NURS 676 Advanced Pharmacology Midterm Exam (WCU)
ACCURATE SUMMER SEMESTER @Question And Answers
(GRADED A+)
Question 1
A nurse is administering a narcotic analgesic to a patient in a private
hospital. Which of the following is a legal requirement for narcotic
administration in this setting?
A. Narcotics may be dispensed with a verbal order from the charge nurse.
B. Narcotics must be dispensed only with a written or electronic
prescription.
C. Narcotics do not require any prescription for postoperative patients.
D. Narcotics can be given without an order if the patient requests them.
Correct Answer: B
Explanation: Controlled substances like narcotics require a written or
electronic prescription per federal (CSA) and state regulations.
Question 2
A patient has been receiving an opioid agonist for 3 weeks for chronic
pain. The nurse notes the patient requires higher doses for the same
effect. This is most likely due to:
,A. Allergic reaction
B. Tolerance
C. Tachyphylaxis
D. Drug interaction
Correct Answer: B
Explanation: Tolerance develops with repeated agonist use, reducing drug
effectiveness over time.
Question 3
A 70-year-old patient with unstable angina is prescribed nitroglycerin
sublingually. Which nursing diagnosis is most appropriate initially?
A. Risk for injury related to orthostatic hypotension
B. Acute pain (headache) related to drug vasodilation
C. Constipation related to decreased GI motility
D. Impaired urinary elimination
Correct Answer: B
Explanation: Nitroglycerin causes vasodilation, leading to headache as a
common adverse effect; pain management is a priority.
Question 4
,A patient admitted for marijuana use disorder asks about medications to
stop cravings. The nurse’s best response is:
A. “There are no FDA-approved drugs for marijuana use disorder;
treatment focuses on counseling.”
B. “Methadone is the standard treatment.”
C. “Naltrexone is effective for marijuana.”
D. “Buprenorphine will be prescribed.”
Correct Answer: A
Explanation: No FDA-approved pharmacotherapy exists for cannabis use
disorder; behavioral interventions are mainstay.
Question 5
A patient receiving IV morphine for severe pain has a respiratory rate of
8 breaths/min and is difficult to arouse. What is the nurse’s priority
action?
A. Administer naloxone
B. Increase the morphine dose
C. Apply oxygen
D. Document findings and reassess in 30 minutes
Correct Answer: A
, Explanation: Respiratory depression and sedation from opioids require
immediate reversal with naloxone.
Question 6
A drug with high first-pass metabolism is prescribed orally. To increase
bioavailability, the nurse should expect:
A. The drug to be given with a high-fat meal
B. The drug to be changed to IV route
C. The drug to be crushed
D. The drug to be given on an empty stomach
Correct Answer: B
Explanation: IV administration bypasses hepatic first-pass metabolism,
increasing active drug reaching systemic circulation.
Question 7
A nurse is teaching a patient about new medications. Which names should
be used to avoid confusion?
A. Trade names
B. Generic names
C. Chemical names
ACCURATE SUMMER SEMESTER @Question And Answers
(GRADED A+)
Question 1
A nurse is administering a narcotic analgesic to a patient in a private
hospital. Which of the following is a legal requirement for narcotic
administration in this setting?
A. Narcotics may be dispensed with a verbal order from the charge nurse.
B. Narcotics must be dispensed only with a written or electronic
prescription.
C. Narcotics do not require any prescription for postoperative patients.
D. Narcotics can be given without an order if the patient requests them.
Correct Answer: B
Explanation: Controlled substances like narcotics require a written or
electronic prescription per federal (CSA) and state regulations.
Question 2
A patient has been receiving an opioid agonist for 3 weeks for chronic
pain. The nurse notes the patient requires higher doses for the same
effect. This is most likely due to:
,A. Allergic reaction
B. Tolerance
C. Tachyphylaxis
D. Drug interaction
Correct Answer: B
Explanation: Tolerance develops with repeated agonist use, reducing drug
effectiveness over time.
Question 3
A 70-year-old patient with unstable angina is prescribed nitroglycerin
sublingually. Which nursing diagnosis is most appropriate initially?
A. Risk for injury related to orthostatic hypotension
B. Acute pain (headache) related to drug vasodilation
C. Constipation related to decreased GI motility
D. Impaired urinary elimination
Correct Answer: B
Explanation: Nitroglycerin causes vasodilation, leading to headache as a
common adverse effect; pain management is a priority.
Question 4
,A patient admitted for marijuana use disorder asks about medications to
stop cravings. The nurse’s best response is:
A. “There are no FDA-approved drugs for marijuana use disorder;
treatment focuses on counseling.”
B. “Methadone is the standard treatment.”
C. “Naltrexone is effective for marijuana.”
D. “Buprenorphine will be prescribed.”
Correct Answer: A
Explanation: No FDA-approved pharmacotherapy exists for cannabis use
disorder; behavioral interventions are mainstay.
Question 5
A patient receiving IV morphine for severe pain has a respiratory rate of
8 breaths/min and is difficult to arouse. What is the nurse’s priority
action?
A. Administer naloxone
B. Increase the morphine dose
C. Apply oxygen
D. Document findings and reassess in 30 minutes
Correct Answer: A
, Explanation: Respiratory depression and sedation from opioids require
immediate reversal with naloxone.
Question 6
A drug with high first-pass metabolism is prescribed orally. To increase
bioavailability, the nurse should expect:
A. The drug to be given with a high-fat meal
B. The drug to be changed to IV route
C. The drug to be crushed
D. The drug to be given on an empty stomach
Correct Answer: B
Explanation: IV administration bypasses hepatic first-pass metabolism,
increasing active drug reaching systemic circulation.
Question 7
A nurse is teaching a patient about new medications. Which names should
be used to avoid confusion?
A. Trade names
B. Generic names
C. Chemical names
