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PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED A, Exams of Pharmacology

PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST 2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 12/25/2024

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PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST

2024 ACTUAL EXAM 140 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

A patient on oral contraceptives who is prescribed tetracycline should be told to do what - ...ANSWER...use 2 forms of birth control Patient education for this class of medication should include avoid minerals such as iron or zinc, avoid direct sunlight, and report calf tenderness - ...ANSWER...fluoroquinolones Tachycardia, hypertension, palpitations, and seizures are all adverse reactions of this thyroid condition - ...ANSWER...thyroid storm This can be caused when antibiotics are taken for viral infections, stopped prior to therapy completion, or the

same medication is used over and over - ...ANSWER...resistance Patient education for this hormone replacement drug is to take the lowest dose possible to achieve the intended effect and to not take for more than 5 years - ...ANSWER...premarin Patient education for this drug includes it can turn urine orange and painful bladder spasms should be reduced. - ...ANSWER...pyridium This is the next step for anyone who may have been exposed to tuberculosis - ...ANSWER...PPD test to confirm diagnosis Patients taking this antibiotic should be educated on using a barrier-method form of birth control - ...ANSWER...tetracycline

If a patient who is taking an antibiotic notices raised, itchy, red bumps on their body, you should educate the patient to do this - ...ANSWER...stop taking medication and notify provider Can you discontinue a glucocoritcoid like prednisone abruptly? - ...ANSWER...when discontinued, dose should be tapered to allow adrenal glands to return to normal function Because glucocorticoids like prednisone can cause immune suppression, what would you monitor your patient for? - ...ANSWER...Signs of infection The nurse is preparing a teaching plan for combined oral contraceptive (COC) use. Which information should the nurse include in the teaching plan? (Select all that apply)

a. The patient should report abdomen pain, chest pain, headaches, visual disturbances, and severe leg pain. b. COCs are are safe for smokers older than 35 years who smoke less than 20 cigarettes per day. c. COC use will not protect from STI's. d. The pills can be missed, but not for more than 12 hours. - ...ANSWER...a. The patient should report abdomen pain, chest pain, headaches, visual disturbances, and severe leg pain. c. COC use will not protect from STI's. d. The pills can be missed, but not for more than 12 hours Addison's disease - ...ANSWER...adrenal insufficiency; will need to take corticosteroids for life Since desmopressin (DDAVP) is a treatment for diabetes insipidus, which is a disorder of salt and water metabolism, which lab value would a prudent nurse monitor? What are the normal values? - ...ANSWER...Sodium

This type of diabetes is autoimmune, the beta cells in the pancreas no longer produce insulin, and the individual must be given insulin to live - ...ANSWER...Type 1 This type of diabetes is characterized by insulin resistance, and treatment is designed to decrease the cell's resistance to insulin uptake - ...ANSWER...Type 2 These insulins should not be given more than 5 minutes prior to meals - ...ANSWER...rapid acting This type of insulin can be given up to 30 minutes prior to meals. - ...ANSWER...short acting Why can't insulin bottles be shaken? - ...ANSWER...This introduces air bubbles into the solution and could alter the dose in your syringe.

This medication should be held for 48 hours before & after tests using IV contrast dye, to prevent ACUTE RENAL FAILURE - ...ANSWER...metformin If you walked in your diabetic patient's room and they were confused, sweating, and with cold and clammy skin, what would you assess for? What would steps would you need to confirm the problem? - ...ANSWER...Hypoglycemic shock (insulin shock) Take their blood sugar, it would be less than 60 If you walked in your diabetic patient's room and their breath had a fruity smell to it, and they mentioned extreme thirst, what would you assess for? What steps would you take to confirm the problem? - ...ANSWER...Hyperglycemic shock (diabetic ketoacidosis) blood sugar >250 (usually much higher: 400+)

Treatment of hypoglycemic shock - ...ANSWER...if conscious: juice or oral glucose if unconscious: glucagon via subQ, IM, IV Treatment of hyperglycemia shock - ...ANSWER...Fluid Resuscitation- Normal Saline Check Potassium Level- must be > 3.3 before administering insulin Administer Insulin polyuria, polydipsia, polyphagia. Are these symptoms caused by hypoglycemia or hyperglycemia - ...ANSWER...hyperglycemia Why can't a client taking nitroglycerin also take sildenafil (Viagra) for erectile dysfunction? Explain your answer - ...ANSWER...Contraindicated in patients taking organic nitrates in any form. When taken with nitrate medications can cause a significant decrease in blood pressure, possibly life threatening.

