Advanced Pharmacology Final - Practice
Quiz Questions
2 Antagonists like Ranitadine can also raise all of the following values except? - ANS-CRP
A 15-yr-vintage with a 6-month records of mild to excessive depression began
anti-depressant remedy with Sertraline two weeks in the past. The nurse will educate the
family that he is maximum at risk at some stage in the first 3 weeks of medication therapy
for: - ANS-Suicidality
A 19-12 months-antique female consumer with depression who has been taking amitriptyline
for three weeks returns to the health center for a observe-up. The nurse anticipates the
possibility of watching which of the following signs and symptoms? - ANS-Suicidal mind
A 23-yr-old male who has a records of a chilly in the ultimate week comes to the health
center complaining of priapism. What is most probably the purpose of his problem? - ANS-3
Red Bull power liquids consumed inside the final 24 hours
A three-year-antique child comes to the hospital for an overdose of pseudoephedrine. For
what signs of toxicity ought to the nurse be looking? Select all that follow - ANS-Insomnia,
tachycardia, seizures
A child has been recognized with enuresis. TCA imipramine has been prescribed for the
child. The nurse understands that this medication is wherein class? - ANS-antispasmodic
A toddler's mom tells you, "The doctor has prescribed our daughter digoxin to take at home.
Are there any unique things we must do?" What patient teaching is needed? - ANS-previous
to management take an apical pulse. Do now not provide the medication if the heart beat is
under one hundred beats/min.
- Always investigate apical pulse before giving Digoxin
A class of incretin enhancers known as DPP-four inhibitors do which of the following? -
ANS-Prevents the breakdown of incretins
A patron calls pronouncing she seems to need to use an increasing number of of the
albuterol each day. What is the nurse's most critical challenge? - ANS-This will be an early
sign of a critical asthma assault
A purchaser goes to the store to get some over-the-counter cold medication at night time
when the pharmacy has closed. He is seeking out the pseudoephedrine, that's locked at the
back of the pharmacy door. He ought to wait till the pharmacy opens within the morning.
What is the purpose for this? - ANS-Pseudoephedrine is the beginning factor for
methamphetamines
A purchaser has been prescribed cromolyn (Intal) a Mast mobile stabilizer and asks you
ways this medicinal drug facilitates. What is the pleasant response by using the nurse? -
ANS-It acts via inhibiting the discharge of histamine from mast cells.
A consumer has been prescribed Hycomine Compound, an opioid mixture drug for
manipulate of cough. This drug incorporates hydrocodone, phenylephrine, chlorpheniramine,
and acetaminophen. Which commands are a concern a part of medicine schooling? -
ANS-"Take this drug exactly as directed."
,A consumer is prescribed an intranasal glucocorticoid for allergic rhinitis and benign nasal
polyps. What must the nurse consist of in client schooling about this drug? - ANS-"Do not
consume licorice while taking this drug."
A customer is beginning on Zafirlukast. What is a priority nursing assessment earlier than
starting the drug? - ANS-AST and ALT lab values
A customer on pioglitazone calls the workplace complaining of swelling in her legs,
shortness of breath and feeling more tired since beginning the drug. What is the first-rate
training with the aid of the nurse? - ANS-Stop taking the drug and are available for an
appointment with the healthcare issuer
A purchaser taking lithium carbonate began complaining of nausea, vomiting, diarrhea,
drowsiness, muscle weak point, tremor, blurred imaginative and prescient and ringing in the
ears. The lithium serum stage is 2 mEq/L. The nurse interprets this cost as: - ANS-Toxic
degree
A purchaser who has been taking buspirone for two months returns to the clinic for a
observe-up. The nurse determines that the drugs is effective if there may be an absent
display of... - ANS-Feelings of panic, fear, and uneasiness
A patron who obtained chemotherapy 7 days ago calls and reviews a temperature of one
hundred and one.2 but denies chills, cough, or sore throat. What will you inform the
customer? - ANS-You will want to be visible proper away. You are at an expanded risk for
bacterial infection
A client with despair is taking phenelzine. The nurse advises the consumer to keep away
from consuming which foods at the same time as taking the drugs - ANS-Yogurt
A patron with schizophrenia has been began on medicinal drug therapy with clozapine. A
nurse assesses the consequences of which laboratory study to display for destructive impact
related to this medicine? - ANS-White blood cell
A girl affected person is taking ampicillin. What is important to tell her about the prescription?
