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Brian Dabbs
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Pharm Exam SG 3

Question 1 of 36

1

From which drug class is Guaifenisin?

Select one of the following:

  • Expectorant

  • Antitussive

  • Antihistamine

  • Inhaled Anticholinergics

Explanation

Question 2 of 36

1

From which drug class is Dextromethorphan?

Select one of the following:

  • Antitussive (Non-Opioid)

  • Antihistamine

  • Expectorant

  • Corticosteroids

Explanation

Question 3 of 36

1

Benzonatate is a part of which drug class?

Select one of the following:

  • Expectorants

  • Antitussives (Non-Opioids)

  • Antihistamines

  • Methylxanthines

Explanation

Question 4 of 36

1

From which class is diphenhydramine?

Select one of the following:

  • Antihistamine

  • Antitussive

  • Expectorants

  • B2 Andrenergic Agonists

Explanation

Question 5 of 36

1

Of the lower respiratory drugs, Albuterol belongs to which class?

Select one of the following:

  • Beta 2 Adrenergic Agonists

  • Inhaled Antocholinergics

  • Glucocorticoids

  • Leukotriene Receptor Antagonists

Explanation

Question 6 of 36

1

Of the lower respiratory drugs, Salmeterol belongs to which class?

Select one of the following:

  • Beta 2 Adrenergic Agonists

  • Glucocorticoids

  • Inhaled Anticholinergics

  • Methylxanthines

Explanation

Question 7 of 36

1

Of the lower respiratory drugs, Theophylline belongs to which class?

Select one of the following:

  • Methylxanthines

  • Inhaled Anticholinergics

  • Glucocorticoids

  • Beta 2 Adrenergic Agonists

Explanation

Question 8 of 36

1

Of the lower respiratory drugs, Ipratroprium belongs to which class?

Select one of the following:

  • Inhaled Anticholinergics

  • Glucocorticoids

  • Leukotriene Receptor Antagonists

  • Beta2 Adrenergic Agonists

Explanation

Question 9 of 36

1

Of the lower respiratory drugs, Fluticasone belongs to which class?

Select one of the following:

  • Glucocorticoids

  • Leukotriene Receptor Antagonists

  • Methylxanthines

  • Beta2 Adrenergic Agonists

Explanation

Question 10 of 36

1

Of the lower respiratory drugs, Montelukast belongs to which class?

Select one of the following:

  • Leukotriene Receptor Antagonist

  • Methylxanthines

  • Beta2 Adrenergic Agonists

  • Inhaled Anticholinergics

Explanation

Question 11 of 36

1

Diazepam, an anti-anxiety medication, falls within which drug class?

Select one of the following:

  • Benzodiazepines

  • Non-Benzo Hypnotic

  • Barbiturates

  • Non-barbiturates

Explanation

Question 12 of 36

1

Midazolam is part of which drug class within the Anxiolytics?

Select one of the following:

  • Benzodiazepines

  • Non-Benzo Hypnotics

  • Barbiturates

  • Non-Barbiturates

Explanation

Question 13 of 36

1

Flumazenil is considered an antidote for which types of drugs?

Select one of the following:

  • SSRI's

  • Benzodiazepines

  • Non-Benzo Hypnotics

  • Barbiturates

Explanation

Question 14 of 36

1

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following is the priority nursing action?

Select one of the following:

  • Administer flumazenil (Romazicon).

  • Identify the client's level of orientation.

  • Infuse IV fluids.

  • Prepare the client for gastric lavage.

Explanation

Question 15 of 36

1

A nurse is providing teaching to a client who has a new prescription to start buspirone in place of diazepam. The client has a history of panic disorder and cirrhosis of the liver. The client asks why his provider is making the medication change. Which of the following statements is an appropriate response by the nurse.

Select one of the following:

  • "Diazepam can cause seizures as an adverse effect."

  • "Diazepam is no indicated for the treatment of panic disorder."

  • "Buspirone is a safe medication for patients who have liver dysfunction."

  • "Buspirone has less risk for dependency than other treatment options."

Explanation

Question 16 of 36

1

A nurse working in a mental health clinic is caring for a patient diagnosed with OCD and recently started a new prescription for buspirone. The client tells the nurse that the medication has not helped him sleep and that he is still having obsessive compulsions. Which of the following statements is an appropriate response by the nurse?

Select one of the following:

  • "It may take several weeks before you feel like the medication is helping."

  • "Take the medication just before bedtime to promote sleep."

  • "You should take the medication on an as-needed basis when you experience obsessive urges."

  • "Your provider may need to increase your prescription due to developing intolerance."

Explanation

Question 17 of 36

1

A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

Select one of the following:

  • Orthostatic hypertension

  • Hearing Loss

  • GI Bleeding

  • Weight loss

Explanation

Question 18 of 36

1

A nurse is providing teaching to a client who has a new prescription for amytripyline for the treatment of depression. Which of the following should the nurse include in the teaching? (Select All That Apply)

Select one or more of the following:

  • Expect Therapeutic effects in 24 to 48 hours.

  • Discontinue the medication after a week of improved mood.

  • Change positions slowly to minimize dizziness.

  • Decrease dietary fiber intake to control dirrhea.

  • Chew sugarless gum to prevent dry mouth.

Explanation

Question 19 of 36

1

A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine. When reviewing the client's dietary log, which of the following foods requires a need for further teaching?

