Ford Roach’s Introductory Clinical Pharmacology 9th Edition by Susan M. Ford -Test Bank

 

 

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Sample Test

Chapter 3- Calculation of Drug Dosages and Mathematic Review

 

1.	Which of the following are environmental factors that lead to errors in the calculation of drug doses? Select all that apply.
	A)	Poor lighting
	B)	Heavy workload
	C)	Noise
	D)	Temperature
	E)	Interruptions

 

2.	Which of the following are the three specific items found on a drug label needed to administer a drug? Select all that apply.
	A)	Monitoring parameters
	B)	Side effects
	C)	Dosage form
	D)	Drug name
	E)	Dosage strength

 

3.	When a nurse reviews the package labeling, which of the following names will the nurse see on the drug label?
	A)	Trade name
	B)	Scientific name
	C)	Pharmacological name
	D)	Nonproprietary name
	E)	Generic name

 

4.	Which of the following might help the nurse distinguish between the trade and generic names on a drug label? Select all that apply.
	A)	The trade name is written in smaller print.
	B)	The trade name is usually capitalized.
	C)	The trade name is followed by a registration symbol.
	D)	The trade name is often in parentheses.
	E)	The trade name is found under the generic name.

 

5.

A client has been taking Coumadin 5 mg daily. After a check of the client’s INR, the physician wants to increase the client’s Coumadin dose to 7.5 mg on Wednesdays and continue 5 mg all the other days of the week. How many Coumadin 5 mg tablets does the nurse need to give the client to achieve a dose of 7.5 mg?

 

6.	A nurse should recognize which of the following as a metric system unit? Select all that apply.
	A)	Inch
	B)	Milligram
	C)	Centimeter
	D)	Ounce
	E)	Pound

 

7.	A physician writes an order for a client to receive Levothyroxine (Synthroid) 0.2 mg, but the client has 100 mcg tablets. How many 100 mcg tablets should the nurse administer to the client?

 

8.	Which of the following drug doses is written correctly? Select all that apply.
	A)	Synthroid 0.175 mg
	B)	Synthroid .175 mg
	C)	Synthroid 175 mcg
	D)	Synthroid 175.0 mcg
	E)	Synthroid .1750 mg

 

9.	Drugs used for parenteral administration may be available in which of the following forms? Select all that apply.
	A)	Disposable syringes
	B)	Reusable cartridges
	C)	Ampules containing liquid form of the drug
	D)	Reusable vial containing liquid form of the drug
	E)	Vial containing drug powder

 

10.	A client weighs 56 kg. How many pounds does the client weigh?

 

11.	A client weighs 275 lb. How many kilograms does the client weight?

 

12.	A client has a temperature of 39°C. What is the client’s temperature in degrees Fahrenheit?

 

13.	A client has a temperature of 99°F. What is the client’s temperature in degrees Celsius?

 

14.	Convert the ratio 2:100 into a percentage.

 

15.	A client is to receive 0.5 mg of a drug. The drug is available in a 2 mg/mL vial. How many mL should the nurse administer to the client?

 

16.	A client is to receive a 7.5 mg/kg dose of a drug. The client weighs 155 lb, how many milligrams of the drug should the client receive per dose?

 

17.	The physician writes an order for a client to receive 1 mg of vitamin B12 once every month. Vitamin B12 comes in a 1000 mcg/mL vial. How many mL should the nurse administer to the client each month?

 

18.	A client is to receive 250 mg of penicillin VK twice daily for ten days. Penicillin VK is available in a 500 mg tablet. How many tablets should the client be instructed to take at each dose?

 

19.	A client weighs 200 lb. The client is to receive 5 mg/kg per dose of drug. How many mg of drug will the client receive in each dose?

 

20.	A client has a standing order to receive Tylenol for fevers over 100°C. A client has a temperature of 38.5°C. What is the client’s temperature in degrees Fahrenheit and should the client receive a dose of Tylenol?

 

21.	What is the first step in the procedure of dividing mixed numbers and fractions?
	A)	The whole number is first changed to a fraction.
	B)	The second fraction is inverted and fractions are multiplied.
	C)	Both numbers are changed to improper fractions.
	D)	Mixed numbers are changed to improper fractions.

 

22.	What is the first step in the procedure of dividing whole numbers and mixed numbers?
	A)	Mixed numbers are changed to improper fractions.
	B)	The whole number is changed to an improper fraction.
	C)	The whole number is placed over 1.
	D)	Both numbers are changed to improper fractions.

 

23.	What is the procedure for dividing fractions?
	A)	Both numbers are changed to improper fractions.
	B)	The whole number is first changed to a fraction.
	C)	Mixed numbers are changed to improper fractions.
	D)	The second fraction is inverted and the fractions are multiplied.

 

24.	What is the procedure to multiply a whole number and a mixed number?
	A)	Mixed numbers are changed to improper fractions.
	B)	Both numbers are changed to improper fractions.
	C)	The second fraction is inverted and fractions are multiplied.
	D)	The whole number is first changed to a fraction.

