NURS6521 Advanced Pharmacology Midterm Exam
2024 | Question and Answers | Latest
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 - seizure disorders.
A female patient has been taking prednisone for her asthma for 1 month. The nurse will
teach her to gradually decrease her dose of prednisone to avoid - adrenal insufficiency.
A clinic Nurse Practitioner has been assigned a 49-year-old female patient who has a
history of diabetes. A recent diagnosis of hypertension has been made, and the patient
has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to
return to the clinic once a month for the next 6 months. A priority action by the Nurse
Practitioner will be to - monitor the patient's blood pressure.
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? - "Yes, but be sure to wait at least 2 hours to take
the antacid after you take the ranitidine."
Which of the following statements best defines how a chemical becomes termed a
drug? - A chemical must have a proven therapeutic value or efficacy without severe
toxicity or damaging properties to become a drug.
A Nurse Practitioner 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 Practitioner will base the patient's plan of care on the
understanding that there is - a decrease in the amount of creatinine to be filtered.
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive - a higher-
than-normal dose of drugs that bind to acid
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive - a higher-
than-normal dose of drugs that bind to acid glycoproteins.
Which of the following would be an expected outcome in a patient who has been given
atropine during a medical emergency? - Restoration of normal sinus rhythm
, A nurse practitioner understands when prescribing a medication that there are certain
questions to address. Check all that apply. - Is there a need for the drug in treating the
presenting problem? Is this the best drug for the presenting problem? Can the patient
take the prescribed drug?
The APRN is prescribing a medication that is known to induce hepatic enzymes. What
effect should you anticipate? - Induction increases the rate of metabolism, thereby
decreasing serum levels of drug
A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset her stomach.
The nurse will encourage the patient to - swallow the tablet with milk or food.
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is
prescribed. Which of the following should the nurse monitor to assess the efficacy of the
lactulose therapy? - Blood ammonia levels
Drugs have a high potential for abuse. There is no routine therapeutic use for these
drugs and they are not available for regular use. They may be obtained for
"investigational use only" by applying to the U.S. Drug Enforcement Agency. Examples
include heroin and LSD. Which scheduled drug is this? - Schedule 1
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on genetic
make-up. This area of study is called - pharmacodynamics.
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient with
asthma. What instructions would be correct to provide the patient? - "This is a long
acting medication for your asthma and should be used once every 12 hours"
A patient with a recent diagnosis of acute renal failure has a long-standing seizure
disorder which has been successfully controlled for several years with antiseizure
medications. The nurse should recognize that the patient's compromised renal function
will likely - increase the half-life of medications that are metabolized by the kidneys.
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F
into the emergency department (ED). The ED physician orders acetaminophen (Tylenol)
for the fever. The best form of Tylenol to give the child, considering her presentation,
would be - suppository.
A 20-year-old woman calls the clinic at 5 PM and reports to the Nurse Practitioner that
she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her
evening dose at 8 PM. She wants to know what she should do. The Nurse Practitioner
will instruct her to - forget about the morning dose and take the evening dose.
2024 | Question and Answers | Latest
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 - seizure disorders.
A female patient has been taking prednisone for her asthma for 1 month. The nurse will
teach her to gradually decrease her dose of prednisone to avoid - adrenal insufficiency.
A clinic Nurse Practitioner has been assigned a 49-year-old female patient who has a
history of diabetes. A recent diagnosis of hypertension has been made, and the patient
has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to
return to the clinic once a month for the next 6 months. A priority action by the Nurse
Practitioner will be to - monitor the patient's blood pressure.
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? - "Yes, but be sure to wait at least 2 hours to take
the antacid after you take the ranitidine."
Which of the following statements best defines how a chemical becomes termed a
drug? - A chemical must have a proven therapeutic value or efficacy without severe
toxicity or damaging properties to become a drug.
A Nurse Practitioner 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 Practitioner will base the patient's plan of care on the
understanding that there is - a decrease in the amount of creatinine to be filtered.
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive - a higher-
than-normal dose of drugs that bind to acid
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive - a higher-
than-normal dose of drugs that bind to acid glycoproteins.
Which of the following would be an expected outcome in a patient who has been given
atropine during a medical emergency? - Restoration of normal sinus rhythm
, A nurse practitioner understands when prescribing a medication that there are certain
questions to address. Check all that apply. - Is there a need for the drug in treating the
presenting problem? Is this the best drug for the presenting problem? Can the patient
take the prescribed drug?
The APRN is prescribing a medication that is known to induce hepatic enzymes. What
effect should you anticipate? - Induction increases the rate of metabolism, thereby
decreasing serum levels of drug
A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset her stomach.
The nurse will encourage the patient to - swallow the tablet with milk or food.
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is
prescribed. Which of the following should the nurse monitor to assess the efficacy of the
lactulose therapy? - Blood ammonia levels
Drugs have a high potential for abuse. There is no routine therapeutic use for these
drugs and they are not available for regular use. They may be obtained for
"investigational use only" by applying to the U.S. Drug Enforcement Agency. Examples
include heroin and LSD. Which scheduled drug is this? - Schedule 1
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on genetic
make-up. This area of study is called - pharmacodynamics.
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient with
asthma. What instructions would be correct to provide the patient? - "This is a long
acting medication for your asthma and should be used once every 12 hours"
A patient with a recent diagnosis of acute renal failure has a long-standing seizure
disorder which has been successfully controlled for several years with antiseizure
medications. The nurse should recognize that the patient's compromised renal function
will likely - increase the half-life of medications that are metabolized by the kidneys.
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F
into the emergency department (ED). The ED physician orders acetaminophen (Tylenol)
for the fever. The best form of Tylenol to give the child, considering her presentation,
would be - suppository.
A 20-year-old woman calls the clinic at 5 PM and reports to the Nurse Practitioner that
she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her
evening dose at 8 PM. She wants to know what she should do. The Nurse Practitioner
will instruct her to - forget about the morning dose and take the evening dose.
