teaching to a client who is to begin taking
fluoxetine (Prozac) for posttraumatic stress disorder. Which of the following
statements is appropriate for the nurse to include in the teaching?

"You will feel happy all the time with this medication."
“You will have fewer urinary adverse effects if you urinate just before taking this medication.”
“You may have a decreased desire for intimacy while taking this medication.”
"This medication should be taken on an empty stomach"
Correct
1/1 Points
19.Which of the following drugs is most likely to be given in a patient with status
epilepticus?

Bethanecol
 Betahistine
Clonazepam
Aspirin
Correct
1/1 Points
20.The student nurse prepares the room with fresh, clean linens, maintains
privacy wtih appropriate use of drapes and control room temperature before
administering a long duration of IV medications. The nurse is guided by which
nursing theory?

Core, Care Cure Theory

Transcultural Nursing
Theory of Adaptation
Environmental theory
Correct
1/1 Points
21.To prevent seizure recurrence, the nurse should:

Monitor patient for medication adherence

Admonish patients if they forget to take their medications
Encourage sharing of same pharmacologic class of medications with patients
Stop taking antiseizure drugs when symptoms abate
Correct
1/1 Points
22.A patient with glaucoma was instructed to be given a miotic drug to decrease
intra-ocular pressure. Which of the following pertains to the action of a miotic
drug? 
Pupil constriction
Eye diuresis
Paralysis of the ciliary muscle
Pupil dilation
Correct
1/1 Points
23.A patient was overdosed with Atropine Sulfate. Which of the following
medications would the nurse anticipate to negate the effects of the drug? 
Phentolamine Mesylate
 Protamine Sulfate
Physostigmine
Naloxone
Incorrect
0/1 Points
24.A patient is given Atropine Sulfate, an anti-arrhythmic. Which of the following
should the nurse note as a drug that work antagonistically with this medication?

Oxybutynin
Scopolamine
Tropicamide
Bethanechol
Correct
1/1 Points
25.The 58 year old patient presents to the emergency department. He is highly
agitated and combative. The health care provider has ordered Haloperidol 5mg
IM. What should the nurse know about this medication? 
It will not cause extrapyramidal symptoms
It has a sedative effect
It is the drug of choice for older clients with liver disease
It has decrease intra-ocular pressure
Correct
1/1 Points
26.Bonus
Bonus
Bonus
Incorrect
0/1 Points
27.Which of the following medications is used for the diagnosis of Myasthenia
Gravis?
Bethanecol
Pyridostigmine
Donepezil
Edrophonium
Correct
1/1 Points
28.Which of the following rights of medication does Morpheus utilize when he
signs the appropriate form in the chart and writes the time and dosage of the
medication administered?

Right route
Right time
Right patient
Right documentation
Correct
1/1 Points
29.Which of the following can be advised to Mr. Sanchez, who is experiencing
orthostatic hypotension from taking multiple anti-hypertensive medications? 

Advise patient to stand abruptly and walk to relieve symptoms

Advise the patient to maintain sitting position for 5 minutes while dangling the legs to maintain
equilibrium of body fluids
Advise patient to decrease dosage of drugs when orthostatic hypotension occurs
Advise patient to sleep off the effects of the drug
Correct
1/1 Points
30.Use Clark's Rule: The physician prescribes Acyclovir to a 10-year old with
measles. Acyclovir has an average adult dose of 500mg. How many mg should be
administered to the client? (round off to whole number) 
227mg
125mg
289mg
318mg
Correct
1/1 Points
31.A patient is evaluated after administration of a beta-blocker called Atenolol.
Lying down on bed the blood pressure was 140/80 but after standing up, the
patients blood pressure decreased to 110/80. What should the nurse priority
intervention be?
Give the patient vasodilators to increase blood pressure
The nurse supports the client for ambulation
Give a glass of water to hydrate the patient
 Let the patient rest at the side of the bed, dangling the feet
Correct
1/1 Points
32.The drug, Phenylephrine is prescribed to a patient who most likely have:
Asthma
COPD
Nasal Congestion
Cardiac Arrest
Correct
1/1 Points
33.The physician orders “Ciprofloxacin 250mg TID”. How would the student
interpret this order?

