Pharmacology Test #1

Question 1

You are explaining aseptic technique to a fellow nursing student. Which of the following is not true about aseptic technique?
A. needle remains sterile
B. Sterile gloves must be worn
C. Needle insertion site cleaned with anti-septic
D. necessary for parental med administration

A. Needle remains sterile.

Answer 1

B. Sterile gloves must be worn

Question 2

2. You are asking Mr. P how he feels after administering acetaminophen (Tylenol) for pain 40 minutes ago. What step of the nursing process is this?

A. Identification
B. Assessment
C. Implementation
D. Evaluation

Answer 2

D. Evaluation

Question 3

3. You are reviewing physician orders prior to administering medications to Mrs. X. Which of the following orders would you question?
   A. oxycodone 5mg PO PRN
   B. furosemide (Lasix) 40mg IV STAT
   C. insulin glargine (Lantus) 40 units daily
   D. risperidone (Risperdal) 1mg PO qAM AC

Answer 3

A. oxycodone 5mg PO PRN (note- this option could also be accepted as correct, as it does not have a PRN time frame)

C. insulin glargine (Lantus) 40 units daily

Question 4

You are preparing to care for Mrs. Ball, a 90 y/o female admitted to the med/surg unit with dehydration and a urinary tract infection (UTI). You find Mrs. Ball to be cheerful and pleasant but very confused, thinking it is 1989 and that she is at her daughter’s home. She is allowed out of bed with one staff standby assist. She is prescribed IV Rocephin, an antibiotic for her UTI. Her physical assessment reveals poor skin turgor and dry, warm skin. Her blood pressure is low at 90/55 and pulse is elevated at 102. She is afebrile at 99.0 F. Her urine output is scant, dark yellow, and foul smelling.

4. Mrs. Ball’s Rocephin is ordered as 500mg IVPB daily. How will you administer this medication?
   A. By mouth
   B. intravenous push
   C. as a muscular injection
   D. intravenous piggy back.

Answer 4

D. intravenous piggy back.

Question 5

5. You prepare to administer Mrs. Ball’s Rocephin and know you need to identify her name and date of birth (DOB) before administering. You check her wristband, which is correct, but when you ask for her name and date of birth, she gives the correct date but identifies herself as Mrs. Jones. What should you do?

A. Give the medication anyway.
B. Hold the medication and notify the prescriber.
C. Dig thru her belongings and see if you can find her photo ID for your second identification.
D. Use her picture in the electronic medical record (EMR) as you second identification.

Answer 5

D. Use her picture in the electronic medical record (EMR) as you second identification.