Pharmacology Final Exam REVIEW!!!!| exam questions and answers| correct verified A+

Pharmacology Final Exam REVIEW!!!!| e lkc lkc lkc lkc




xam questions and answers| correct veri
lkc lkc lkc lkc lkc




fied A+ lkc




Alkcpatientlkcaboutlkctolkcreceivelkchislkcmorninglkcdoselkcoflkcdigoxinlkchaslkcanlkcapicallkcpulselkcoflkc70lkcbeatslkcperlkcmi
nute.lkcWhatlkcwilllkcthelkcnurselkcdo?

A.lkcAdministerlkcthelkcdose.

B.lkcAdministerlkcthelkcdoselkcandlkcnotifylkcthelkcphysician.

C.lkcChecklkcthelkcradiallkcpulselkcforlkc1lkcfulllkcminute.

D.lkcWithholdlkcthelkcdoselkcandlkcnotifylkcthelkc-lkccorrectlkcanswers-A.lkcAdministerlkcthelkcdose.

Inlkcassessinglkcalkcpatientlkcbeforelkcadministrationlkcoflkcalkccardiaclkcglycoside,lkcthelkcnurselkcknowslkcthatlkcwhatlkcc
onditionlkccanlkcpredisposelkcalkcpatientlkctolkcdigitalislkctoxicity?

A.lkcHypokalemia

B.lkcHyperkalemia

C.lkcHypocalcemia

D.lkcHypernatremialkc-lkccorrectlkcanswers-
A.lkcHypokalemia;lkccontrollkcventricularlkcresponselkctolkcatriallkcfibrillationlkcandlkcalkcderivedlkcfromlkcfoxglove.lkcDi
goxinlkcislkcthelkconlylkcavailablelkccardiaclkcglycoside---positivelkcinotropic---
inhibitslkcsodiumlkcpotassiumlkcpumplkc(adenosinelkctripphophatase)lkcSodiumlkcandlkccalciumlkcrise.lkcCholinergic
lkcstimulationlkcvialkcthelkcvaguslkcnervelkcoflkcParasympatheticlkcnervouslkcsystem.lkc---Negativelkcchronotropic---

NegativelkcDromotropiclkceffect

Whilelkcassessinglkcalkcpatientlkcwholkcislkcreceivinglkcintravenouslkcdigitalis,lkcthelkcnurselkcrecognizeslkcthatlkcthelkcdr
uglkchaslkcalkcnegativelkcchronotropiclkceffect.lkcHowlkcwouldlkcthislkcdruglkceffectlkcbelkcevidentlkcinlkcthelkcpatient?

A.lkcIncreasedlkcheartlkcrate

B.lkcDecreasedlkcheartlkcrate

C.lkcDecreasedlkcconduction

D.lkcIncreasedlkcectopiclkcbeatslkc-lkccorrectlkcanswers-B.lkcDecreasedlkcheartlkcrate

Alkcpatientlkchaslkcbeenlkctakinglkcdigoxinlkcatlkchomelkcbutlkchaslkctakenlkcanlkcaccidentallkcoverdoselkcandlkchaslkcdevel
opedlkctoxicity.lkcHelkchaslkcbeenlkcadmittedlkctolkcthelkctelemetrylkcunitlkcwherelkcthelkcphysicianlkchaslkcorderedlkcdig
oxinlkcimmunelkcFablkc(Digibind).lkcThelkcpatientlkcaskslkcthelkcnurselkcwhylkcthelkcmedicationlkcislkcordered.lkcWhatlkcisl
kcthelkcnurse'slkcbestlkcresponse?

,A.lkc"Itlkcworkslkcfasterlkcthanlkcdigoxin."

B.lkc"Itlkcislkcsaferlkcthanlkcdigoxinlkcandlkccanlkcbelkctakenlkcorally."

