RN Pharmacology Quiz

RN Pharmacology Test

Please answer the Online Quiz below. You will receive 2 points for every correct answer.

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1. Which of these abbreviations indicate that a drug is to be administered at regularly spaced intervals during each 24 hour period?

q6h, prn qid q 12h

2. How many milligrams are equivalent to 0.045 grams?

450 45 4.5

3. Which of these doses is the smallest?

0.1 gm. 10 mg. 0.01 mg.

4. A 3 ml syringe illustrated below contains the amount of solution indicated by the arrows. How many milliliters of solution does the syringe contain?

1.03‎ 1.3‎ 1.6‎

5. A child is to receive amoxicillin (Amoxil) 60 mg po. The medication is supplied as an oral suspension containing 125 mg per 5ml. How many millimeters should the child receive?

2.4 25 1.2

6. A patient is to receive cephalexin (Keflex) 1 gm po. Keflex is available as 250 mg tablets. How many tablets should be administered?

4 2 1

7. A patient is to receive cyanocobalamin (Vitamin B12) 30 mcg IM. Vitamin B12 is available in 100 mcg per ml. How many millimeters should be administered?

0.1 3.0 0.3

8.Penicillin G sodium for injection contains 250,000 units per millimeter. How many units would there be in 2.5 ml?

625,000 675,000 575,000

9. A patient is to receive meperdine (Demerol) hydrochloride 75mg and atropine sulfate 0.3 mg IM preoperatively. Demerol is available in a prepackaged syringe containing 100 mg per ml. Atropine is available in a vial containing 0.4 mg per ml. If the two drugs were combined in the same syringe for administration, how many millimeters would be given?

2.0 1.5 1.05

10. A patient is to receive 500 ml of IV fluid in 3 hours. The infusion pump should be set to deliver how many millimeters per hour?

83 138 167

11. A patient is to receive 300 ml of IV fluid during a 2 1/2 hour period. The intravenous setup delivers 15 drops per milliliter. The drip mechanism should be regulated to deliver approximately how many drops per minute?

10 20 30

12. A patient is to receive 1,000 ml of IV solution over 8 hours. Four hours later, 620 ml remain. The infusion set delivers 15 drops per milliliter. To receive the remaining fluid within the prescribed time period, the set should deliver how many drops per minute?

39 62 100

13. A patient is to receive gentamicin sulfate (Garamycin) 75 mg IV in 100 ml diluent over one hour. The intravenous setup delivers 60 drops per milliliter. How many drops per minute should the patient receive?

75 100 60

14. A patient is to receive digoxin (Lanoxin) 0.35mg IV. Lanoxin is available in a prepackaged syringe containing 0.5 mg per 2ml. How many millimeters should be administered?

1.25 1.40 0.75

15. A U-100 insulin syringe is illustrated below. The arrow indicates the level to which the syringe has been filled with insulin injection (regular Insulin) labeled 100U per ml. How many units of insulin are in the syringe?

36 33 3.3

16. Which of these is a major principle of pain management and should guide nursing action when administering prescribed analgesics to patients?

The patient with psychogenic pain does not experience real pain. The patient with acute pain experiences more pain than onewith chronic pain. The patient in pain is the authority about the pain experience.

17. A nurse is preparing to administer quinidine sulfate to a patient and finds this entry on the medication administration record: “Quinidine 200 mg”. What initial nursing action is most appropriate?

a. Adminstering quinidine po with other scheduled Medications. b. Checking the physician’s order for the quinidine in the patient’s chart. c. Counting the patient’s pulse for a full minute before administering the quinidine

18. An older adult patient who is receiving a large-volume intravenous infusion of 5% glucose in water develops tachycardia and dyspnea. Which of these nursing measures is indicated first?

c. Monitoring oral fluid intake b. Decreasing the rate of the infusion a. Checking the infusion site for signs of infiltration

19. Trimethobenzamide hydrochloride (Tigan) suppositories are prescribed for a patient to control nausea and vomiting. The nurse should use which of these measures when administering the Tigan suppository?

a. Having the patient take slow, deep breaths during insertion b. Asking the patient to assume a lithotomy position for insertion c. Checking the patient’s vital signs prior to insertion

20. Which of these ideas should be included in the instructions given to a patient who is taking an antihypertensive drug such as atenolol (Tenormin)?

a. If dizziness occurs as a side effect, schedule drug administration to allow for a half hour rest after ingestion. b. Should any dizziness occur, skip the next dose to determine if it isdrug related. c. Report any dizziness, as a dosage change ay be indicated.

21. A patient diagnosed with hypothyroidism is started on levothyroxine sodium (Synthroid) daily. At which of these times should Synthroid be scheduled for administration?

c. At bedtime a. Before breakfast b. With lunch

22. A patient is receiving aminophylline IV for treatment of bronchospasm. In addition to respiratory rate and volume, which of these assessments is essential?

c.Urinary output a.Temperature b.Pulse rate

23. A recently hired nurse is administering medications to residents in a long-term care facility where identification wristbands are not used. The nurse does not know many of the residents. Which of these actions would most safely ensure that they receive the correct medications?

a. Ask the residents their names prior to drug administering. b. Call out the full name of each resident. c. Have a staff member who knows the residents identify them by name.

24. A major advantage of the patient controlled analgesia (PCA) pump is that

a. The nurse’s assessments of the patient’s pain can be safely performed at less frequent intervals c. The patient’s pain relief is more sustained b. The nurse and the patient are provided with a record of how much medication is used

25. A patient has an order for acetylsalicylic acid (Aspirin) 0.6 gm po q 4h prn for temperature of 102°F (39°C) or greater. The patient’s temperature at 8 AM is 102.4°F (39.1°C) and the nurse administers Aspirin. It is essential for the nurse to record the time of the Aspirin administration and the

b. Expected outcome of the medication. a. Patient’s temperature at 9 AM. c. Patient’s pulse and blood pressure

26. A patient’s family member requests that the patient be given a prescribed narcotic analgesic. The nurse prepares the medication for administration but the patient refuses to take it. Which of these actions by the nurse would be appropriate?

a. Encourage the patient to reconsider taking the medication. b. Label the medication and replace it for use at a later time. c. Discard the medication in the presence of a witness and chart the action.

27. When administering a medication to a patient via nasogastric tube, the nurse should take which of these actions?

c. Hold the syringe high enough to allow the medication to flow in by gravity. b. Avoid the addition of water into the syringe to prevent unnecessary dilution of the medication. a. Depress the bulb of the syringe to facilitate the flow of the medication.

28. Which of these steps is appropriate when administering heparin sodium subcutaneously?

b. Aspirate after insertion to check for entry into a blood vessel. c. Apply gentle pressure to injection site for 5 to 10 seconds without massage. a. Use a 22-guage, 1-inch needle when preparing the injection.

29. Which of these instructions is appropriate to give to a patient who has angina pectoris and is to take sublingual nitroglycerin (Nitrostat) as needed?

a. “If pain isn’t relieved after one tablet dissolves, wait one half hour and take a second tablet.” c. “If pain isn’t relieved after one tablet dissolves, next time start by taking two tablets.” b. “If pain isn’t relieved after one tablet dissolves, you may take another tablet.”

30. A patient is to receive antitubercular therapy at home. Which of these ideas should be included in the instructions for this patient?

c. Eat foods that are especially high in iron. b. Limit contacts with family members to short periods. a. Take the drugs as ordered by the physician.