 

25.	What is the procedure to multiply mixed numbers?
	A)	The whole number is first changed to a fraction.
	B)	The second fraction is inverted and fractions are multiplied.
	C)	Mixed numbers are changed to improper fractions.
	D)	Both numbers are changed to improper fractions.

 

26.	What is the first step in the procedure of dividing a whole number by a fraction?
	A)	The whole number is placed over 1.
	B)	The whole number is first changed to a fraction.
	C)	Both numbers are changed to improper fractions.
	D)	The fraction is inverted and multiplied.

 

27.	Which of the following are units of the metric system?
	A)  Minims    B)  Grains    C)  Drams    D)  Grams

 

28.	“Dose desired / dose on hand = dose administered” is the formula for calculating the dose to be administered. Under which of the following circumstances is this to be used?
	A)	When the physician is not available to calculate the dosage.
	B)	When the dosage is written in the apothecary system.
	C)	When the dose desired and dose on hand are in the same system.
	D)	When the label of the drug is in the metric system.

 

 

Answer Key

 

1.	A, B, C, E
2.	C, D, E
3.	A, E
4.	B, C
5.	1.5 tablets
6.	B, C
7.	Two tablets
8.	A, C
9.	A, C, D, E
10.	123.2 lb
11.	125 kg
12.	102.2°F
13.	37.2°C
14.	2 percent
15.	0.25 mL
16.	528.4 mg
17.	1 mL
18.	1/2 tablet
19.	454.5 mg/dose
20.	The client’s temperature is 101.3°F, and yes, the client should receive a dose of Tylenol for his or her fever.
21.	A
22.	B
23.	D
24.	B
25.	C
26.	A
27.	D
28.	C

Chapter 4- The Nursing Process

 

1.	Which of the following are steps of the nursing process? Select all that apply.
	A)	Evaluation
	B)	Documentation
	C)	Analysis
	D)	Assessment
	E)	Planning

 

2.	Successful use of the nursing process requires which of the following? Select all that apply.
	A)	Observation
	B)	Teaching
	C)	Practice
	D)	Experience
	E)	Updating

 

3.	Which of the following are examples of objective data?
	A)	Temperature
	B)	Heart rate
	C)	Chief complaint
	D)	Medication history
	E)	Respiratory rate

 

4.	Which of the following is part of the assessment phase of the nursing process? Select all that apply.
	A)	Obtaining a medication history.
	B)	Obtaining vital signs.
	C)	Formulating nursing diagnoses.
	D)	Asking about chief complaint.
	E)	Determining therapeutic response.

 

5.	Which of the following are examples of things that should be included as part of the nurse’s initial assessment? Select all that apply.
	A)	Allergy history
	B)	Treatment response
	C)	Occupational history
	D)	Vital signs
	E)	Pregnancy status

 

6.	Which of the following are frequently used nursing diagnoses related to the administration of a drug? Select all that apply.
	A)	Noncompliance
	B)	Anxiety
	C)	Deficient knowledge
	D)	Effective therapeutic regimen management
	E)	Ineffective therapeutic regimen management

 

7.	Which of the following are possible causes of ineffective therapeutic regimen management? Select all that apply.
	A)	Visual impairment
	B)	Forgetfulness
	C)	Cognitive deficits
	D)	Mobility issues
	E)	Order entry error

 

8.	Which of the following is conducted by the nurse during the evaluation step of the nursing process? Select all that apply.
	A)	Independent nursing actions
	B)	Collection of objective data
	C)	Collection of subjective data
	D)	Initial assessment
	E)	Ongoing assessment

 

9.	A nurse taking a client’s blood pressure prior to administering a drug could be considered which of the following? Select all that apply.
	A)	Assessment
	B)	Implementation
	C)	Subjective data
	D)	Objective data
	E)	Analysis

 

10.	Which of the following must occur prior to initiating an effective therapeutic regimen? Select all that apply.
	A)	Client’s compliance with other tasks of daily living.
	B)	Client verbalizes desire to manage the medication regimen.
	C)	Client must demonstrate ability to read.
	D)	Nurse’s assessment of the client’s ability to understand medication regimen.
	E)	Assessment of client’s educational level.

 

11.	When planning a client’s treatment regimen for administration of medication, which factors must be considered for inclusion in the teaching plan? Select all that apply.
	A)	To call the physician after the first week.
	B)	Method used to administer the drug.
	C)	Ability to calculate dosage.
	D)	Type of reaction to expect from the drug.
	E)	Information to report to the physician.

 

12.	Which of the following are reasons for ineffective therapeutic regimen management? Select all that apply.
	A)	Ability of client to afford the drug regimen.
	B)	Inadequate information provided regarding the drug regimen.
	C)	Client feels better and stops drug regimen.
	D)	Ability of client to remember to take drug regimen.
	E)	No therapeutic effect seen by client.

 

13.	When management of the drug regimen is found not to be correct, what must the nurse do? Select all that apply.
	A)	Assess client’s ability to use their hands.
	B)	Provide written instructions.
	C)	Assess client’s ability to read English.
	D)	Assess client’s reading level.
	E)	Provide information in the client’s native language.