Administer the drug three times a day

Administer the drug every Tuesday
Administer the drug every three hours
Administer the drug once the patent is proven to be not allergic
Correct
1/1 Points
34.A child soon to travel via a boat from Catanduanes to Leyte was prescribed
Scopolamine. Which of the following is relieved by this medication?
Mydriasis
Urinary frequency
Motion sickness
Headache
Correct
1/1 Points
35.Which of the following medications will be most likely given to a patient with
general tonic-clonic seizures?

Atropine sulfate
Levodopa
Lidocaine
Phenytoin
Correct
1/1 Points
36.A nurse is preparing to administer clindamycin 200mg by intermittent bolus.
The amount available is 200mg in 100mL to infuse over 30mins. The nurse should
set the IV pump to deliver how many mL/hr? 
200mL/hr
20mL/hr
2000ml/hr
0.2mL/hr
Correct
1/1 Points
37.A patient prescribed with an autonomic agonist was advised not to perform
hazardous activities while the healthcare team monitor his response to the
therapy. Which of the following activities should the patient avoid? 
Getting massage therapy
Walking the dog in the morning
Driving self to work
Having sex
Correct
1/1 Points
38.A child soon to travel via a boat from Catanduanes to Leyte was prescribed
Scopolamine. Which of the following is relieved by this medication?

Motion sickness
Urinary frequency
Mydriasis
Hyperacidity
Correct
1/1 Points
39.Which of the following parameters proves that the medication Bethanechol, a
direct-acting cholinergic drug, is effective at relieving patient’s symptoms?

Urine output of 80/hr

Pupil constriction
Lowered blood pressure
(-) Headache
Correct
1/1 Points
40.Which of the following is NOT useful in the treatment of hypertension?
Carvedilol
Tamsulosin
Prazosin
Propanolol
Correct
1/1 Points
41.Mr. Tox experienced cardiac arrest in the unit and the physician deemed it
necessary to place an endotracheal tube to maintain airway and respiration.
Which of the following drugs can be given to assist with the placement of ET?

Pancuronium
Epinephrine
Levodopa
Amantadine
Correct
1/1 Points
42.Rodrigo woke up to a burning building. Which of the following division of the
nervous system will dominate the signals in his body?

Autonomic Nervous System

Somatic Nervous System
Parasympathetic Nervous System
Sympathetic Nervous system
Correct
1/1 Points
43.A nurse receives the result of a patient's laboratory regarding monitoring of
Phenytoin levels in his blood. Which of the following values indicate that the next
dose of Phenytoin must be withheld?

6 mg/dL
12 mg/dL
20 mg/dL 
25 mg/dL 
Correct
1/1 Points
44.Convert 3 mg to how many mcg? 
300
0.30
3000
0.03
Correct
1/1 Points
45.Which of the following neurotransmitters are blocked by Tricyclic anti-
depressants? Select all that apply
Acetylcholine
Serotonin
Norepinephrine
Dopamine
GABA
Correct
1/1 Points
46.The infusion set is adjusted for a drop factor of 15 gtt/mL. Calculate the IV
drop rate if there is 1500mL of PNSS ordered to be infused in 12 hours. 

31 gtt/mL
31 gtt/min
35 gtt/mL
35 gtt/min
Correct
1/1 Points
47.Before injecting IM medications, the nurse checks for blood return using the
syringe. Which of the following is true? 

Upon (+) blood return, the nurse immediately injects the medication
A maximum of 10 mL can be administered using the IM route
Upon (+) blood return, the nurse withdraws the syringe
IM medications are absorbed faster than IV meds
Incorrect
0/1 Points
48.A patient is given Atropine Sulfate, an anti-arrhythmic. Which of the following
should the nurse note as a drug that work antagonistically with this medication?
 Oxybutynin
Scopolamine
Tropicamide
Bethanecol
Correct
1/1 Points
49.(LSD) Lysergic Acid Diethylamide is a recreation drug of abuse. Which of the
following drug regulation category will LSD most likely be classified?