Select one of the following:

  • Cottage Cheese

  • Banana Bread

  • Apple Pie

  • Grilled Steak

Explanation

Question 20 of 36

1

A nurse has been caring for a patient who has been taking sertaline for the past two days. Which of the following assessment findings should alert the nurse to the possibility that the patient is developing seratonin syndrome?

Select one of the following:

  • Bruising

  • Fever

  • Abdominal pain

  • Rash

Explanation

Question 21 of 36

1

A nurse is caring for a patient who has anew prescription for lithium. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the patient to do which of the following?

Select one of the following:

  • Avoid the use of acetaminophen for headaches.

  • Restrict intake of foods rich in sodium.

  • Decrease fluid intake to less than 1500 mL daily.

  • Limit aerobic activity in hot weather.

Explanation

Question 22 of 36

1

A nurse in a primary care clinic is assessing a client who takes lithium for the treatment of bipolar disorder. The nurse should recognize which of the following as possible indication of toxicity with this medication?

Select one of the following:

  • Severe Hypertension

  • Coarse Tremors

  • Constipation

  • Urinary Retention

Explanation

Question 23 of 36

1

A nurse is teaching a new patient about the drug she will be taking for her bipolar disorder. Which of the following should be included for the teaching of the drug lithium? (Select all that apply)

Select one or more of the following:

  • An adverse effect of the medication is amenorrhea.

  • A antidepressant is combined with lithium therapy during phases of mania.

  • Take this medication with food or a glass of milk.

  • Avoid pregnancy while taking this medication.

  • Thyrroid function is assessed prior to lithium therapy.

Explanation

Question 24 of 36

1

A nurse is assessing a male client who recently began taking haloperidol. Which of the following findings is the highest priority to report to the provider?

Select one of the following:

  • Shuffling gait

  • Neck spasms

  • Drowsiness

  • Impotence

Explanation

Question 25 of 36

1

A nurse is caring for a patient who has been newly prescribed atomoxitine. For which of the following complications should the nurse monitor the child?

Select one of the following:

  • Renal toxicity

  • Liver Damage

  • Seizure activity

  • Adrenal insufficiency

Explanation

Question 26 of 36

1

A nurse is caring for a child who has a new prescription for methylphenidate to treat ADHD. Which of the following should the nurse teach the client and the family about this medication?

Select one of the following:

  • Apply the patch once daily at bedtime.

  • Take the medication orally once a day in the morning.

  • Take a second dose of the medication orally at bedtime.

  • Apply the patch upon awakening and remove at bedtime.

Explanation

Question 27 of 36

1

A nurse is caring for a patient that is receiving moderate sedation via the drug diazepam. The client is oversedated. Which of the following medications should the nurse anticipate administering to this client?

Select one of the following:

  • Ketamine

  • Natrexone

  • Flumazenil

  • Fluvoxamine

Explanation

Question 28 of 36

1

A nurse is providing instructions to a patient who has a new prescription for zolpidem. Which of the following instructions should the nurse include?

Select one of the following:

  • Notify the provider if you become pregnant.

  • Take the medication 1hr before you plan to go to sleep.

  • Allow at least 6hr for sleep when taking zolpidem

  • To increase the effectiveness of zolpidem, take it with a bedtime snack.

Explanation

Question 29 of 36

1

The nurse is taking care of a patient with a new prescription for albuterol. What should he include in the teaching?

Select one of the following:

  • "You can take this medication to abort an acute asthma attack."

  • "Tremors are an adverse effect of this medication."

  • "Prolonged use of this medication can cause hyperglycemia."

  • "This medication can slow skeletal growth rate."

Explanation

Question 30 of 36

1

An adult is taking diphenhydramine for symptoms of allergic rhinitis. For which of the following adverse effects should the nurse teach the patient to watch for?

Select one or more of the following:

  • Dry Mouth

  • Nonproductive Cough

  • Skin Rash

  • Diarrhea

  • Urinary Hesitation

Explanation

Question 31 of 36

1

A new patient has been prescribed fluticasone to treat perennial rhinitis. Which of the following statements indicates that the patient understands?

Select one of the following:

  • "I should use the spray every 4 hours while I am awake."

  • "It may take as many as three weeks before the medication takes a maximum effect."

  • "This medication can also be used to treat motion sickness."

  • "I can use this medication when my nasal passages are blocked."

Explanation

Question 32 of 36

1

A nurse is caring for a patient who has a local anesthetic of lidocaine with epinephrine for the removal of a skin lesion. Epinephrine is used with the lidocaine for which of the following reasons?

Select one of the following:

  • Reduce the risk of systemic toxicity

  • Reduce the occurrence of tachycardia

  • Produce localized vasodilation

  • Speed absorption of anesthesia

Explanation

Question 33 of 36

1

A nurse is caring for a patient who has a local anesthetic of lidocaine for the repair of a skin laceration. FOr which of the following adverse reactions should the nurse monitor.

Select one of the following:

  • Seizures

  • Tachycardia

  • Hypertension

  • Fever

Explanation

Question 34 of 36

1

What type of anesthetic is Pancuronium?

Select one of the following:

  • Nonpolarizing NMBD

  • Topical

  • Parenteral

Explanation

Question 35 of 36

1

What type of anxiolytic is midazolam?

Select one of the following:

  • Benzodiazepines

  • Non-benzo

  • Barbiturates

  • Non-barbiturates

Explanation

Question 36 of 36

1

Which anxiolytic class is Zolpidem?

Select one of the following:

  • Benzo

  • Non-benzo

  • Barbiturates

  • Non-barb

Explanation

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