NURS 6521 PREP EXAM: ADVANCED PHARMACOLOGY
WEEKS 7 & 8 CERTIFIED AND ELABORATE QUESTIONS
AND ANSWERS GRADED A+
Medication reconciliation for an 82-year-old man who has recently moved to a long-
term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse
should recognize what consequence of this aspect of the resident’s drug regimen?
Increased risk for falls
A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to
the hospital with a diagnosis of failure to thrive. What should the nurse prioritize when
addressing the woman's apparent lack of nutrition?
Assess the reasons behind the patient’s poor nutritional status.
A patient who has been admitted to the hospital for a mastectomy has stated that she
has experienced an adverse drug effect at various times during her life. Which of the
following strategies should the nurse prioritize in order to minimize the potential of
adverse drug effects during the patients stay in the hospital?
Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects.
A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking
the antibiotic, the patient calls the clinic and reports that he has a rash all over his body.
The nurse is aware that a rash can be an adverse effect of an antibiotic and can be
either a biologic, chemical, or physiologic action of the drug which is an example of
pharmacodynamics
A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying
increased cognitive impairment and memory loss. The initial action of the nurse would
be to...
try to distinguish between normal signs of aging and the adverse drug effects.
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?
Possible drug-drug interactions that might occur
, An older adult who lives in a long-term care facility has recently begun taking losartan
(Cozaar) for the treatment of hypertension. The nurse who provides care for this
resident should recognize that this change in the resident’s medication regimen might
create a risk for...
falls
The culture and sensitivity testing of a patient's wound exudate indicates that a specific
antibiotic is necessary for treatment. The Untied States Pharmacopedia-National
Formulary indicates that the drug in question is 96% protein bound. What are the
implications of this fact?
Dosages of the drug must be large in order to be effective.
The nurses assessment of a community-dwelling adult suggests that the client may have
drug allergies that have not been previously documented. What statement by the client
would confirm this?
I broke out in hives and got terribly itchy when I started a new prescription last year.
Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take?
2
A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested, and he begin taking. Efficacy of a drug means which of the following?
How well a drug produces its desired effect
A patient with a variety of chronic health problems is being seen by her nurse
practitioner, who is currently reviewing the patients medication regimen. Which of the
patient's medications should prompt the patient to teach to avoid drinking grapefruit
juice?
Atorvastatin (Lipitor)
In order to promote therapeutic drug effects, the nurse should always encourage the
patients to...
take their medications at the prescribed times.
WEEKS 7 & 8 CERTIFIED AND ELABORATE QUESTIONS
AND ANSWERS GRADED A+
Medication reconciliation for an 82-year-old man who has recently moved to a long-
term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse
should recognize what consequence of this aspect of the resident’s drug regimen?
Increased risk for falls
A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to
the hospital with a diagnosis of failure to thrive. What should the nurse prioritize when
addressing the woman's apparent lack of nutrition?
Assess the reasons behind the patient’s poor nutritional status.
A patient who has been admitted to the hospital for a mastectomy has stated that she
has experienced an adverse drug effect at various times during her life. Which of the
following strategies should the nurse prioritize in order to minimize the potential of
adverse drug effects during the patients stay in the hospital?
Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects.
A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking
the antibiotic, the patient calls the clinic and reports that he has a rash all over his body.
The nurse is aware that a rash can be an adverse effect of an antibiotic and can be
either a biologic, chemical, or physiologic action of the drug which is an example of
pharmacodynamics
A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying
increased cognitive impairment and memory loss. The initial action of the nurse would
be to...
try to distinguish between normal signs of aging and the adverse drug effects.
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?
Possible drug-drug interactions that might occur
, An older adult who lives in a long-term care facility has recently begun taking losartan
(Cozaar) for the treatment of hypertension. The nurse who provides care for this
resident should recognize that this change in the resident’s medication regimen might
create a risk for...
falls
The culture and sensitivity testing of a patient's wound exudate indicates that a specific
antibiotic is necessary for treatment. The Untied States Pharmacopedia-National
Formulary indicates that the drug in question is 96% protein bound. What are the
implications of this fact?
Dosages of the drug must be large in order to be effective.
The nurses assessment of a community-dwelling adult suggests that the client may have
drug allergies that have not been previously documented. What statement by the client
would confirm this?
I broke out in hives and got terribly itchy when I started a new prescription last year.
Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take?
2
A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested, and he begin taking. Efficacy of a drug means which of the following?
How well a drug produces its desired effect
A patient with a variety of chronic health problems is being seen by her nurse
practitioner, who is currently reviewing the patients medication regimen. Which of the
patient's medications should prompt the patient to teach to avoid drinking grapefruit
juice?
Atorvastatin (Lipitor)
In order to promote therapeutic drug effects, the nurse should always encourage the
patients to...
take their medications at the prescribed times.
