INVESTIGATED
PHARMACOLOGY FINAL TEST
BANK
Important monitoring for Clonazepam - CORRECT ANSWER-Respiratory rate since Clonazepam is a CNS
depressant
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse dan dempty dbottle dof dacetaminophen d(Tylenol). dThe dnurse dis
daware dthat dthe dmost dserious dtoxic deffect dof dacute dacetaminophen doverdose dis dwhich
dcondition?
a. Tachycardia
b. Central dnervous dsystem ddepression
c. Hepatic dnecrosis
d. Nephropathy d- dCORRECT dANSWER-ANS: dC
Hepatic dnecrosis dis dthe dmost dserious dacute dtoxic deffect dof dan dacute doverdose dof dacetaminophen.
When dreviewing dthe dallergy dhistory dof da dpatient, dthe dnurse dnotes dthat dthe dpatient dis
dallergic dto dpenicillin. dBased don dthis dfinding, dthe dnurse dwould dquestion dan dorder dfor
dwhich dclass dof dantibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones d- dCORRECT dANSWER-ANS: dC
Allergy dto dpenicillin dmay dalso dresult din dhypersensitivity dto dcephalosporins.
,The dnurse dis dproviding dteaching dto da dpatient dtaking dan doral dtetracycline dantibiotic.
dWhich dstatement dby dthe dnurse dis dcorrect?
a. "Avoid ddirect dsunlight dand dtanning dbeds dwhile don dthis dmedication."
b. "Milk dand dcheese dproducts dresult din dincreased dlevels dof dtetracycline."
c. "Antacids dtaken dwith dthe dmedication dhelp dto dreduce dgastrointestinal ddistress."
d. "Take dthe dmedication duntil dyou dare dfeeling dbetter." d- dCORRECT dANSWER-ANS: dA
Drug-related dphotosensitivity doccurs dwhen dpatients dtake dtetracyclines, dand dit dmay
dcontinue dfor dseveral ddays dafter dtherapy. dMilk dand dcheese dproducts dresult din
ddecreased dlevels dof dtetracycline dwhen dthe dtwo dare dtaken dtogether. dAntacids dalso
dinterfere dwith dabsorption dand dshould dnot dbe dtaken dwith dtetracycline. dCounsel
dpatients dto dtake dthe dentire dcourse dof dprescribed dantibiotic ddrugs, deven dif dthey dfeel
dthat dthey dare dno dlonger dill.
The dnurse dis dmonitoring dfor dtherapeutic dresults dof dantibiotic dtherapy din da dpatient
dwith dan dinfection. dWhich dlaboratory dvalue dwould dindicate dtherapeutic deffectiveness dof
dthis dtherapy?
a. Increased dred dblood dcell dcount
b. Increased dhemoglobin dlevel
c. Decreased dwhite dblood dcell dcount
d. Decreased dplatelet dcount d- dCORRECT dANSWER-ANS: dC
Decreased dwhite dblood dcell dcounts dare dan dindication dof dreduction dof dinfection dand dare
da dtherapeutic deffect dof dantibiotic dtherapy.
During da dteaching dsession dfor da dpatient don dantithyroid ddrugs, dthe dnurse dwill ddiscuss dwhich
ddietary dinstructions?
a. Using diodized dsalt dwhen dcooking
b. Avoiding dfoods dcontaining diodine
,c. Restricting dfluid dintake dto d2500 dmL/day
d. Increasing dintake dof dsodium- dand dpotassium-containing dfoods d- dCORRECT dANSWER-ANS: dB
Patients don dantithyroid dtherapy dneed dto davoid diodine-containing dfoods. dThese dfoods dmay
dinterfere dwith dthe deffectiveness dof dthe dantithyroid ddrug.
