PHARM 1

Question 1

The LPN is collecting data for the initial assessment of a patient upon admission to a Long-term care facility before giving the patient’s prescribed drugs. Which action should the LPN consider to be the highest priority?
a. Obtain any special equipment that will be needed to give the patient’s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate

Answer 1

c. Collect data about the patient and the patient’s health condition.

Question 2

The LPN is working with a patient in the planning stage of the nursing process related to the patient’s prescribed drugs. Which action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.

Answer 2

d. Determine how much the patient understands about his drug.

Question 3

You are teaching a patient with depression about the potential adverse effects of a prescribed drug. What part of the nursing process related to drug therapy are you engaging in at this point of the teaching plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis

Answer 3

Evaluation

Question 4

The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.

Answer 4

a. Hold the drug and report the blood pressure to the RN.

Question 5

of information indicates that the LPN has a clear understanding of objective assessment data?
The LPN is collecting objective data for inclusion in the nursing assessment. Which piece
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.

Answer 5

d. Compilation of past laboratory results and x-ray reports.

Question 6

A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The office nurse reviews the patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to this review?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation

Answer 6

Evaluation

Question 7

After receiving report, the LPN gives drugs to her assigned patients on the evening shift. With which stage of the nursing process does this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis

Answer 7

Implementation

Question 8

You are reviewing a patient’s new antihypertensive drug order. The order as written is unclear as to the number of times per day the drug is to be given. What is your best action?
a. Call the healthcare provider to clarify the order.
b. Refer the question to the hospital pharmacy.
c. Give the drug according to the information in a drug handbook.
d. Hold the drug until the healthcare provider returns the following day.

Answer 8

Call the healthcare provider to clarify the order.

Question 9

A patient is receiving an antibiotic for pneumonia. On the third day of the treatment regimen, a rash appears on her chest, and she reports itching and shortness of breath. Which term describes the effect that has occurred?
a. Therapeutic effect
b. Adverse effect
c. Side effect
d. Overdose effect

Answer 9

Adverse effect

Question 10

An LPN enters a patient’s room to give a scheduled drug. Before administration, the patient states, “I can’t take that drug; I’m allergic to it.” What should the nurse do first?
a. Reassure the patient that the drug is needed and observations regarding possible allergic symptoms will be made.
b. Review the patient record and encourage the patient to take the drug if no allergies have been documented.
c. Assess the patient’s allergic history and notify the healthcare provider to determine a course of action.
d. Document patient refusal and leave a note on the patient chart for the healthcare provider.

Answer 10

Assess the patient’s allergic history and notify the healthcare provider to determine a course of action.

Question 11

The LPN is preparing to give the initial dose of an antibiotic to a patient diagnosed with an infection. The patient says, “I broke out in a rash the last time I took that pill.” What action should the LPN take next?
a. Give the drug and check the patient in 30 minutes for a rash.
b. Document that the patient refused the drug per agency policy.
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d. Notify the registered nurse or healthcare provider.

Answer 11

Notify the registered nurse or healthcare provider.

Question 12

Which priority assessment must you make before giving any patient a drug by mouth?
a. Quiz the patient about the action of each drug.
b. Make sure the patient can swallow.
c. Find out whether the patient prefers cold or room temperature liquids.
d. Ask the patient to repeat his or her name and birthdate.

Answer 12

Make sure the patient can swallow.

Question 13

A licensed practical/vocational nurse has a specific set of roles and responsibilities. Which responsibilities are within the scope of an LPN/LVN? (Select all that apply.)
a. Writing medical orders
b. Assessment of admission vitals to report to the admitting RN
c. Conducting a comprehensive admission assessment
d. Independent initiation of comprehensive plan of care
e. Management of patient care under RN supervision