Amoxicillin is prescribed for a patient who has a respiratory infection. The nurse is teaching the patient about this medication and realizes that more teaching is needed when the patient makes which statement? a. This medication should not be taken with food. b. I will take my entire prescription of medication. c. I should report to the physician any genital itching. d. If I experience any excess bleeding, I will contact the health care provider. - ...ANSWER...a. This medication should not be taken with food. The nurse enters a patient's room to find that his heart rate is 120, his blood pressure is 70/50, and he has red blotching of his face and neck. Vancomycin is running intravenous piggyback. The nurse believes that this patient is experiencing a severe adverse effect called red man syndrome. What action will the nurse take? a. Stop the infusion and call the health care provider. b. Reduce the infusion to 10 mg/minute.

c. Encourage the patient to drink more fluids, up to 2 L/day. d. Report onset of Stevens-Johnson syndrome to the health care provider. - ...ANSWER...a. Stop the infusion and call the health care provider. A patient is receiving tetracycline. Which advice should the nurse include when teaching this patient about tetracycline? a. Take sunscreen precautions when at the beach. b. Take an antacid with the drug to prevent severe gastrointestinal distress. c. Obtain frequent hearing tests for early detection of hearing loss. d. Obtain frequent eye checkups for early detection of retinal damage. - ...ANSWER...a. Take sunscreen precautions when at the beach.

A patient is beginning isoniazid and rifampin treatment for tuberculosis. The nurse gives the patient which instruction? a. Do not skip doses. b. Take both drugs three times daily with food. c. Take an antacid with the drugs to decrease gastrointestinal distress. d. Take rifampin initially, and begin isoniazid after 2 months. - ...ANSWER...a. Do not skip doses. A patient taking isoniazid is worried about the side effects. Which of the following does the nurse realize is an adverse effect of the drug? a. Ototoxicity b. Hepatotoxicity c. Nephrotoxicity d. Optic nerve toxicity - ...ANSWER...b. Hepatotoxicity A patient has been diagnosed with tuberculosis and is to begin antitubercular therapy with isoniazid, rifampin,

and ethambutol. What should the nurse do? (Select all that apply.) a. Encourage periodic eye examinations. b. Instruct the patient to take medications with meals. c. Suggest that the patient take antacids with medications to prevent gastrointestinal distress. d. Advise the patient to report numbness and tingling of the hands or feet. e. Alert the patient that body fluids may develop a red- orange color. f. Teach the patient to avoid direct sunlight and to use sunblock. - ...ANSWER...a. Encourage periodic eye examinations. d. Advise the patient to report numbness and tingling of the hands or feet. e. Alert the patient that body fluids may develop a red- orange color. f. Teach the patient to avoid direct sunlight and to use sunblock.

Oseltamivir (Tamiflu) is ordered for a patient. What does the nurse know about use of this drug? a. It is a treatment for herpes simplex virus type 2. b. Oral administration is for treatment of herpes simplex virus type 1. c. It treats varicella-zoster virus. d. Administration must be within 48 hours of onset of symptoms to be effective. - ...ANSWER...d. Administration must be within 48 hours of onset of symptoms to be effective. When a patient does not appear for a routine clinic visit, the nurse calls to ask about the missed visit. The patient says, "I don't need to come any longer. I'm so glad I no longer have human immunodeficiency virus." The nurse learns that recent laboratory results indicated an "undetectable" human immunodeficiency virus viral load and that the patient stopped his medication several weeks earlier. What is the nurse's best response?

