Transcript Pharmacology and Pathophysiology II

Pharmacology and
Pathophysiology II
Midterm Examination
Your patient is prescribed furosemide 20 mg PO Daily. What
laboratory test will you assess?
CMP
CBC
D - Dimer
PT / INR
Your patient has been diagnosed with HTN. Which of the
following medications would be prescribed?
Propoxyphene
Advair
Tenormin
Bactrim
Which of the following is an ACE Inhibitor?
Verapamil
Enalapril
Atenolol
Atropine
A patient being treated for Myasthenia Gravis is prescribed prednisone 20 mg,
SoluMedrol 125mg and . Which of the following order will you question?
Maalox
Advair
Levothyroxine
Erythromycin
What is the peak time for Humulin R?
15 Minutes
30 Minutes
60 Minutes
120 Minutes
What is the duration of Humalog?
3 – 4 Hours
5 – 7 Hours
18 – 24 Hours
10 – 24 Hours
You are caring for a patient who has an order for Avandia for DMII.
Which of the following is a finding that you should monitor for?
Urinary Retention
Palpitations
Seizures
Edema
Which endocrine gland excretes oxytocin?
Ovaries
Posterior Pituitary
Anterior Pituitary
Thyroid
What hormone stimulates the adrenal cortex to produce
cortisol and androgens?
TSH
ADH
ACTH
PTH
Your PCT obtains vitals on your patient: 135/60, 14, 57,
97%RA, 2/10 chest pain. Which medication will you hold?
NTG 0.4 mg SL
Simvastatin 10 mg PO
Metoprolol 25mg PO
Zantac 75mg PO
A mother asks you how much amoxicillin to give her child. She states that the pharmacist
told her 30 ml. She asks how many teaspoons or tablespoons it is. Your reply is:
2 tsp
1 tbsp
2 tbsp
1 tsp
Your patient is A & O x3, complains of no
SOB or CP. Heart Sounds S1 and S2 and
lungs are clear bilaterally. Vitals are 115/80,
98%,. You observe the rhythm on the
monitor. What is your priority action?
Observe the patient
Administer Oxygen via
NRB
Prepare for cardioversion
Administer Atropine
Which of the following stage of acne is mild and is treated
with salicylate acid preparations topically?
Predormal
Inflammatory
Nodular Cystic
Comedonal
Decongestants should be used cautiously in clients with which
of the following?
Glaucoma
Hypotension
Hypothyroidism
Arthritis
A patient is receiving warfarin. Which of the following would
the nurse monitor to determine the effectiveness of therapy?
PT / INR
PTT
Vitamin K level
Platelet Level
A client is receiving ciprofloxacin for a urinary tract infection. This drug is
administered IV. During an infusion, the nurse notes fluid leaking into the
tissue around the IV site. What is the best response of the nurse?
D/C the IV
Decrease the IV drip rate
Administer pain medication
Elevate the extremity
A client is given a prescription for fluticasone/salmeterol (Advair) 250/50 to inhale
one puff twice a day, before leaving the hospital after an acute asthma attack. The
nurse completing the client's discharge counseling should tell the client which of
the following?
Take the medication as needed
Advair replaces the need for a rescue
inhaler
Rinse your mouth out after each use
Shake the meter well before using
Which of the following is an appropriate order
obtained by a nurse over the phone from a NP?
None of the following
Percocet 5/325 mg PO PRN VOV D. Unger
Percocet 1 tab PO PRN Pain TOV D. Unger
NP / L. Grant RN
Percocet 5/325 1 tab PO PRN Pain TOV D.
Unger NP / L. Burnell RN
Which of the following is the appropriate lead placement?
Your patient is prescribed the following medications:
ASA 81 mg; Percocet 5/325mg 1 tab; Lisinopril 10 mg; Cipro 250 mg; Simvastatin 10
mg. Which parameters is most important to obtain prior to giving the medications?
Pain Scale
CBC
BP and HR
C&S
A patient comes to the ED with an acute exacerbation of asthma. You
anticipate which of the following medications to be administered initially?
Albuterol / Atrovent Nebulizer
Prednisone
Advair
Symbicort
Erythromycin is in which classification?
Macrolides
Penicillin
Third Generation Cephalosporin
Lincosamide
This medication could cause thrombocytopenia
Vancomycin
Bactrim
Zyvox
Rocephin
This medication should not be used in a patient taking
Cimetidine for GERD
Avelox
Cipro
Bacitracin
Tetracycline
A patient states she is allergic to keflex. Which medication
order would you question?
