NUR2474 Module 01 Quiz
Use the following scenario to answer questions 1 and 2.
Scenario: You are a nurse working in a family practice. Mr. Jones, a 74-year-old African
American man, has had three blood pressures of 160/90 mm Hg or higher on three separate
occasions. The family physician you are working with has prescribed lisinopril 10mg PO once a
day.
1. When considering new medication for a client, which of the following medication
characteristics are important to take into consideration?
1. Effectiveness
2. Safety
3. Selectivity
4. Year of development
5. Non-selectivity
2. What properties should be considered when selecting this medication for Mr. Jones?
1. Low cost
2. Ease of administration
3. Freedom from interactions
4. Unpredictability
5. Irreversbile action
3. What is a desired outcome when a drug is easy to administer?
1. It can be stored indefinitely without need for registration
2. It does not interact with other medications
3. It enhances patient adherence to the drug regimen
4. It is usually relatively inexpensive to produce
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4. The nurse is reviewing pharmacology terms with a group of newly graduated nurses. Which
sentence defines a drug half-life?
1. The time it takes for the drug to cause half of its therapeutic response
2. The time it takes for one half of the original amount of drug to reach the target cells
3. The time it takes for one half of the original amount of a drug to be removed from the
body
4. The time it takes for one half of the original amount of a drug to be absorbed into the
circulation
5. The nurse is teaching a client how a medication works to treat an illness. To do this, the
nurse will rely on knowledge on which topic?
1. Clinical pharmacology
2. Drug efficacy
3. Pharmacokinetics
4. Pharmacotherapeutics
Use the following scenario to answer questions 6 through 10.
Scenario: You are the emergency department nurse caring for a 72-year-old man who
sustained a fracture to his right femur and left ankle when he fell off the roof of his two-story
home. Your client is complaining of pain that is a 9 on a scale of 0 to 10. You note that he has no
medication ordered for pain.
6. All of the following would be proper nursing interventions to help decrease the client’s current
level of pain except which?
1. Waiting 30 minutes to see if the pain has subsided on its own.
2. Offering non pharmacological interventions like music or distraction from the pain.
3. Identifying increased heart rate and blood pressure as an indicator of pain and offering
repositioning.
4. Calling the provider to request orders for pain medications after completing your
assessment.
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7. Which route of administration for the medication might be best for this client?
1. Oral (extended release)
2. Oral (immediate release)
3. Intravenous
4. Inhalation
8. After contacting the provider for an order for pain medication, you heck the electron MAR and
see that the following order had been entered: “hydromorphone 0.5 mg STAT”. What should you
do?
1. Administer the medication intravenously
2. Administer the medication by mouth
3. Verify the order with the prescriber
4. Ask the client how they would like their medication to be given
9. A medication order states: administer acetaminophen 975 mg now. Available is
acetaminophen 325 mg/tablet. How many tablets should the nurse administer?
1. 2.5
2. 1.5
3. 2
4. 3
10. When giving an intravenous medication, the client says to the nurse “I usually take pills.
Why does this medication have to be given in my arm?” What is the nurse’s best response?
1. “The medication will fewer adverse effects when given intravenously”
2. “The intravenous medication have delayed absorption into body tissues”
3. “The action of the medication will begin sooner when given intravenously”
4. “There is a lower chance of allergic reactions when drugs are given intravenously”
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Use the following scenario to answer questions 11 and 12.
Scenario: Mr. H has been admitted to the acute care facility for 1-day chemotherapy treatment
for metastatic disease to the bone caused by prostate cancer. He is in extreme pain. When the
nurse evaluated Mr. H, he states, “This is the worst pain I have ever had in my life. My back
hurts so bad.” The nurse is most concerned about relieving Mr. H’s pain. The nurse looks at this
admission orders and notes the following, “morphine sulfate 6mg IV every 4 hours PRN, and
oxycodone PO 5/325 mg 1 or 2 tabs every 4-6 hrs PRN.” Mr. H is concerned about becoming
dependent on painkillers.
11. The nurse is preparing to draw up the 6mg of morphine intravenously from a vial that
contain 3mg of morphine sulfate per 1mL. How many mLs will the nurse draw up?
1. 2 mL
2. 4 mL
3. 1 mL
4. 0.5 mL
12. When dressing Mr. H’s concern about becoming addicted to the morphine, the nurse will
consider all of the following except which strategy?
1. Educate Mr. H about the importance of reaching a therapeutic threshold to alleviate pain
2. Educated Mr. H about the difference addiction and tolerance
3. Explain that Mr. H should avoid asking for medication too often or he could become
addicted
4. Explain the pathophysiology of pain and how opioids work in the body to alleviate pain
Use the following scenario to answer questions 13 through 15.
Scenario: You are a new nurse who recently completed orientation on the medical/surgical unit.
You rifts client of the day was prescribed ampicillin 1g/100mL to infuse over 30 minutes to be
administered 1 hours before a colonoscopy. You review your medications in your drug guide and
find that ampicillin is an antibiotic and should not be administered to clients allergic to penicillin.
You review the client’s history and see that the record reveals an allergy to penicillin and
shellfish. You decide to review the history with the client.
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13. What question would be the most appropriate to ask the client given the above scenario?
1. Ask the client what happens when he or she takes penicillin
2. Ask the client why he or she was previously prescribed penicillin
3. Ask the client if they would like to refuse the ampicillin infusion because of their allergy
4. Ask the client when their last colonoscopy was done
14. Your client states he or she has nausea when he or she takes penicillin. How would you
proceed with caring for them?
1. Educate the client on the difference between allergic reactions and side effects
2. Contact the provider to request a different antibiotic because of the allergy to penicillin
3. Contact the provider to request and anti-allergy medication to administer before the
penicillin
4. Cancel the client’s colonoscopy as they are allergic to the antibiotic and it would be safe
to do the procedure without an antibiotic
15. You are asked to cover for a colleague who has stepped off the unit. The client has IV
ampicillin infusing. You check the client’s chart and see that that record reflects that this client is
allergic to penicillin. You go to the client’s room and the client is having difficulty breathing.
Which action should you take first?
1. Stop the infusion and provide emergency care
2. Call the provider to inform them of the incident
3. Call for a Rapid Response Team
4. Immediately alert the charge nurse as you are a new nurse who only recently completed
orientation