Exam 6 Pharmacology
Pharmacology Mastery Quiz
Test your knowledge and understanding of pharmacology with our comprehensive quiz! Covering various aspects of drug therapy, this quiz is designed for nursing students, healthcare professionals, and anyone interested in enhancing their pharmacological expertise.
With 42 thought-provoking questions, users will explore topics including:
- Drug classifications and mechanisms
- Monitoring and managing medications
- Side effects and patient education
- Clinical applications and guidelines
Which class of drugs may cause gynecomastia and priapism?
5-alpha-reductase inhibitors
Androgens
Antiandrogens
Alpha-adrenergic blocking agents
Which complication will the nurse monitor for in the woman in labor receiving oxytocin?
Hypotension
Early fetal heart rate decelerations
Seven uterine contractions in 20 minutes
Contractions lasting at least 1 minute
Which nonpharmacologic measure is used to treat pain in the first stage of labor? Select all that apply
Ambulation
Aromatherapy
Touch and massage
Breathing and relaxation techniques
Transcutaneous electrical nerve stimulation (TENS)
Which statement by the patient indicates that teaching regarding the safe use of doxazosin was effective?
I should take this medication at bedtime
I should take this medication on an empty stomach
I may feel increased energy while taking this medication
I can stop this medication when I feel better
Which time of day will the nurse advise a patient to take medication if the patient has been prescribed doxazosin for benign prostatic hyperplasia (BPH)?
Early morning
Afternoon with lunch
Before evening meal
Bedtime
Which action would the nurse perform to administer eyedrops to a patient who has been prescribed timolol (1 drop) in the right eye and latanoprost (1 drop) in the right eye?
Wait 5 minutes between drugs
Administer timolol first followed immediately by latanoprost
Dim lights after administering the drugs
Obtain blood pressure before doses
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 symptom will a nurse monitor in a patient with suspected digoxin toxicity? Select all that apply
Anorexia
Vomiting
Dry cough
Visual disturbances
Cardiac dysrhythmias
Which condition inidcates an excessive dose of digoxin?
Polyuria
Tinnitus
Halo vision
Photophobia
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 patient information would a nurse obtain before administering furosemide? Select all that apply
Serum potassium level
Level of consciousness
Baseline weight
Urinary output
Blood pressure
Which antidote is used for warfarin overdose?
Vitamin A
Vitamin B
Vitamin D
Vitamin K
Which condition is an adverse effect of oxytocin? Select all that apply
Nausea
Tachycardia
Hypertension
Tachysystole
Cardiac arrhythmias
Which instruction would the nurse include in patient teaching regarding the safe use of testosterone gel? Select all that apply
Apply the gel to the clean, dry skin of the shoulders or upper arms
Cover application areas with clothing to avoid secondary exposure
Apply the gel liberally to the genital area
Leave the application open to air for better absorption
Wash the hands with soap and water after application
Make sure that children avoid contact with unwashed application sites
Which dose of alteplase would the nurse administer to treat an ischemic cerebrovascular accident (CVA)?
10 mg
75 mg
81 mg
0.9 mg/kg
Which medication would the nurse anticipate incorporating into the plan of care to prevent fluid volume overload in a patient with a history of heart failure who is receiving cisplatin for the treatment of cancer?
Mannitol
Torsemide
Spironolactone
Hydrochlorothiazide
By which route would the nurse expect to administer clopidogrel?
Orally
Intravenously
Intramuscularly
Subcutaneously
Which instruction will the nurse provide to a patient who has been prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects?
Take atorvastatin at bedtime
Adhere to the blood test schedule
Avoid all alcoholic beverages
Engage in moderate exercise
Which laboratory value would be monitored in a patient taking statin therapy? Select all that apply
Cholesterol and triglyceride levels
Amylase and lipase
Low-density lipoprotein (LDL) and high-density lipoprotein (HDL) levels
Prothrombin time and international normalized ratio (PT/INR)
Alanine aminotransferase (ALT), alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT)
Which explanation will the nurse provide a patient on statin therapy?
Periodically check the serum liver enzyme level
Muscle pain may occur, which does not need to be reported
Discontinue the drug in case of any adverse effect
Report if there is any gastrointestinal discomfort
Which intervention would the nurse implement for a patient who is taking combined hormone contraception (CHC) pills with drospirenone (DSRP)?