PenVK
Bactrim
Gentamicin
Vancomycin
Unlike penicillin, most cephalosporins can be taken with food to prevent gastric
upset. Which of the following is the only cephalosporin that the nurse would advise
NOT to take with food?
cefazolin
cephalexin
ceftibuten
cefprozil
A patient is on heparin therapy and is significantly bleeding.
You notify the physician and anticipate what order?
Decrease Heparin by 5 units / kg / hr
Infuse 1 Unit of Platelets
Administer Protamine Sulfate
Administer Vitamin K
Which patient would you most question the order
for tetracycline 250 mg PO QID?
50 Year Old Male with a peptic ulcer
8 Year Old Male with a skin infection
32 Year Old Female with Chlamydia
trachomatis
60 Year Old Female taking Lovenox 60mg
SQ Daily
A patient has been prescribed PenVK (penicillin with potassium) for a
dental abscess. Which of the following is an appropriate statement
made by the nurse?
PCN acts on 50S Subunit
Notify your physician if you have Myastenthia
Gravis, as PCN is contraindicated
You will need to take additional
precautions if you are on birth control
This medication also works for curing
peptic ulcers
Which of the following is the equivalent to
ampicillin and sulbactam?
Unasyn
Augmentin
Zosyn
Timentin
A patient presents with hearing loss, vertigo and tinnitus. You
anticipate which of the following to be the cause?
Lasix and Gentamicin
ASA and PCN
Doxycycline and Lisinopril
Digoxin and Simvastatin
You are a critical care nurse caring for a patient taking aminoglycosides. Which of
the following should you monitor closely to determine whether dosage adjustment
is required?
Lung Function
Renal Function
Cardiac Function
Intestinal Function
Daptomycin (Cubicin) can be used to treat which of the following?
Gram-positive bacteria
Gram-negative bacteria
Both gram-positive and gram-negative
bacteria
Neither gram-positive or gram-negative
bacteria
If a client taking metoprolol (Lopressor) 50 mg one tablet
twice daily begins taking pseudoephedrine (Sudafed) over the
counter, which of the following might occur?
Hyperglycemic Episode
Hypertensive Episode
Rebound Congestion
Tachycardia Episode
A nurse should monitor a client taking glyburide (Diabeta) for decreased
hypoglycemic effect if all of the following drugs are initiated but what?
Atenolol
Amlodipine
Lithium
Phenytoin
Which of the following should a nurse not recognize as serious
adverse reactions that can occur with the use of cephalosporins?
Toxic Epidermal Necrolysis (TEN)
Stevens-Johnson Syndrome
Nephrotoxicity
Malignant HTN
The nurse should monitor for all except which in a patient
receiving amlodipine?
Crackles
Bradycardia
Dyspnea
Peripheral Edema
Which of the following are adverse reactions of celecoxib?
Oliguria
Neutropenia
Diplopia
Stomatitis
All of the Above
Which of the following is not true of secondary drugs to treat
tuberculosis TB?
Secondary drugs are less effective than primary
drugs.
Secondary drugs are used to treat drug-resistant
TB.
Secondary drugs are used as the first line to
treat HIV patients with TB.
Secondary drugs are used to treat
extrapulmonary TB.
Secondary drugs are used to treat drug-resistant
TB.
A nurse monitoring a client taking Dolobid (diflunisal) should
monitor the client for which of the following adverse reaction?
Diarrhea
Tarry Stools
Nausea
Vomiting
Anorexia
2, 3, 4
1, 2, 5
2, 3, 4, 5
To help control the nausea and anorexia that may occur as an adverse reaction
during digoxin therapy, the nurse should recommend which of the following?
Eat Frequent smaller meals
Restrict fluids at mealtime
Eat more protein
Increase water intake 1 hour before and after friends
1, 3, 4
2, 3
1, 2
The nurse is working with a chronically ill client who is being administered
opioid analgesics for pain management. While caring for this client, the
nurse needs to keep which of the following in mind?
Tolerance to medication may develop quickly
Morphine Sulfate is most widely used for chronic severe pain
Naloxone may increase pain to intense levels and cause withdrawal
symptoms
Medications such as Percocet should never be used in conjunction
with MS Contin
Medications such as MS Contin are directly involved with decreasing
respiratory effort and often leads to death
1, 2, 3
1,2 , 5
1, 3, 4
A client with atrial fibrillation controlled on which of the following drugs
must be monitored closely by the nurse for worsening atrial fibrillation if
levothyroxine (Synthroid) is initiated to treat hypothyroidism?