- ANS-Ask her about oral contraceptive use.
A pal of yours is looking you approximately inhalers to save you "bronchial asthma" due to
exercise. You provide an explanation for in your buddy that - ANS-Albuterol inhalers are
used 15 to half-hour previous to bodily hobby to prevent exercise-caused bronchospasm.
A recognized vesicant is started on a patient with most cancers. The nurse will monitor for: -
ANS-IV site or port for pain, redness, and swelling
A male patient who is taking the second one-era antipsychotic reviews to the nurse that he
has discovered a clean fluid leaking from his proper nipple for the beyond month. The
nurse's high-quality preliminary intervention is: - ANS-Inform the affected person that this
can be a aspect effect of the medicine
A new child is given IV antibiotics. What evaluation parameter addresses the newborns
capacity to distribute the antibiotic for the duration of the frame? - ANS-Plasma Protein
Levels
- Many capsules are transported via plasma proteins. Newborns with immature liver
characteristic won't have sufficient serum albumin to transport tablets with no trouble.
A newly admitted purchaser has started out taking bupropion. The nurse is aware which of
the subsequent side results that would suggest an overdose of the medication? -
ANS-Seizure
A nurse administering IV calcium need to consider: Choose all that apply. - ANS-- Monitor IV
site intently for signs of infiltration
- Monitor serum calcium ranges to keep away from hypercalcemia
- Administer slowly to keep away from hypotension, dysrhythmias and cardiac arrest
,A nurse administering promethazine for a patient's nausea is familiar with the risks of IV
administration consist of: (pick out all that follow) - ANS-Necrosis to the vein, swelling to
veins and tissues, caustic effect to the intima of the vein, may additionally lead to gangrene
or amputation of affected limb, spasms of blood vessels
A nurse counsels a affected person who has been prescribed a monoamine oxidase inhibitor
(MAOI) to treat depression to keep away from foods containing tyramine. Which of the
following meals ought to the affected person avoid? (choose all that apply) - ANS-Yogurt,
tofu, pepperoni
A nurse is making ready to offer an IM injection to a patient this is 6 months vintage. What
injection web site might be high-quality? - ANS-Vastus Lateralis
A nurse is teaching a affected person about her new prescription enalapril for hypertension.
The nurse is aware of teaching changed into a hit when the affected person states - ANS-I
will let my physician know if I get dizzy, light headed or have a headache
A nurse is coaching a patient newly started on an antidysrhythmic remedy. The nurse is
aware of coaching has been powerful while the patient states: - ANS-I may enjoy greater
dysrhythmias due to changes in electrolyte absorption
A nurse is teaching dad and mom of a baby recently identified with ADHD who has been
prescribed methylphenidate. Which should the nurse encompass in coaching about the side
results of this medicine? - ANS-"your infant can also experience a sense of anxiousness."
A nurse notes that a customer with schizophrenia and receiving an antipsychotic medicine is
having uncontrolled movement of the lips and tongue. The nurse determines that the
customer is experiencing? - ANS-Tardive dyskinesia
A nurse will expect which symptom or incidence while giving Dextran forty? - ANS-Blood
strain rising from one hundred ten/62 to one hundred forty five/eighty one
A nurse will put together teaching substances regarding which drug for the dad and mom of
a baby recognized with interest-deficit/hyperactivity ailment (ADHD)? - ANS-Methylphenidate
A nurse operating night time shift can be at risk for a deficiency of which vitamin? -
ANS-Vitamin D
A patient commenced trihexyphenidyl for remedy of Parkinson's ailment. Which locating
demonstrates a tremendous response to the medicine? - ANS-Gait is regular with decreased
rigidity.