Answer 13

B. Assessment of admission vitals to report to the admitting
E. RNManagement of patient care under RN supervision

Question 14

The LPN is collecting subjective data for inclusion in the nursing assessment. What information indicates that the LPN has a clear understanding of the nature of subjective assessment data? (Select all that apply.)a. Pulse rate
b. ECG brought in by the patient
c. Chief complaint of chest pain in the patient’s own words
d. Auscultation of lung sounds
e. The patient’s statement of current over the counter and prescription drugs
f. The patient’s laboratory test results

Answer 14

C E

Question 15

A 72 year-old female patient has just been admitted to a rehabilitation center for extended physical therapy following a stroke. You are obtaining the patient’s drug history. Which information should you collect? (Select all that apply.)
a. Drugs currently being taken
b. Over-the-counter drugs being taken
c. Referrals to specialists
d. Diseases or conditions requiring drugs
e. Use of herbal supplements
f. Past medical history
g. Alcohol use
h. Drug allergies

Answer 15

A B D E G H

Question 16

You have obtained a liquid narcotic for a patient in pain from the unit’s locked cabinet. However, the dose was accidentally spilled before giving it to the patient. What is the best action to take at this point?
a. Ask another nurse to cosign the inventory record describing the situation. b. Immediately obtain another dose from the narcotic control system.
c. Document the occurrence in the drug record.
d. Clean up the spill and notify the supervisor.

Answer 16

Ask another nurse to cosign the inventory record describing the situation.

Question 17

As you arrive to work, a nurse from the previous shift tells you that she has completed the narcotic count for your shift. What action should be taken?
a. There is no need for any additional action as this is the standard procedure. b. Accept the keys to the narcotic cabinet and recount the drugs yourself.
c. Recount the narcotics again with a nurse from the previous shift.
d. Recount the drugs yourself at the end of your shift.

Answer 17

c. Recount the narcotics again with a nurse from the previous shift.

Question 18

A one-time order for a controlled substance drug has been written for a patient you are caring for. However, the drug ordered is available only in a larger dose than is needed. What should you do with the remaining drug?
a. Give the full dose that is available.
b. Flush the remaining drug in the toilet of the patient’s bathroom.
c. Save the remaining drug in case the patient needs it again.
d. Have another nurse to witness wasting of the leftover drug, and document according to policy.

Answer 18

d. Have another nurse to witness wasting of the leftover drug, and document according to policy.

Question 19

An elderly patient in an assisted living home requests an over-the-counter cough preparation for a mild cough she is experiencing.
What is your best response?
a. “I do not have any of this drug for you at this time, but can give you a dose from another patient’s supply.”
b. “I will bring it to you right away, but I must keep it with your other prescription drugs.”
c. “I will need to contact your healthcare provider for an order before I can give this drug to you.” d. “You may have this, but your family will need to bring it in for you.”

Answer 19

“I will need to contact your healthcare provider for an order before I can give this drug to you.”

Question 20

Which of the following orders is an example of a single drug order?
a. Atenolol 50 mg orally daily
b. Morphine sulfate 4 mg IV stat
c. Cefazolin 1 g IV 8 a.m. before surgery
d. Tramadol 50 mg orally as needed for pain

Answer 20

c. Cefazolin 1 g IV 8 a.m. before surgery

Question 21

You are giving drugs to the patients assigned to you when you realize that you gave a drug to the wrong patient. What action should you take?
a. Evaluate the patient’s condition and notify the healthcare provider.
b. Submit a report only if the patient has an adverse reaction.
c. Inform the patient and complete an incident report.
d. Document the occurrence in the patient record.

Answer 21

A

Question 22

Which of the following scenarios may be a sign of possible drug diversion on a unit? (Select all that apply.)
A patient is dissatisfied with the drug administration schedule.
b. A patient receiving oral antibiotics has an excess number of pills.
c. A patient is unaware that the nurse mixed a drug in applesauce.
d. A patient receiving opioids reports increased pain.
e. A nurse reports the narcotic count is inaccurate.
f. A patient brings his pain drug from home to the hospital.

