Pharmacology Final (1-25)

A quiz-related illustration showing a nurse administering medication in a hospital setting, with pharmaceuticals and medical equipment in the background, infused with a vibrant and educational theme.

Pharmacology Mastery Quiz

Test your knowledge of pharmacology with our comprehensive final quiz designed for nursing and healthcare professionals. This quiz covers essential topics like medication management, pharmacodynamics, and patient safety. Each question is tailored to challenge your understanding and application of pharmacological principles.

25 engaging questions
Multiple choice and selection formats
Track your progress and see how you compare with peers

48 Questions12 MinutesCreated by CaringHeart312

Which medication is used to treat severe advere effects of an opioid analgesic?

Naloxone

Flumazenil

Acetylcysteine

Methylprednisolone

Which effect would be attributed to the combination of a diuretic and a beta blocker when caring for a patient being treated for hypertension?

Additive drug effect

Increase in side effects

Synergistic drug effect

Antagonistic drug effect

Which medication would the nurse anticipate incorporating into the plan of care for a postoperative patient who received fentanyl and subsequently developed respiratory depression?

Morphine sulfate

Polyethylene glycol

Naloxone

Meperidine hydrochloride

Immunosuppressant drugs place patients who have received organ transplants at risk for which complication?

Infection

Hypoglycemia

Organ failure

Organ rejection

Which precaution would the nurse take when administering a vaccine to a patient with a previous history of an adverse reaction to the vaccine? Select all that apply

Check the patient's food habits

Ensure epinephrine is readily available

Obtain the patient's complete drug history

Administer saline before giving the vaccine

Assess for signs such as fever after administering the vaccine

Which nursing action ensures safe and effective drug delivery of prescribed methylergonovine maleate to a patient experiencing postpartum hemorrhage? Select all that apply

Monitoring the patient's blood pressure periodically

Administering the medication via the intravenous route

Administering the medication via the intramuscular route

Instructing the patient to continue breastfeeding during drug therapy

Informing the patient that chest pain is a side effect of the medication

Which nursing intervention for a patient receiving methylergonovine maleate for postpartum hemorrhage is most essential?

Assess urinary output hourly

Administer intravenous (IV) fluids 'wide open'

Ask a patient if she has ringing in her ears

Assess for signs and symptom of thrombosis

Which medication does the nurse discuss with the health care provider for a patient at risk for postpartum uterine hemorrhage?

Estradiol

Megestrol

Alendronate

Methylergonovine

Which postpartum assessment finding is a priority to prevent complications from therapy with intravenous methylergonovine after a vaginal delivery?

Hypertension

Hypoglycemia

Decreased lochia rubra

Uterine contractions

The nurse is reviewing the health records of a patient who reports smoking two packs of cigarettes per day for 30 years. Which finding can be attributed to the patient's smoking history? Select all that apply

Which nonpharmacologic measure is used to treat pain in the first stage of labor? Select all that apply

Which action would the nurse take if a patient receiving darunavir for the treatment of HIV infection is prescribed famotidine?

Assess for drug toxicity

Monitor potassium levels

Administer the darunavir at least 2 hours before the famotidine

Administer the famotidine at east 10 hours before the darunavir

Which medicine would the nurse expect the health care provider to prescribe if the nurse has administered atropine sulfate to a patient experiencing bradycardic rhythms and the nurse notices that the patient's heart rate is 42 beats per minute after administering the drug?

Labetalol

Dopamine

Epinephrine

Diphenhydramine

Which medication is given as an antidote for an overdose of atropine?

Naloxone

Dicyclomine hydrochloride

Physostigmine salicylate

Glycopyrrolate

Which drug would the nurse anticipate administering to a postoperative patient who becomes restless and tachycardic after receiving intravenous atropine perioperatively?

Atropine

Tolterodine tartrate

Dicyclomine hydrocholoride

Physostigmine salicylate

Which patient(s) cannot safely receive clopidogrel? Select all that apply

A patient with thyroid cancer

A patient with an active gastrointestinal (GI) bleed

A patient with type 2 diabetes mellitus

A patient with gout

A patient with an intracranial hemorrhage

Which genetic variation can increase the risk for complications in a patient prescribed clopidogrel?

DRD3

SLC6A

SLCO1B1

CYP2CY19

Which is not an example of a drug that needs therapeutic drug monitoring (TDM)? Select all that apply

Which drug is most likely causing bone marrow suppression in a patient who is receiving otic antimicrobial therapy and has a decrease in leukocytes, erythrocytes, and platelets?

Furosemide

Ciprofloxacin

Chloramphenicol

Prednisolone

Which statement accurately describes the use of sulfonamides?

Bactericidal agents very similar to penicillin

Antibiotics for bacterial and fungal infections

Inhibits bacterial synthesis of folic acid essential for bacterial growth

Treats bacterial and viral illnesses

Which instruction will the nurse give to the patient based on the laboratory report?