A affected person being treated for DKA obtained an Insulin infusion, Sodium Bicarbonate,
and D5W. Why did this patient get hold of D5W? - ANS-Insulin will facilitate glucose
metabolism so serum glucose can also drop too speedy
A patient involves the sanatorium complaining of angina. While getting a history from the
affected person the nurse takes note that: - ANS-a affected person taking Sildenafil should
no longer be given nitrates for angina
A affected person complains of cramps in his calves, parasthesia to his ft and a sense that
his heart isn't always beating commonly. These signs and symptoms may additionally imply
which of the following imbalance? - ANS-Hyperkalemia
A affected person currently being dealt with for despair with every day sertraline (Zoloft), an
SSRI antidepressant, is coming in your unit postoperatively. What remedy prescription ought
to the nurse observe as contraindicated for this patient? - ANS-*Tramadol (Ultram) 50mg PO
BID PRN for ache
A patient recognized with inflammatory bowel sickness (IBD) like ulcerative colitis, which
drug allows hold or lengthen remission by way of inhibiting prostaglandins and leukotrienes?
- ANS-Sulfasalazine. Sulfasalazine is an anti inflammatory medicine
, A patient recognized with mania begins lithium remedy on October 1. What is the earliest
date a nurse can anticipate to look clinical improvement inside the patient's condition? -
ANS-October eight
A patient recognized with schizophrenia has taken thiothixene five mg/day for 4 years with
right symptom control. Today, the affected person is admitted with paranoia and auditory
hallucinations. The nurse need to decide if the affected person's symptoms are associated
with: - ANS-Not taking the drug as prescribed
A affected person has been prescribed a selective serotonin reuptake inhibitor (SSRI) for
melancholy. The nurse should suggest the patient about which of the subsequent feasible
facet outcomes, among others? - ANS-Fever, sweating, agitation, rapid heartbeat
A affected person has been prescribed disulfiram. The nurse might maximum correctly
recommend the patient about which of the following? - ANS-A toxic response if alcohol is ate
up
A patient has been receiving NS to accurate dehydration because of diarrhea she's had for
the beyond days. When the patient complains of tightness within the chest and mild swelling
in the fingers, what can the nurse do subsequent and why? - ANS-Listen to the lungs.
Edema can be growing within the lungs because of the fluid management
A affected person has been began on ticlopidine (Ticlid) after a myocardial infarction and
stent placement. How have to the nurse provide an explanation for the motion of this
medication to the affected person? Select all that follow. - ANS-"Ticlid will make the platelets
on your blood much less sticky."
"Ticlid will exchange the way your platelets paintings their entire lives."
"Ticlid decreases your blood's potential to clot."
A patient has metabolic acidosis. Which IV fluid might the RN count on to start? -
ANS-Sodium bicarbonate
A affected person has open-angle glaucoma. Choose the medicine that would be
administered to him for this circumstance. - ANS-Timolol
- Timolol decreases the manufacturing of aqueous humor, which lessens the pressure in the
eye (IOP)
A patient has taken clonazepam for years to manipulate panic attacks but swiftly stopped the
drug. Thirty hours later, the patient comes to the emergency room in distress. What is the
nurse's precedence action? - ANS-Begin seizure precautions
A affected person is being started on Amiodarone what is the most regarding lab fee? -
ANS-Potassium 3.1
A affected person goes into surprise due to complications of coronary heart failure. The
doctor prescribed dopamine. The nurse is aware of this medicine can be used as a short
time period treatment because it: - ANS-Maintains blood float to essential organs
A affected person is in acidosis secondary to DKA. What medicine will nice assist to correct
the acidosis? - ANS-Sodium bicarbonate
A affected person is on warfarin for atrial traumatic inflammation. What antibiotic need to be
avoided? - ANS-Levofloxacin
A affected person is placed on hydrochlorothiazide for HTN. The nurse is aware of teaching
changed into a success when the patient states this medicine works via: - ANS-lowering the
fluid level
A affected person is prescribed enalapril for HTN. The nurse knows coaching turned into a
hit whilst the affected person states this medicinal drug works by way of: - ANS-stopping
vasoconstriction
Quiz Questions
2 Antagonists like Ranitadine can also raise all of the following values except? - ANS-CRP