C.lkc"Itlkchelpslkctolkcconvertlkcthelkcirregularlkcheartlkcrhythmlkctolkcalkcmorelkcnormallkcrhythm."

D.lkc"Thislkcdruglkcislkcanlkcantidotelkctolkcdigoxinlkcandlkcwilllkchelplkctolkclowerlkcthelkcbloodlkclevels."lkc-
lkccorrectlkcanswers-

D.lkc"Thislkcdruglkcislkcanlkcantidotelkctolkcdigoxinlkcandlkcwilllkchelplkctolkclowerlkcthelkcbloodlkclevels."lkc(severelkcbradyc
ardia,lkcadvancedlkcheartlkcblock,lkcventricularrlkctachycardia,lkcfibrillation,lkcandlkchyperkalemia);lkcavailablelkcinlkc
parentallkcform.lkcClinicallkcsignslkcandlkcsymptomslkcarelkcmonitoredlkcNOTlkcserumlkclevels----
usedlkcforlkcsystoliclkcheartlkcfailurelkcandlkcatriallkcfibrillation.

5.lkcAlkcpatientlkchaslkcbeenlkcplacedlkconlkcalkcmilrinonelkcinfusionlkcaslkcpartlkcoflkcthelkctherapylkcforlkcend-
stagelkcheartlkcfailure.lkcWhatlkcriskslkcinvolvedlkcwithlkcthislkcdruglkcwilllkcthelkcnurselkckeeplkcinlkcmindlkcwhilelkcassessi
nglkcthislkcpatientlkcduringlkcthelkcinfusion?

A.lkcHypertension

B.lkcHyperkalemia

C.lkcNausealkcandlkcvomiting

D.lkcCardiaclkcdysrhythmiaslkc-lkccorrectlkcanswers-
D.lkcCardiaclkcdysrhythmiaslkc(contraindictatedlkcwithlkcventricularlkctachycardia,lkcandlkcfibrillation)lkcusedlkcforlkctr
eatmentlkcoflkcatriallkcfibrillation.lkcAvailablelkcinlkcOrallkcandlkcinjectionlkcform.

6.lkcAlkcpatientlkcwithlkcatriallkcfibrillationlkcwaslkcstartedlkconlkcdigoxin,lkcandlkc1lkcweeklkclaterlkcalkcdigoxinlkclevellkcwasl
kcdrawn.lkcWhichlkcresultlkcislkcwithinlkcnormallkctherapeuticlkclevelslkcforlkcdigoxin?



A.lkc0.4lkcng/mL

B.lkc0.7lkcng/mL

C.lkc2.1lkcng/mL

D.lkc2.6lkcng/mLlkcorlkchigherlkc-lkccorrectlkcanswers-B.lkc0.7lkcng/mLlkc(normallkc0.5lkctolkc2.0lkcng/mL

7.lkcWhenlkcreviewinglkcthelkclistlkcoflkcmedicationslkctakenlkcbylkcalkcpatientlkcwholkcwilllkcbelkcreceivinglkcalkcnewlkcpres
criptionlkcforlkcdigoxin,lkcthelkcnurselkcwouldlkcbelkcconcernedlkcaboutlkcwhichlkcmedicationlkcthatlkcmaylkcinteractlkcw
ithlkcthelkcdigoxin?

A.lkcaspirin

B.lkcacetaminophenlkc(Tylenol)

C.lkcfurosemidelkc(Lasix)

D.lkcvitaminlkcKlkc-lkccorrectlkcanswers-
C.lkcfurosemidelkc(Lasix);lkc(looplkcDiuretics);lkcnumerouslkconeslkconlkcpagelkc341

8.lkcThelkcnurselkcislkcreviewinglkcdischargelkcteachinglkcforlkcalkcpatientlkcwholkcwilllkcbelkctakinglkcdigoxinlkc(Lanoxin)lkct
herapy.lkcThelkcpatientlkcshouldlkcbelkctaughtlkctolkcavoidlkcwhichlkcfoodslkcwhenlkctakinglkcthelkcdigoxin?

