EVALUATED PHARMACOLOGY
FOR NURSES FINAL EXAM
What will Atropine do to the GI system? - CORRECT ANSWER -Dry up secretions.
The nurse should immediately report the development of which of the following symptoms in a client
taking antipsychotic medication? - CORRECT ANSWER -Fever, tachycardia, confusion, and incontinence
are symptoms of the development of neuroleptic malignant syndrome (NMS) and should be
immediately reported.
The client admitted with hepatitis B is prescribed Vicodin tabs 2 for treatment of pain. The appropriate
nursing action is to: - CORRECT ANSWER -c.) Question the physician about the order.
Vicodin is a combination drug of hydrocodone and acetaminophen. Acetaminophen can be hepatotoxic,
and is contraindicated in liver disease.
The nurse administers morphine ,sulfate ,4 ,mg ,IV ,to ,a ,client ,for ,treatment ,of ,severe ,pain. ,Which ,of
,the ,following ,assessments ,requires ,immediate ,nursing ,interventions? ,- ,CORRECT ,ANSWER ,-d.)
,Respiratory,rate ,10/minute
Opioids ,activate ,mu ,and ,kappa ,receptors ,that ,can ,cause ,profound ,respiratory ,depression.
,Respiratory,rate ,should ,remain ,above ,12. ,The ,BP ,is ,not ,significantly ,low. ,Drowsiness ,is ,an
,expected ,effect ,of ,morphine. ,Unrelieved ,pain ,warrants ,further ,assessment, ,but ,not ,as
,immediately ,as ,do ,decreased ,respirations.
The ,nurse ,teaches ,the ,client ,relaxation ,techniques ,and ,guided ,imagery ,as ,an ,adjunct ,to ,medication
,for ,treatment ,of ,pain. ,The ,nurse ,explains ,that ,the ,major ,benefit ,of ,these ,techniques ,is ,that ,they: ,-
,CORRECT,ANSWER ,-b.) ,Allow ,lower ,doses ,of ,drugs ,with ,fewer ,side ,effects.
,When ,used ,concurrently ,with ,medication, ,non-pharmacologic ,techniques ,can ,allow ,for ,lower ,doses,
,and,possibly ,fewer ,drug-related ,adverse ,effects. ,The ,other ,options ,also ,are ,advantages ,to ,guided
,imagery ,and ,relaxation, ,but ,not ,the ,major ,one.
What ,is ,the ,most ,appropriate ,method ,to ,ensure ,adequate ,pain ,relief ,in ,the ,immediate
,postoperative ,period ,from ,an ,opioid ,drug? ,- ,CORRECT ,ANSWER ,-give ,the ,drug ,as ,consistently ,as
,possible ,for ,the ,first,24 ,to ,48 ,hours.
Planning ,teaching ,needs ,for ,a ,pt ,who ,is ,to ,be ,discharge ,postoperatively ,with ,a ,prescription ,for
,oxycodone ,with ,acetaminophen ,( ,Percocet ,) ,should ,include ,which ,of ,the ,following? ,- ,CORRECT
,ANSWER
-encourage ,increased ,fluids ,and ,fiber ,in ,the ,diet....
An ,8-year-old ,boy ,is ,evaluated ,and ,diagnosed ,with ,absence ,seizures. ,He ,is ,started ,on
,ethosuximide ,(Zarontin). ,What ,information ,should ,the ,nurse ,provide ,to ,the ,parents? ,- ,CORRECT
,ANSWER ,-Monitor,height ,and ,weight ,to ,assess ,that ,growth ,is ,progressing ,normally.
The ,nurse ,is ,providing ,education ,for ,a ,12 ,year ,old ,client ,with ,partial ,seizures ,currently
,prescribed ,valproic ,acid ,(Depakene). ,The ,nurse ,will ,teach ,the ,client ,and ,the ,parents ,to
,immediately ,report ,what,symptom? ,- ,CORRECT ,ANSWER ,-Increasing ,or ,severe ,abdominal ,pain
The ,nurse ,is ,caring ,for ,a ,72-year-old ,client ,taking ,gabapentin ,(Neurontin) ,for ,seizure ,disorder.
,Because,of ,this ,client's ,age, ,the ,nurse ,would ,establish ,what ,nursing ,diagnosis ,related ,to ,the ,drug's
,common ,adverse ,effects? ,- ,CORRECT ,ANSWER ,-Risk ,for ,falls
A ,client ,has ,been ,taking ,phenytoin ,(Dilantin) ,for ,control ,of ,generalized ,seizures, ,tonic-clonic ,type.
,The ,client ,is ,admitted ,to ,the ,medical ,unit ,with ,symptoms ,of ,nystagmus, ,confusion, ,and ,ataxia.
