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Core Concepts in Pharmacology 4th Edition Holland Adams Brice Test Bank

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Core Concepts in Pharmacology 4th Edition Holland Adams Brice Test Bank

ISBN-13: 978-0133449815

ISBN-10: 0133449815

 

Description

Core Concepts in Pharmacology 4th Edition Holland Adams Brice Test Bank

ISBN-13: 978-0133449815

ISBN-10: 0133449815

 

 

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Below you will find some free nursing test bank questions from this test bank:

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MC
A+C
\
The nurse is teaching a client about the structures of the GI tract. Which structures should the nurse include in the teaching session?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Stomach
\
Liver
\
Large intestine
\
Pancreas
\
Gallbladder
\
\
• The stomach is part of the GI tract.
• Liver is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
• The GI tract includes the large and small intestines.
• Pancreas is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
• Gallbadder is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
\\
MC
A+B+D
\
What are the risk factors associated with peptic ulcer disease?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Drinking caffeine
\
Family history
\
Blood type A
\
Smoking tobacco
\
Acetaminophen (Tylenol) intake for pain
\
\
• Risk factors include blood group O; smoking tobacco; having a close family history of peptic ulcer disease; consumption of alcoholic beverages or beverages and foods containing caffeine; use of drugs, including aspirin, NSAIDs, and glucocorticoids; and excessive psychological stress and/or infection with Helicobacter pylori.
• Risk factors include blood group O; smoking tobacco; having a close family history of peptic ulcer disease; consumption of alcoholic beverages or beverages and foods containing caffeine; use of drugs, including aspirin, NSAIDs, and glucocorticoids; and excessive psychological stress and/or infection with Helicobacter pylori.
• Blood type A is incorrect because a risk factor is blood type O.
• Risk factors include blood group O; smoking tobacco; having a close family history of peptic ulcer disease; consumption of alcoholic beverages or beverages and foods containing caffeine; use of drugs, including aspirin, NSAIDs, and glucocorticoids; and excessive psychological stress and/or infection with Helicobacter pylori.
• Acetaminophen (Tylenol) intake for pain is incorrect because use of this medication is not associated with peptic ulcer disease.
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MC
C
\
What symptoms differentiate a duodenal ulcer from a gastric ulcer?
\
Nausea and vomiting
\
Anorexia
\
Postprandial pain
\
Nighttime pain
\
\
Nausea and vomiting are more common with a gastric ulcer.
Anorexia is more common with a gastric ulcer.
A duodenal ulcer is characterized by a gnawing or burning upper abdominal pain that occurs 1–3 hours after a meal. The pain is worse when the stomach is empty. Nighttime pain, nausea, and vomiting with anorexia are more common with a gastric ulcer.
Nighttime pain is more common with a gastric ulcer.
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MC
A
\
A client has just been diagnosed with peptic ulcer disease. What first-choice drug does the nurse anticipate will be prescribed for this client?
\
Famotidine (Pepcid)
\
Magaldrate (Riopan)
\
Omeprazole (Prilosec)
\
Sodium bicarbonate (Alka-Seltzer)
\
\
H2-receptor blockers are the drugs of first choice in treating peptic ulcers.
Magaldrate (Riopan) is incorrect because Alka-Seltzer and Riopan are antacids.
Omeprazole (Prilosec) is incorrect because Prilosec is a proton pump inhibitor.
Sodium bicarbonate (Alka-Seltzer) is incorrect because Alka-Seltzer and Riopan are antacids.
\\
MC
A
\
An ulcer caused by H. pylori can be successfully treated with which classification of drugs?
\
Antacids
\
Proton pump inhibitors
\
H2-receptor blockers
\
Antibiotics
\
\
Antacids neutralize the stomach acid.
Proton pump inhibitors reduce acid secretion in the stomach.
H2-receptor blockers suppress the volume and acidity of stomach acid.
H. pylori is associated with 90 percent of all duodenal ulcers and 70 percent of all gastric ulcers. The microorganism is well adapted to neutralize the high acidity in the gastric environment. These infections can remain active for life if not treated appropriately. Eliminating the organism causes ulcers to heal more rapidly and to remain in remission longer.
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MC
C
\
A client was placed on ranitidine (Zantac) 2 days ago, and continues to complain of ulcer pain. What is the best response by the nurse?
\
“We’ll switch you to a different medication.”
\
“You probably have something else besides an ulcer.”
\
“You might not notice relief for several days.”
\
