1|Page
NR 293 FINAL EXAM (2 VERSIONS) / NR 293 PHARMACOLOGY
FINAL EXAM NEWEST ACTUAL EXAM COMPLETE 170
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ||JUST OUT!!!
What is important to assess when a patient verbalizes that they
have an allergy to a certain drug? - ANSWER-Ask patients open
ended questions to describe allergic reactions to determine the
actual severity of reported medication allergy
Flushing, itching, hives, anxiety, fast irregular pulse, throat and
tongue swelling --> anaphylactic shock [suffocate from drug-
induced respiratory arrest]
Which monobactam drug is indicated to treat moderately
severe systemic infections and UTI's through IV drug
administration? - ANSWER-Azteonam [Azactam]
Adverse effects = rash, nausea, vomiting, and diarrhea
What are the adverse effects associated with tetracycline drug
administration? - ANSWER-- discoloration of permanent teeth,
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tooth enamel hypoplasia, retard fetal skeletal development
during pregnancy
- photosensitivity [avoid sunlight and tanning beds]
- alteration of intestinal and vaginal flora --> diarrhea, vaginal
candida, or pseudomembranous colitis
- GI upset, enterocolitis, maculopauplar rash
Which amino glycoside drug is commonly used for bacterial
decontamination of GI tract BEFORE surgical procedures ? -
ANSWER-Neomycin
Which amingoglycoside is MOST commonly used? - ANSWER-
Gentamicin
Which cells of the gastric gland are the primary site of action for
drugs used to treat acid related disorders? - ANSWER-Parietal
Cells
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Which acid related disease is characterized by gastric or
duodenal ulcers involving the digestion of GI mucosa by pepsin
enzyme [normally responsible for breaking down dietary
proteins] caused by H. pylori? - ANSWER-Peptic Ulcer Disease
[PUD]
What is the fist line of therapy for peptic ulcer disease? -
ANSWER-10 to 14 days of antibiotics + protein pump inhibitors
Many antacids contain _______ used to relieve painful
symptoms associated with flatulence or gas? - ANSWER-
Simethicone
What is the mechanism of action of antacids? - ANSWER-DO
NOT prevent overproduction of acid but aid in neutralizing acid
secretions
Promote gastric mucosal defensive mechanisms
Reduces symptoms associated with acid-related disorders
[raising gastric pH reduces or neutralizes gastric acid]
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Magnesium Salts Antacids - ANSWER-Commonly causes
DIARRHEA
NOT administered to patients with renal disease --> toxic
magnesium levels accumulate [cannot excrete extra
magnesium]
Used to COUNTERACT CONSTIPATION in aluminum and calcium
antacid forms
Drugs
- gaviscon
- milk of magnesia [fast ones]
- mag-ox
- maalox, mylanta [Al + Mg drugs]
Aluminum Salts Antacids - ANSWER-Commonly cause
CONSTIPATION
NR 293 FINAL EXAM (2 VERSIONS) / NR 293 PHARMACOLOGY
FINAL EXAM NEWEST ACTUAL EXAM COMPLETE 170
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ||JUST OUT!!!
What is important to assess when a patient verbalizes that they
have an allergy to a certain drug? - ANSWER-Ask patients open
ended questions to describe allergic reactions to determine the
actual severity of reported medication allergy
Flushing, itching, hives, anxiety, fast irregular pulse, throat and
tongue swelling --> anaphylactic shock [suffocate from drug-
induced respiratory arrest]
Which monobactam drug is indicated to treat moderately
severe systemic infections and UTI's through IV drug
administration? - ANSWER-Azteonam [Azactam]
Adverse effects = rash, nausea, vomiting, and diarrhea
What are the adverse effects associated with tetracycline drug
administration? - ANSWER-- discoloration of permanent teeth,
,2|Page
tooth enamel hypoplasia, retard fetal skeletal development
during pregnancy
- photosensitivity [avoid sunlight and tanning beds]
- alteration of intestinal and vaginal flora --> diarrhea, vaginal
candida, or pseudomembranous colitis
- GI upset, enterocolitis, maculopauplar rash
Which amino glycoside drug is commonly used for bacterial
decontamination of GI tract BEFORE surgical procedures ? -
ANSWER-Neomycin
Which amingoglycoside is MOST commonly used? - ANSWER-
Gentamicin
Which cells of the gastric gland are the primary site of action for
drugs used to treat acid related disorders? - ANSWER-Parietal
Cells
,3|Page
Which acid related disease is characterized by gastric or
duodenal ulcers involving the digestion of GI mucosa by pepsin
enzyme [normally responsible for breaking down dietary
proteins] caused by H. pylori? - ANSWER-Peptic Ulcer Disease
[PUD]
What is the fist line of therapy for peptic ulcer disease? -
ANSWER-10 to 14 days of antibiotics + protein pump inhibitors
Many antacids contain _______ used to relieve painful
symptoms associated with flatulence or gas? - ANSWER-
Simethicone
What is the mechanism of action of antacids? - ANSWER-DO
NOT prevent overproduction of acid but aid in neutralizing acid
secretions
Promote gastric mucosal defensive mechanisms
Reduces symptoms associated with acid-related disorders
[raising gastric pH reduces or neutralizes gastric acid]
, 4|Page
Magnesium Salts Antacids - ANSWER-Commonly causes
DIARRHEA
NOT administered to patients with renal disease --> toxic
magnesium levels accumulate [cannot excrete extra
magnesium]
Used to COUNTERACT CONSTIPATION in aluminum and calcium
antacid forms
Drugs
- gaviscon
- milk of magnesia [fast ones]
- mag-ox
- maalox, mylanta [Al + Mg drugs]
Aluminum Salts Antacids - ANSWER-Commonly cause
CONSTIPATION