Answer 22

D E

Question 23

A 90-year-old woman with dementia is refusing to take her prescribed morning drugs. Another nurse urges you to mix her drugs into some applesauce and feed it to her as a way to give her drug. Which of the following actions should you take before you give a drug mixed into food or drink? List the appropriate actions. (Select all that apply.)
a. Inform the patient or family.
b. Assure the patient she does not need to take her prescribed drugs.
c. Thoroughly crush only pills with an enteric coating.
d. Only mix liquid drugs into food.
e. Give the prescribed drug mixed in food during a regular patient meal. f. Document the mixing of drugs in food or drink in the chart.
g. Have the family give the food containing the drugs.

Answer 23

A F H

Question 24

You have just completed giving the patient drugs for your shift when you discover that you made a drug administration error. What steps should you take? (Select all that apply.)
a. Fill out an incident report as soon as possible.
b. Fill out an incident report only if the patient suffers an adverse event. c. Call the healthcare provider immediately.
d. Check your patient and assess vital signs.
e. Report the drug error to the Joint Commission.
f. Discuss the potential cause of the error with the nurse manager

Answer 24

A C D

Question 25

You are caring for an elderly patient who was just admitted the rehabilitation unit following a hospitalization for a fractured hip. You suspect that in the transfer from the hospital to the rehabilitation unit an error in the patient’s drug orders may have been made. Which steps should you take to identify possible drug errors in a patient’s drug orders? (Select all that apply.) a. Call the pharmacy. b. Clarify anything that is unreadable. c. Ask the patient about the drug. d. Reconcile the drug list with an old drug record. e. Clarify vague orders with the healthcare provider. f. Check the original written order with the healthcare provider. g. Inform the nurse manager.

Answer 25

A B E F

Question 26

Which levels of regulation must you adhere to when giving drugs to a patient? (Select all that apply.) a. City Regulations b. State Regulations c. County Regulations d. Federal Regulations e. Institutional Regulations f. Health Insurance Regulations

Answer 26

B D E

Question 27

A narcotic control system is used in any hospital or agency. Which of the following are special regulations applied for control of narcotics that you must follow? List the special regulations applied for the control of narcotics that the nurse must follow. (Select all that apply.) a. Narcotics may be borrowed from patient to patient for emergency use. b. Narcotics are stored in a special locked cabinet. c. You may return unused narcotics to the patient’s family upon discharge. d. An inventory of the narcotics on a unit must be kept and verified by two nurses. e. You are responsible for signing out every narcotic drug used for a patient. f. Narcotics control is the responsibility of everyone on the unit.

Answer 27

B D E

Question 28

A discrepancy in the narcotics inventory for morphine 5 mg/mL vials is discovered when the narcotics count is performed. The count is short by one vial. Which of the following steps should you take to reconcile the count? (Select all that apply.) a. No action needs to be taken for small discrepancies. b. Notify the nursing supervisor and the pharmacy of the discrepancy. c. Identify if any nurse forgot to record any of the narcotics removed. d. Ask only the nurses who used narcotics about the drugs they have given. e. Check drug records to reconcile if narcotics given and not signed for. f. Notify the security department of the institution if drug diversion is suspected.

Answer 28

B C E F

Question 29

1. Which is always true regarding the generic name for a drug? a. The generic name is capitalized when written. b. The generic name is similar to the chemical name. c. The generic name is the same in any country. d. The generic name is assigned by a specific manufacturer.

Answer 29

c. The generic name is the same in any country.

Question 30

2. What is the difference between the generic and the trade names of drugs? a. The generic name is approved and owned by the Federal Drug Standards Committee. b. The generic name represents the proprietary name given by a drug company. c. The trade name is one that is registered to a specific drug manufacturer. d. The trade name, or chemical name, represents the chemicals in the drug.

Answer 30

c. The trade name is one that is registered to a specific drug manufacturer.

Question 31

You are teaching a new nursing student about the way drugs attach to its receptor sites. Which statement made indicates the students understanding about the way drugs and receptor sites work? a. “The drug attaches to a receptor site and activates it.” b. “The drug prevents activation of the receptor site.” c. “The receptor site is activated, allowing DNA replication to occur”. d. “The receptor sites are activated once the drug leaves the receptor site.”

