Pharmacology Test Assessment B Questions

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Merced College *

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Jan 9, 2024

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Pharmacology Test Assessment B- 49 Questions- Must pass with 75% or above Question 1 of 49 What medicine would you expect to hold for a person who received |V contrast 2 hours ago? O O O O Metoprolol (Lopressor®) Phenytoin (Dilantin®) Metformin (Glucophage®) Enoxaparin (Lovenox®) Question 2 of 49 The provider orders heparin 4 units/kg SQ. A person you are caring for weighs 176 pounds. How many units would you administer? O @) O @) 320 units 740 units 1020 units 1548 units Question 3 of 49 A person has pernicious anemia. What would you expect to be included in their prescription? ® O O O Vitamin K Vitamin B12 Vitamin B6 Vitamin D3 Question 4 of 49 What potassium levels in combination with digoxin (Lanoxin®) administration would be associated with an O O O O increased risk of digoxin toxicity? 4.2 mmol/L 5.1 mmol/L 6 mmol/L 3 mmol/L
Question 5 of 49 A person exhibits signs of tardive dyskinesia. What long-term medication is most likely the cause? O Lispro insulin (Humalog®) O Metformin (Glucophage®) O Citalopram (Celexa®) O Chlorpromazine (Thorazine®) Question 6 of 49 The dosage of what medication must be tapered off slowly to prevent acute adrenal insufficiency? O Nitroprusside (Nitropress®) O Prednisone (Deltasone®) O Catapres (Clonidine®) o Streptokinase (Streptase®) Question 7 of 49 A person has been diagnosed with moderate, persistent asthma and is to be prescribed a daily controller medicine. What medication would you expect to be used for this purpose? O Ticagrelor (Brilinta®) O Pregabalin (Lyrica®) @ Clonazepam (Klonopin®) o Beclomethasone (Qvar®) Question 8 of 49 The physician orders an 1V infusion of DSW 1000 mL to infuse over the next 8 hours. The IV tubing that you are using delivers 15 gtts/mL. What is the accurate rate of flow? ® 5 gtts/min O 21 gtts/min O 31 gtts/min O 42 gtts/min
Question 9 of 49 A person is experiencing acute chest pains which are believed to be cardiac in origin. What medication would you anticipate administering? O Norepinephrine (Levophed®) Zileuton (Zyflo®) O O Dopamine O Nitroglycerin (Nitrostat®) Question 10 of 49 The lab alerts you that the person you are caring for has a potassium level of 6.2 mmol/L. What medication would you anticipate being ordered by the provider? O Magnesium sulfate (Sulfamag®) O Sodium polystyrene sulfonate (Kayexalate®) O Eplerenone (Inspra®) O Potassium chloride (K-Dur®) Question 11 of 49 A person you are caring for has been prescribed ophthalmic antibiotic drops for bacterial conjunctivitis. What would you include in your education about this medication? O The solution is in a sterile container and does not touch your hands, so handwashing is not important prior to using these drops. O If you are in doubt about being able to get the drop in your eye, it may help to touch the tip of the bottle to your lower eyelid to stabilize it. O ltis best to apply the drops with your head in a neutral position rather than leaned back. O ltis best to avoid applying this medicine to the center of your cornea because that area has a lot of pain receptors and is very sensitive. Question 12 of 49 A person has been diagnosed with a urinary tract infection. They are experiencing pain and urinary urgency. What medication might you expect to be prescribed? O Divalproex (Depakote®) O Metoclopramide (Reglan®) O Lactulose (Chronulac®) O Phenazopyridine (AZO®)