When dreviewing dthe dlaboratory dvalues dof da dpatient dwho dis dtaking dantithyroid ddrugs,
dthe dnurse dwill dmonitor dfor dwhich dadverse deffect?
a. Decreased dglucose dlevels
b. Decreased dwhite dblood dcell dcount
c. Increased dred dblood dcell dcount
d. Increased dplatelet dcount d- dCORRECT dANSWER-ANS: dB
Antithyroid ddrugs dmay dcause dbone dmarrow dsuppression, dresulting din dagranulocytosis,
dleukopenia, dthrombocytopenia, dand dother dproblems.
A dcholinergic ddrug dis dprescribed dfor da dpatient dwith da dnew ddiagnosis dof dmyasthenia
dgravis, dand dthe dnurse dprovides dinstructions dto dthe dpatient dabout dthe dmedication.
dWhat dis dimportant dto dinclude din dthe dteaching?
a. Take dthe dmedication dwith dmeals dto davoid dgastrointestinal ddistress.
b. Give ddaytime ddoses dclose dtogether dfor dmaximal dtherapeutic deffect.
c. Take dthe dmedication d30 dminutes dbefore deating dto dimprove
dswallowing dand dchewing.
d. Take dthe dmedication donly dif ddifficulty dswallowing doccurs dduring da dmeal. d- dCORRECT
dANSWER-ANS: dC dTaking dthe dmedication d30 dminutes dbefore dmeals dallows dtime dfor dthe
donset dof daction dand
therapeutic deffects dduring dthe dmeal. dThe ddoses dshould dbe dspaced devenly dapart dto
doptimize dthe deffects dof dthe dmedication.
, The dnurse dis dproviding dteaching dregarding ddrug dtherapy dto dthe dhusband dof da dwoman dwith
dAlzheimer's ddisease. dShe dwas ddiagnosed d3 dmonths dago, dhas dmild dmemory dloss, dand dwill dbe
dreceiving ddonepezil d(Aricept). dWhat dis dthe ddrug's dexpected daction?
a. Prevents dmemory dloss din dlater dstages
b. Reverses dthe dcourse dof dAlzheimer's ddisease
c. Provides dsedation dto dprevent dagitation dand drestlessness
d. May dhelp dto dimprove dthe dmood dand ddecrease dconfusion d- dCORRECT dANSWER-ANS: dD
Donepezil dis dused dto dtreat dmild-to-moderate ddementia doccurring din dAlzheimer's ddisease dand dmay
dimprove dthe dsymptoms dof dthe ddisease.
A dpatient dhas dbeen dprescribed dwarfarin d(Coumadin) din daddition dto da dheparin dinfusion.
dThe dpatient dasks dthe dnurse dwhy dhe dhas dto dbe don dtwo dmedications. dThe dnurse's
dresponse dis dbased don dwhich drationale?
a. The doral dand dinjection dforms dwork dsynergistically.
b. The dcombination dof dheparin dand dan doral danticoagulant dresults din dfewer
dadverse deffects dthan dheparin dused dalone.
c. Oral danticoagulants dare dused dto dreach dan dadequate dlevel dof
danticoagulation dwhen dheparin dalone dis dunable dto ddo dso.
d. Heparin dis dused dto dstart danticoagulation dso das dto dallow dtime dfor dthe
dblood dlevels dof dwarfarin dto dreach dadequate dlevels. d- dCORRECT dANSWER-
ANS: dD
This doverlap dtherapy dis drequired din dpatients dwho dhave dbeen dreceiving dheparin dfor
danticoagulation dand dare dto dbe dswitched dto dwarfarin dso dthat dprevention dof dclotting dis
dcontinuous. dThis doverlapping dis ddone dpurposefully dto dallow dtime dfor dthe dblood dlevels
dof dwarfarin dto drise, dso dthat dwhen dthe dheparin dis deventually ddiscontinued, dtherapeutic
danticoagulation dlevels dof dwarfarin dwill dhave dbeen dachieved. dRecommendations dare dto
dcontinue doverlap dtherapy dof dthe dheparin dand dwarfarin dfor dat dleast d5 ddays; dthe
dheparin dis dstopped dafter dday d5 dwhen dthe dinternational dnormalized dratio d(INR) dis
dabove d2.