“You should be taking the medication with food.”
\
\
“We’ll switch you to a different medication” is incorrect because switching to a different medication would be premature at this point.
“You probably have something else besides an ulcer” is incorrect because diagnosing another condition is outside the scope of nursing practice.
Patients should be advised that it can take several days of therapy before they gain relief from ulcer pain. Beneficial effects last 3–5 days after therapy is stopped.
“You should be taking the medication with food” is incorrect because the medication can be taken with or without food.
\\
MC
A
\
A client asks the nurse why two antibiotics have been prescribed to treat H. pylori. What is the best response by the nurse?
\
“Two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.”
\
“One antibiotic is to treat H. pylori and the other is for a secondary infection.”
\
“The acid in your stomach will make one antibiotic ineffective, so you must take two.”
\
“You should only be prescribed one antibiotic to treat H. pylori.”
\
\
Two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
“One antibiotic is to treat H. pylori and the other is for a secondary infection” is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
“The acid in your stomach will make one antibiotic ineffective, so you must take two” is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
“You should only be prescribed one antibiotic to treat H. pylori” is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
\\
MC
A+B+D
\
A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
“I should only take a laxative when necessary.”
\
“I should increase fluid intake.”
\
“I should strain when I try to have a bowel movement.”
\
“I should increase fiber intake.”
\
“I should decrease my physical activity.”
\
\
• The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
• The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
• “I should strain when I try to have a bowel movement” is incorrect because this should be avoided by the client following abdominal surgery.
• The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
• “I should decrease my physical activity” is incorrect because the client should be encouraged to increase physical activity.
\\
MC
A
\
Which type of laxative causes peristalsis by irritating the bowel?
\
Stimulant laxative
\
Bulk-forming laxative
\
Stool softener
\
Saline/osmotic laxative
\
\
Stimulant laxatives promote peristalsis by irritating the bowel. They are rapid-acting but more likely to cause diarrhea and cramping than are other types. They should only be used occasionally because they can cause laxative dependence and depletion of fluid and electrolytes.
Bulk-forming laxative is incorrect. Stimulant laxatives promote peristalsis by irritating the bowel.
Stool softener is incorrect. Stimulant laxatives promote peristalsis by irritating the bowel.
Saline/osmotic laxative is incorrect. Stimulant laxatives promote peristalsis by irritating the bowel.
\\
MC
B
\
The nurse is caring for a client who is experiencing constipation. Which type of laxative can be taken prophylactically to prevent constipation?
\
Bisacodyl (Dulcolax)
\
Psyllium muciloid (Metamucil)
\
Castor oil (Emulsoil)
\
Magnesium hydroxide (milk of magnesia)
\
\
Bisacodyl (Dulcolax) is a stimulant-type laxative, and can cause cramping.
Psyllium muciloid (Metamucil) is a bulk-forming laxative, and is used to prevent constipation.
Castor oil (Emulsoil) is a stimulant-type laxative that irritates the bowel and increases peristalsis.
Magnesium hydroxide (milk of magnesia) is a saline-type laxative that causes stool to be watery.
\\
MC
A
\
Which drug produces a bowel movement in 1–6 hours, and should not be used on a regular basis because of the possibility of fluid and electrolyte depletion?
\
Saline/osmotic laxative
\
Bulk-forming laxative
\
Stimulant laxative
\
Stool softener
\
\
Saline/osmotic laxatives produce a bowel movement in 1–6 hours, and should not be used on a regular basis because of the possibility of fluid and electrolyte depletion.
This does not describe a bulk-forming laxative.
This does not describe a stimulant laxative.
This does not describe a stool softener.
\\
MC
A
\
Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?
\
Chronic constipation
\
Chronic diarrhea
\
Chronic nausea
\
Frequent vomiting
\
\
Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. Chronic constipation is the result.
Overusing laxatives causes chronic constipation.
Overusing laxatives causes chronic constipation.
Overusing laxatives causes chronic constipation.
\\
MC
B
\
Which client is at the greatest risk for developing an acid–base imbalance or electrolyte disorder?
\
A client who has a gastrostomy tube
\
18-month-old who has had watery stools for 3 days
\
70-year-old with constipation
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27-year-old with a 24-hour history of nausea and vomiting
\
\