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Question 13 of 49 What education would you provide for a person who is receiving a new prescription for lithium (Lithobid®)? O Itis okay for you to have caffeine if you want while you are taking this medicine. O You should inform your doctor if you have symptoms such as vomiting, diarrhea, poor balance, confusion, or weakness. O You should feel the full results within a few days of starting this medicine. O You should avoid table salt and other sources of sodium while you are taking this medicine. Question 14 of 49 A person on warfarin (Coumadin®) has an INR of 6. What would you anticipate administering? O Lovenox O Vitamin K @ Aspirin O Protamine Question 15 of 49 The physician has ordered Amoxicillin (Amoxil®) 0.5 g PO every 12 hours. On hand is 500 mg tablets. How many tablets would be administered every 12 hours? O 0.5 tablet O 1 tablet O 1.5 tablets o 2 tablets Question 16 of 49 A person received a dose of lorazepam. Thirty minutes later, they are no longer responding to verbal or physical stimuli and exhibit shallow respirations. What medication would you anticipate administering? O Flumazenil (Romazicon®) O Sugammadex (Bridion®) O Neostigmine (Bloxiverz®) (e} Naloxone (Narcan®)
Question 17 of 49 What medication is known to cause discolored urine? O Loperamide (Immodium®) O Phenobarbital (Luminal®) O Phenazopyridine (Pyridium®) O Acetylcysteine (Mucomyst®) Continue Question 18 of 49 What is 190 Ib in kilograms (kg)? O 72.15kg O 86.18 kg O 94.23kg O 101.17 kg Continue Question 19 of 49 Gentamycin 360 mg is prescribed. It is available as 80 mg/2 mL. What amount of mL will you need to draw into the syringe? O o09mL O 36mL O 45mL O 9mL
RN Pharmacology Assessment B Time Remaining : 39 Minutes 37 Seco Question 20 of 49 You have some difficulty reading the provider’s handwriting when reading a written order for a medication, but you think you might know what it says. What is your MOST appropriate action? O Follow the order as you presently understand it. O Ask your colleagues to interpret it for you. O Contact the provider for clarification. o Flag the order for review during rounds tomorrow. Question 21 of 49 A person you are caring for has recently been prescribed daily benzodiazepines for seizures. Which statement by them requires correction? O |should avoid strong pain medicines like oxycodone while | am taking this medicine. O I should avoid alcohol while taking this medicine because | might fall and hurt myself or have other complications. O ltis fine for me to continue driving while | get used to taking this medicine. o If I have been taking this medicine for a while, | cannot just stop abruptly because that might cause withdrawal problems. Question 22 of 49 A person is having a tonic-clonic seizure. What medication would you anticipate administering FIRST to control seizures? O Lorazepam (Ativan) O Aminophylline O Tacrolimus (Prograf) O Phenylephrine (Biorphen) Question 23 of 49 You realize that you inadvertently administered a dose of meloxicam (Mobic®) to an incorrect person who does not have that drug prescribed. What is your most appropriate FIRST action? O File a safety report. O Tell the person to mention it to their provider. O Ask your leadership for medication barcode scanners. O Notify their provider.
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Question 24 of 49 What medication would precipitate out of solution when mixed with DSNS? O Phenytoin (Dilantin®) O Levetiracetam (Keppra®) O Diazepam (Valium®) O Lorazepam (Ativan®) Question 25 of 49 What pharmacological effects does acetylsalicylic acid (aspirin) have? O Decreases inflammation, decreases blood pressure, increases red blood cell production O Decreases inflammation, decreases fever, mildly inhibits blood clotting O Decreases inflammation, increases blood pressure, decreases circulating histamine O Increases platelet aggregation, decreases circulating histamine, decreases platelet production Question 27 of 49 Physician has ordered a dose of IV prednisone (Deltasone®) to be administered along with a dose of IV famotidine (Pepcid®). What is the purpose of giving these two medications together? O Prednisone may cause anxiety and sleeplessness. Famotidine helps reduce the risk of these effects. O Famotidine increases the absorption of prednisone. O Prednisone can increase stomach acid production and cause reflux. Famotidine can help prevent that. o Steroids may cause an increase in appetite. Famotidine helps to dull hunger cravings.