Lisinopril
Digoxin
Metoprolol
Cardizem
Propanolol
1, 2, 4
3, 4, 5
2, 3, 5
A nurse is educating a client and their family about vasopressin (DDAVP) for
the treatment of diabetes insipidus. In addition to administration
instruction, which of the following should the nurse discuss with the client
and family?
Wear a medical alert bracelet
Monitor daily fluid intake
Avoid sun exposure while on medication
Avoid alcohol
Monitor your BP as this medication works by dilating blood vessels
1, 2, 3, 4, 5
1, 2, 4, 5
1, 2, 5
A client is given a prescription for fluticasone/salmeterol (Advair) 250/50 to inhale
one puff twice a day, before leaving the hospital after an acute asthma attack. The
nurse completing the client's discharge counseling should tell the client which of
the following?
Take it as needed
Continue carrying a rescue inhaler
Check peak flow daily
Rinse your mouth after each use
Shake the meter well before using
1, 2, 4
2, 3, 4
2, 3, 4
Which of the following anti-asthma drugs have been
associated with development of oral thrush?
Albuterol
Fluticasone
Spiriva
Advair
Symbicort
1, 3, 4
2, 3, 5
2, 4, 5
Your client is being treated for hypokalemia. His current medications include
Inderal, digoxin, and Coumadin. He is complaining about nausea, abdominal
discomfort, and visual changes. Which of the following problems would you
suspect?
CHF
MI
Digitalis Toxicity
ARF
Your client is menopausal but refuses to take estrogen because she fears having a
stroke. She is currently on HydroDIURIL for hypertension. She asks if taking a
natural herb, such as cohosh would be safe. In addition to referring her to her
medical care provider for further information, your best response would be:
Blood pressure is not affected by herbal
supplements
It must be used cautiously as the herb may
increase the hypotensive effects of
antihypertensive drugs.
She should take estrogen instead, as the
herb may lead to strokes.
There is no difference between taking the
herbal supplement or estrogen.
You are speaking to a group of clients in a public meeting. They ask you to
explain the difference between community-acquired infections and
nosocomial infections. Your best response is:
There is no difference between the
infection types
Usually, community-acquired infections are less severe and easier to
treat. Nosocomial infections may be more severe and difficult to
manage because they often result from drug-resistant
microorganisms and occur in people whose immunity is impaired.
Usually, nosocomial infections are less severe and easier to treat.
Community-acquired infections may be more severe and difficult to
manage because they often result from drug-resistant
microorganisms and occur in people whose immunity is impaired.
Only drug-resistant strains of staphylococci,
Pseudomonas, and Proteus are categorized as
nosocomial infections
Which intervention is necessary to perform prior to initiating
antibiotic therapy?
Increase fluid intake
Monitor for adverse effects
Administer an antidiarrheal to prevent GI
upset
Obtain a specimen for culture and
sensitivity
A patient is prescribed Radioactive Iodine for thyroid treatment. Which of the
following findings would cause the nurse to stop treatment and notify the MD?
Mild Nausea
Intolerance to Heat
Epitaxis
Elevated HR
Your client is receiving aminoglycosides for a severe infection. Your client begins to
complain about an increasing ringing in her ears. You know that this is indicative of:
Hepatotoxicity
Ototoxicity
Cardiotoxicity
Nephrotoxicity
A nurse would expect a drug to take the
longest to be absorbed if given by which route?
PO
IM
SQ
IV
A 15-year-old female patient is receiving tetracycline. When
providing patient education to this patient, the nurse includes
which of the following points for the patient?
"A change in diet is a better treatment for
acne than medication."
Tetracycline can only be administered here
in the hospital."
When taking tetracycline, wear extra sun
block."
Daily lab draws are required for proper
daily dosing of this medication."
A patient has been prescribed acetaminophen on an outpatient basis to
reduce an elevated body temperature. Which of the following instructions
should the nurse give to the patient regarding acetaminophen use?
Ask the patient to avoid taking calcium
supplements
Instruct the patient to eat foods that are
rich in salicylates
Instruct the patient to avoid consumption
of alcohol
Inform the patient to take NSAIDs if pain
increases
A patient is admitted to a healthcare facility with a chronic skin disease manifested
by bright red patches covered with silvery scales or plaques, and has been
prescribed anthralin by the primary healthcare provider. The nurse should know
that the patient is suffering from which of the following?