Schedule I
Schedule II
Schedule III
Schedule IV
Will be reviewed
50.The physician orders 50 mg of a drug. The available stock is 100 mg per 2
mL. Give how many mL? 

1 mL
2 mL
3 mL
4 mL
Correct
1/1 Points
51.The physician ordered Paracetamol 500 mg/ tab PRN for fever. How will the
student nurse interpret this medication order?

Administer Paracetamol immediately to the patient

Administer Paracetamol as soon as available
Administer Paracetamol when the temperature is above 37.5C
Administer Paracetamol when the temperature is above 38.5C
Incorrect
0/1 Points
52.A pregnant patient contracted a severe urinary infection which the physician
ordered a medication under Pregnancy Category D. Which of the following
should the student nurse do?
Continue medication administration and refer to physician
 Discard the medication and await for further instructions 
Continue medication administration and monitoring of the patient
Withhold the medication until confirmation with the prescriber
Correct
1/1 Points
53.A nurse is preparing to perform a follow-up assessment on a client who takes
chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse should
expect to find the greatest improvement in which of the following
manifestations? (Select all that apply.)

Disorganized speech
Hallucinations
Decreased motivation
Impaired social interactions
Bizarre behavior
Correct
1/1 Points
54.A nurse is providing teaching to a client who has a new prescription to start
buspirone (BuSpar) in place of diazepam (Valium). The client has a history of
panic disorder. The client asks why his provider is making the medication change.
Which of the following statements is an appropriate response by the nurse?

“Diazepam is not indicated for the treatment of panic disorder.”, (Incorrect answer)“Diazepam is
not indicated for the treatment of panic disorder.”
“Buspirone is a safe medication for clients who have liver dysfunction.”
“Buspirone has less risk for dependency than other treatment options.
None of the above
Incorrect
0/1 Points
55.A patient is ordered 100 mg furosemide as a morning dose. You have at
your disposal 20-mg and 40-mg strength of LasixTM. What would you
administer?

4x40-mg tablets
2x40-mg tablets
 5x20-mg tablets
2x 40 mg tablets and 1x20-mg tablets
Correct
1/1 Points
56.A nurse is preparing to administer Plain Lactated Ringer's 1500mL to infuse
over 10 hours. The drop factor is 15gtt/mL. The nurse should set the manual IV
infusion to deliver how many drops per minute? 
37gtt/min
38gtt/min
39gtt/min
40gtt/min
Correct
1/1 Points
57.Which of the following drugs can be used to increase dopamine release from
the substancia nigra of the brain?

Pancuronium
Epinephrine
Levodopa
Amantadine 
Correct
1/1 Points
58.A nurse is teaching a client who has schizophrenia strategies to cope with
anticholinergic effects of fluphenazine. Which of the following should the nurse
suggest to the client to minimize anticholinergic effects?

Take an antacid to relieve nausea.

Chew sugarless gum to moisten the mouth
Take the medication in the morning to prevent insomnia.
Use cooling measures to decrease fever.
Correct
1/1 Points
59.Celia, a 24 year old patient has difficulty of hearing. Which of the following
type of neuron is capable of sending impulses to the central nervous system?

Efferent neuron
 Afferent neuron
Somatic neuron
Sympathetic neuron
Correct
1/1 Points
60.A patient is evaluated after administration of a beta-blocker called Atenolol.
Lying down on bed the blood pressure was 140/80 but after standing up, the
patients blood pressure decreased to 110/80. What should the nurse priority
intervention be?
The nurse supports the patient for ambulation
Give a glass of water to hydrate the patient
Let the patient rest at the side of the bed, dangling the feet
Give the patient vasodilators to increase blood pressure
Go back to thank you page
This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not
responsible for the privacy or security practices of its customers, including those of this form owner. Never give out
your password.

Powered by Microsoft Forms

 | 
Privacy and cookies
 | Terms of use