Pharmacology Final (76-100)
Pharmacology Final Quiz
Test your knowledge in pharmacology with this comprehensive quiz designed for nursing students and professionals. The quiz covers critical topics including pediatric dosages, medication interactions, and patient care considerations.
- Multiple choice and checkbox questions
- Real-world clinical scenarios
- Perfect for exam preparation
Which action(s) would the nurse take when calculating pediatric dosages? Select all that apply
Use half of adult doses
Obtain weight in kilograms
Review radiograph findings
Assess laboratory drug levels
Utilize total body surface area if warranted
Which medication would the nurse discuss with the health care provider (HCP) after reviewing a patient's serum magnesium level result of 1.0 mEq/L?
Aspirin
Vitamin D
Furosemide
Propranolol
The nurse is caring for a patient who has been prescribed a cardiac diet, clopidogrel, and simvastatin for heart disease. In which order will the nurse use clinical judgement to provide care for this patient?
Assess family history of illness and responses to medications
Analyze the need for health teaching related to the medications and diet
Incorporate the patient's health preferences for dietary modifications
Guide the patient to self-administer medications
Evaluate the patient's response to the medications
Which adverse effect would the nurse educate the patient about who has been prescribed diltiazem?
Hyperkalemia
Blurred vision
Fluid retention
Erectile dysfunction
Which medication would the nurse anticipate incorporating into the plan of care for a patient with osteoporosis?
Interleukin 2 (IL-2)
Interferon beta
Interferon gamma
Colony-stimulating factors (CSFs)
Which instruction would the nurse include when teaching a patient about the administration of isotretinoin? Select all that apply
Avoid sunlight
Take contraceptives
Take the drug with food
Avoid driving during the daytime
Monitor your temperature regularly
Which nursing intervention would be the nurse's priority after reviewing the medical record for a patient newly prescribed methylphenidate?
Obtain baseline blood pressure before administering the medication
Phone the primary health care provider and clarify the newly prescribed methylphenidate prescription
Before the first dose is administered, draw arterial blood gases and report findings
Ask the patient if he or she really wants to take the medication, because there are many side effects
Which statement indicates the need for additional teaching related to assessing a patient before the administration of methylphenidate? Select all that apply
The drug is appropriate for patients with Parkinson disease
The mood of the patient has to be checked before the administration of the drug
The drug should not be administered to a patient with a history of hyperthyroidism
An assessment of growth is mandatory before the administration of the drug in children
The differential white blood cells have to be counted after the administration of the medication
The nurse is caring for a patient who presents to the emergency room with an acute medical problem. Using the Clinical Judgment Measurement Model (CJMM), which action would the nurse take before administering any medication when prioritizing hypotheses?
Address the patient's most pressing symptom
Assess the patient's level of orientation
Instruct the patient on drug side effects
Review the patient's laboratory results
Which classification, according to Joint National Committee (JNC) 8 guidelines, does a patient meet with a blood pressure reading of 134/86 mm Hg?
Normal
Elevated
Stage 1 hypertension
Stage 2 hypertension
Which classification, according to Joint National Committee (JNC) 8 guidelines, does a 50-year old patient with a blood pressure reading of 150/95 mm Hg meet?
Normal
Elevated
Stage 1 hypertension
Stage 2 hypertension
Which action by the nurse is the priority if the nurse obtains a gastric residual of 300 mL before administering an enteral feeding?
Hold the feeding
Administer the feeding
Notify the health care provider
Recheck the residual in 4 hours
Which complication would the nurse monitor for in a patient receiving simvastatin who is prescribed daptomycin to treat infective endocarditis caused by methicillin-resistant Staphylococcus aureus (MRSA)?
Hepatoxicity
Rhabdomyolysis
Renal insufficiency
Pseudomembranous colitis
A patient is prescribed daptomycin for urinary sepsis. The daptomycin is given concurrently with simvastatin and metoprolol for cardiac disease. Which cue would be most concerning to the nurse?
The patient reports, "I can't sleep well"
The patient has a white blood cell count of 9,000 µL (mm³)
The patient has two loose stools a day
The patient has dark urine
Which vitamin would the nurse advocate adding to a patient's medication regimen if the patient has reported fatigue and anemia while undergoing treatment with isoniazid?
B6
B3
C
B12
Which treatment would the nurse anticipate if a patient on isoniazid for tuberculosis presents to the clinic with a report of "tingling. itching, and burning all over"?