Psoriasis
Tinea Pedis
Erysipelas
Impetigo
The nurse is preparing to administer insulin lispro (Humalog) to a client at 7
AM. What is the nurse's top priority intervention related to this medication?
Monitor the client for a hypoglycemic
reaction at noon
Cleanse the administration site with
chloraprep before administration.
Make sure the client's breakfast is available
in the next 5-10 minutes.
Administer the insulin within 2 inches of
the umbilicus
A client with a history of cardiovascular disease is taking a thyroid
hormone and complains of chest pain. What is the nurse’s best
action?
Administer the next does of thyroid
hormone
Recommend increasing the next dose of
thyroid hormone.
Reassure the client that this symptom
resolves after several weeks of therapy.
Notify the health care provider.
Which of the following are true regarding xanthine
derivatives?
Xanthine derivatives cause bradycardia
Xanthine derivatives reduce airway
inflammation
Xanthine derivatives stimulate the CNS to
promote bronchodilation
Xanthine derivatives cause hypoglycemia
A nurse is caring for a 78-year-old patient with rheumatoid arthritis. The
physician has prescribed cortisone, a corticosteroid, to the patient. For
which of the following conditions of the patient should the nurse be
cautious about before administering the drug?
CHF
Migraines
Osteoporosis
Liver Disease
Decrease in Muscle Mass
2, 3, 4
1, 2, 5
1, 3, 5
The nurse should monitor a client receiving radioactive iodine
(131I) for which of the following severe reactions?
Agranulocytosis
Exfoliative Dermatitis
Hypoprothombinemia
Seizures
Radiation Poisoning
4, 5
1, 3, 5
1, 2, 3, 5
During initial therapy with levothyroxine (Synthroid), the most
common reactions a nurse might observe in a client include which
of the following?
Weight Loss
Tachycardia
Hypotension
Insomnia
Bradycardia
1, 3, 5
2, 4, 5
1, 2, 4
Insulin is a hormone released by the pancreatic beta cells in
response to a rise in glucose levels and what else?
In response to the release of glucagon
In response to incretins
In response to delayed entry of glucose
into cells
In response to storage of incretins in cells
Mr. Franklin, 68 years old, is treated for benign prostatic hypertrophy. Which
male hormone is responsible for the growth of the prostate?
Interstitial cell-stimulating hormone
Dihydrotestosterone
Androgen
Testosterone
Which of the following produce their glucose-lowering effects by
delaying the digestion and absorption of carbohydrates in the
intestine?
Amaryl
Glucophage
Actos
Glyset
Which of the following would require notification of the
physician when administering an expectorant to a client?
Increase in blood pressure
Increase in expectoration
Difficulty Breathing
Increase in Blood Pressure
What factors contribute to elderly clients being at higher risk
of injury while taking antihistamines?
HTN
DM
Visual Impairment
Steady Gait
A patient with a cough has been prescribed 400 mg of benzonatate daily by
a physician. The on-hand availability of benzonatate is a 100 mg softgel
capsule. How many capsules will the nurse have to administer to the patient
daily?
6
8
4
2
You are treating a patient with a history of RA and who is taking Prednisone,
Humira and Enbrel. Which of the following orders would you most
question?
FluMist Influenza Vaccine (intranasal)
Orange Juice with breakfast (regular diet)
ASA 325mg PO Daily
Digoxin 0.25mg PO Daily
The client is scheduled to get her breakfast tray at 0700. At what
time should she receive her prescribed dose of NPH insulin?
2100
1400
0630
0000
Your client is admitted to the intensive care unit with diabetic ketoacidosis.
You know that your client will be placed on an intravenous insulin drip. The
only type of insulin which can be administered intravenously is:
NPH
Lente
Ultralente
Regular
A primary healthcare provider has prescribed levothyroxine to a patient
with hypothyroidism. Which of the following should the nurse inform the
patient to promote an optimal response to the drug therapy?
Administer the drug early in the morning
before breakfast
Apply soothing creams or lubricants to
prevent rashes
Record the pulse rate and bring the record
to the PHCP
Administer with breakfast
A child weighs 11 kilograms. The physician orders a drug as follows: 0.2 mg/kg
intravenously. The nurse determines the proper dose as which of the following?