,What ,change,in ,the ,phenytoin ,dosage ,does ,the ,nurse ,anticipate ,will ,be ,made ,based ,on ,these
,symptoms? ,- ,CORRECT ,ANSWER ,-The ,dosage ,will ,be ,decreased
Teaching ,for ,a ,client ,receiving ,carbamazepine ,(Tegretol) ,should ,include ,instructions ,that ,the
,client,should ,immediately ,report ,what ,symptom? ,- ,CORRECT ,ANSWER ,-Lethargy
, Which ,of ,the ,following ,medications ,may ,be ,used ,to ,treat ,partial ,seizures? ,- ,CORRECT
,ANSWER ,-1),Phenytion ,(Dilantin)
2) Valproic ,acid ,(depakene)
3) Diazapam ,(Valium)
What ,is ,an ,agonist? ,- ,CORRECT ,ANSWER ,-It ,improves.. ,promotes. ,stimulates ,the ,adrenergic
,receptor,cites.
Ex. ,Epi ,is ,an ,adrenergic ,agonist.
An ,adrenergic ,agonist ,is ,a ,drug ,that ,stimulates ,a ,response ,from ,the ,adrenergic ,receptors. ,The ,five
,main,categories ,of ,adrenergic ,receptors ,are: ,α1, ,α2, ,β1, ,β2, ,and ,β3, ,respectively. ,However, ,there
,are ,also ,other ,mechanisms ,of ,adrenergic ,agonism. ,Epinephrine ,and ,norepinephrine ,are
,endogenous ,and ,broad-,spectrum. ,More ,selective ,agonists ,are ,more ,useful ,in ,pharmacology.
Tow ,main ,divisions ,of ,the ,autonomic ,nervous ,system? ,- ,CORRECT ,ANSWER ,-Sympathetic ,( ,fight ,of
,flight ,),Parasympathetic ,division ,( ,rest ,and ,digest)
Two ,main ,Neurotransmitters ,the ,Sympathetic ,nervous ,system? ,- ,CORRECT ,ANSWER ,-
Norepinephrine,and ,epinephrine
What ,does ,the ,liver ,do ,when ,when ,fight ,or ,flight ,comes ,on
( ,Sympathetic ,response ,)? ,- ,CORRECT ,ANSWER ,-stimulates ,release ,of ,glucose
Parasympathetic ,( ,Cholinergic ,) ,( ,rest ,and ,digest ,) ,System ,use's ,what ,transmitter ,to ,send ,it
,messages? ,-,CORRECT ,ANSWER ,-Acetylcholine
What ,is ,considered ,a ,Cholinergic ,response ,to ,a ,drug? ,- ,CORRECT ,ANSWER ,-heart ,rate ,slows
,down,,Pupils ,constrict,
stimulates ,salivation,
FOR NURSES FINAL EXAM
What will Atropine do to the GI system? - CORRECT ANSWER -Dry up secretions.
The nurse should immediately report the development of which of the following symptoms in a client
taking antipsychotic medication? - CORRECT ANSWER -Fever, tachycardia, confusion, and incontinence
are symptoms of the development of neuroleptic malignant syndrome (NMS) and should be
immediately reported.
The client admitted with hepatitis B is prescribed Vicodin tabs 2 for treatment of pain. The appropriate
nursing action is to: - CORRECT ANSWER -c.) Question the physician about the order.
Vicodin is a combination drug of hydrocodone and acetaminophen. Acetaminophen can be hepatotoxic,
and is contraindicated in liver disease.
The nurse administers morphine ,sulfate ,4 ,mg ,IV ,to ,a ,client ,for ,treatment ,of ,severe ,pain. ,Which ,of
,the ,following ,assessments ,requires ,immediate ,nursing ,interventions? ,- ,CORRECT ,ANSWER ,-d.)
,Respiratory,rate ,10/minute
Opioids ,activate ,mu ,and ,kappa ,receptors ,that ,can ,cause ,profound ,respiratory ,depression.
,Respiratory,rate ,should ,remain ,above ,12. ,The ,BP ,is ,not ,significantly ,low. ,Drowsiness ,is ,an
,expected ,effect ,of ,morphine. ,Unrelieved ,pain ,warrants ,further ,assessment, ,but ,not ,as
,immediately ,as ,do ,decreased ,respirations.
The ,nurse ,teaches ,the ,client ,relaxation ,techniques ,and ,guided ,imagery ,as ,an ,adjunct ,to ,medication
,for ,treatment ,of ,pain. ,The ,nurse ,explains ,that ,the ,major ,benefit ,of ,these ,techniques ,is ,that ,they: ,-
,CORRECT,ANSWER ,-b.) ,Allow ,lower ,doses ,of ,drugs ,with ,fewer ,side ,effects.
,When ,used ,concurrently ,with ,medication, ,non-pharmacologic ,techniques ,can ,allow ,for ,lower ,doses,
,and,possibly ,fewer ,drug-related ,adverse ,effects. ,The ,other ,options ,also ,are ,advantages ,to ,guided
,imagery ,and ,relaxation, ,but ,not ,the ,major ,one.