A 15-yr-vintage with a 6-month records of mild to excessive depression began
anti-depressant remedy with Sertraline two weeks in the past. The nurse will educate the
family that he is maximum at risk at some stage in the first 3 weeks of medication therapy
for: - ANS-Suicidality
A 19-12 months-antique female consumer with depression who has been taking amitriptyline
for three weeks returns to the health center for a observe-up. The nurse anticipates the
possibility of watching which of the following signs and symptoms? - ANS-Suicidal mind
A 23-yr-old male who has a records of a chilly in the ultimate week comes to the health
center complaining of priapism. What is most probably the purpose of his problem? - ANS-3
Red Bull power liquids consumed inside the final 24 hours
A three-year-antique child comes to the hospital for an overdose of pseudoephedrine. For
what signs of toxicity ought to the nurse be looking? Select all that follow - ANS-Insomnia,
tachycardia, seizures
A child has been recognized with enuresis. TCA imipramine has been prescribed for the
child. The nurse understands that this medication is wherein class? - ANS-antispasmodic
A toddler's mom tells you, "The doctor has prescribed our daughter digoxin to take at home.
Are there any unique things we must do?" What patient teaching is needed? - ANS-previous
to management take an apical pulse. Do now not provide the medication if the heart beat is
under one hundred beats/min.
- Always investigate apical pulse before giving Digoxin
A class of incretin enhancers known as DPP-four inhibitors do which of the following? -
ANS-Prevents the breakdown of incretins
A patron calls pronouncing she seems to need to use an increasing number of of the
albuterol each day. What is the nurse's most critical challenge? - ANS-This will be an early
sign of a critical asthma assault
A purchaser goes to the store to get some over-the-counter cold medication at night time
when the pharmacy has closed. He is seeking out the pseudoephedrine, that's locked at the
back of the pharmacy door. He ought to wait till the pharmacy opens within the morning.
What is the purpose for this? - ANS-Pseudoephedrine is the beginning factor for
methamphetamines
A purchaser has been prescribed cromolyn (Intal) a Mast mobile stabilizer and asks you
ways this medicinal drug facilitates. What is the pleasant response by using the nurse? -
ANS-It acts via inhibiting the discharge of histamine from mast cells.
A consumer has been prescribed Hycomine Compound, an opioid mixture drug for
manipulate of cough. This drug incorporates hydrocodone, phenylephrine, chlorpheniramine,
and acetaminophen. Which commands are a concern a part of medicine schooling? -
ANS-"Take this drug exactly as directed."
,A consumer is prescribed an intranasal glucocorticoid for allergic rhinitis and benign nasal
polyps. What must the nurse consist of in client schooling about this drug? - ANS-"Do not
consume licorice while taking this drug."
A customer is beginning on Zafirlukast. What is a priority nursing assessment earlier than
starting the drug? - ANS-AST and ALT lab values
A customer on pioglitazone calls the workplace complaining of swelling in her legs,
shortness of breath and feeling more tired since beginning the drug. What is the first-rate
training with the aid of the nurse? - ANS-Stop taking the drug and are available for an
appointment with the healthcare issuer
A purchaser taking lithium carbonate began complaining of nausea, vomiting, diarrhea,
drowsiness, muscle weak point, tremor, blurred imaginative and prescient and ringing in the
ears. The lithium serum stage is 2 mEq/L. The nurse interprets this cost as: - ANS-Toxic
degree
A purchaser who has been taking buspirone for two months returns to the clinic for a
observe-up. The nurse determines that the drugs is effective if there may be an absent
display of... - ANS-Feelings of panic, fear, and uneasiness
A patron who obtained chemotherapy 7 days ago calls and reviews a temperature of one
hundred and one.2 but denies chills, cough, or sore throat. What will you inform the
customer? - ANS-You will want to be visible proper away. You are at an expanded risk for
bacterial infection
A client with despair is taking phenelzine. The nurse advises the consumer to keep away
from consuming which foods at the same time as taking the drugs - ANS-Yogurt
A patron with schizophrenia has been began on medicinal drug therapy with clozapine. A
nurse assesses the consequences of which laboratory study to display for destructive impact
related to this medicine? - ANS-White blood cell
A girl affected person is taking ampicillin. What is important to tell her about the prescription?