2.2 mg
1.2 mg
12 mg
24 mg
You have a patient newly admitted to your unit with Lupus, Hyperlipidemia, HTN and is need
of treatment for a staph infection. You would question which of the following orders?
Atenolol 25 mg PO Daily
ASA 81 mg PO Daily
Cipro 500 mg IV Daily
Simvastatin 10 mg PO QHS
You observe your patient, who is being treated for RA, present with Severe pruritus,
rashes, stomatitis, severe bruising and difficulty breathing. What is the priority action?
Assess the patient to ensure no respiratory
are cardiovascular compromise is present
Notify the physician immediately
Stop the medication immediately
Administer Solumedrol Immediately
A diabetic patient presents with nausea, diaphoresis,
tachycardia and lethargy. You identify this as
PNS Response to Hyperglycemia
SNS Response to Hyperglycemia
PNS Response to Hypoglycemia
SNS Response to Hypoglycemia
A 64 year old patient has been prescribed ibuprofen for osteoarthritis. Which of the
following symptoms would the nurse instruct the patient to notify the physician of
immediately?
Headache
Dark and Tarry Stools
Nausea and Vomiting
Chest Pain
A nurse instructs the patient taking aspirin to avoid food
containing salicylates because this increases the risk of
adverse reactions. Which foods should the patient avoid?
Soft Drinks and Milk
Broccoli and Milk
Salt and Liver
Prunes and Tea
A patient has the following lab values: Hgb- 12, Hct -38, PT - 9.5, K+
- 4.8, INR - 5.2, Cl- - 132, WBC - 11.4. Which of the following
medications do you anticipate to give based on these values?
Protamine Sulfate
Phytonadione
TNKase
Alteplase
Your patient has the following vitals: 98/60, 85, 16, 98%,
98.9F. What medication will you hold?
Coumadin 5 mg
Questran 4gm
Lisinopril 40mg
Methotrexate 7.5 mg
A patient is prescribed Simvastatin 20 mg PO Daily. You
understand this medication to be prescribed for
Hypertension
Hyperglycemia
Hyperkalemia
Hyperlipidemia
The nurse understands that which supplement may be
prescribed for a patient taking Metformin?
Vitamin D
Potassium
Calcium
Vitamin B12
You enter a patient’s room after administering insulin and find them lethargic,
diaphoretic with cool clammy skin. Which of the following will you administer?
15 grams of carbs (Orange Juice)
Glucagon SQ
Glucose Tablets
5 units of Lantus
The nurse understands that it is important to educate the pregnant woman
about the importance of taking medication only as prescribed by a physician
while breast feeding. Why is this important for the patient to do?
A woman can become addicted to some of the
medications if the physician has not
prescribed them
The woman may not metabolize the
medication adequately, and the baby would
not receive the correct dose.
Pregnant women do not understand the
importance of not taking any over-the-counter
medications.
Many drugs can be passed through the
breast milk, causing ill effects to the infant.
Which of the following is a key process with drug
excretion?
Passive Diffusion
Active Transport
Protein Binding
Filtration
Which of the following is sinus tachycardia?
The nurse is teaching a client about hypertension. The nurse teaches that nonpharmacologic
methods to decrease blood pressure would include which of the following?
Weight loss and decreased salt intake
Decreased water intake and decreased
potassium intake
Increased exercise activity and fat intake
Stress reduction techniques and high fat
intake
A patient is prescribed an antitussive agent with codeine. Which of
the following statements by the patient indicates that your
teaching has been effective?
“I will take this medication whenever I am
coughing
This medication will make me anxious and
nervous.”
I will call my physician if I develop diarrhea
when I take it
“This medication will cause drowsiness,
and I will not drive.”
Aminoglycosides are poorly absorbed from the GI tract; they
are useful in treating which of the following?
Prevention of abdominal infection from
bowel surgery
Pseudomembranous colitis
Ulcerative colitis
Crohn's disease
Your patient’s telemetry monitor
alarms and you see the following
rhythm. You assess your patient
who is without respirations or a
pulse. Your priority action is to:
Initiate an IV and administer epinephrine 1
mg immediately
Shock the patient at 200 Joules
immediately using a biphasic defibrillator
Initiate the BLS algorithm
Xanthine derivatives elicit their effect by which of the
following mechanisms?
