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Exam (elaborations)

NR 6521 MIDTERM EXAM ADVANCED PHARMACOLOGY.

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NR 6521 MIDTERM EXAM ADVANCED PHARMACOLOGY. Focus on pharmacokinetics, pharmacodynamics, and clinical applications of medications. • Emphasis on safe prescribing practices and patient-centered care. Key Topics Covered • Pharmacokinetics • Absorption: Factors affecting drug absorption (route, formulation, etc.) • Distribution: Volume of distribution, protein binding. • Metabolism: Liver function, first-pass effect, cytochrome P450 system. • Excretion: Renal function, half-life, clearance. • Pharmacodynamics • Mechanism of action: How drugs produce their effects. • Receptor interactions: Agonists vs. antagonists, dose-response relationships. • Therapeutic index: Safety margin of drugs. • Drug Classes and Examples • Antihypertensives: ACE inhibitors, ARBs, beta-blockers, diuretics. • Antibiotics: Mechanisms of action, spectrum of activity (e.g., penicillins, cephalosporins). • Analgesics: Opioids vs. non-opioids, side effects, and management of pain. • Psychotropic Medications: SSRIs, SNRIs, antipsychotics—indications and side effects. • Pharmacotherapy Considerations • Patient factors: Age, weight, renal/hepatic function. • Drug interactions: Common interactions and how to manage them. • Special populations: Pediatric and geriatric considerations. • Prescribing Practices • Writing prescriptions: Components of a prescription, legal considerations. • Monitoring therapy: Follow-up strategies and adjusting medications based on efficacy and safety.

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NR 6521 MIDTERM EXAM ADVANCED PHARMACOLOGY



NR 6521 MIDTERM EXAM ADVANCED
PHARMACOLOGY
Question 1
1 out of 1 points
A nurse works in a private hospital and needs to administer some narcotic drugs to one
of her patients. Which of the following should the nurse consider when administering
narcotics to patients in a hospital setting?
Selected Narcotics to be used in the hospital are dispensed only with a Answer:
written prescription.

Question 2
1 out of 1 points
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the
following should the nurse anticipate?
Selected The drug will decrease in effectiveness Answer:
Question 3
1 out of 1 points
A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the following nursing
diagnoses should the nurse prioritize in the planning of this patient's care?
Selected Acute Pain, Headache, related to adverse effects of drug
Answer: therapy
Question 4
1 out of 1 points
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana
abuse consists mainly of
Selected nonpharmacologic interventions combined with an exercise
Answer: program.
Question 5
1 out of 1 points
A nurse is caring for a patient who is in severe pain and is receiving an opioid
analgesic. Which of the following would be the nurse's priority assessments?
Selected Pain intensity, respiratory rate, and level of consciousness Answer:
Question 6
1 out of 1 points
A patient has been prescribed an oral drug that is known to have a high firstpass effect.
Which of the following measures has the potential to increase the amount of the free
drug that is available to body cells?



MIDTERM EXAM ADVANCED PHARMACOLOGY |

, NR 6521 MIDTERM EXAM ADVANCED PHARMACOLOGY

Selected Administering the drug intravenously rather than
Answer: orally
Question 7
1 out of 1 points
A nurse is providing a patient with a list of drugs as a part of the patient's plan of care.
Which of the following drug nomenclatures should the nurse use to list the drugs?
Selected The drugs' generic names Answer:
Question 8
1 out of 1 points
Federal legislation dictates a lengthy and rigorous process of testing for new drugs.
What is the primary purpose of this testing process?
Selected To ensure the safety of the public Answer:
Question 9
1 out of 1 points
During a clinic visit, a patient complains of having frequent muscle cramps in her legs.
The nurse's assessment reveals that the patient has been taking over-thecounter
laxatives for the past 7 years. The nurse informed the patient that prolonged use of
laxatives
Selected may cause nutrient deficiencies.
Answer:
Question 10
1 out of 1 points
A home health nurse notes that there have been changes to a patient's oral drug
regimen. The nurse will closely monitor the new drug regimen to
Selected identify any changes in drug absorption that would change the Answer:
drug effect.

Question 11
1 out of 1 points
What critical piece of information is missing from the following medication order:
Amoxicillin 250 mg every 8 hours?
Selected Route
Answer:
Question 12
1 out of 1 points
A patient has recently been prescribed a drug that treats his hypertension by blocking
the sympathetic receptors in his sympathetic nervous system. This action is
characteristic of
Selected an adrenergic antagonist.


MIDTERM EXAM ADVANCED PHARMACOLOGY |

, NR 6521 MIDTERM EXAM ADVANCED PHARMACOLOGY

Answer:
Question 13
1 out of 1 points
Which of the following will a nurse inform the patient is one of the most common
adverse effects of guaifenesin (Robitussin)?
Selected Gastrointestinal distress Answer:
Question 14
0 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM.
How should the nurse best administer this medication?
Selected Into the patient shoulder muscle using a small-gauge needle Answer:
Question 15
0 out of 1 points
A nurse is providing patient education to a 35-year-old man who has been prescribed
clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should
anticipate that the drug will be administered
Selected orally. Answer:
Question 16
1 out of 1 points
A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset her stomach.
The nurse will encourage the patient to
Selected swallow the tablet with milk or food.
Answer:
Question 17
1 out of 1 points
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?
Selected Possible drug–drug interactions that might occur Answer:
Question 18
1 out of 1 points
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?
Selected How well a drug produces its desired effect Answer:
Question 19
1 out of 1 points




MIDTERM EXAM ADVANCED PHARMACOLOGY |

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