- ANS-Ask her about oral contraceptive use.
A pal of yours is looking you approximately inhalers to save you "bronchial asthma" due to
exercise. You provide an explanation for in your buddy that - ANS-Albuterol inhalers are
used 15 to half-hour previous to bodily hobby to prevent exercise-caused bronchospasm.
A recognized vesicant is started on a patient with most cancers. The nurse will monitor for: -
ANS-IV site or port for pain, redness, and swelling
A male patient who is taking the second one-era antipsychotic reviews to the nurse that he
has discovered a clean fluid leaking from his proper nipple for the beyond month. The
nurse's high-quality preliminary intervention is: - ANS-Inform the affected person that this
can be a aspect effect of the medicine
A new child is given IV antibiotics. What evaluation parameter addresses the newborns
capacity to distribute the antibiotic for the duration of the frame? - ANS-Plasma Protein
Levels
- Many capsules are transported via plasma proteins. Newborns with immature liver
characteristic won't have sufficient serum albumin to transport tablets with no trouble.
A newly admitted purchaser has started out taking bupropion. The nurse is aware which of
the subsequent side results that would suggest an overdose of the medication? -
ANS-Seizure
A nurse administering IV calcium need to consider: Choose all that apply. - ANS-- Monitor IV
site intently for signs of infiltration
- Monitor serum calcium ranges to keep away from hypercalcemia
- Administer slowly to keep away from hypotension, dysrhythmias and cardiac arrest
,A nurse administering promethazine for a patient's nausea is familiar with the risks of IV
administration consist of: (pick out all that follow) - ANS-Necrosis to the vein, swelling to
veins and tissues, caustic effect to the intima of the vein, may additionally lead to gangrene
or amputation of affected limb, spasms of blood vessels
A nurse counsels a affected person who has been prescribed a monoamine oxidase inhibitor
(MAOI) to treat depression to keep away from foods containing tyramine. Which of the
following meals ought to the affected person avoid? (choose all that apply) - ANS-Yogurt,
tofu, pepperoni
A nurse is making ready to offer an IM injection to a patient this is 6 months vintage. What
injection web site might be high-quality? - ANS-Vastus Lateralis
A nurse is teaching a affected person about her new prescription enalapril for hypertension.
The nurse is aware of teaching changed into a hit when the affected person states - ANS-I
will let my physician know if I get dizzy, light headed or have a headache
A nurse is coaching a patient newly started on an antidysrhythmic remedy. The nurse is
aware of coaching has been powerful while the patient states: - ANS-I may enjoy greater
dysrhythmias due to changes in electrolyte absorption
A nurse is teaching dad and mom of a baby recently identified with ADHD who has been
prescribed methylphenidate. Which should the nurse encompass in coaching about the side
results of this medicine? - ANS-"your infant can also experience a sense of anxiousness."
A nurse notes that a customer with schizophrenia and receiving an antipsychotic medicine is
having uncontrolled movement of the lips and tongue. The nurse determines that the
customer is experiencing? - ANS-Tardive dyskinesia
A nurse will expect which symptom or incidence while giving Dextran forty? - ANS-Blood
strain rising from one hundred ten/62 to one hundred forty five/eighty one
A nurse will put together teaching substances regarding which drug for the dad and mom of
a baby recognized with interest-deficit/hyperactivity ailment (ADHD)? - ANS-Methylphenidate
A nurse operating night time shift can be at risk for a deficiency of which vitamin? -
ANS-Vitamin D
A patient commenced trihexyphenidyl for remedy of Parkinson's ailment. Which locating
demonstrates a tremendous response to the medicine? - ANS-Gait is regular with decreased
rigidity.