What ,is ,the ,most ,appropriate ,method ,to ,ensure ,adequate ,pain ,relief ,in ,the ,immediate
,postoperative ,period ,from ,an ,opioid ,drug? ,- ,CORRECT ,ANSWER ,-give ,the ,drug ,as ,consistently ,as
,possible ,for ,the ,first,24 ,to ,48 ,hours.
Planning ,teaching ,needs ,for ,a ,pt ,who ,is ,to ,be ,discharge ,postoperatively ,with ,a ,prescription ,for
,oxycodone ,with ,acetaminophen ,( ,Percocet ,) ,should ,include ,which ,of ,the ,following? ,- ,CORRECT
,ANSWER
-encourage ,increased ,fluids ,and ,fiber ,in ,the ,diet....
An ,8-year-old ,boy ,is ,evaluated ,and ,diagnosed ,with ,absence ,seizures. ,He ,is ,started ,on
,ethosuximide ,(Zarontin). ,What ,information ,should ,the ,nurse ,provide ,to ,the ,parents? ,- ,CORRECT
,ANSWER ,-Monitor,height ,and ,weight ,to ,assess ,that ,growth ,is ,progressing ,normally.
The ,nurse ,is ,providing ,education ,for ,a ,12 ,year ,old ,client ,with ,partial ,seizures ,currently
,prescribed ,valproic ,acid ,(Depakene). ,The ,nurse ,will ,teach ,the ,client ,and ,the ,parents ,to
,immediately ,report ,what,symptom? ,- ,CORRECT ,ANSWER ,-Increasing ,or ,severe ,abdominal ,pain
The ,nurse ,is ,caring ,for ,a ,72-year-old ,client ,taking ,gabapentin ,(Neurontin) ,for ,seizure ,disorder.
,Because,of ,this ,client's ,age, ,the ,nurse ,would ,establish ,what ,nursing ,diagnosis ,related ,to ,the ,drug's
,common ,adverse ,effects? ,- ,CORRECT ,ANSWER ,-Risk ,for ,falls
A ,client ,has ,been ,taking ,phenytoin ,(Dilantin) ,for ,control ,of ,generalized ,seizures, ,tonic-clonic ,type.
,The ,client ,is ,admitted ,to ,the ,medical ,unit ,with ,symptoms ,of ,nystagmus, ,confusion, ,and ,ataxia.
,What ,change,in ,the ,phenytoin ,dosage ,does ,the ,nurse ,anticipate ,will ,be ,made ,based ,on ,these
,symptoms? ,- ,CORRECT ,ANSWER ,-The ,dosage ,will ,be ,decreased
Teaching ,for ,a ,client ,receiving ,carbamazepine ,(Tegretol) ,should ,include ,instructions ,that ,the
,client,should ,immediately ,report ,what ,symptom? ,- ,CORRECT ,ANSWER ,-Lethargy
, Which ,of ,the ,following ,medications ,may ,be ,used ,to ,treat ,partial ,seizures? ,- ,CORRECT
,ANSWER ,-1),Phenytion ,(Dilantin)
2) Valproic ,acid ,(depakene)
3) Diazapam ,(Valium)
What ,is ,an ,agonist? ,- ,CORRECT ,ANSWER ,-It ,improves.. ,promotes. ,stimulates ,the ,adrenergic
,receptor,cites.
Ex. ,Epi ,is ,an ,adrenergic ,agonist.
An ,adrenergic ,agonist ,is ,a ,drug ,that ,stimulates ,a ,response ,from ,the ,adrenergic ,receptors. ,The ,five
,main,categories ,of ,adrenergic ,receptors ,are: ,α1, ,α2, ,β1, ,β2, ,and ,β3, ,respectively. ,However, ,there
,are ,also ,other ,mechanisms ,of ,adrenergic ,agonism. ,Epinephrine ,and ,norepinephrine ,are
,endogenous ,and ,broad-,spectrum. ,More ,selective ,agonists ,are ,more ,useful ,in ,pharmacology.
Tow ,main ,divisions ,of ,the ,autonomic ,nervous ,system? ,- ,CORRECT ,ANSWER ,-Sympathetic ,( ,fight ,of
,flight ,),Parasympathetic ,division ,( ,rest ,and ,digest)
Two ,main ,Neurotransmitters ,the ,Sympathetic ,nervous ,system? ,- ,CORRECT ,ANSWER ,-
Norepinephrine,and ,epinephrine
What ,does ,the ,liver ,do ,when ,when ,fight ,or ,flight ,comes ,on
( ,Sympathetic ,response ,)? ,- ,CORRECT ,ANSWER ,-stimulates ,release ,of ,glucose
Parasympathetic ,( ,Cholinergic ,) ,( ,rest ,and ,digest ,) ,System ,use's ,what ,transmitter ,to ,send ,it
,messages? ,-,CORRECT ,ANSWER ,-Acetylcholine
What ,is ,considered ,a ,Cholinergic ,response ,to ,a ,drug? ,- ,CORRECT ,ANSWER ,-heart ,rate ,slows
,down,,Pupils ,constrict,
stimulates ,salivation,