a. Inform the patient that he must be seen immediately because the undetectable viral load indicates that his medication stopped working. b. Have the patient reschedule his clinic visit. c. Congratulate the patient on his treatment success. d. Educate the patient about the continued need for his medications and ongoing laboratory monitoring. - ...ANSWER...d. Educate the patient about the continued need for his medications and ongoing laboratory monitoring. A patient is scheduled to receive high-dose cyclophosphamide via an intravenous infusion as treatment for cancer. Which will be most important for the nurse to include when teaching the patient about cyclophosphamide? a. An indwelling urinary catheter will be placed. b. Drink at least 2 L of fluid per day. c. Empty the bladder every 4 to 6 hours. d. Limit fluid intake during chemotherapy. - ...ANSWER...b. Drink at least 2 L of fluid per day.

A nurse is teaching a patient who will receive chemotherapy that will cause thrombocytopenia. Which instructions will the nurse include in the patient's teaching plan? (Select all that apply.) a. Use an electric razor when shaving. b. Use a soft-bristled toothbrush. c. Use aspirin for pain or headache. d. Monitor oral temperature daily. e. Report any bleeding (gums, petechiae, bruises, hematuria, melena) to the health care provider. - ...ANSWER...a. Use an electric razor when shaving. b. Use a soft-bristled toothbrush. e. Report any bleeding (gums, petechiae, bruises, hematuria, melena) to the health care provider. A student nurse is preparing to administer sucralfate to a patient. Which statement by the student nurse demonstrates understanding of sucralfate's mode of action? a. Sucralfate neutralizes gastric acidity.

b. Gastric acid secretion is decreased by inhibiting histamine at histamine2 receptors in parietal cells. c. Gastric acid secretion is suppressed by inhibiting the hydrogen/potassium adenosine triphosphatase enzyme. d. Sucralfate combines with protein to form a viscous substance that forms a protective covering over the ulcer. - ...ANSWER...d. Sucralfate combines with protein to form a viscous substance that forms a protective covering over the ulcer. When a patient complains of pain accompanying a peptic ulcer, why should the nurse give an antacid? a. Antacids decrease gastrointestinal motility. b. Antacids decrease gastric acid secretion. c. Antacids strengthen the lower esophageal sphincter's action. d. Antacids neutralize hydrochloric acid and reduce pepsin activity. - ...ANSWER...d. Antacids neutralize hydrochloric acid and reduce pepsin activity.

A patient is given desmopressin acetate. The nurse knows that this drug is used to treat which of the following conditions? a. Gigantism b. Diabetes mellitus c. Diabetes insipidus d. Adrenal insufficiency - ...ANSWER...c. Diabetes insipidus A patient is taking levothyroxine. For which adverse effect would the nurse monitor? a. Tachycardia b. Drowsiness c. Constipation d. Weight gain - ...ANSWER...a. Tachycardia A nurse is teaching a patient how to recognize symptoms of hypoglycemia. Which symptoms should be included in the teaching? (Select all that apply.) a. Headache

b. Nervousness c. Bradycardia d. Sweating e. Thirst f. Sweet breath odor - ...ANSWER...a. Headache b. Nervousness d. Sweating A patient is to receive insulin before breakfast, and the time of breakfast tray delivery is variable. The nurse knows that which insulin should not be administered until the breakfast tray has arrived and the patient is ready to eat? a. NPH b. Lispro c. Glargine d. Regular - ...ANSWER...b. Lispro Lab values for hypothyroidism - ...ANSWER...Decreased T3 and T4, elevated TSH

What is a contraindication for emergency contraception - ...ANSWER...pregnancy When a client asks for emergency contraception, what should you ask them? - ...ANSWER...How long ago did you have unprotected sex When educating a client on hormonal contraception, you should educate them on - ...ANSWER...the need to use barrier methods to prevent STIs To help stabilize blood sugar, you would give this in addition to juice - ...ANSWER...protein This type of diabetes is characterized by insulin resistance - ...ANSWER...Type 2 This drug should be held for 48 hours before and after tests using IV contrast dye to prevent acute renal failure - ...ANSWER...metformin

