PHARMACOLOGY-PROCTORED EXAM 2024 REVIEW LATEST 2024 REVIEW WITH ACCURATE QUESTIONS AND ANSWERS.

PHARMACOLOGY-PROCTORED EXAM 2024 REVIEW LATEST 2024 REVIEW WITH ACCURATE QUESTIONS AND ANSWERS. 1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the:  Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2. A nurse providing teaching to a patient who has just been prescribed prazosin (Minipress) which of the following patient statement indicates understanding of teaching:  I will move slowly from sitting to standing to prevent falls 3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching:  I should expect a rash to develop 4. A nurse is receiving a telephone prescription for an antibiotic from a patient's provider. Which of the following is the nurse required to do:  3) Read the prescription back to the provider after transcribing 5. A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following patient statements indicates the understanding of the teaching:  I will keep a seizure frequency chart 6. A nurse is caring for a patient who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actions should the nurse take first:  Apply a cardiac monitor 7. A nurse administers ceftazidime (Fortaz) to a patient who has a severe penicillin allergy. Which of the following patient findings requires an incident report:  The patient reports shortness of breath 8. A nurse is providing teaching to a female patient who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the patient that phenytoin can decrease the effectiveness of which of the following:  Ethunyl estradiol/desogestrel (Cyclessa) 9. A nurse providing teaching to a patient who is diagnosed with migrane headaches. The patient is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions:  Take 1SL tablet at onset of migrane 10. A nurse is reviewing a patient's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The patient's serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse take:  Give the medication 11. A nurse is planning to provide medication education for a patient who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the patient to avoid during the course of therapy:  Beer 12. A nurse is teaching a patient who has heart failure about a new prescription for captopril (Capoten). Which of the following statements by the patient indicates a need for further teaching:  I will use a salt substitute with my meals 13. A patient is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following patient findings should the nurse recognize as being the best indication that the medication is achieving it's therapeutic effect:  Decrease in intraocular pressure 14. A nurse is educating a patient who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 4) Minimize intake of alcoholic beverages  Expect therapy with this medication to be life long 15. A patient taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The patient aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take:  Decrease the heparin 16. The nurse is caring for a patient who is in labor. The patient is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first:  Discontinue the patient's IV meds 17. A nurse is providing teaching to a patient taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the patient:  Insomnia 18. A nurse is teaching a patient about the use of resedronate (Actonel) to treat osteoporasis. Which of the following patient statements indicates a need for further teaching:  I need to take the risdronate with food 19. A nurse is caring for a patient who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing:  Akathesia 20. A nurse is caring for a patient who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy:  Increased platelet count 21. A nurse is administering baclofen (Lioresal) for a patient with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome:  Decrease flexor & extension spasticity 22. A nurse is assessing a patient who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication:  Increased BP 23. A nurse is planning teaching for a patient who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching:  Move slowly when changing to a standing position 24. Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the nurse monitor and report:  Abdominal pain