A client who has a gastrostomy tube, if well maintained, should not be at risk for fluid loss.
Diarrhea is a symptom, not a disease, of an underlying problem. It can be caused by medications, infections, chemicals, or inflammatory disorders. When prolonged or severe, especially in children, diarrhea can result in significant loss of body fluids that leads to acid–base or electrolyte disorders.
Constipation would not cause acid–base imbalances.
A 24-hour history of nausea and vomiting, especially in a young adult, would not be a significant risk for the client.
\\
MC
A+B+C+D
\
Which classifications of medication do antiemetic drugs belong in?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Benzodiazepines
\
Glucocorticoids
\
Antipsychotics
\
Antihistamines
\
Opioids
\
\
• Antiemetic drugs include many different classes, including antipsychotics, antihistamines, glucocorticoids, and benzodiazepines.
• Antiemetic drugs include many different classes, including antipsychotics, antihistamines, glucocorticoids, and benzodiazepines.
• Antiemetic drugs include many different classes, including antipsychotics, antihistamines, glucocorticoids, and benzodiazepines.
• Antiemetic drugs include many different classes, including antipsychotics, antihistamines, glucocorticoids, and benzodiazepines.
• Opioids is false because antiemetic drugs include many different classes, including antipsychotics, antihistamine, glucocorticoids, and benzodiazepines.
\\
MC
A
\
Sibutramine (Meridia) should be used with caution for clients with what disorder?
\
Stable atrial fibrillation
\
Diabetes mellitus
\
Asthma
\
Hypotension
\
\
Sibutramine (Meridia) is the most widely prescribed appetite suppressant for the short-term control of obesity. Common side effects include headache, dry mouth, and insomnia. It should be used with great care in clients with cardiac disorders, and it can cause tachycardia and hypertension.
Diabetes mellitus is incorrect. This medication should be used with caution in clients with cardiac disorders.
Asthma is incorrect. This medication should be used with caution in clients with cardiac disorders.
Hypotension is incorrect. This medication should be used with caution in clients with cardiac disorders.
\\
MC
B
\
The nurse explains to the client prescribed orlistat (Xenical) that the drug works in what way?
\
“It speeds up your metabolism.”
\
“Orlistat blocks the enzyme lipase in the GI tract, which blocks the absorption of fats.”
\
“It causes nausea so you will eat less.”
\
“It suppresses appetite, probably by affecting the hunger center in the brain.”
\
\
“It speeds up your metabolism” is incorrect. Orlistat blocks lipase in the GI tract.
Orlistat blocks the enzyme lipase in the GI tract, which blocks the absorption of fats.
“It causes nausea so you will eat less” is incorrect. Orlistat blocks lipase in the GI tract.
“It suppresses appetite, probably by affecting the hunger center in the brain” is incorrect. Orlistat blocks lipase in the GI tract.
\\
MC
B
\
A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?
\
Treatment with PPIs to decrease stomach acid
\
Replacement therapy with pancreatic enzymes
\
Decrease food intake
\
Increase food intake
\
\
Treatment with PPIs to decrease stomach acid is incorrect because the treatment is to use replacement therapy with pancreatic enzymes.
The pancreas is responsible for the secretion of essential digestive enzymes. Lack of secretion, or pancreatic insufficiency, will result in malabsorption disorders. Replacement therapy with pancreatic enzymes is sometimes necessary.
Decrease food intake is incorrect because the treatment is to use replacement therapy with pancreatic enzymes.
Increase food intake is incorrect because the treatment is to use replacement therapy with pancreatic enzymes.
\\
MC
A+C
\
Which drugs are the most effective for treating severe diarrhea?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Diphenoxylate (Lomotil)
\
Bismuth salt (Pepto-Bismol)
\
Loperamide (Imodium)
\
Furazolidone (Furoxone)
\
Diphenhydramine (Benadryl)
\
\
• The most common opioid antidiarrheal is diphenoxylate (Lomotil), which is a Schedule V controlled substance. Loperamide (Imodium) is an opioid that carries no risk for dependence and is available OTC.
• Bismuth salt (Pepto-Bismol) is incorrect because Pepto-Bismol is an adsorbent.
• The most common opioid antidiarrheal is diphenoxylate (Lomotil), which is a Schedule V controlled substance. Loperamide (Imodium) is an opioid that carries no risk for dependence and is available OTC.
• Furazolidone (Furoxone) is incorrect because Furoxone is used to treat GI infections.
• Diphenhydramine (Benadryl) is incorrect because Benadryl is an antihistamine.
\\
MC
B
\
A client is discharged from emergency department experiencing severe vomiting and is prescribed prochlorperazine (Compazine) 10 mg, three times daily. What is the most effective route of administration for this medication?