Monitoring intake and output
Monitoring serum potassium levels
Reducing salt in the patient's diet
Assessing for gastrointestinal problems
The nurse is reviewing a patient's health record before administering the patient's scheduled dose of digoxin. Based on the finding in the patient's chart, which action would the nurse take? Select all that apply
Obtain the patient's serum digoxin level
Assess the patient for peripheral edema
Hold the scheduled digoxin dose
Administer supplemental oxygen
Contact the health care provider (HCP)
Initiate continuous telemetry monitoring
Which information would the nurse provide to a patient newly prescribed amiodarone in order to prevent complications?
Avoid midday sunlight
Avoid green, leafy vegetables
Monitor pulse before dose
Consume a low-potassium diet
Which laboratory value must be monitored in patients taking amiodarone?
Potassium
Electrolytes
Renal function
Thyroid function
Which statement by the nurse explains the reason for discontinuing aspirin 7 days before surgery?
Aspirin has prolonged platelet activity
Aspirin can interact with the anesthesia
Aspirin has prolonged anticoagulant activity
Aspirin can interact with postoperative pain medication
Which statement by the nurse explains the mechanism of action for amlodipine?
This drug increases myocardial contractility
This drug selectively inhibits beta receptors
This drug inhibits the binding of angiotensin II
This drug inhibits the calcium channel in the vascular smooth muscle
Which side effect is common with all angiotensin receptor blockers (ARBs)?
Cough
Back pain
Constipation
Hypotension
Which action would the nurse include in the plan of care for a patient who has been prescribed dorzolamide for the treatment of open-angle glaucoma? Select all that apply
Assess visual acuity
Monitor uric acid levels
Change positions slowly
Report a burning sensation with dose
Measure intake and output
Which beta blocker is nonselective
Carvedilol
Bisoprolol
Acebutolol
Atenolol
Which statement describes the mechanism of action of clomiphene citrate
Stimulates ovulation
Decreases serum thyroxine
Prevents prolactin secretion
Binds to dopamine receptors
Which side effect(s) associated with amlodipine therapy would the nurse monitor the patient for? Select all that apply
Nausea
Dizziness
Drowsiness
Heartburn
Visual impairment
Erectile dysfunction
Which finding in the patient's medication profile indicates a need to contact the health care provider (HCP) if the nurse is preparing to administer spironolactone to a patient with cirrhosis?
Lisinopril
Diltiazem
Metoprolol
Hydralazine
Which adverse effect would the nurse educate a patient about who has been prescribed diltiazem?
Hyperkalemia
Blurred vision
Fluid retension
Erectile dysfunction
Which classification, according to joint national committee (JNC) 8 guidelines, does a 50-year old patient with a blood pressure reading of 150/95 mmHg meet?
Normal
Elevated
Stage 1 hypertension
Stage 2 hypertension
Which phrase describes how a diuretic lowers blood pressure?
Decreases urine flow
Maintains calcium balance
Removes excess potassium
Blocks sodium and water reabsorption
Which drug class is used as the first line of therapy for reducing fluid volume in patients with heart failure (HF)?
Nitrates
Diuretics
Beta blockers
Calcium channel blockers
Which parameter is important for a nurse to monitor when titrating intravenous nitroglycerin in a patient? Select all that apply
Visual acuity
Presence of chest pain
Serum nitroglycerin levels
Hourly electrocardiograms
Continuous blood pressure
Continuous oxygen saturation
Which outcome may occur if nitroglycerin is administered too rapidly?
Tolerance
Headache
Reflex tachycardia
Contact dermatitis
Which parameter is important to consider after learning that the patient has been prescribed atorvastatin?
The patient takes prescription drugs with grapefruit juice
The patient takes kava kava
The patient takes lisinopril
The patient was started on penicillin for a respiratory infection
Which action may result in sever headache with a flushing in a patient who is on vardenafil therapy?
Consuming milk 1 hour before taking the medication
Drinking grapefruit juice while taking the medication
Exercising with weights after taking the medication
Performing deep breathing exercises after taking the medication
Which rationale for avoiding vardenafil is appropriate to provide to an older adult patient who has been prescribed nitroglycerin for the the treatment of angina pectoris?
May cause erectile dysfunction in patients
Contraindicated for use in older adult patients
Reduces the efficacy of nitroglycerin
Causes hypotension if taken with nitroglycerin
Which action would the nurse perform first based on the information below, if a patient presents to the urgent care center reporting leg cramps, nausea, and blurred vision?
Administer oral digoxin
Address the serum potassium level
Give scheduled sliding scale insulin
Obtain orthostatic blood pressure
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