Question 28 of 49 A person you are caring for has learned to self-administer insulin injections. Which statement by them requires correction? O If I forget to take my morning dose, | can take a larger dose at lunch to catch up. @ | should rotate my injection sites to minimize skin problems. O I should keep my insulin in the refrigerator if that is what the package states. o I should check the expiration date on the package before injecting the insulin. Question 29 of 49 A person you are caring for is to receive 2 g vancomycin (Vancocin®) over 2 hours. The medication comes in from the pharmacy as 2 g Vancomycin in 250 mL normal saline. At what rate will the IV medication run? 250 mL/hr 175 mL/hr O 500 mL/hr O 125 mL/hr O O Question 30 of 49 A person asks why you administer furosemide (Lasix®) by pushing slowly over 2 minutes. What are you trying to prevent by using this method? O Arrhythmias O Dizziness O Phlebitis O Tinnitus
Question 31 of 49 You notice that the label on a vial of medicine reads rOPINIRole. What is CORRECT related to the unusual capitalization for this medication? O To highlight an important chemical component of the drug’s structure Alabeling error made during the manufacturing process O O Tall man lettering helps to avoid confusion with look-alike and sound-alike drugs. O A cosmetic labeling choice made by the pharmaceutical company Question 32 of 49 A person has recently been prescribed rivastigmine (Exelon®) transdermal patches. Which statement by them about site rotation is correct? O Ishould always apply a patch to a new site just after my shower when my skin is still damp. O ldo not remove my old patch until a few hours after | apply a new patch so | make sure | get all the medicine. O This patch does not bother my skin so | keep it in the same place where | can find it easily. o Applying the patch to a different site each day helps to keep my skin from getting irritated and breaking down. Question 33 of 49 While delivering the lunch tray to a person who is taking warfarin (Coumadin®), you notice a diversity of food items. What food would be a concern? O Potato O Banana O Spinach O Shrimp Question 34 of 49 The physician orders a Heparin infusion of 900 units/hr. Heparin is prepared 25,000 units in 500 mL of D5W. The pump would be set to what infusion rate? O 9ml/hr O 12 mL/hr O 18 mL/hr O 20 mL/hr
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Question 35 of 49 A physician’s written order for a person is as follows: Albuterol sulfate, nebulized inhalation, every 4 hours. What essential component of the medication order is missing? O Drug name O Route O Frequency o Dosage Question 36 of 49 What is a contraindication for aspirin administration? O Anemia O Hyperthyroidism O Gastrointestinal bleeding O Increased ocular pressures Continue
Question 38 of 49 What is 1.2 milligrams in micrograms? O 0.0012 mcg O 12mcg O 120 mcg O 1200 mcg Continue Question 37 of 49 You administer insulin lispro (Humalog®). Thirty minutes past administration, what signs and symptoms would be of concern? O Cold, clammy skin and sweating O Fatigue and stomach discomfort O Hunger and irritability o Fidgeting and distraction Question 39 of 49 You receive a verbal medication order for a person you are caring for. You enter the following order text: Promethazine, IV, every 4 hours as needed for vomiting. You also enter the date, time, ordering provider’'s name, verbal order, read back, and your signature. What important item is missing from this medication order? O Discontinuation date Dosage o O ICD code for vomiting o Prescriber’s DEA number
Question 40 of 49 A person with O positive blood needs an emergency transfusion. What potential unit of blood could be given? O O negative O AB positive O Apositive O B negative Question 41 of 49 A person with a history of seizure is started on carbamazepine (Tegretol®). What side effects would be included in your education to them? O Hallucinations and hunger O Diarrhea and night sweats O Dizziness and drowsiness o Clubbed fingers and dry skin Question 42 of 49 The physician has written an order for a Heparin bolus of 60 units/kg IV. The person you are caring for weighs 80 kg. What would be the appropriate dose? O 48 units O 480 units O 680 units O 4800 units Question 43 of 49 You receive an order for single 1 gram dose of azithromycin (Zithromax®) given. 250 mg tablets are on hand. How many tablets would you administer? O 2.5 tablets O 4 tablets O 8tablets O 40 tablets
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Question 44 of 49 During the admission assessment, a person you are caring for tells you that they are taking a medication for depression. What medication would you expect to see on their home medication list? O Bumetanide (Bumex®) O Lorazepam (Ativan®) O Atorvastatin (Lipitor®) O Venlafaxine (Effexor®) Question 45 of 49 A person has been prescribed an albuterol inhaler for mild, intermittent asthma symptoms. What would you include in your education? O Using a spacer device may help you get more of the medicine into your lungs. O This medicine may lower your blood sugar so have a snack prior to using the medicine. O This is a long-acting bronchodilator medicine that should be used daily. O This medicine has been known to lower the heart rate so you will need to monitor your heart rate. Question 46 of 49 A person has been prescribed sustained-release guaifenesin (Mucinex®). Which statement made by them would BEST indicate understanding? O If I start to cough, | should take an extra dose. O I can chew up the tablet for faster relief. O This will keep me from getting a fever. | should take this medicine with a full glass of water. Question 47 of 49 A person has been prescribed Clindamycin (Cleocin®). Which statement by them requires correction? O | should continue taking this the way it says on the label until all the pills are gone. O |should let my doctor know if | develop severe or lasting diarrhea. O | should always take this with a full glass of water. O Ishould always take this on an empty stomach.
Question 48 of 49 What diuretic would you expect to be ordered for a person in heart failure with a serum potassium level of 5.8 mmol/L? O Amiloride (Midamor®) O Bumetanide (Bumex®) O Triamterene (Dyrenium®) o Spironolactone (Aldactone®) Question 49 of 49 A person is scheduled for dialysis today. What medication might you expect to hold? O Famotidine (Pepcid®) O Lisinopril (Prinivil®) O Atorvastatin (Lipitor®) (@] Ondansetron (Zofran®)