Stimulation of beta-adrenergic receptors
Reduction of airway hyper-responsiveness
Stimulation of the central nervous system
Stabilization of mast cell membranes
A patient is observed to have a sudden and significant drop in BP,
erythema of the neck and back, fever, chills and paresthesia. You
identify this emergency as a toxic effect of what medication?
PCN
Bactrim
Tetracycline
Vancomycin
A patient comes to the ED with an acute exacerbation of asthma. You
anticipate which of the following medications to be administered initially?
Albuterol / Atrovent Nebulizer
Prednisone
Advair
Symbicort
What is your priority action
with a patient with this
rhythm complaining of chest
pain and SOB?
Administer Oxygen via NRB
Initiate IV and prepare for cardioversion
Have patient perform vagal maneuvers
Administer NTG 0.4mg SL stat
A patient is prescribed Carvidelol 3.125 mg PO Daily. You
understand this medication to be used for
Hyperlipidemia
Hypertension
Hypercalcemia
Hyperkalemia
A clinic patient needs to take 1 g PO of cefadroxil. The nurse explains to the patient
that the drug comes in 500 mg tablets. How many tablets would the nurse tell the
patient to take?
0.5 tab
1 tab
2 tabs
3 tabs
The nurse is preparing to administer a medication that is
classified as an antihypertensive and knows that this drug is
intended to treat what type of condition?
Bacterial Pneumonia
Peripheral Edema
HTN
Migraine
When assessing a patient who has developed an anaphylactic
reaction, which of the following would the nurse expect to find?
Difficulty Breathing
Decreased Hct
Swollen Lymph Nodes
Swollen Joints
A parent brings a child to the clinic for an earache. The child receives a prescription for amoxicillin. The parent
calls the clinic the next day and says the child has been taking the medicine and now has a rash. The nurse
should give the parent instructions about which type of response?
Expected Response
Allergic Response
Idiosyncratic Response
Anaphylactic Response
A nurse working for a drug company is involved in phase III drug evaluation studies. Which of
the following might the nurse be responsible for during this stage of drug development?
Working with animals who are given
experimental drugs
Monitoring drug effects in patients who are
selected to participate in a study, who have
the disease that the drug is meant to treat
Administering investigational drugs to
patients
Informing healthy, young volunteer
participants of possible risks that could occur
from taking an experimental drug
A patient who has ongoing pain issues has been prescribed meperidine
(Demerol) IM. How should the nurse best administer this medication?
Into the patient's vascular space using a
large-gauge needle
Into the patient shoulder muscle using a
small-gauge needle
Into the patient's buttocks using a small- to
medium-gauge needle
Into the patient's thigh using a large-gauge
needle
Which of the following is the best method of error detection?
Manual redundancy system
Bar coding system
Computerized order entry system
Manual order entry system
A patient is sent home with a prescription for codeine to suppress a cough
and to help with mild discomfort. Which of the following should the nurse
tell this patient to avoid while taking this medication?
green leafy vegetables
alcohol
coffee
chocolate
The patient with herpes simplex comes to the clinic. He states that he has multiple
outbreaks of cold sores each year. The physician's drug of choice for this patient
would be which of the following?
Abreva
Lotrimin
Ultra
Mentax
An infant comes to the clinic with extreme diaper rash that has spread over the
entire genitalia and begun to advance down both legs. The physician orders a
topical ointment to treat this problem. Which of the following should the nurse
include in teaching the parents about this ointment?
Apply as often as you would like.
Do not use a tight diaper after applying this
ointment.
Apply a dressing over the ointment so it
does not rub off.
Apply the diaper tightly and that will
prevent needing to use a dressing.
A nurse is completing admission paperwork for a patient with pneumonia. The patient's
medication history shows only brimonidine 1 gtt in both eyes three times a day. The nurse
deducts that this patient suffers from which of the following diseases?
Cataracts
Myopia
Hyperopia
Glaucoma
The nurse identifies which of the following as the correct method
to instill ear drops in the adult patient?
The nurse pulls the pinna of the ear up and
back.
The nurse pulls the pinna of the ear down
and forward
The nurse leaves the pinna in place and
instills the drops.
The nurse pulls the pinna down and back
A child is being seen in the clinic for “something in his ear." On exam, the provider
sees that the child has an excessive amount of hard cerumen in his ear and
prescribes carbamide peroxide drops. What teaching point is important for the
nurse to give the parent and child?
"If the drops cause discomfort or the child
doesn’t like them, then don’t use them."