Your dietary restriction will lower cholesterol level by 60%

Prefer coconut oil for cooking food, as it has low cholesterol

Olive oil and peanut butter are healthy for daily consumption

Do not consume more than 400 mg cholesterol in a day

Which side effect(s) would the nurse teach the patient to immediately report to the primary health care provider if the nurse is providing medication education to a patient with rheumatoid arthritis who is on infliximab therapy? Select all that apply

Which information would the nurse include in the patient teaching if the nurse is educating a patient about anti-inflammatory drugs? Select all that apply

Cyclooxygenase-2 (COX-2) inhibitors may prevent colon cancer

Salicylates may reduce the risk for stomach cancer

People with diabetes must be careful taking ibuprofen

Ketorolac is comparable to opioids for postoperative pain

Drugs like naproxen can prevent the development of arthritis

A patient has been prescribed an ophthalmic ointment for external ocular inflammation and eyedrops for treating high intraocular pressure. Which explanation will the nurse give to the patient? Select all that apply

Do not stop medicines prior to consultation

Use ophthalmic ointment before any eyedrops

Avoid touching the dropper tip with fingers

Wait 2 to 3 minutes between ophthalmic medicines

Consult your health care provider before using an anticholinergic, decongestant, or corticosteroid

Which ocular drug belongs to the nonsteroidal antiinflammatory drug (NSAID) category?

Which response by the nurse would be correct if a patient asks the nurse why calcium supplements should be taken 1 hour after taking levofloxacin?

Calcium supplements interfere with levofloxacin absorption

Calcium supplements increase the serum concentration of levofloxacin

Calcium supplements antagonize the antibacterial activity of levofloxacin

Calcium supplements and levofloxacin interact, affecting the intestinal flora

Which action by the nurse is inappropriate in caring for a patient receiving levofloxacin for a urinary tract infection (UTI)?

Encouraging the patient to have caffeinated products

Instructing the patient to take the drug along with food

Instructing the patient to drink 8 glasses of water per day

Informing the primary healthcare provider if the pH of the urine is 5

Which reaction can occur in a patient taking nonsteroidal antiinflammatory drugs (NSAIDS) and levofloxacin?

Hyperglycemia

Seizures

Constipation

Drowsiness

Which physiologic change in older adults puts them at risk compared to younger adults in relation to medications?

Increased hepatic clearance

Enhanced renal excretion

Expansion of lean body mass

Reduction in liver blood flow

Which age-related pharmacokinetic change to the gastrointestinal (GI) system does the older adult patient experience?

Increased gastric acid production

Reduced cytochrome P450 (CPY450) activity

Increased gastric blood flow

Delayed gastric emptying

Which symptom of extrapyramidal effects would the nurse monitor for in a patient taking an antipsychotic medication?

Dystonia

Orthostatic hypotension

Dry mouth and constipation

Neuroleptic malignant syndrome

Which physiologic change is a major cause of increased central nervous system (CNS) drug side effects in the older adult?

Renal excretion decreases

Compensatory reflexes are blunted

Adrenergic receptors become less sensitive

The blood-brain barrier becomes more permeable

Place in the correct order the steps the nurse will take to care for a patient on gentamicin with a trough to be obtained today

Verify the correct patient

Check that the therapeutic drug monitoring has been ordered for trough level

Call the laboratory to come draw the trough level

Give the ordered gentamicin to the patient

Inform the pharmacy of the trough results

Which medication is administered to counteract the effects of warfarin?

Heparin

Dabigatran

Phytonadione

Protamine sulfate

Which laboratory finding may occur in a patient receiving diphenoxylate with atropine?

Decreased serum ammonia levels

Increased serum magnesium levels

Decreased serum glucose levels

Increased serum liver enzyme levels

Which drug will prompt the nurse to alert the health care provider if it has been prescribed to a diarrhetic patient who frequently consumes alcohol

Rifaximin

Diphenoxylate with atropine

Bismuth subsalicylate

Colestipol

Which mechanism of action describes how diphenoxylate with atropine treats diarrhea due to chemotherapeutic agents?

Inhibits gastric motility

Acts by coating the walls of the gastrointestinal (GI) tract

Absorbs bacteria or toxins in the GI tract

Soaks up water in the intestines

Which parameter would be monitored closely in a patient receiving narcotic analgesics for pain and diphenoxylate with atropine for diarrhea?

Glucose levels

Platelet count

Respiratory rate

Erythrocyte count

Which action would the nurste take when caring for a patient with sever diarrhea and vomiting who receives a prescription for 5 mg/0.05 mg (2 tablets of 2.5 mg/0.025 mg) of diphenoxylate with atropine by mouth four times daily as needed for diarrhea?

Administer the prescribed dose

Review the patient's electrolyte panel

Do not administer it, because the prescribed dose exceeds the daily maximum

Contact the healthcare provider because the drug prescribed is not indicated for the treatment of diarrhea

Which nonpharmacolocgic method of pain and anxiety control is appropriate for the nurse to use with pediatric patients when administering drugs? Select all that apply

Which information would the nurse include when teaching a patient about the administration of repaglinide?

Take this medication with food

This medication will not cause hypoglyciema

Take this medication at bedtime

Use aspirin rather than acetaminophen for pain relief while taking this medication

Which patient being treated with a beta blocker for hypertension will receive priority assessment by the nurse?

A patient who has been on beta blocker for 1 day

The patient who is on a beta blocker and a thiazide diuretic

The patient who has stopped taking a beta blocker due to cost

The patient who is taking a beta blocker and furosemide

Which adverse drug effect would the nurse monitor for in a patient who has been prescribed a beta-adrenergic blocking agent for the treatment of ocular hypotension?

Which drug is contraindicated for a patient with uncontrolled hypertension?

Filgrastim

Palifermin

Sargramostim

Erythropoietin

Unlock and Upgrade

Remove all limits from your Quizzes

Pharmacology Final (1-25)

Pharmacology Mastery Quiz

More Quizzes