Pharmacology Final (76-100)

A detailed and colorful depiction of pharmacological drugs, nursing students studying, and a clinical setting, possibly featuring a nurse examining medications and patient charts.

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

37 Questions9 MinutesCreated by AnalyzingHealth234

Which action(s) would the nurse take when calculating pediatric dosages? Select all that apply

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

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?

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

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

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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Pharmacology Final (76-100)

Pharmacology Final Quiz

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