Chapter 1(Free) Nursing School Test Banks

 

1.

A nurse has been assigned to care for a 52-year-old attorney who has hypertension and peptic ulcer disease. Before administering his medications, the nurse must complete an initial assessment. Core patient variables will be obtained from which of the following? (Select all that apply.)

A)

The patients interview

B)

The patients medical history

C)

The patients medical record

D)

The patients physical examination

E)

The patients current laboratory and other diagnostic findings

2.

A 68-year-old female patient who was diagnosed with hypertension 2 weeks ago and was prescribed a new hypertension medication has returned to the clinic for a follow-up visit. The nurse notes that the patients blood pressure is unchanged from her last clinic visit. When the patient was asked if she was taking the new medication on a regular basis, she stated, I thought that I was supposed to take the new drug when I had a pounding headache or was in a stressful situation, not all the time. An appropriate nursing diagnosis for this patient would be:

A)

Knowledge, Deficient due to the lack of understanding concerning diagnosis of hypertension

B)

Coping, Ineffective due to forgetfulness

C)

Confusion, Acute concerning drug administration

D)

Anxiety due to diagnosis of hypertension

3.

In order to promote therapeutic drug effects, the nurse should always encourage patients to:

A)

Take their medication with meals

B)

Take their medication at the prescribed times

C)

Increase medication dosages if necessary

D)

Use alternative therapy to increase the effects of their medications

4.

A patient is treated with an antibiotic for an infection of the leg. After 2 days of taking the antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The nurse is aware that a rash can be an adverse effect of an antibiotic and can be either a biologic, chemical, or physiologic action of the drug, which is an example of:

A)

Pharmacotherapeutics

B)

Pharmacokinetics

C)

Pharmacodynamics

D)

Pharmacogenetics

5.

A nurse has been assigned the task of preparing educational materials for patients with diabetes. The nurse has included the drug name, the reason the drug was prescribed, the intended effect of the drug, along with important adverse effects that should be reported to the nurse or health care provider. Which of the following information is essential to include in the educational materials?

A)

Drug administration method

B)

Core drug knowledge

C)

Vital signs of the patient

D)

Diagnosis and outcome identification mechanism

6.

A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not aggravate the patients allergies?

A)

Call the prescriber immediately regarding her allergic reactions.

B)

Hold the medication for her muscle spasms until she can be treated for a possible allergic reaction.

C)

Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patients record.

D)

Call the dietary staff and make sure that the patient is not served eggs for breakfast.

7.

The nurse has been assigned a 49-year-old patient who has acute colitis, and the nurse just completed gathering data concerning core drug knowledge and core patient variables. To implement nursing management of drug therapy for this patient, the nurse will then:

A)

Evaluate the outcome of the drug therapy.

B)

Devise strategies to maximize the therapeutic effects of the drug.

C)

Implement planned nursing actions.

D)

Assess for data that will indicate interactions between core drug knowledge and core patient variables.

8.

Which of the following activities would the nurse expect to complete during the evaluation phase of the nursing process in drug therapy?

A)

Compare the outcome expected with the actual patient outcome.

B)

Reconsider core drug knowledge and core patient variables.

C)

Ask questions to prepare an effective patient education program.

D)

Establish a baseline for the patients treatment and care.

9.

A nurse is caring for a post-surgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy?

A)

Monitor the patients bleeding time.

B)

Check the patients blood glucose levels.

C)

Record baseline vital signs.

D)

Monitor the IV site for redness, swelling, or pain.

10.

A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note:

A)

Heart rate

B)

Body weight and height

C)

Blood pressure

D)

Skin surrounding the potential IV site

Answer Key

1.

A, B, C, D, E

2.

C

3.

B

4.

C

5.

A

6.

C

7.

B

8.

A

9.

D

10.

D

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