Rasmussen Pharm Exam 1 Questions and Answers 100% Pass
Question :A patient asks the nurse about drug interactions
with OTC preparations. What is the nurse's best response? A."Discuss this with the health care provider." B. "There are not many interactions, so don't worry about it." C. "Read the labels carefully, and check with your health care provider." D."Avoid over-the-counter preparations."
CORRECT ANSWER :C. "Read the labels carefully, and
check with your health care provider." The patient should always check with the healthcare provider prior to starting new medications, and since this is referring to OTCs, the patient should also read labels for interactions and contraindications.
Question :A provider prescribes phenobarbital for a client
who has a seizure disorder. The medication has a long half‑life of 4 days. How many times per day should the nurse expect to administer this medication? A.One B.Two C.Three D.Four
CORRECT ANSWER :•A. One. Medications with long
half‑lives remain at their therapeutic levels between doses for
long periods of time. The nurse should expect to administer this medication once a day.
Question :A nurse educator is reviewing medication
metabolism at an in‑service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? A. Increased renal excretion B. Increased medication‑metabolizing enzymes C.Liver failure D. Hypertension
CORRECT ANSWER :C. Liver failure. Liver failure
decreases metabolism and thus increases the concentration of a medication. This requires decreasing the dosage.
Question :A nurse is teaching a client about transdermal
patches. Which of the following statements should the nurse identify as an indication that the client understands? • A. "It doesn't' matter if I clean the site before I apply the patch." B."I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch."
CORRECT ANSWER :C. "I will apply the patch to an area
of skin with no hair." The client should apply the patch to a hairless area of skin to promote absorption of the medication.
Question :A nurse is preparing a client's medications. Which
of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.) • A. Teach the client about the medication. B. Determine the dosage. C.Monitor for adverse effects. D. Lock compartments for controlled substances. E. Determine the client's insurance status.
CORRECT ANSWER :A. Teach the medication as part of
the rights of medication administration. • C. Monitor for adverse effects as part of the rights of medication administration. • D. Lock controlled substances in a drawer, cart, or other compartment to prevent misuse.
Question :A nurse is preparing to administer digoxin to a
client who states, "I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make? • A. "Your physician prescribed it for you, so you really should take it." B. "Well, let's just get it over quickly then." C. "Okay, I'll just give you your other
medications." D. "Tell me your concerns about taking this medication."
CORRECT ANSWER :"Tell me your concerns about taking
this medication." D. Although clients have the right to refuse a medication, this response is correct in determining the reason for refusal by asking about the client's concerns. Then information can be provided about the risk of refusal and facilitate an informed decision. At that point, if the client still exercises their right to refuse a medication, notify the provider and document the refusal and the actions taken.
Question :A nurse is reviewing a client's prescribed
medications. Which of the following situations represents a contraindication to medication administration? • A. The client drank grapefruit juice, which could reduce a medication's effectiveness. B. The medication has orthostatic hypotension as an adverse effect. C. A medication is approved for ages 12 and older, and the client is 8 years old. D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative.
CORRECT ANSWER :C. Age is one factor that can be a
contraindication to medication administration.Contraindications are findings that indicate the client should