It is important to heat the drops in a
microwave before using them."
Never put anything in the ear in an attempt
to remove the cerumen."
If the prescribed one to two drops don’t
work, then use more drops."
Your patient returns from the PACU with the following order: Morphine 3
mg IV every 2 hours as needed for relief of pain. The vial reads Morphine, 4
mg/mL. How many milliliters of Morphine should the patient receive?
1 ml
½ ml
¼ ml
¾ ml
What classification is HCTZ?
Diuretic
ACE
Beta Blocker
CCB
Which of the following is a NSAID?
Ketoralac
Tramadol
Oxycontin
Acetameniphen
Which of the following is the generic name for Calan?
nifedipine
Bepridil
Verapamil
Amlodopine
What do you set the oxygen flow meter at to administer an
A&A treatment?
4 L/Min
6 L/Min
8 L/Min
10 L/Min
Identify this Rhythm
A Fib
A Flutter
Sinus Tachy
SVT
Identify this Rhythm
A Fib
Asystole
Torsades de Pointes
V Fib
Identify this Rhythm
Sinus Bradycardia
Asystole
NSR
A Fib
Identify this Rhythm
Sinus Bradycardia
Asystole
Agonal Rhythm
Third Degree AV Block
Identify this Rhythm
SVT
Torsades De Pointes
V tach
V Fib
Your patient has his rhythm
with a pulse. You anticipate
which order?
CPR
Magnesium Sulfate
NSR Bolus
Shock at 250 J
You 85 year old patient’s 12 lead shows ST Depression in leads
I, III and V1. You understand this to be indicative of
STEMI of Inferior heart wall
STEMI of Septal Wall and Inferior Wall
Myocardial Ischemia
Abnormal Finding
You 85 year old patient’s 12 lead shows ST Elevation in V3, V5,
V6 and aVR. You understand this to be indicative of
STEMI of LAC
NSTEMI of cardiac muscle
Myocardial Ischemia
Abnormal Finding
You have a 12 year old girl who comes to your clinic with this rash. The mother
states there has been no new clothes, detergents, soap or anything in contact with
her daughter. However, she states she did start swimming in a community pool. You
anticipate the physician will diagnose her with what?
Contact Dermatitis
Pseudomonas Dermatitis
Otitis Externa
Varicella
Which of the following does not influence blood pressure?
Preload
Afterload
Contractility
Intralode
Which of the following is a bile acid sequestrant?
Wechol
Atorvastatin
Pravachol
Zocor
Which of the following is a fibric acid derivative?
Diltiazem
Vasotec
Fenofibrate
Prevalite
A young child is ordered Albuterol MDI for URI. What will you
include with the MDI for administration?
Nebulizer
Spacer
Humidifier
Incentive Spirometer
A physician is suturing your patient and asks you get lidocaine with
epinephrine 2%. You understand the combination is used because
Epi amplifies the anesthetic affect of lido
Epi causes vasoconstriction
Lidocaine is unstable, unless mixed with epi
The combination decreases the
inflammatory process
Your patient has been prescribed Celebrex. Which of the
following will you include in your teaching?
Take it on an empty absorption
It may take several weeks for the NSAID to
reach its full effect
Celebrex is a controlled substance
Do not drive while on this medication
The total time it will take for a final culture and sensitivity for
a blood culture is
2 days
3 days
4 days
5 days
You enter a patient’s room after administering insulin and find them lethargic, non verbal ,
diaphoretic with cool clammy skin. Which of the following will you administer?
15 grams of carbs (Orange Juice)
Glucagon SQ
Glucose Tablets
5 units of Lantus
SURVEY
BE HONEST
The interactive midterm was less stressful than the engrade
exam.
Yes
No
I liked the interactive midterm
Yes
No
I learned more from the interactive midterm as opposed to an
engrade exam
Yes
No
I feel that the interactive midterm is as effective as an engrade
exam
Yes
No
I think engrade exams need to be used to prep us for the
NCLEX – the interactive exam does not work
Yes
No
The interactive exam should be used as a final exam, and the
ATI pharmacology exam should be used to prep us for the
NCLEX
Yes
No
Group Posters
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Group I
Group II
Group III
Group IV
Group V
Group VI
Group VII
Group VIII
DMARDs I
DMARDs II
DMARDs III
Topical Antibiotics
Topical Antivirals
Ophthalmic Solutions
Otic Solutions
Immunostimulants