NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q &, Exams of Nursing

Download NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & and more Exams Nursing in PDF only on Docsity! NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Selecte d Answer : Narcotics to be used in the hospital are dispensed only with a written prescription. • Question 2 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Selecte d Answer : The drug will decrease in effectiveness • Question 3 1 out of 1 points A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selecte d Answer : Acute Pain, Headache, related to adverse effects of drug therapy • Question 4 1 out of 1 points A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of Selecte d Answer : nonpharmacologic interventions combined with an exercise program. • Question 5 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Answer: orally • Question 7 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Selecte d Answer : The drugs' generic names • Question 8 1 out of 1 points Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selecte d Answer : To ensure the safety of the public • Question 9 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the- counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selecte d Answer : may cause nutrient deficiencies. • Question 10 1 out of 1 points A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Selecte d Answer : identify any changes in drug absorption that would change the drug effect. • Question 11 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Selecte d Answer : Route • Question 12 swallow the tablet with milk or food. • Question 17 1 out of 1 points A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Selecte d Answer : Possible drug–drug interactions that might occur NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 18 1 out of 1 points A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University following ? Selecte d Answer : How well a drug produces its desired effect • Question 19 1 out of 1 points The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? Selecte d Answer : "I broke out in hives and got terribly itchy when I started a new prescription last year." • Question 20 1 out of 1 points An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to Selecte d Answer : withdraw the drug gradually over a 2 to 3 week period. • Question 21 1 out of 1 points A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? Selecte d Answer : Muscle twitching • Question 22 The lower respiratory system utilizes a number of differen t NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 24 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. Selecte d Answer s: Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? • Question 25 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selecte d Answer : Mesala mi n e • Question 26 1 out of 1 points A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? Selecte d Answer : Administering investigational drugs to patients • Question 27 1 out of 1 points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? Selecte d Answer: NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Vitamin B • Question 28 1 out of 1 points An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University p S a e r l e e n ct te e r d ally. Which of the following methods would bethe most a A p n p s r w o e p r r : iate for thInetrnauvresneotuosuinsefuwsihoenn. administering the medication? • Question 29 NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 34 1 out of 1 points A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : Late afternoon • Question 35 1 out of 1 points A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods? Selecte d Answer : Shrimp • Question 36 1 out of 1 points A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a Selecte d Answer : lower-than-normal dose. • Question 37 1 out of 1 points A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking Selecte d Answer : an elixir. • Question 38 1 out of 1 points A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : secretions may be retained. • Question 39 1 out of 1 points A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University 1 out of 1 points • Question 40 pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to Selecte d Answer : pork. NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 44 1 out of 1 points A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : Dizziness • Question 45 1 out of 1 points A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein- bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to Selecte d Answer : polypharmacy decreasing the number of available protein- binding sites. • Question 46 1 out of 1 points An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? Selecte d Answer : An oral antidepressant that the patient has been taking daily for several years • Question 47 1 out of 1 points A patient has a blood serum drug level of 50 units/mL. The drug's half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range? Selecte d Answer : 1 hour • Question 48 NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : an antagonistic effect. • Question 50 1 out of 1 points In order to promote therapeutic drug effects, the nurse should always encourage patients to Selecte d Answer : take their medication at the prescribed times. • Question 51 1 out of 1 points A 57-year-old male patient who has been prescribed doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking aspirin or drugs that contain aspirin because it may Selecte d Answer : promote bleeding. • Question 52 1 out of 1 points A 70-year-old woman is starting on an acidic drug. The nurse is aware that food and nutrient intake can affect drug excretion by changing the urinary pH. About which of the following will the nurse question the patient concerning her diet? Selecte d Answer : The amount of meat and vegetables • Question 53 1 out of 1 points A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment. • Question 54 1 out of 1 points A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selected Answer: NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Dietary habits • Question 55 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : medication history. • Question 60 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? Selecte d Answer : It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. • Question 61 1 out of 1 points A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy? Selecte d Answer : Monitor the IV site for redness, swelling, or pain • Question 62 1 out of 1 points A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? Selecte d Answer : "It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions." • Question 63 1 out of 1 points A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments? Selecte d Answer: NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University H eart rate and blood pressure • Question 64 1 out of 1 points A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate- NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 69 1 out of 1 points A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)? Selected Answer: NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University A 35 - year-old man who is having difficulty falling asleep, but once asleep can stay asleep • Question 70 0 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? Selecte d Answer : Serum sodium levels • Question 71 1 out of 1 points A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? Selecte d Answer : History of taking anticoagulant drugs • Question 72 1 out of 1 points An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient that Selecte d Answer : there is risk of an extremely high dose available all at once if the tablet is crushed. • Question 73 0 out of 1 points A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is Selecte d Answer : low in sodium and potassium. • Question 74 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : Increased blood glucose • Question 76 1 out of 1 points A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that Selecte d Answer : a dose adjustment should be made if these symptoms persist. • Question 77 1 out of 1 points A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to Selecte d Answer : decreased blood flow to tissues and muscles. • Question 78 1 out of 1 points A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? Selecte d Answer : Hepatotoxicity • Question 79 1 out of 1 points A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University sleeping, a problem that she has not previously experienced. Which of the following measures should the nurse suggest? Selecte d Answer : Encouraging the patient to change her diet and exercise habits • Question 80 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? Selected Throa t irritati on NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University 1 out of 1 points A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to Selected consult their care provider before taking new over- the-counter medications. NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Answer: • Question 86 1 out of 1 points A 70-year-old man who enjoys good health began taking low-dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his care provider, routine blood work was ordered and the results indicated an unprecedented rise in the man's serum creatinine and blood urea nitrogen (BUN) levels. How should a nurse best interpret these findings? Selecte d Answer : The man may be experiencing nephrotoxic effects of aspirin • Question 87 1 out of 1 points A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? Selecte d Answer : Electrolyte levels • Question 88 1 out of 1 points A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? Selecte d Answer : National Provider Identification (NPI) • Question 89 1 out of 1 points Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? Selecte d Answer : A bulk-forming (fiber) laxative • Question 90 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University four times a day. • Question 95 1 out of 1 points A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Selecte d Answer : Infliximab (Remicade) • Question 96 1 out of 1 points NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University A patient has been prescribed zolpidem (Ambien) for short- term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) Selecte d Answer s: The drug does not cause sleepiness in the morning. One of the most common adverse effects of the drug is headache. It is available in both quick-onset and continuous- release oral forms. • Question 97 1 out of 1 points A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to Selecte d Answer : administer oxygen therapy. • Question 98 1 out of 1 points Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) Selecte d Answer s: Antibiotics A PPI • Question 99 1 out of 1 points On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic as Selecte d Answer : an idiosyncratic response.