This type of diabetes is characterized by beta cells that no longer produce insulin - ...ANSWER...Type 1 If a client is on steroids long term, they are at risk for developing - ...ANSWER...Cushings Your patient is taking methotrexate ( Immunosuppressive drug and chemotherapy)and reports she has numerous large bruises on her lower legs. Which actions should you take? Select all that apply a. Ask about her recent trauma b. Report the bruising to her prescribing provider c. Anticipate an order for a lab draw to check platelet levels d. Tell her to not be so clumsy - ...ANSWER...A- you want to know if you can account for the bruising via recent injuries, or if it is a side effect of the medications B- may want to order blood test for platelet count

C- this is due to thrombocytopenia associated with methotrexate Methotrxate is associated with thrombocytopenia, which is a deficiency of platelets in the blood. List serious side effects of methotrexate( Immunosuppressive drug and chemotherapy) - ...ANSWER...Bone marrow suppression Leukopenia Neutropenia Thrombocytopenia Stomatitis Alopecia When taking cylophosphamide (Immunosuppressive drug and chemotherapy) (Cytoxan), you would educate your client to take at what time of day? Why is this important? - ...ANSWER...Need to take early in the day because we don't want this medication sitting in the bladdwer overnight. cylophosphamide (Cytoxan) is associated with hemorrhagic inflammation of the

bladder. Also need to educate client to drink lots of water. cylophosphamide - Immunosuppressive drug and chemotherapy)(Cytoxan), an alkalyzing agent, can cause hemorrhagic inflammation of which organ? - ...ANSWER...Bladder Who should NOT receive a live vaccine? - ...ANSWER...Currently ill Under 2 Over 49 Pregnant Immunocompromised Ever had Guillan-Barre syndrome Egg or flu vaccine Aged 2-17 and taking aspirin What is a normal T-helper cell count? - ...ANSWER...greater than 500 cells/mm (cubed)

Why wouldn't a patient who is 55 years old and hate shots be able to receive the attenuated nasal spray vaccine? - ...ANSWER...He's too old for the nasal spray, because clients older than 49 cannot receive a live vaccine This class of antibiotics can cause tendon rupture, especiallly when combined with steroids - ...ANSWER...Fluoroquinolone antibiotics Cipro is an example of one Ciprofloxacin (Cipro) should NOT be taken with products containing the following - ...ANSWER...Antacids Aluminum Iron Zinc Calcium Name which class of antibiotics are associated with the following:

Take on an empty stomach as milk or antacid products can prevent absorption Can stain the teeth of fetus or young child Can decrease the effectiveness of oral contraceptives Can result in photosensitivity reactions - ...ANSWER...Tetracyclines If a patient has a sulfa-allergy, they are at increased risk for allergies to the following medications. Select all that apply a. Glucotrol b. Celecoxib c. furosemide d. flomax - ...ANSWER...Glucotrol Celecoxib furosemide We draw peak and trough levels on the following medications to ensure efficacy, safety, metabolism, and excretion - ...ANSWER...gentamicin vancomycin

___________use and misuse can lead to superinfections such and cadidiasis and C. diff - ...ANSWER...Antibiotics The use of what can help reduce risk of super infections when using antibiotics? - ...ANSWER...probiotics This macrolide antibiotic is excreted primarily in the bile of the liver - ...ANSWER...erythomycin This antibiotic is a good choice for those with renal failure because it is primarily excreted in the bile of the liver - ...ANSWER...erythomycin If a patient has a mild allergic reaction, such as mild itching or hives, he or she may be treated with an antihistamine such as - ...ANSWER...diphenhydramine

Your patient is starting a medication regimen for tuberculosis. You let him know that his bodily secretions may be stained orange by which medication? - ...ANSWER...Rifampin A disulfiram reaction is most commonly associated with which two types of antibiotics - ...ANSWER...metronidazole cephalosporin If your patient makes this statements about the treatment of her child's thrush, you need to provide further education. Explain why. - ...ANSWER...If my child swallows this medication, I need to call poision control. Nystatin is safe to swallow because it is not absorbed in the GI tract Since dopamine antagonist phenothiazine antiemetic medications like prochlorperazine (Compazine) and promethazine (Phenergan) act on dopamine receptors,