 

14.	In discussing the drug regimen with the client, what factors should be included? Select all that apply.
	A)	Cut the tablet in half if he or she does not have enough.
	B)	Call the physician only after two unexpected reactions occur.
	C)	Length of time before desired therapeutic effect will occur.
	D)	Steps to minimize adverse reactions.
	E)	Adverse reactions to expect.

 

15.	To develop a trusting and comfortable relationship between the client and the nurse, the nurse should incorporate what following actions? Select all that apply.
	A)	Follow-up visits with the client.
	B)	Send a certified letter to the client.
	C)	Telephone calls to the client.
	D)	Accompany client to all physician appointments.
	E)	Encourage client to express feelings and concerns.

 

16.	What aspects of self-administration of drugs show that the client is deficient in knowledge of the subject? Select all that apply.
	A)	Inability to remember
	B)	Not having a college degree
	C)	Cognitive limitation
	D)	Lack of interest in learning
	E)	Not having a high school degree

 

17.	Reasons for noncompliant behavior in clients administering their own medications include which the following? Select all that apply.
	A)	Knowledge deficit of expected results
	B)	Bothersome adverse effects
	C)	Depression
	D)	Anxiety
	E)	Lack of information about the drug

 

18.	The anxiety experienced during drug administration depends on the following? Select all that apply.
	A)	Fear
	B)	Severity of illness
	C)	Lack of concern by the nurse
	D)	Good comprehension of information
	E)	Reassurance by the nurse

 

19.	To alleviate the client’s anxiety, the nurse should include which of the following in his or her exchanges with the client? Select all that apply.
	A)	Do not disturb the client.
	B)	Identify and address the specific fear.
	C)	Give the client the shortest explanation possible.
	D)	Reassure the client that the drug will alleviate the symptoms.
	E)	Thoroughly explain any procedures.

 

20.	To evaluate the client’s understanding of the drug regimen, the nurse may note which of the following? Select all that apply.
	A)	Facial expressions
	B)	Positive verbal expression
	C)	Positive nonverbal expression
	D)	Regimen being followed correctly
	E)	Correct answers to questions asked

 

21.	A nurse caring for a patient is describing steps for carrying out nursing activities that will assist in achieving patient goals. At which step of the nursing process is the nurse?
	A)  Assessment    B)  Planning    C)  Implementation    D)  Evaluation

 

22.	What is the significance of the nursing diagnoses developed by the North American Nursing Diagnosis Association (NANDA)?
	A)	Useful in identifying patient problems related to drug therapy.
	B)	Useful in classifying the patients as per their age groups.
	C)	Useful in classifying the drugs as per their actions.
	D)	Useful in identifying the expected outcome of treatments given.

 

23.	A nurse is assigned to care for a patient with a respiratory problem in a health care facility. Which of the following should a nurse consider in an expected outcome for a patient undergoing drug therapy?
	A)	Amount of time the patient will take to recover fully.
	B)	Amount of drugs the patient will require during the treatment.
	C)	Possible adverse reactions that could occur during the therapy.
	D)	Maximum level of wellness that is reasonably attainable for the patient.

 

24.	A nurse who had been caring for a patient with a cardiac disorder has to now provide care on an outpatient basis. What information should the nurse provide to this patient who is willing and now able to manage the treatment regimen?
	A)	Composition of the drug	C)	Method of drug administration
	B)	Disorders treated using the drug	D)	Contraindications of the drug

 

25.	A nurse is assigned to care for a patient in a health care facility. What is the nursing responsibility before administering a drug to the patient?
	A)	Review the subjective and objective data.
	B)	Provide the basis for the selection of nursing interventions.
	C)	Review the related nursing diagnosis.
	D)	List the potential goals to be achieved by the patient.

 

26.	A nurse has been caring for a patient in a health care facility. Under what circumstances should the nurse consider the evaluation of a patient to be positive?
	A)	If the expected outcomes are accomplished.
	B)	If the patient does not experience anxiety during therapy.
	C)	If the patient is better able to communicate with the nurse.
	D)	If subjective and objective data are successfully obtained.

 

27.	A nurse is assigned to care for a patient with a cardiac disorder. During assessment, what intervention should the nurse perform to obtain objective data related to the patient’s condition?
	A)	Review the patient’s health history.
	B)	Assess the patient for difficult breathing.
	C)	Review the patient’s family history.
	D)	Inquire about the patient’s eating habits.

 

 

Answer Key

 

1.	A, C, D, E
2.	A, B, C, D, E
3.	A, B, E
4.	A, B, D, E
5.	A, C, D, E
6.	A, B, C, D, E
7.	A, B, C, D
8.	B, C, E
9.	A, D
10.	A, B, D, E
11.	B, D, E
12.	A, B, C, D, E
13.	B, C, D, E
14.	C, D, E
15.	A, C, E
16.	A, C, D
17.	A, B, D, E
18.	A, B, C
19.	B, D, E
20.	A, D, E
21.	B
22.	A
23.	D
24.	C
25.	A
26.	A
27.	B