General Principles
The nurse is reviewing a client’s medications. Which of the following is a right of medication administration?
A. Right contraindication
B. Right storage
C. Right route
D. Right documentation
C. Right route
What does a drug’s half-life refer to?
A. Time for drug to peak
B. Time for half the drug to be eliminated
C. Duration of drug action
D. Absorption rate
B. Time for half the drug to be eliminated
A patient on aminoglycosides should be monitored for:
A. Hepatotoxicity
B. Nephrotoxicity and ototoxicity
C. Hypoglycemia
D. Insomnia
B. Nephrotoxicity and ototoxicity
What should the nurse assess before giving metoprolol?
A. Temperature
B. Respiratory rate
C. Apical pulse
D. Oxygen saturation
C. Apical pulse
Red man syndrome is associated with:
A. Penicillin
B. Vancomycin
C. Ceftriaxone
D. Metronidazole
B. Vancomycin
Which medication schedule classification has the highest risk for abuse and no accepted medical use?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule I
D. Schedule I
What is the fastest route of medication absorption?
A. IM
B. PO
C. IV
D. SubQ
C. IV
A patient prescribed a beta-blocker should avoid:
A. Milk
B. Sudden discontinuation
C. Caffeine
D. Antacids
B. Sudden discontinuation
Which lab should be monitored with warfarin therapy?
A. aPTT
B. INR
C. Platelets
D. Creatinine
B. INR
A serious adverse effect of sulfonamides includes:
A. Hyperglycemia
B. Stevens-Johnson syndrome
C. Depression
D. Dry mouth
B. Stevens-Johnson syndrome
The nurse knows the goal of pharmacology is to:
A. Ensure compliance
B. Promote therapeutic effects and minimize harm
C. Cure all diseases
D. Eliminate all side effects
B. Promote therapeutic effects and minimize harm
Which organ is most responsible for drug excretion?
A. Liver
B. Kidney
C. Lungs
D. Pancreas
B. Kidney
A key nursing action when administering vancomycin is:
A. Push rapidly
B. Administer with food
C. Infuse over 60 minutes
D. Mix with grapefruit juice
C. Infuse over 60 minutes
What teaching is important for a patient prescribed tetracyclines?
A. Take with milk
B. Avoid sun exposure
C. Take with antacids
D. Limit fluid intake
B. Avoid sun exposure
A patient on calcium channel blockers should avoid:
A. Oranges
B. Caffeine
C. Grapefruit juice
D. Tea
C. Grapefruit juice
Which term refers to a drug causing congenital abnormalities in a fetus?
A. Oncogenic
B. Teratogenic
C. Antigenic
D. Mutagenic
B. Teratogenic
Which enzyme system is most affected by grapefruit juice?
A. CYP450
B. ATPase
C. Cholinesterase
D. Renin
A. CYP450
Fluoroquinolones are contraindicated in athletes due to:
A. Muscle fatigue
B. Tendon rupture
C. GI upset
D. Liver failure
B. Tendon rupture
The nurse should be cautious when giving opioids to patients with:
A. Asthma
B. Hypotension
C. GERD
D. Constipation
A. Asthma
Which side effect is most associated with statins?
A. Drowsiness
B. Constipation
C. Muscle pain
D. Insomnia
C. Muscle pain
The nurse is preparing to administer an extended-release capsule. What action is appropriate?
A. Crush the capsule for easier swallowing
B. Mix in applesauce
C. Administer whole with water
D. Split the capsule in half
C. Administer whole with water
What is the primary role of an agonist drug?
A. Block receptor sites
B. Inhibit metabolism
C. Activate receptor response
D. Bind without activation
C. Activate receptor response
ACE inhibitors often cause which common side effect?
A. Rash
B. Cough
C. Constipation
D. Vomiting
B. Cough
A client on digoxin has yellow vision and nausea. What is the best action?
A. Hold medication and notify provider
B. Give a double dose
C. Administer antiemetics
D. Recheck in 2 hours
A. Hold medication and notify provider
A patient on lithium and furosemide is at risk for:
A. Hyperkalemia
B. Lithium toxicity
C. GI ulcers
D. Hypertension
B. Lithium toxicity