Advanced Pharmacology
WITH CORRECT
ANSWERS 2024 LATEST
TEST
,A nurse is caring for a postsurgical patient who has small torturous veins and had a
difficlut IV insertion. the patient isnow recieving medications on a regular basis. what
is the best nursing intervention to minimize the adverse effects of this drug
therapy?
A) monitor the patient's bleeding time
B) check the patients blood glucose levels
C) record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain - CORRECT ANSWERS-D)
monitor the iv site for redness, swelling, or pain
A patient is in the clinic after 6 weeks of taking riluzozle (Rilutek) for a recent
diagnosis of amyotrophic lateral sclerosis. The nurse will prioritize assessment for
which of the following?
A) weight gain
B) constipation
C) increased energy
D) dizziness - CORRECT ANSWERS-D) dizziness
Which of the following patients demonstrates the clearest indication for treatment
with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
,B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain
relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed
to leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an
ACE inhibitor - CORRECT ANSWERS-B) A 70-year-old man whose rheumatoid
arthritis has not responded to OTC pain relievers Prednisone is mostly used to treat
conditions such as breathing problems, skin diseases, arthritis, immune system
disorders, eye problems, blood problems and disorders, allergies, and cancer.
Prednisone lowers the response of the immune system of an individual to various
diseases with an aim of reducing some symptoms such as allergic reactions and
swellings. Prednisone achieves this as it belongs to a category of drugs referred to as
corticosteroids. Emphysema, leukemia, and hypertension do not need lowering of the
response of the body's immune system and hence cannot be treated using
prednisone.
A nurse has been administering a drug to a patient intramuscularly (IM). The
physician discontinued the IM dose and wrote an order for the drug to be given
orally. The nurse notices that the oral dosage is considerably higher than the
parenteral dose and understands that this due to__
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect - CORRECT ANSWERS-D) First pass effect is a phenomenon of
drug metabolism whereby the concentration of a drug specifically when administered
orally, is greatly reduced before it reaches the systemic circulation. Therefore,
necessitating the need for higher oral dosage than the parenteral dose.
A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per
IV infusion pump for an acute ventricular arrhythmia associated with an acute MI.
Which of the following patient manifestations would cause the nurse to notify the
physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps - CORRECT ANSWERS-A) The nurse would notify the physician
immediately if the patient exhibits confusion while receiving lidocaine (Xylocaine) for
, an acute ventricular arrhythmia associated with an acute MI. Confusion can be a sign
of lidocaine toxicity, which can lead to serious complications such as seizures or
cardiac arrest. Therefore, it is important to alert the physician promptly so that
appropriate interventions can be taken to ensure the patient's safety and well-being.
A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When
preparing for administration of the drug, the nurse will__
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period - CORRECT ANSWERS-C)
Nesiritide is used for intravenous treatment of individuals with acutely
decompensated heart failure who have dyspnea (shortness of breath) at rest or with
minimal activity. Following the preparation of the infusion bag, withdraw the bolus
volume from the Nesiritide infusion bag and administer it over approximately 60
seconds through an IV port in the tubing. Blood pressure must be monitored closely
during Nesiritide administration.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst - CORRECT ANSWERS-B) Muscle twitching
Explanation: Muscle twitching can be a sign of lithium toxicity and should be reported
immediately. Increased urination, hair loss, and increased thirst are common side
effects of lithium therapy but do not require immediate reporting unless they
become severe or persistent.
A nurse is caring for a patient who has just been diagnosed with Parkinson disease.
The patient does not understand how the medication ordered, carbidopa-levodopa, is
going to help her condition. Which of the following is the correct response by the
nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for
several months."
WITH CORRECT
ANSWERS 2024 LATEST
TEST
,A nurse is caring for a postsurgical patient who has small torturous veins and had a
difficlut IV insertion. the patient isnow recieving medications on a regular basis. what
is the best nursing intervention to minimize the adverse effects of this drug
therapy?
A) monitor the patient's bleeding time
B) check the patients blood glucose levels
C) record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain - CORRECT ANSWERS-D)
monitor the iv site for redness, swelling, or pain
A patient is in the clinic after 6 weeks of taking riluzozle (Rilutek) for a recent
diagnosis of amyotrophic lateral sclerosis. The nurse will prioritize assessment for
which of the following?
A) weight gain
B) constipation
C) increased energy
D) dizziness - CORRECT ANSWERS-D) dizziness
Which of the following patients demonstrates the clearest indication for treatment
with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
,B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain
relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed
to leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an
ACE inhibitor - CORRECT ANSWERS-B) A 70-year-old man whose rheumatoid
arthritis has not responded to OTC pain relievers Prednisone is mostly used to treat
conditions such as breathing problems, skin diseases, arthritis, immune system
disorders, eye problems, blood problems and disorders, allergies, and cancer.
Prednisone lowers the response of the immune system of an individual to various
diseases with an aim of reducing some symptoms such as allergic reactions and
swellings. Prednisone achieves this as it belongs to a category of drugs referred to as
corticosteroids. Emphysema, leukemia, and hypertension do not need lowering of the
response of the body's immune system and hence cannot be treated using
prednisone.
A nurse has been administering a drug to a patient intramuscularly (IM). The
physician discontinued the IM dose and wrote an order for the drug to be given
orally. The nurse notices that the oral dosage is considerably higher than the
parenteral dose and understands that this due to__
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect - CORRECT ANSWERS-D) First pass effect is a phenomenon of
drug metabolism whereby the concentration of a drug specifically when administered
orally, is greatly reduced before it reaches the systemic circulation. Therefore,
necessitating the need for higher oral dosage than the parenteral dose.
A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per
IV infusion pump for an acute ventricular arrhythmia associated with an acute MI.
Which of the following patient manifestations would cause the nurse to notify the
physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps - CORRECT ANSWERS-A) The nurse would notify the physician
immediately if the patient exhibits confusion while receiving lidocaine (Xylocaine) for
, an acute ventricular arrhythmia associated with an acute MI. Confusion can be a sign
of lidocaine toxicity, which can lead to serious complications such as seizures or
cardiac arrest. Therefore, it is important to alert the physician promptly so that
appropriate interventions can be taken to ensure the patient's safety and well-being.
A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When
preparing for administration of the drug, the nurse will__
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period - CORRECT ANSWERS-C)
Nesiritide is used for intravenous treatment of individuals with acutely
decompensated heart failure who have dyspnea (shortness of breath) at rest or with
minimal activity. Following the preparation of the infusion bag, withdraw the bolus
volume from the Nesiritide infusion bag and administer it over approximately 60
seconds through an IV port in the tubing. Blood pressure must be monitored closely
during Nesiritide administration.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst - CORRECT ANSWERS-B) Muscle twitching
Explanation: Muscle twitching can be a sign of lithium toxicity and should be reported
immediately. Increased urination, hair loss, and increased thirst are common side
effects of lithium therapy but do not require immediate reporting unless they
become severe or persistent.
A nurse is caring for a patient who has just been diagnosed with Parkinson disease.
The patient does not understand how the medication ordered, carbidopa-levodopa, is
going to help her condition. Which of the following is the correct response by the
nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for
several months."
