Pharmacology Final (51-75)

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Pharmacology Final Challenge

Test your knowledge with our comprehensive Pharmacology Final quiz! Covering a wide range of topics from drug interactions to clinical trials, this quiz is designed for nursing students and professionals alike.

Whether you are preparing for exams or seeking to enhance your pharmacology expertise, our quiz offers:

51 carefully crafted questions
Multiple choice and ranking formats
Select all that apply options for deeper understanding

34 Questions8 MinutesCreated by EducatingNurse24

Which action would be the nurse's priority when noting an elevated blood urea nitrogen (BUN) and creatinine level in a patient receiving sumatriptan?

Assess the patient's breath sounds

Evaluate the patient's diet for migraine triggers

Monitor the patient's intake and output

Stop the medication and notify the health care provider (HCP)

Which medication would cause the nurse the greatest concern, based on the information?

Albuterol

Fluticasone

Acetaminophen

OTC cold medication

The nurse is reviewing the currently prescribed medications for a patient receiving treatment for a urinary tract infection with a history of rheumatoid arthritis and cardiac disease. Which medication interaction is the highest risk for this patient?

Increased serum potassium with furosemide

Hypotensive action with atenolol

Renal impairment with methotrexate

Liver toxicity with acetaminophen

Which term is used to describe the area of study in which new research is focusing on environmental aspects of substance abuse in patients who are biologically predisposed?

Epigenetics

Familial studies

Social impairment

Deviant peer relationships

Which statement describes the difference between Phase I and Phase II clinical drug trials? Select all that apply

A Phase I trial is conducted on healthy individuals, whereas Phase II Trial is conducted on patients

A Phase I trial involves fewer than 100 individuals, whereas

A Phase I trail is done to ensure drug safety, whereas a Phase II trial is done to ensure both safety and efficacy

A Phase I trial incorporates in vitro and in vivo laboratory results, whereas a Phase II trial incorporates animal studies

A Phase I trial collects long term data for chronic regimens, whereas a Phase II trial explores newer indications for the drug

A patient spilled boiling water on the hand, resulting in redness and inflammation. Place in the correct order the steps the nurse will communicate to the patient regarding care of the injured area.

Apply a cool, wet compress

Clean with soap and water

Apply aloe vera

Apply bacitracin

Place the actions the nurse will take in order of priority for a patient with second-degree burns.

Assess the airway

Administer analgesics

Clean the sties of burned tissues

Apply a topical antibacterial drug

Which statement by the nurse explains the reason for discontinuing aspirin 7 days before the surgery?

Aspirin has prolonged platelet activity

Aspirin can interact with 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

To which class of sympathomimetics does dopamine belong with respect to its action of stimulating both alpha1 and beta1 receptors in the heart and blood vessels?

Selective

Direct-acting

Mixed-acting

Indirect-acting

Which statement by the nurse about calcineurin inhibitors for maintenance therapy in the organ transplant recipient is inaccurate and requires further education?

Transplant recipients taking cyclosporine should not receive live vaccines

The daily dose of cyclosporine oral solution USP modified should always be given in two divided doses

Cyclosporine oral solution USP modified and cyclosporine oral solution USP are not bioequivalent and cannot be used interchangeably

To make cyclosporine oral solution USP modified more palatable, it should be diluted with room temperature grapefruit juice

Which intervention would a nurse expect to perform before a patient begins abacavir therapy for human immunodeficiency virus (HIV) management?

Tropism test

Viral load (VL) test

HLA-B*5701 test

Thyroid function test (TFT)

Which instruction would the nurse expect to receive from the health care provider if a patient, comatose due to sever insulin-induced hypoglycemia, shows no signs of improvement after the administration of two doses of glucagon?

Administer dextrose 50% solution to the patient

Administer 800 mg of dopamine into 250 mL D5W solution

Administer 8 mg of norepinephrine into 250 mL D5W solution

Administer 1000 mg of dobutamine into 250 mL D5W solution

Which medication would the nurse suspect as the culprit if the nurse observes thinning of the skin, with atrophy of the epidermis, in a patient who has been on drug therapy over the past 2 months for a skin infection?

