Advanced Pharmacology
Test Bank
WITH CORRECT
ANSWERS 2024 LATEST
TEST//Graded A+
,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 patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On
a follow-up visit to the clinic, the nurse will question the patient about which of the
following?
A) Chronic diarrhea
B) Dental hygiene practices
C) Headaches
D) Diet - CORRECT ANSWERS-B) Dental Hygiene Practices
The nurse will question the patient about their dental hygiene practices. Flavoxate
hydrochloride (Urispas) is a medication used to help control an overactive bladder. While it is
not directly related to dental hygiene, it is important for the nurse to assess the patient's
overall health and any potential side effects or complications that may arise from taking the
medication. Dental hygiene practices can have an impact on a person's overall health, so it is
important for the nurse to inquire about this aspect of their self-care routine during a follow-
up visit.
A nurse notes new drug orders for a patient who is already getting several medications.
Which of the following is the most important consideration when preparing to administer the
new drugs?
A) How the patient will feel about new medications added to her drug therapy
B) Possible drug-drug interactions that might occur
C) Any special nursing considerations that the nurse must be aware of
D) If generic preparations of the drugs can be used - CORRECT ANSWERS-B)
Possible drug-drug interactions that might occur
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?
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) 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