Answer 31

a. “The drug attaches to a receptor site and activates it.”

Question 32

4. You are giving the drug antagonist naloxone (Narcan) to a patient who has experienced an opioid overdose. What response would you expect in this patient from a drug antagonist? a. An opioid antagonist would result in negative activation of cell receptors. b. An opioid antagonist would result in positive activation of cell receptors. c. An opioid antagonist would result in partial activation of cell receptors. d. An opioid antagonist would result in no activation of cell receptors.

Answer 32

d. An opioid antagonist would result in no activation of cell receptors.

Question 33

You have just given a patient a drug that is a known agonist. The patient asks how this drug is expected to work. What is your best response? a. “This drug works by deactivation of all cellular receptor sites.” b. “This drug works to partially block receptor sites.” c. “This drug works by interacting with other drugs.” d. “This drug works by attaching to the receptor site to activate it.”

Answer 33

d. “This drug works by attaching to the receptor site to activate it.”

Question 34

You are giving an oral drug to a patient who asks you to explain the reason for taking water with an oral tablet. What is your best response? a. “Water is important for proper metabolism.” b. “Juice or milk can keep it from dissolving.” c. “Water helps to dissolve the drug.” d. “Water keeps the drug potent.”

Answer 34

c. “Water helps to dissolve the drug.

Question 35

You are about to give an IV antibiotic to a patient hospitalized with severe cellulitis of the right leg. The patient asks why the drug is being given by the intravenous route instead of by mouth. What is your best response? a. “This antibiotic is not available in oral form.” b. “This antibiotic can act faster if given by IV than if given by mouth.” c. “This antibiotic can cause stomach ulcers if given by mouth.” d. “This antibiotic was ordered to be given by the IV route.”

Answer 35

b. “This antibiotic can act faster if given by IV than if given by mouth.”

Question 36

What is the process by which drug molecules move from a region of higher concentration to one of lower concentration? a. Diffusion b. Osmosis c. Filtration d. Solubility

Answer 36

. Diffusion

Question 37

A 62-year-old male patient with liver disease asks you why he is receiving a drug intravenously rather than by mouth. What is your best response? a. “Many oral drugs are inactivated as you get older.” b. “Your liver disease impairs the transformation of a drug into its active form.” c. “Intravenous drugs reduce toxicity to the liver through first-pass metabolism.” d. “Individuals with liver disease have a genetic impairment that prevents drug activation.”

Answer 37

b. “Your liver disease impairs the transformation of a drug into its active form.”

Question 38

A patient who is beginning a new cholesterol-lowering drug tells you he plans to take thisdrug in the evening with his usual glass of grapefruit juice. What is your best response? a. “Taking grapefruit juice can reduce the effectiveness of the drug.” b. “Taking grapefruit juice can increase the absorption of the drug.” c. “The vitamin C in grapefruit juice enhances the action of cholesterol-lowering drugs.” d. “The acid environment of grapefruit juice promotes drug metabolism.”

Answer 38

a. “Taking grapefruit juice can reduce the effectiveness of the drug.”

Question 39

You give a patient 400 mg of an oral drug at noon. This drug has a half-life of 2 hours. At what time will 100 mg remain? a. 2:00 p.m. b. 6:00 p.m. c. 8:00 p.m. d. 4:00 p.m.

Answer 39

d. 4:00 p.m With a half-life of 2 hours, the amount of drug remaining in the blood decreases by 50% every 2 hours. So, when 400 mg are given at noon, by 2:00 p.m., 200 mg remain; by 4:00 p.m., 100 mg remain.

Question 40

When teaching a patient about a new drug that has been prescribed, the patient asks you to explain the difference between a side effect and an adverse reaction. What is your best response? a. “Side effects are mild, and adverse effects are severe.” b. “Both side effects and adverse reactions are mild.” c. “Both side effects and adverse reactions are severe.” d. “Side effects are severe, and adverse reactions are mild.”