\
IM
\
RS
\
PO
\
IV
\
\
IM is incorrect because the client is discharged, and a suppository would be the most effective route.
Because this client is not admitted but discharged with a prescription, the best route to select for this client would be the rectal suppository route.
PO is incorrect because the client could vomit following administration of the oral medication.
IV is incorrect because the client is discharged, and a suppository would be the most effective route.
\\
MC
A
\
A client complains of nausea and vomiting. Which medication would not be prescribed for this client?
\
Diphenoxylate with atropine (Lomotil)
\
Prochlorperazine (Compazine)
\
Promethazine (Phenergan)
\
Ondansetron (Zofran)
\
\
Diphenoxylate with atropine (Lomotil) is used to treat diarrhea.
Prochlorperazine (Compazine) is used to treat nausea and vomiting.
Promethazine (Phenergan) is used to treat nausea and vomiting.
Ondansetron (Zofran) is used to treat nausea and vomiting.
\\
MC
D
\
Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?
\
Increase dosing with a large meal.
\
Decrease fluid intake.
\
Take the medication at least 2 hours prior to meals.
\
Take the medication with meals.
\
\
Increase dosing with a large meal is incorrect because overtreatment can cause nausea, vomiting, and diarrhea.
Decrease fluid intake is incorrect because this is not necessary with this medication.
Decrease fluid intake is incorrect because this is not necessary with this medication.
Dosing is individualized to the degree of pancreatic insufficiency in each patient. Administration of the drug is timed to coincide with meals so that the enzymes are available when food reaches the duodenum.
\\
MC
C
\
The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?
\
Antacids
\
H2-receptor blockers
\
NSAIDs
\
PPIs
\
\
The client taking medications for peptic ulcer should avoid drugs that can cause stomach irritation, such as aspirin or NSAIDs.
The client taking medications for peptic ulcer should avoid drugs that can cause stomach irritation, such as aspirin or NSAIDs.
NSAIDs are irritating to the stomach, and should be avoided in clients with peptic ulcer.
The client taking medications for peptic ulcer should avoid drugs that can cause stomach irritation, such as aspirin or NSAIDs.
\\
MC
A
\
Which instruction is most appropriate for a client who is receiving a bulk-forming laxative?
\
Take with at least two full glasses of water.
\
Decrease food intake.
\
Increase food intake.
\
Decrease water intake.
\
\
The client should be instructed to take bulk-forming laxatives with at least two full glasses of water because this aids in forming larger stools.
The client should increase intake of foods rich in fiber including fruits and vegetables, bran cereals, and whole-grain breads.
There are specific foods the client should increase, but not all foods.
The client should take with two full glasses of water.
\\
MC
C+D
\
Which side effects would the nurse expect a client taking a PPI to report?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Ataxia
\
Epistaxis
\
Headache
\
Diarrhea
\
Hyperglycemia
\
\
• Ataxia is incorrect because this is not caused by PPIs.
• Epistaxis is incorrect because it is not caused by PPIs.
• Adverse effects from proton pump inhibitors are uncommon. Headache, abdominal pain, diarrhea, nausea, and vomiting are the most frequently reported adverse effects.
• Adverse effects from proton pump inhibitors are uncommon. Headache, abdominal pain, diarrhea, nausea, and vomiting are the most frequently reported adverse effects.
• Adverse effects from proton pump inhibitors are uncommon. Hyperglycemia is not expected for a client receiving a PPI.
\\
MC
A+B+C
\
What are the goals of pharmacotherapy for a client with an ulcer?
(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
\
Prevent recurrence of the disease.
\
Promote healing of the ulcer.
\
Provide immediate relief from symptoms.
\
Reduce frequency of constipation.
\
Reduce frequency of diarrhea.
\
\
• The goals of pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, and prevent recurrence of the disease. The choice of medication depends on the source of the disease (infectious versus inflammatory), the severity of symptoms, and the convenience of OTC versus prescription drugs.
• The goals of pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, and prevent recurrence of the disease. The choice of medication depends on the source of the disease (infectious versus inflammatory), the severity of symptoms, and the convenience of OTC versus prescription drugs.
• The goals of pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, and prevent recurrence of the disease. The choice of medication depends on the source of the disease (infectious versus inflammatory), the severity of symptoms, and the convenience of OTC versus prescription drugs.
• Constipation is not an issue with ulcers.
• Diarrhea is not an issue with ulcers.