,A.lkcLeafylkcgreenlkcvegetables

B.lkcDairylkcproducts

C.lkcGrapefruitlkcjuice

D.lkcBranlkcmuffinslkc-lkccorrectlkcanswers-D.lkcBranlkcmuffins

9.lkcInlkcassessinglkcalkcpatientlkcbeforelkcadministrationlkcoflkcalkccardiaclkcglycoside,lkcthelkcnurselkcknowslkcthatlkcwhi
chlkclablkcresultlkccanlkcincreaselkcthelkctoxicitylkcoflkcthelkcdrug?

A.lkcPotassiumlkclevellkc2.8lkcmEq/L

B.lkcPotassiumlkclevellkc4.9lkcmEq/L

C.lkcSodiumlkclevellkc140lkcmEq/L

D.lkcCalciumlkclevellkc10lkcmg/dLlkc-lkccorrectlkcanswers-
A.lkcPotassiumlkclevellkc2.8lkcmEq/Llkc(lowlkcpotassiumlkcnormallkcislkc3.5lkctolkc5.0)

10.lkcThelkcnurselkcadministeringlkcthelkcphosphodiesteraselkcinhibitorlkcinamrinonelkcrecognizeslkcthatlkcthislkcdrug
lkcshouldlkchavelkcalkcpositivelkcinotropiclkceffect.lkcThislkceffectlkcwilllkcresultlkcinlkcincreased



A.lkcheartlkcrate.

B.lkcbloodlkcvessellkcdilation.

C.lkcforcelkcoflkccardiaclkccontraction.

D.lkcconductionlkcoflkcelectricallkcimpulseslkcacrosslkcthelkcheart.lkc-lkccorrectlkcanswers-
C.lkcforcelkcoflkccardiaclkccontraction.lkc(increaselkccAMP)lkcpositivelkcinotropiclkc(bylkcmorelkccalciumlkcavailablelkcinlkc
SR)effectlkcandlkcvasodilation,lkc(inodilators)---
positivelkcchornotropiclkceffect);lkcUSEDlkcINlkcICU;lkcADVERSElkcEFFECT...thrombocytopenia,lkcdysrhythmia,lkcven
tricular,lkchypotensionlkcandlkcangina,lkchypokalemia,lkctremor.

11.lkcThelkcnurselkcnoteslkcinlkcalkcpatient'slkcmedicallkcrecordlkcthatlkcnesiritidelkchaslkcbeenlkcordered.lkcBasedlkconlkcth
islkcorder,lkcthelkcnurselkcinterpretslkcthatlkcthelkcpatientlkchaslkcwhichlkcdisorder?

A.lkcAtriallkcfibrillation

B.lkcAcutelylkcdecompensatedlkcheartlkcfailurelkcwithlkcdyspnealkcatlkcrest

C.lkcSystoliclkcheartlkcfailure

D.lkcLong-termlkctreatmentlkcoflkcheartlkcfailure.lkc-lkccorrectlkcanswers-
B.lkcAcutelylkcdecompensatedlkcheartlkcfailurelkcwithlkcdyspnealkcatlkcrest

SELECTlkcALLlkcTHATlkcAPPLY:



lkc 1.lkcWhenlkcalkcpatientlkcislkcexperiencinglkcdigoxinlkctoxicity,lkcwhichlkcclinicallkcsituationlkcwouldlkcnecessitatelkcthe
lkc uselkcoflkcdigoxinlkcimmunelkcFablkc(Digibind)?lkcSelectlkcalllkcthatlkcapply.

, A.lkcThelkcpatientlkcreportslkcseeinglkccolorfullkchaloslkcaroundlkclights.

B.lkcThelkcpatient'slkcserumlkcpotassiumlkclevellkcislkcabovelkc5lkcmEq/L.