Answer 40

“Side effects are mild, and adverse effects are severe.”

Question 41

13. A 42-year-old female patient recovering from a recent fall tells you that she is experiencing sleepiness after taking a drug prescribed for back pain. What is your best response? a. “You are having a severe drug interaction.” b. “You are having an idiosyncratic response to this drug.” c. “You are having the desired effect of this drug.” d. “You are having an expected drug side effect.”

Answer 41

d. “You are having an expected drug side effect.”

Question 42

14. A 27-year-old male patient with a sexually transmitted infection who was given intramuscular penicillin develops hives, itching, and facial swelling after the injection. What type of drug reaction is this patient experiencing? a. An adverse reaction b. A paradoxical reaction c. A hypersensitivity reaction d. An anaphylactic reaction

Answer 42

c

Question 43

15. A 21-year-old woman has been prescribed a 10-day course of an oral antibiotic for a sinus infection. What information should be included in the teaching plan for this patient? a. Antibiotics can have a synergistic effect when given with opiates. b. Antibiotics can mask the signs of allergic reactions. c. Antibiotics interact with birth control pills making them less effective. d. Antibiotics interfere with P-450 enzyme pathways in women.

Answer 43

c. Antibiotics interact with birth control pills making them less effective.

Question 44

Probenecid is sometimes given to patients taking penicillin to increase the amount of penicillin absorbed. Which effect is this an example of? a. Additive effect b. Drug interaction c. Synergistic effect d. Antagonistic effect

Answer 44

a. Additive effect

Question 45

17. A patient who has been prescribed an antianxiety drug to be taken in the evening tells you he has 2 to 3 beers with dinner each night. What is your best response? a. “The effect of alcohol on this drug is not a concern.” b. “Drinking any alcohol with this drug can have a harmful additive effect.” c. “Limit your alcohol use to 8 ounces a day with a meal.” d. “Eating a full meal before taking the drug will negate any side effects.”

Answer 45

b. “Drinking any alcohol with this drug can have a harmful additive effect.”

Question 46

18. You are caring for a patient with liver failure who will be starting on an oral anticoagulant for the treatment of a deep vein thrombosis. What effect of this drug should you expect? a. The effect of the anticoagulant will be prolonged and pose a risk for bleeding. b. The effect of the anticoagulant will be reduced, requiring additional doses. c. The effect of the anticoagulant will result in an increased risk for infection. d. There will be no effect of the anticoagulant on the deep vein thrombosis.

Answer 46

a. The effect of the anticoagulant will be prolonged and pose a risk for bleeding.

Question 47

19. You are caring for a patient who has been prescribed an oral opioid for pain following the surgical repair of a fractured ankle. The patient’s social history states that he drinks alcohol on a daily basis. Which statement regarding pain relief for this patient is true? a. A lower dose of opioids is needed for patients who drink alcohol daily. b. Daily alcohol intake can increase the activity of metabolic enzymes in this patient. c. There is no effect on metabolism of opioids as long as the patient has normal liver function. d. In patients who drink alcohol daily, prodrugs like opioids are activated more slowly.

Answer 47

b. Daily alcohol intake can increase the activity of metabolic enzymes in this patient.

Question 48

20. Which statement concerning absorption of oral drugs is true for neonates? a. Oral prodrugs are activated most quickly in the neonate. b. Oral drugs are poorly absorbed for the gastrointestinal tract of the neonate. c. The overall low body metabolism results in increased toxicity in the neonate. d. The high percentage of total body water rapidly dilutes oral drugs in the neonate.

Answer 48

b. Oral drugs are poorly absorbed for the gastrointestinal tract of the neonate.