PHARMACOLOGY FINAL TEST
BANK
Important monitoring for Clonazepam - CORRECT ANSWER-Respiratory rate since Clonazepam is a CNS
depressant
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse dan dempty dbottle dof dacetaminophen d(Tylenol). dThe dnurse dis
daware dthat dthe dmost dserious dtoxic deffect dof dacute dacetaminophen doverdose dis dwhich
dcondition?
a. Tachycardia
b. Central dnervous dsystem ddepression
c. Hepatic dnecrosis
d. Nephropathy d- dCORRECT dANSWER-ANS: dC
Hepatic dnecrosis dis dthe dmost dserious dacute dtoxic deffect dof dan dacute doverdose dof dacetaminophen.
When dreviewing dthe dallergy dhistory dof da dpatient, dthe dnurse dnotes dthat dthe dpatient dis
dallergic dto dpenicillin. dBased don dthis dfinding, dthe dnurse dwould dquestion dan dorder dfor
dwhich dclass dof dantibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones d- dCORRECT dANSWER-ANS: dC
Allergy dto dpenicillin dmay dalso dresult din dhypersensitivity dto dcephalosporins.
,The dnurse dis dproviding dteaching dto da dpatient dtaking dan doral dtetracycline dantibiotic.
dWhich dstatement dby dthe dnurse dis dcorrect?
a. "Avoid ddirect dsunlight dand dtanning dbeds dwhile don dthis dmedication."
b. "Milk dand dcheese dproducts dresult din dincreased dlevels dof dtetracycline."
c. "Antacids dtaken dwith dthe dmedication dhelp dto dreduce dgastrointestinal ddistress."
d. "Take dthe dmedication duntil dyou dare dfeeling dbetter." d- dCORRECT dANSWER-ANS: dA
Drug-related dphotosensitivity doccurs dwhen dpatients dtake dtetracyclines, dand dit dmay
dcontinue dfor dseveral ddays dafter dtherapy. dMilk dand dcheese dproducts dresult din
ddecreased dlevels dof dtetracycline dwhen dthe dtwo dare dtaken dtogether. dAntacids dalso
dinterfere dwith dabsorption dand dshould dnot dbe dtaken dwith dtetracycline. dCounsel
dpatients dto dtake dthe dentire dcourse dof dprescribed dantibiotic ddrugs, deven dif dthey dfeel
dthat dthey dare dno dlonger dill.
The dnurse dis dmonitoring dfor dtherapeutic dresults dof dantibiotic dtherapy din da dpatient
dwith dan dinfection. dWhich dlaboratory dvalue dwould dindicate dtherapeutic deffectiveness dof
dthis dtherapy?
a. Increased dred dblood dcell dcount
b. Increased dhemoglobin dlevel
c. Decreased dwhite dblood dcell dcount
d. Decreased dplatelet dcount d- dCORRECT dANSWER-ANS: dC
Decreased dwhite dblood dcell dcounts dare dan dindication dof dreduction dof dinfection dand dare
da dtherapeutic deffect dof dantibiotic dtherapy.
During da dteaching dsession dfor da dpatient don dantithyroid ddrugs, dthe dnurse dwill ddiscuss dwhich
ddietary dinstructions?
a. Using diodized dsalt dwhen dcooking
b. Avoiding dfoods dcontaining diodine
,c. Restricting dfluid dintake dto d2500 dmL/day
d. Increasing dintake dof dsodium- dand dpotassium-containing dfoods d- dCORRECT dANSWER-ANS: dB
Patients don dantithyroid dtherapy dneed dto davoid diodine-containing dfoods. dThese dfoods dmay
dinterfere dwith dthe deffectiveness dof dthe dantithyroid ddrug.