C.lkcThelkcpatientlkcislkcexperiencinglkcnausealkcandlkcanorexia.

D.lkcThelkcpatientlkcislkcexperiencinglkcseverelkcsinuslkcbradycardialkcthatlkcdoeslkcnotlkcrespondlkctolkccardiaclkcpacing.

E.lkcThelkcpatientlkchaslkctakenlkcanlkcoverdoselkcoflkcgreaterlkcthanlkc10lkcmglkcoflkcdigoxin.lkc-lkccorrectlkcanswers-
B.lkcThelkcpatient'slkcserumlkcpotassiumlkclevellkcislkcabovelkc5lkcmEq/L.



D.lkcThelkcpatientlkcislkcexperiencinglkcseverelkcsinuslkcbradycardialkcthatlkcdoeslkcnotlkcrespondlkctolkccardiaclkcpacing.l
kc(E)lkcmightlkcbelkcrightlkcaslkcwelllkcalkcpersonlkctakinglkc10mglkcoflkcdigoxinlkcislkcalkcindicationlkcoflkctoxicity...pagelkc340

lkcstateslkclifelkcthreateninglkcdigoxinlkcoverdoselkcinlkcadultslkcandlkc4lkcmglkcinlkcchildren)



2.lkcWhichlkcdruglkcclasseslkcarelkcconsideredlkcfirst-linelkctreatmentlkcforlkcheartlkcfailure?lkcSelectlkcalllkcthatlkcapply.

A.lkcAngiotensinlkcconvertinglkcenzymelkc(ACE)lkcinhibitors

B.lkcAngiotensinlkcIIlkcreceptorlkcblockerslkc(ARBs)

C.lkcDigoxinlkc(cardiaclkcglycoside)

D.lkcBeta-blockers

E.lkcNesiritidelkc(Natrecor),lkcthelkcB-typelkcnatriureticlkcpeptidelkc-lkccorrectlkcanswers-ACE

ARBS

Beta-blockers

looplkcdiuretics

1.Whenlkcadministeringlkctopicallkcnitroglycerinlkcointment,lkcthelkcnurselkcshouldlkcuselkcwhichlkctechnique?

A.lkcThelkcointmentlkcshouldlkcbelkcappliedlkconlkcthelkcchestlkcoverlkcthelkcheart.

B.lkcThelkcointmentlkcshouldlkcbelkcusedlkconlylkcinlkcthelkccaselkcoflkcalkcmildlkcanginalkcepisode.

C.lkcThelkcoldlkcointmentlkcshouldlkcbelkcremovedlkcbeforelkcnewlkcointmentlkcislkcapplied.

D.lkcThelkcointmentlkcshouldlkcbelkcmassagedlkcgentlylkcintolkcthelkcskin,lkcthenlkccoveredlkcwithlkcplasticlkcwrap.lkc-
lkccorrectlkcanswers-C.lkcThelkcoldlkcointmentlkcshouldlkcbelkcremovedlkcbeforelkcnewlkcointmentlkcislkcapplied.



2.Thelkcnurselkcislkcgivinglkcintravenouslkcnitroglycerinlkctolkcalkcpatientlkcwholkchaslkcjustlkcbeenlkcadmittedlkcbecauselk
coflkcanlkcacutelkcmyocardiallkcinfarction.lkcWhichlkcstatementlkcislkctruelkcregardinglkcthelkcadministrationlkcoflkcthelkci

ntravenouslkcformlkcoflkcthislkcmedication?

A.lkcSpecificlkcnonpolyvinylchloridelkc(non-PVC)lkcplasticlkcintravenouslkcbagslkcandlkctubinglkcmustlkcbelkcused.

B.lkcItlkcislkcstablelkcforlkconlylkc24lkchourslkcafterlkcpreparation.

C.lkcItlkccanlkcbelkcgivenlkcinlkcinfusionslkcwithlkcotherlkcmedications.