Question 49

The nurse receives an order to give methylprednisolone 125 mg/1 mL IM. The nurse knows that she should inject this drug into the------------to assure the drug is absorbed most rapidly. a. Vastus lateralis b. Dorsogluteal muscle c. Abdomen d. Ventrogluteal muscle e. Deltoid muscle

Answer 49

. Deltoid muscle

Question 50

You are preparing to give an oral drug to a patient. You are aware that in order for the drug to be used by the body, the drug needs--------------- to be absorbed through the processes of --------, - ------------and to move drug molecules.Using into the circulation. a. active transport; excretion; pharmacodynamics; distribution b. metabolism; receptor binding; receptor site; solubility c. diffusion; filtration; osmosis; passive transport d. diffusion; excretion; pharmacodynamics; passive transport

Answer 50

c. diffusion; filtration; osmosis; passive transport

Question 51

Which of the following factors are known to influence drug distribution? (Select all that apply. )a. Drug binding b. Tissue type c. Receptor site binding d. Electron displacement e. Cell membrane penetration f. Tissue perfusion

Answer 51

A B E F

Question 52

Which of the following routes are sites of excretion of drug metabolites from the body? (Select all that apply.) a. Feces b. Urine c. Breast milk d. Bloodstream e. Lymph nodes f. Salivary glands

Answer 52

A B C

Question 53

What are the possible responses a patient can have to a drug’s actions? (Select all that apply.) a. Desired action b. Bioequivalence c. Adverse effects d. Side effects e. Half-life

Answer 53

A. C D

Question 54

A nurse working at an assisted living facility knows that there are certain pharmacologic challenges in older adults. Which of the following issues related to drug therapy in older patients are true? (Select all that apply.) a. Drug interactions are far less prevalent in older patients. b. Drugs are secreted more slowly in older patients. c. Adverse drug reactions are more common in older patients. d. Fat-soluble drugs are eliminated and leave the body quickly in older patients. e. Dehydration can cause the blood level of drug to increase in older patients. f. Loss of electrolytes due to diuretics can result in loss of electrolytes in older patients.

Answer 54

B C E F

Question 55

The LPN is collecting data for the initial assessment of a patient upon admission to the hospital. Which action would the LPN consider to be the highest priority? Collect and document a complete set of baseline vital signs Monitor the patient for his or her response to any given drugs. Decide on special equipment that will be needed to give the patient’s drug. Review the nursing care plan to verify that it is being followed accurately.

Answer 55

Collect and document a complete set of baseline vital signs.

Question 56

Which patient displays the highest risk for an error to be made in the administration of drug? New immigrant who speaks both Spanish and English Receiving opioid pain drug for a broken leg Answers “yes” when asked if his name is Robert Smith

Answer 56

Answers “yes” when asked if his name is Robert Smith

Question 57

Which responsibilities are within the role of the actively licensed practical/vocational nurse? (Select all that apply.) writing medical orders management of patient care under RN independent initiation of comprehensive plan of care assessment of admission vitals to report to admitting RN conducting a comprehensive admission assessment

Answer 57

management of patient care under RN assessment of admission vitals to report to admitting RN

Question 58

Which patient displays the highest risk for a problem with prescription drugs? A 74-year-old female who wears corrective lenses A 28-year-old female who is 7 months pregnant A 48-year-old female who is experiencing menopause

Answer 58

A 74-year-old female who wears corrective lenses

Question 59

What is the term when a drug has a higher-than-normal risk for causing serious or even life-threatening problems in addition to its positive benefits? Controlled substance drugs Black box warning drugs High-alert drugs

Answer 59

black box

Question 60

The LPN is giving lorazepam which has abuse potential that may lead to limited physical or psychological dependence. To which US Drug Enforcement Administration schedule does lorazepam belong? II III V IV

Answer 60

IV

Question 61

Which drug is classified as a schedule III drug?Aspirin/butalbital/caffeine Oxycodone Diazepam

Answer 61

Aspirin/butalbital/caffeine

Question 62

The RN assesses a patient who is receiving morphine after surgery and determines that the abuse potential of the drug the patient is receiving needs to be decreased. The nurse calls the patient’s healthcare provider and anticipates obtaining an order for which drug? III I II IV

Answer 62

III

Question 63

According to the state Nurse Practice Act, authority is given for the RN and LPN to give drugs. Which statement best describes the principle of authority? The nurse is responsible for giving drugs according to the state Nurse Practice Act. Authority is a privilege given to those individuals who are named by law to give drugs. The nurse uses good judgment and appropriate actions while carrying out professional responsibilities

Answer 63

Authority is a privilege given to those individuals who are named by law to give drugs.