Procainamide HCl

Dexamethasone

Diphenhydramine

Mafenide acetate

Which instruction would the nurse provide to a patient with a history of glaucoma who has been prescribed diazepam?

This medication may make you hyperactive`

If you have kidney disease, this medication may make it worse

You take this medication by dissolving the pill under your tongue

We need to call your healthcare provider because of your history

The nurse plans to administer a dose of medication to a patient with a temperature of 102.2°F (39°C). Which action reflects the "evaluating outcomes" step of the Clinical Judgement Measurement Model (CJMM)?

Assessing for diaphoresis and skin color

Providing cooling blankets for the patient

Rechecking the temperature 1 hour after administration

Repeating the dose of medication in 4 hours

Which prescription would the nurse anticipate being ordered for a patient who has an international normalized ratio (INR) of 1.5 and is receiving anticoagulant therapy?

Administer protamine sulfate

Increase the heparin drip rate

Hold the next dose of warfarin

Administer an additional dose of warfarin

Which instruction would the nurse include when teaching a patient about the proper use of metered-dose inhalers?

After you inhale the medication once, repeat until you obtain relief

Make sure that you puff out air repeatedly after you inhale the drug

Hold your breath for a few seconds, if you can, after you inhale the drug

Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler

Which instruction will the nurse give to the patient based on the clinical assessment? Select all that apply

Which action will the nurse take when caring for a patient with bronchospasm who has been prescribed metaproterenol to be taken by a metered-dose inhaler? Select all that apply

Teach the patient to attach a spacer device to the inhaler

Instruct that frequent doses can increase heart rate

Ask the patient to report if there is dryness of the mouth

Explain the importance of inhaling at proper intervals

Instruct not to use the drug excessively

Which response would the nurse give to a patient who states that an albuterol metered-dose inhaler (MDI) does not seem to provide effective relief? Select all that apply

Is the cannister empty?

Show me how you use your MDI

You probably need a different prescription

Do you have a spacer attached to your device?

How often do you use the medication?

The nurse is reviewing information on a patient being seen at the clinic for pain management. Based on the patient's data, which action will the nurse take?

Continue medication as prescribed and follow up with the patient on day 10

Report continued signs of infection to the health care provider

Ask the health care provider about additional urinary analgesic options

Discuss management of medication side effects with the patient

Which nursing action will be included in the plan of care for a patient admitted after experiencing a seizure and prescribed levetiracetam 500 mg PO BID? Select all that apply

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 compound or enzyme responsible for the breakdown of drugs has reduced activity in older adults?

Creatinine

Cytochrom P450 (CYP450)

Alanine aminotransferase (ALT)

Aspartate aminotransferase (AST)

Which factor impedes the absorption of drugs delivered intramuscularly or subcutaneously? Select all that apply

Which parameter is considered when dosing medications for and adolescent patient? Select all that apply

Which factor affects the distribution of medications in the body? Select all that apply

Which laboratory result determines the dose-limiting toxicity of ganciclovir antiviral treatment?

Liver function tests

Blood urea nitrogen

Complete blood count

Creatinine phosphokinase

Which finding will the nurse report to the healthcare provider when reviewing the laboratory results for a patient receiving topiramate for the treatment of partial seizures?

Glucose 102 mg/dL

Ammonia 75 mcg/dL

Creatinine 1.3 mg/dL

Potassium 5.1 mEq/L

Which symptom(s) in the patient does the nurse document as positive symptoms of schizophrenia? Select all that apply

Which phenomenon would the nurse recognize as a positive symptom of schizophrenia? Select all that apply

A 46-year old female reports taking ibuprofen 400 mg PO three times a day for chronic arthritis pain. Which parameter in the patient's chart would prompt the nurse to caution the patient about taking Ibuprofen? Select all that apply

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Pharmacology Final (51-75)

Pharmacology Final Challenge

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