When dreviewing dthe dlaboratory dvalues dof da dpatient dwho dis dtaking dantithyroid ddrugs,
dthe dnurse dwill dmonitor dfor dwhich dadverse deffect?
a. Decreased dglucose dlevels
b. Decreased dwhite dblood dcell dcount
c. Increased dred dblood dcell dcount
d. Increased dplatelet dcount d- dCORRECT dANSWER-ANS: dB
Antithyroid ddrugs dmay dcause dbone dmarrow dsuppression, dresulting din dagranulocytosis,
dleukopenia, dthrombocytopenia, dand dother dproblems.
A dcholinergic ddrug dis dprescribed dfor da dpatient dwith da dnew ddiagnosis dof dmyasthenia
dgravis, dand dthe dnurse dprovides dinstructions dto dthe dpatient dabout dthe dmedication.
dWhat dis dimportant dto dinclude din dthe dteaching?
a. Take dthe dmedication dwith dmeals dto davoid dgastrointestinal ddistress.
b. Give ddaytime ddoses dclose dtogether dfor dmaximal dtherapeutic deffect.
c. Take dthe dmedication d30 dminutes dbefore deating dto dimprove
dswallowing dand dchewing.
d. Take dthe dmedication donly dif ddifficulty dswallowing doccurs dduring da dmeal. d- dCORRECT
dANSWER-ANS: dC dTaking dthe dmedication d30 dminutes dbefore dmeals dallows dtime dfor dthe
donset dof daction dand
therapeutic deffects dduring dthe dmeal. dThe ddoses dshould dbe dspaced devenly dapart dto
doptimize dthe deffects dof dthe dmedication.
, The dnurse dis dproviding dteaching dregarding ddrug dtherapy dto dthe dhusband dof da dwoman dwith
dAlzheimer's ddisease. dShe dwas ddiagnosed d3 dmonths dago, dhas dmild dmemory dloss, dand dwill dbe
dreceiving ddonepezil d(Aricept). dWhat dis dthe ddrug's dexpected daction?
a. Prevents dmemory dloss din dlater dstages
b. Reverses dthe dcourse dof dAlzheimer's ddisease
c. Provides dsedation dto dprevent dagitation dand drestlessness
d. May dhelp dto dimprove dthe dmood dand ddecrease dconfusion d- dCORRECT dANSWER-ANS: dD
Donepezil dis dused dto dtreat dmild-to-moderate ddementia doccurring din dAlzheimer's ddisease dand dmay
dimprove dthe dsymptoms dof dthe ddisease.
A dpatient dhas dbeen dprescribed dwarfarin d(Coumadin) din daddition dto da dheparin dinfusion.
dThe dpatient dasks dthe dnurse dwhy dhe dhas dto dbe don dtwo dmedications. dThe dnurse's
dresponse dis dbased don dwhich drationale?
a. The doral dand dinjection dforms dwork dsynergistically.
b. The dcombination dof dheparin dand dan doral danticoagulant dresults din dfewer
dadverse deffects dthan dheparin dused dalone.
c. Oral danticoagulants dare dused dto dreach dan dadequate dlevel dof
danticoagulation dwhen dheparin dalone dis dunable dto ddo dso.
d. Heparin dis dused dto dstart danticoagulation dso das dto dallow dtime dfor dthe
dblood dlevels dof dwarfarin dto dreach dadequate dlevels. d- dCORRECT dANSWER-
ANS: dD
This doverlap dtherapy dis drequired din dpatients dwho dhave dbeen dreceiving dheparin dfor
danticoagulation dand dare dto dbe dswitched dto dwarfarin dso dthat dprevention dof dclotting dis
dcontinuous. dThis doverlapping dis ddone dpurposefully dto dallow dtime dfor dthe dblood dlevels
dof dwarfarin dto drise, dso dthat dwhen dthe dheparin dis deventually ddiscontinued, dtherapeutic
danticoagulation dlevels dof dwarfarin dwill dhave dbeen dachieved. dRecommendations dare dto
dcontinue doverlap dtherapy dof dthe dheparin dand dwarfarin dfor dat dleast d5 ddays; dthe
dheparin dis dstopped dafter dday d5 dwhen dthe dinternational dnormalized dratio d(INR) dis
dabove d2.