Question 64

Which statements describe the nurse’s responsibilities when working with controlled substances? (Select all that apply.) Controlled substances would be monitored for potential healthcare provider abuse. Nurses would immediately discard any refused scheduled controlled drug in the trash The ability to give controlled substances is determined by state Nurse Practice Acts. Nurses can only possess a controlled substance if they are giving them, are in control of a supply, or if the drugs have been prescribed for personal use.

Answer 64

A C D

Question 65

When explaining details about a patient’s drug, the LPN emphasizes what the body does to the drug once the patient takes it. The LPN is educating the patient about which process? Pharmacology Pharmacokinetics Pharmacodynamics Pharmacotherapeutics

Question 66

After taking a new drug, a patient suddenly develops a cardiac dysrhythmia in response to the drug. Although this type of response has occurred in others who took this drug, the patient needs to seek medical attention. Which term best describes this situation? Hypersensitivity An adverse reaction An anaphylactic reaction An idiosyncratic response

Question 67

When giving parenteral drugs, the LPN recognizes that these drugs do not produce a first-pass effect in the body. Which statement about parenteral drugs is correct? Parenteral drugs take longer to produce a response in the body. Parenteral drugs easily dissolve in the lipid or fat layers of the body. Parenteral drugs produce rapid effects because the liver does not inactivate them. Parenteral drugs are readily excreted which minimizes adverse effects.

Question 68

The LPN is giving a drug with a “narrow therapeutic margin.” Which statement accurately describes this drug? There is only a small difference between therapeutic and toxic dosages of the drug. There is only a small percentage of the population for whom the drug is effective. There is the possibility that the drug may not cause the desired effect. There is a limited time in which the drug may take effect.

Answer 68

There is only a small difference between therapeutic and toxic dosages of the drug.

Question 69

Which statement is not applicable to drug administration in the pediatric population? Pediatric patients are small adults who require a proportionally smaller dose of drug. Drug metabolism is decreased with the age of the child. Drug response in adolescents is altered. Transdermal drugs are contraindicated for this population.

Answer 69

Pediatric patients are small adults who require a proportionally smaller dose of drug.

Question 70

he LPN is caring for a 72-year-old patient with a seizure disorder who has been prescribed diazepam twice daily. The LPN understands that based on the patient’s age, the patient’s drug may need to be modified in which way? The dose should be decreased. The dose should be given once daily. The dose should be withheld until liver tests are complete. The dose should be increased.

Answer 70

the dose should be decreased

Question 71

Which term describes the process that involves the way a drug passes into body fluids and tissues after it has entered the body? distribution solubility metabolism absorption

Answer 71

absorption

Question 72

A patient has been instructed to avoid alcohol while taking sedatives. The LPN advises that the effects of both substances are greater when taken together than the sum of each substance when taken alone. Which term best describes this type of effect? synergistic agonistic bioequivalnce antagonistic

Answer 72

synergistic

Question 73

A patient was given ibuprofen to reduce a temperature of 100°F (37.7°C). Two hours later, the nurse evaluates the drug’s effectiveness. The patient now has a fever of 102°F (38.8°C). Which type of drug action occurred? side effect allergic response idiosyncratic reaction paradoxical reaction

Answer 73

paradoxical reaction

Question 74

what happens in diagnosis

Answer 74

figuring out all problems what concerns/cultural beliefs how much does pt understand what factors affect pt ability to care for themself

Question 75

what happens in planning

Answer 75

therapeutic goals knowledge about drug special needs equipment teaching needs

Question 76

what happens in implantation

Answer 76

pt 9 rights

Question 77

what happens in evaluation

Answer 77

therapeutic effects expected side effects adverse effects