Pharmacology Exam Questions and Answers, Exams of Nursing

Download Pharmacology Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 1. A patient is being tx for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the pt to be cautious when taking -elixir 2. A patient is in the clinic for seasonal allergic rhinitis. Loratadine Claritin is prescribed. Which of the following statements wil the nurse include in education -will the drug make you drowsy before you drive 3. A 72 yo female pt is prescribed ipratropium aerosol for Pulm emphysema. The nurse will instruct her to test spray MDI 3xs to prevent -Paradoxic acute bronchospasm 4. A nurse is providing ed. To a 56 yo man who is admitted to the ED with acute asthma a. The nurse 1st assessment reveals pt’s hx of pne, drink coffee, and high cal. Diet. Albuterol is prescribed.-the important consideration is that the pt has a high coffee intake. 5. A nurse providing d/c planning for 45 yo woman with prescription for PO albuterol .-nurse will question coffee intake 6. A female pt. age 36 is prescribed ICS for daily use. Which of the following adverse effects should the nurse closely monitor for in pt? -oropharyngeal candida albicans infection. 7. A pt with bronchil asthma is prescribed a sustating-release prep of theophylline. To help min. AE of the drug which should nurse suggest? -take on empty stomach 1 hour before or 2 hours after meals 8. A female pt calls the clinic and reports that since she has been take dextromethorphan( robitussin) she hase benn drowsy/dizzy. The nurse questions? – the amount of grapefruit or orange juice she has during the day NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 9. After a recen hx of sob that has become increasing , a woman prescribed ipratropium by MDI while workup. Wht pt teaching should nurse give?- make sure that you take at scheduled times, regardless of feeling sob. 10. Which of the following will a nurse infor pt about common SE of guaifenesin? Gastrointestinal distress 11. Female pt has been taking prednisone for asthma for 1 mo. Nurse will teach her to gradually decrease dose to avoid -adrenal insufficiency 12. A 20 yo woman calls clinic @ 5pm and reports to the nurse that she forgot to take her morning allegra/fexofenading. She usually takes her evening dose. Wants to know what to do. -nurse instructs to forget am and take pm dose. 13. The parents of 7yo has been dx with allergic asthma is being taught med regimen. Nurse is teaching parents about appropriate rescue drug for acut exacerbations . what drug should the nurse suggests the parents to use in these situations? -albuterol 14. A nurse is assigned to a pt who is receiving iv aminophylline. The nurse is aware that iv infusion rate should be -no more than 25mg/min 15. A male pt is to begin tx for pne with albuterol(ven)inhaler the nurse will advise the pt that he willmost likely experience which of the following common AE? -throat irritation 16. A 47 yo woman has been dx with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse assess and reveals that the pt has worn soft contacts for 15 yrs. Nurse instructs pt to – remove contact lenses before applying drops 17. A 53 yo man has been tx for severe asthma for sev. Yrs with prednisone. Pa initiated alt. day therapy. Pt tells nurse he rather take med every day to prevent confusion. Which is best response? -the schedule allows rest periods so that AE are decreased but anti-inflammatory effects cont. 18. A 24 yo factory work has been prescribed guaifenesin for the first time. Which of the following will be a priority assess by nurse before pt 1st dose? -amount of alcohol consumption NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 36. A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital witha diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition? C. Assess the reasons behind the patient's poor nutritional status 37. Mrs. Houston is a 78-year-old woman who resides in an assisted living facility. Her doctor prescribed digoxin at her last visit to the clinic and she has approached the nurse who makes regular visits to the assisted-living facility about this new drug. Wh B. The importance of having required laboratory work performed on timassisted-living facility about this new drug. Wh B. The importance of having required laboratory work performed on time 38. A nurse is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The nurse will base the patient's plan of care on the understanding t D. a decrease in the amount of creatinine to be filtered. 39. A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that C. intranasal 40. A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walkin A. a dose adjustment should be made if these symptoms persist 41. An elderly man has been admitted to a residential care facility and the nurse has conducted a medicationreconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier. The nurse recognizes B. Prostate cancer NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 42. A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has ahistory of cardiovascular disease. The nurse will prioritize the assessment of which of the following? C. Electrolyte levels 43. A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing interventions would best promote medication adherence? A. Place pills in a daily or weekly pillbox organized according to hours of the day or mealtimes. 44. A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has ahistory of mild hypertension. He explains that he D. Vascular impairment 45. A nurse is conducting an assessment of a patient who has recently had several changes made to her drugregimen. What assessment question most directly addresses the safety implications of the patient's drugregimen? B. “Do you take any herbal supplements or alternative medications?” 46. A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse would be sure to instruct the patient to D. understand the signs and symptoms of hypoglycemia. 47. Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about C. potential adverse effects of the drugs that Mr. Nguyen will be taking. 48. A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitiveimpairment and memory loss. The initial action of the nurse would be to A. try to distinguish between normal signs of aging and the adverse drug effects 49. Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribednitroglycerin spray several times in recent weeks. This patient's age will have what NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 effect on her use of nitroglycerin? C. The woman will be more susceptible to hypotension than a younger patient. 50. A 70-year-old woman with a history of atrial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse's admission assessment, the nurse realizes that the patient has been taking ginkgo biloba supplements in addition to her pres C. Risk for Injury related to drug interactions of vitamins, herbs, or food intake with prescribed drug therapy 51. An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make B. falls Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugsto one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?Selected ANSWER✔✔✔✔:Narcotics to be used in the hospital are dispensed only with a written prescription. Question 2 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?Selected ANSWER✔✔:The drug will decrease in effectiveness Question 3 1 out of 1 points NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?Selected ANSWER✔✔:"I broke out in hives and got terribly itchy when I started a new prescription last year." Question 20 An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician hasdetermined that the drug is no longer needed. The nurse at the facility will plan toSelected ANSWER✔✔:withdraw the drug gradually over a 2 to 3 week period. Question 21 A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?Selected ANSWER✔✔:Muscle twitching Question 22 The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?Selected ANSWER✔✔:Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. Question 23 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use.Which of the following adverse effects should the nurse closely monitor for in this patient?Selected ANSWER✔✔:Oropharyngeal Candida albicans infection Question 24 A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.Selected ANSWER✔✔s:Is there a need for the drug in treating the presenting problem?Is this the best drug for the presenting problem?Can the patient take the prescribed drug? Question 25 A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis?Selected ANSWER✔✔:Mesalamine Question 26 A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development?Selected ANSWER✔✔:Administering investigational drugs to patients Question 27 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?Selected ANSWER✔✔:Vitamin B Question 28 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication?Selected ANSWER✔✔:Intravenous infusion Question 35 A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?Selected ANSWER✔✔:Shrimp Question 36 A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in aSelected ANSWER✔✔:lower-than-normal dose. Question 37 A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when takingSelected ANSWER✔✔:an elixir. Question 38 A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order becauseSelected ANSWER✔✔:secretions may be retained. Question 39 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 nurse will tell the patient thatSelected ANSWER✔✔:optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment. Question 54 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selected ANSWER✔✔:Dietary habits A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe isSelected ANSWER✔✔:headache. Question 56 A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment?Selected ANSWER✔✔:Carefully assess the patient for infections Question 57 A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history ofSelected ANSWER✔✔:seizure disorders. Question 58 A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. Thenurse will be sure toSelected ANSWER✔✔:avoid the small veins in the dorsum of the hand or the wrist. Question 59 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low-sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient'sSelected ANSWER✔✔:medication history Question 65 A nurse is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term?Selected ANSWER✔✔:Taking several drugs simultaneously Question 66 A nurse is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The nurse will base the patient's plan of care on the understanding that there isSelected ANSWER✔✔:a decrease in the amount of creatinine to be filtered. Question 67 A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?Selected ANSWER✔✔:1.7 mEq/L Question 68 A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs?Selected ANSWER✔✔:Digoxin immune fab Question 69 NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?Selected ANSWER✔✔:A 35year-old man who is having difficulty falling asleep, but once asleep can stay asleep (wrong)A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration?Selected ANSWER✔✔:Serum sodium levels Question 71 A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? Selected ANSWER✔✔:History of taking anticoagulant drugs Question 72 An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient thatSelected ANSWER✔✔:there is risk of an extremely high dose available all at once if the tablet is crushed. (wrong)Question 73 A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that isSelected ANSWER✔✔:low in sodium and potassium. Question 74 A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner statesSelected NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?Selected ANSWER✔✔:National Provider Identification (NPI) Question 89 Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion?Selected ANSWER✔✔:A bulk- forming (fiber) laxative Question 90 A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy?Selected Increased abdominal pain and vomiting A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)Selected ANSWER✔✔s:The drug does not cause sleepiness in the morning.One of the most common adverse effects of the drug is headache.It is available in both quick-onset and continuous-release oral forms. Question 97 A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be toSelected ANSWER✔✔:administer oxygen therapy. Question 98 Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to NR 6521 MIDTERM-PHARM EXAM 2024-2025 NR 6521 MIDTERM-PHARM EXAM 2024-2025 eradicate the patient's H. pylori infection? (Select all that apply.)Selected ANSWER✔✔s:AntibioticsA PPI Question 99 On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic asSelected ANSWER✔✔:an idiosyncratic response. Question 100 Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the wordsauthorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drugSelected ANSWER✔✔:Schedule 2