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NURS676AdvancedPharmacologyMidterm
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Exam2026 update (WCU)ACCURATE SUMMER
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SEMESTER@QuestionAndAnswers
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THIS DOCUMENT CONTAINS:
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➢ NURS676AdvancedPharmacology
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➢ NURS676 ‘/
➢ NURS676AdvancedPharmacologyMidterm
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Exam
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➢ 2026update ‘/
➢ (WCU)ACCURATESUMMERSEMESTER ‘/ ‘/ ‘/
,NURS 676
‘/ Stuvia:thebest study materialfrom yourfellow students
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Question1 ‘/
A nurse works in a private hospital and needs to administer some narcotic drugs to one of
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her patients. Which of the following should the nurse consider when administering
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narcotics to patients in a hospital setting?
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A) Narcotics can be administered without a prescription in emergency situations ‘ / ‘ / ‘ / ‘ / ‘ / ‘ / ‘ / ‘ / ‘ /
B) Narcotics are regulated by federal law and require specific documentation and‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/
‘/ secure storage ‘/
C) Narcotics can be freely transferred between patients if needed ‘ / ‘/ ‘ / ‘ / ‘ / ‘ / ‘ / ‘/
D) Narcotics do not require any special handling or monitoring ‘/ ‘ / ‘/ ‘/ ‘/ ‘ / ‘/ ‘ /
Correct Answer: B ‘ / ‘ /
Explanation: Narcotics are controlled substances regulated by federal law (e.g., the ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/
‘/ Controlled Substances Act). Nurses must follow strict guidelines for documentation, secure
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‘/ storage, and administration. They require a valid prescription and cannot be transferred
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‘/ between patients without proper authorization.
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Question2 ‘/
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the
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following should the nurse anticipate?
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A) The patient will experience no change in drug response
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B) The patient will likely develop tolerance and may require a higher dose for the same effect
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C) The patient will develop an allergic reaction
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D) The drug will become more effective over time
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Correct Answer: B ‘ / ‘ /
Explanation: Continuous use of an agonist can lead to tolerance, where the body adapts to ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘ /
‘/ the drug and requires higher doses to achieve the same therapeutic effect. This is a common
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‘/ phenomenon with opioids, beta-agonists, and other receptor agonists. ‘/ ‘/ ‘/ ‘/ ‘/ ‘/ ‘/
,NURS 676
‘/ Stuvia:thebest study materialfrom yourfellow students
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Question3 ‘/
A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of
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‘/ unstable angina and new prescription for nitroglycerin. Which of the following nursing
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‘ / diagnoses should the nurse prioritize in the planning of this patient's care?
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A) Risk for injury related to dizziness
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B) Acute pain related to myocardial ischemia
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C) Anxiety related to new diagnosis ‘ / ‘/ ‘ / ‘/
D) Decreased cardiac output related to altered heart rate ‘ / ‘/ ‘ / ‘ / ‘ / ‘ / ‘ /
Correct Answer: B ‘ / ‘ /
Explanation: The priority for a patient with unstable angina is relieving acute pain caused
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‘/ by myocardial ischemia. Nitroglycerin is prescribed to vasodilate coronary arteries and
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‘/ reduce pain. While other diagnoses are relevant, acute pain is the most immediate
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‘/ concern.
Question4 ‘/
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse
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‘/ consists mainly of: ‘/ ‘/
A) Naltrexone therapy ‘ /
B) Behavioral therapy and supportive care ‘ / ‘ / ‘ / ‘ /
C) Methadone maintenance ‘ /
D) Antipsychotic medications ‘ /
Correct Answer: B ‘ / ‘ /
Explanation: There is no specific pharmacologic treatment for marijuana abuse.
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‘/ Management focuses on behavioral therapy, counseling, and supportive care.
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