A affected person being treated for DKA obtained an Insulin infusion, Sodium Bicarbonate,
and D5W. Why did this patient get hold of D5W? - ANS-Insulin will facilitate glucose
metabolism so serum glucose can also drop too speedy
A patient involves the sanatorium complaining of angina. While getting a history from the
affected person the nurse takes note that: - ANS-a affected person taking Sildenafil should
no longer be given nitrates for angina
A affected person complains of cramps in his calves, parasthesia to his ft and a sense that
his heart isn't always beating commonly. These signs and symptoms may additionally imply
which of the following imbalance? - ANS-Hyperkalemia
A affected person currently being dealt with for despair with every day sertraline (Zoloft), an
SSRI antidepressant, is coming in your unit postoperatively. What remedy prescription ought
to the nurse observe as contraindicated for this patient? - ANS-*Tramadol (Ultram) 50mg PO
BID PRN for ache
A patient recognized with inflammatory bowel sickness (IBD) like ulcerative colitis, which
drug allows hold or lengthen remission by way of inhibiting prostaglandins and leukotrienes?
- ANS-Sulfasalazine. Sulfasalazine is an anti inflammatory medicine
, A patient recognized with mania begins lithium remedy on October 1. What is the earliest
date a nurse can anticipate to look clinical improvement inside the patient's condition? -
ANS-October eight
A patient recognized with schizophrenia has taken thiothixene five mg/day for 4 years with
right symptom control. Today, the affected person is admitted with paranoia and auditory
hallucinations. The nurse need to decide if the affected person's symptoms are associated
with: - ANS-Not taking the drug as prescribed
A affected person has been prescribed a selective serotonin reuptake inhibitor (SSRI) for
melancholy. The nurse should suggest the patient about which of the subsequent feasible
facet outcomes, among others? - ANS-Fever, sweating, agitation, rapid heartbeat
A affected person has been prescribed disulfiram. The nurse might maximum correctly
recommend the patient about which of the following? - ANS-A toxic response if alcohol is ate
up
A patient has been receiving NS to accurate dehydration because of diarrhea she's had for
the beyond days. When the patient complains of tightness within the chest and mild swelling
in the fingers, what can the nurse do subsequent and why? - ANS-Listen to the lungs.
Edema can be growing within the lungs because of the fluid management
A affected person has been began on ticlopidine (Ticlid) after a myocardial infarction and
stent placement. How have to the nurse provide an explanation for the motion of this
medication to the affected person? Select all that follow. - ANS-"Ticlid will make the platelets
on your blood much less sticky."
"Ticlid will exchange the way your platelets paintings their entire lives."
"Ticlid decreases your blood's potential to clot."
A patient has metabolic acidosis. Which IV fluid might the RN count on to start? -
ANS-Sodium bicarbonate
A affected person has open-angle glaucoma. Choose the medicine that would be
administered to him for this circumstance. - ANS-Timolol
- Timolol decreases the manufacturing of aqueous humor, which lessens the pressure in the
eye (IOP)
A patient has taken clonazepam for years to manipulate panic attacks but swiftly stopped the
drug. Thirty hours later, the patient comes to the emergency room in distress. What is the
nurse's precedence action? - ANS-Begin seizure precautions
A affected person is being started on Amiodarone what is the most regarding lab fee? -
ANS-Potassium 3.1
A affected person goes into surprise due to complications of coronary heart failure. The
doctor prescribed dopamine. The nurse is aware of this medicine can be used as a short
time period treatment because it: - ANS-Maintains blood float to essential organs
A affected person is in acidosis secondary to DKA. What medicine will nice assist to correct
the acidosis? - ANS-Sodium bicarbonate
A affected person is on warfarin for atrial traumatic inflammation. What antibiotic need to be
avoided? - ANS-Levofloxacin
A affected person is placed on hydrochlorothiazide for HTN. The nurse is aware of teaching
changed into a success when the patient states this medicine works via: - ANS-lowering the
fluid level
A affected person is prescribed enalapril for HTN. The nurse knows coaching turned into a
hit whilst the affected person states this medicinal drug works by way of: - ANS-stopping
vasoconstriction
