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 N U R S 65 21 N Mi dt er m E xam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 1 1 o u t o f 1 p o i n t s • 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 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selecte d Answer : Pain intensity, respiratory rate, and level of consciousness • Question 6 • 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 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 patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of 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 1 out of 1 points mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selecte d Answer : Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. 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 pSaerleenctteerdally. Which of the following methods would bethe most aApnpsrwoeprr: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 1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selecte d Answer : use of alcohol. • Question 30 1 out of 1 points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should Selecte d Answer : administer carbohydrates. • Question 31 1 out of 1 points A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to Selecte d Answer : avoid aggravating the gastrointestinal tract. • Question 32 1 out of 1 points A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? Selecte d Answer : The patient develops muscle rigidity and a sudden, high fever. • Question 33 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 tSimeleesctdeadily. The nurse should teach the student that overuse of aAlbnuswteerro:l can leardebtoound bronchoconstriction. 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 1 out of 1 points A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Selecte d Answer : "Determine if the drug is going to make you drowsy before you drive." 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 A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is Selecte d Answer : headache. • Question 56 1 out of 1 points A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? Selecte d Answer : Carefully assess the patient for infections • Question 57 1 out of 1 points A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of Selecte d Answer : seizure disorders. • Question 58 1 out of 1 points A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to Selecte d Answer : avoid the small veins in the dorsum of the hand or the wrist. 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 day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? Selected "This schedule allows rest periods so that adverse effects are Answer: decreased but the anti-inflammatory effects continue." • Questio n 65 1 Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selecte d Answer : Gastrointestinal distress o u t o f 1 p o i n t s • Question 66 1 out of 1 points A nurse is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The nurse will base the patient's plan of care on the understanding that there is Selecte d Answer : a decrease in the amount of creatinine to be filtered. • Question 67 1 out of 1 points A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the 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 A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states Selecte d Answer : Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed. • Question 75 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 diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? 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 Answer: • Question 81 1 out of 1 points A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? Selecte d Answer : "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." • Question 82 1 out of 1 points Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? Selecte d Answer : Hair loss • Question 83 1 out of 1 points A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? Selecte d Answer : Integrating the new drug into the patient's existing schedule promotes adherence. • Question 84 1 out of 1 points A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? Selecte d Answer : The patient's protein deficit will likely increase the levels of the free drug in his blood. • Question 85 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 A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? Selected Increased abdominal pain and vomiting NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University Answer: • Question 91 1 out of 1 points An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for Selecte d Answer : falls. • Question 92 0 out of 1 points A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? Selecte d Answer : White blood cell nadir • Question 93 1 out of 1 points A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? Selecte d Answer : Monitor glucose levels closely • Question 94 1 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication Selecte d Answer : 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. NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & As) BEST EXAM SOLUTION Walden University • Question 100 Drugs have a valid medical use but a high potential for abuse, both 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 psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time.