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Q 1/50
Score 0
A 73-year-old patient with cancer is in the hospital for pain control and rates pain as a 12 on the Numeric Pain Rating Scale of 0 to 10. Thirty minutes after receiving IV pain medication, the patient reports no pain relief. The pain management nurse calls the physician for additional orders for pain medication. The nurse's actions demonstrate:
30
independence.
patient advocacy.
analgesic titration.
empathy.
Q 2/50
Score 0
The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form
of the medication will the nurse administer?
30
Enteric-coated pill
Capsule
Tablet
Liquid suspension
50 questions
Q.
A 73-year-old patient with cancer is in the hospital for pain control and rates pain as a 12 on the Numeric Pain Rating Scale of 0 to 10. Thirty minutes after receiving IV pain medication, the patient reports no pain relief. The pain management nurse calls the physician for additional orders for pain medication. The nurse's actions demonstrate:
1
30 sec
Q.
The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form
of the medication will the nurse administer?
2
30 sec
Q.
The nurse is teaching a patient who will be discharged home with a prescription for an enteric-coated tablet. Which statement by the patient indicates understanding of the teaching?
3
30 sec
Q.
The nurse is preparing to administer an oral medication that is water-soluble. The nurse understands that this
drug
4
30 sec
Q.
The nurse is preparing an injectable drug and wants to administer it for rapid absorption. How will the nurse
give this medication?
5
30 sec
Q.
The nurse recognizes that the administration of a drug influences cell physiology. What is the term for this concept?
6
30 sec
Q.
Which statement best indicates that the nurse understands the meaning of pharmacokinetics?
7
30 sec
Q.
The nurse reads that the half-life of the medication being administered is 12 hours. What interpretation will guide the nurse's care of this patient?
8
30 sec
Q.
A patient is complaining of pain rated "10" on a scale of 1 to 10. The nurse has several choices of pain medication to administer. Which order is the best for the nurse to administer at this time?
9
30 sec
Q.
The nurse is administering medications to a patient with chronic renal failure. What is the nurse's priority action?
10
30 sec
Q.
A nurse is administering two highly protein-bound drugs to the patient. Which is the safest course of action for the nurse to take?
11
30 sec
Q.
The nurse is preparing to administer a medication to a 6-month-old infant. The nurse will monitor closely for signs of drug toxicity based on the knowledge that, compared to adults, infants have
12
30 sec
Q.
The nurse will administer an intravenous medication to an adolescent patient. When preparing the adolescent for the IV insertion, which is an appropriate action by the nurse?
13
30 sec
Q.
An infant will receive a topical medication. What instruction will the nurse include when teaching the parents how to administer the medication?
14
30 sec
Q.
The nurse is preparing to give a 7-year-old child a bitter-tasting oral medication. The child asks the nurse if the medicine tastes bad. To help the child take this medication, which action will the nurse take?
15
30 sec
Q.
The nurse is preparing to administer an oral liquid medication to an 11-month-old child who is fussy and uncooperative. Which action will the nurse take to facilitate giving this medication?
16
30 sec
Q.
Which physiologic change that normally occurs in the older adult has implications for the nurse assessing drug response?
17
30 sec
Q.
Which symptom presenting in an older adult would cause the nurse to suspect drug toxicity?
18
30 sec
Q.
What effect may the older adult's cardiac system have on drug administration in this patient?
19
30 sec
Q.
The nurse administers a medication that has a long half-life to an older adult patient. What is a priority action for the nurse?
20
30 sec
Q.
The nurse is administering medication to an older adult. The nurse anticipates that this patient's hepatic system will have which effect on the medication?
21
30 sec
Q.
Which statement indicates the development of opioid tolerance?
22
30 sec
Q.
A 45-year-old patient who reports pain in the foot that moves up along the calf says, "My right foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?
23
30 sec
Q.
A 53-year-old patient who is receiving ibuprofen 400 mg twice a day for chronic, low back pain develops lower-extremity edema. The pain management nurse suspects that the edema is caused by:
24
30 sec
Q.
A patient utilizes a heating pad at home for the treatment of a muscle spasm. The pain management nurse notes the patient is on a fentanyl transdermal patch (Duragesic). What will the nurse include in the patient's education?
25
30 sec
Q.
A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse provides vigilant monitoring of this patient to prevent the occurrence of:
26
30 sec
Q.
A postoperative patient has an epidural infusion of morphine sulfate (Astramorph). The patient's respiratory rate declines to 8 breaths/min. Which medication would the nurse anticipate administering?
27
30 sec
Q.
A patient takes oxycodone (OxyContin), 40 mg PO twice daily, for the management of chronic pain. Which intervention should be added to the plan of care to minimize the gastrointestinal adverse effects?
28
30 sec
Q.
The client informs the nurse that he has experienced pain in the lower extremities for the past eight months. The nurse recognizes that this pain is classified as:
29
30 sec
Q.
The nurse notices that a patient has received oxycodone/acetaminophen (Percocet) (5/325) two tablets PO every 3 hours for the past 3 days. What concerns the nurse the most?
30
30 sec
Q.
A nurse should question the order of acetaminophen (Tylenol) for which client?
31
30 sec
Q.
For the client taking epinephrine, the nurse realizes there is a possible drug interaction with which drug?
32
30 sec
Q.
The nurse will monitor the client taking albuterol (Proventil) for which condition?
33
30 sec
Q.
Atenolol (Tenormin) is prescribed fro a client. The nurse realizes that this drug is a beta-adrenergic blocker and that this drug classification is contraindicated for clients with which condition?
34
30 sec
Q.
The nurse realizes that beta 1 receptor stimulation is differentiated from beta 2 stimulation in that stimulation of beta 1 receptors leads to which condition?
35
30 sec
Q.
A client is given epinephrine (Adrenalin). The nurse should monitor the client for which side effect?
36
30 sec
Q.
The nurse is administering atenolol (Tenormin) to a client. Which concurrent drug does the nurse expect to most likely cause an interaction?
37
30 sec
Q.
A client is receiving bethanechol (Urecholine). The nurse realizes that the action of this drug is to treat:
38
30 sec
Q.
The nurse teaches the client receiving atropine to expect which side effect?
39
30 sec
Q.
The nurse is administering a cholinergic agonist and should know that the expected cholinergic effects include which of the following?
40
30 sec
Q.
The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems?
41
30 sec
Q.
The nurse is administering a stat dose of epinephrine. Epinephrine is appropriate for which situation?
42
30 sec
Q.
The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?
43
30 sec
Q.
A patient is going home with a new prescription for the beta-blocker atenolol (Tenormin). The nurse will include which content when teaching the patient about this drug?
44
30 sec
Q.
During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats/min, the nurse will instruct the patient to do which of these?
45
30 sec
Q.
When monitoring a patient who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?
46
30 sec
Q.
The patient is receiving doxazosin (Cardura) for hypertension. He asks the nurse how the medication works. What is the nurse's best response?
47
30 sec
Q.
Varenicline (Chantix) is prescribed for a middle-aged patient for smoking cessation. What is a priority nursing action for this patient?
48
30 sec
Q.
The nurse administered donepezil (Aricept) to a patient. Which finding indicates that the medication is therapeutic?
49
30 sec
Q.
A client with dementia is prescribed donepezil (Aricept). Which should the nurse consider when teaching this client about the medication?