Niacin
Thiamine
Riboflavin
Pyridoxine
Which additional drug would be administered to prevent recurrent anaphylaxis in a patient who has received epinephrine for the treatment of anaphylaxis?
Dobutamine
Flumazenil
Phentolamine mesylate
Methylprednisolone
Which patient would be a good candidate for a varenicline treatment for smoking cessation?
Patient A
Patient B
Patient C
Patient D
On which portion of the renal tubule would the nurse expect the potassium-sparing diuretics to work?
Distal tubule
Loop of Henle
Proximal tubule
Collecting tubule
Which side effect would the nurse assess for in a patient admitted for intentional overdose of amphetamines? Select all that apply
Tremors
Xerostomia
Tachycardia
Hypertension
Cardiac dysrhythmias
Which process teaches patients with substance abuse disorders to stop and recognize patterns of thinking and behavior?
Contingency therapy
Twelve-step programs
Motivational enhancement therapy
Cognitive behavioral therapy (CBT)
Which patient 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 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 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 patient(s) would be at high risk for respiratory depression with the use of intravenous morphine therapy? Select all that apply
57 year old patient with thyroid cancer
65 year old patient with myocardial infarction (MI)
77 year old patient with chronic renal failure (CRF)
32 year old patient with ruptured ectopic pregnancy
45 year old patient with chronic obstructive pulmonary disease (COPD)
Which rationale describes why a nurse would record baseline vital signs before adminsitering 5 mg of morphine sulfate intravenously to a patient who underwent surgery 30 minutes prior?
Morphine sulfate causes release of histamines
Morphine sulfate dilates vascular smooth muscle
Morphine sulfate depresses the respiratory center
Morphine sulfate reduces the level of consciousness
Which adverse reaction would the nurse include in patient teaching regarding the use of albuterol?
Hypoglycemia
Drowsiness
Hypotension
Tachycardia
Which agency is responsible for calculating pediatric dosages of medications? Select all that apply
National Institute of Health (NIH)
Pediatric Research Equity Act (PREA)
US food and Drug Administration (FDA)
Best Pharmaceuticals for Children Act (BPCA)
Department of Health and Human Services (DHHS)
Which action would the nurse take if a patient who is being treated for myasthenia gravis disease has been prescribed telithromycin?
Notify the pharmacy
Notify the health care provider
Administer the first dose promptly
Administer the medication with food
A patient has been prescribed telithromycin. Which sign or symptom following infusion would be most concerning to the nurse?
Drooping upper eyelids
Reduced appetite
Altered taste sensation
Hyperactive bowel sounds
Which dietary change would a nure advise a patient to implement while receiving the anticholinergic drug benztropine mesylate?
Increase dietary calcium intake while taking benztropine mesylate
Increase your intake of omega 3 fatty acids while on this therapy
Decrease your intake of foods rich in vitamin K, such as leafy green vegetables
Increase your intake of fluids and fiber while receiving benztropine mesylate
Based on the patient's history, which statement made or question asked by the nurse is appropriate regarding benztropine?
Do you smoke cigarettes or use tobacco products?
Do you drink alcohol or take any antidepressant medication?
You should stop this medication immediately if you are having chronic sedation
The health care provider may decide to decrease your dose of medication due to your constant fatigue
Which statement by the patient indicates a need for further education if the nurse has provided medication instructions to a patient newly prescribed benztropine?
I should stay in air conditioned rooms during the summer months
If I miss a dose, I can take it up to 2 hours before the next dose
I should avoid driving until I know how I will react to this medication
I will avoid foods that contain tyramine, such as aged cheese or smoked meats
Which intervention(s) would the nurse implement for a patient who has been prescribed a benzodiazepine for anxiety? Select all that apply
Instruct the patient to change positions slowly
Instruct the patient not to drive during therapy
Teach the patient to avoid alcohol during therapy
Teach relaxation methods after the patient discontinues the drug
Monitor the patient's urine output to look for urinary retention
Which condition(s) in a patient with human immunodeficiency virus (HIV) can be treated with rifabutin? Select all that apply
Tuberculosis
Kaposi sarcoma
Cryptosporidiosis
Cytomegalovirus infection
Toxoplasmosis encephalitis
Mycobacterium avium complex (MAC) infection
Which medication noted when reviewing a patient's medication box should be verified against the current prescription list because of a high potential for abuse? Select all that apply
Cough syrup containing dextromethorphan
Pain medications containing methadone
Sleep medication containing diazepam
Fever medication containing acetaminophen
Antidiarrheal medication containing loperamide
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