Advance Pharmacology Final Exam Review d d d d d
With Mark Scheme d d
While performing a skin assessment for a newly admitted 82-year-old patient, the nurse notes that
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the patient has reddened, peeling areas between his toes and around the soles of his feet. Which
d d d d d d d d d d d d d d d d d
of the following medications would the nurse request? -
d d d d d d d d d
d d d d d d d d d d d Clotrimazole
Pediculicides kill nits and lice. - d d d d d d
d d d d d d d d d d d True
A nurse is reviewing systemic diseases that have an effect on bone mineralization. Which clinical
d d d d d d d d d d d d d d d
diseases are affected by hypocalcemia? (Select all that apply). -
d d d d d d d d d d
d d d d d d d d d d d Osteoporosis
Osteomalacia
Fractures
The LPN is reviewing the patient's medication profile and finds that the patient is taking NSAIDs to
d d d d d d d d d d d d d d d d d
relieve generalized arthritic pain. Which physiological action does the nurse identify with NSAIDs -
d d d d d d d d d d d d d d
d d d d d d d d d d d Increased risk of gastric irritation d d d d
A patient is having painful muscle spasms. Which medications does the nurse anticipate that the
d d d d d d d d d d d d d d d
health-care provider might prescribe? (Select all that apply.) -
d d d d d d d d d
d d d d d d d d d d d Benzodiazepines
Muscle relaxants d
The nurse is preparing to apply a topical ointment to a patient with a skin rash. Which of the
d d d d d d d d d d d d d d d d d d d
following actions should the nurse take first to help facilitate absorption of the medication? -
d d d d d d d d d d d d d d d
d d d d d d d d d d d Ensure that the skin is clean and dry.
d d d d d d d
A nurse is assessing a patient's mouth and observes patchy white plaques on the oral mucosa.
d d d d d d d d d d d d d d d d
What clinical condition should the nurse suspect? -
d d d d d d d d
d d d d d d d d d d d Thrush
1|Page
,The student nurse is preparing to give a patient 20 mEq of potassium chloride. Directions state to
d d d d d d d d d d d d d d d d d
mix the powdered medication with at least 4 oz of juice or water. The instructor would be satisfied
d d d d d d d d d d d d d d d d d d
with the student's preparation if the student had which of the following liquids? -
d d d d d d d d d d d d d d
d d d d d d d d d d d 120 mL of grape juice d d d d
A 16-year-old patient comes to the urgent care clinic with symptoms of tonsillitis. The patient tells
d d d d d d d d d d d d d d d d
the nurse she takes tetracycline daily for the treatment of acne. The nurse would be most
d d d d d d d d d d d d d d d d
concerned if the health-care provider prescribed which of the following? -
d d d d d d d d d d d
d d d d d d d d d d d Amoxicillin clavulanate d
The nurse is providing care for a patient who is experiencing muscle spasms. The health-care
d d d d d d d d d d d d d d d
provider has ordered cyclobenzaprine. The nurse should inform the patient to anticipate which of
d d d d d d d d d d d d d d
the following side effects from this medication -
d d d d d d d d
d d d d d d d d d d d Dizziness and drowsiness d d
While caring for patients on the medical unit, the nurse should see which of the following patients
d d d d d d d d d d d d d d d d d
first? - d d
d d d d d d d d d d d A 61-year-old patient who takes ibuprofen for arthritis and is complaining of severe stomach
d d d d d d d d d d d d d d
pain
While shopping for an over-the-counter (OTC) cough suppressant, the nurse identifies that the
d d d d d d d d d d d d d
medication will be classified as a: - d d d d d d d
d d d d d d d d d d d Schedule V medication d d
While playing at the park with her children, the nurse notes a toddler who has honey-colored crusts
d d d d d d d d d d d d d d d d
and open areas on the lips and nose. Which of the following actions should the nurse take first? -
d d d d d d d d d d d d d d d d d d d d
d d d d d d d d d d d Suggest the child's parent seek treatment for suspected thrush with an oral antifungal agent.
d d d d d d d d d d d d d
HPV is an example of a -
d d d d d d d
d d d d d d d d d d d Viral infection d
A patient presents with a fever blister on the upper lip. Which medication should the nurse
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anticipate that the health-care provider will order? -
d d d d d d d d
d d d d d d d d d d d Topical/oral antiviral d
2|Page
, A student nurse is preparing to pass out medications on the rehab unit. Which statement would be
d d d d d d d d d d d d d d d d d
included in the patient teaching for an individual taking metaxalone? -
d d d d d d d d d d d
d d d d d d d d d d d "This medication helps reduce the spasticity in your muscles."
d d d d d d d d
A patient has been prescribed methotrexate for the treatment of rheumatoid arthritis. Which
d d d d d d d d d d d d d
information should be included in the plan of care? (Select all that apply). -
d d d d d d d d d d d d d d
d d d d d d d d d d d Monitoring of alanine transaminase d d d
Monitoring of complete blood count (CBC) d d d d d
Monitoring of aspartate transaminase d d d
The nurse is caring for a 10-year-old child with profound cerebral palsy who takes muscle relaxants
d d d d d d d d d d d d d d d d
and antispasmodics and has continued neck muscle rigidity, which increasingly interferes with his
d d d d d d d d d d d d d
ability to turn his head. Which of the following medications is most likely to be added to the child's
d d d d d d d d d d d d d d d d d d d
treatment plan? - d d d
d d d d d d d d d d d Botulinum toxin A d d
Antifungals are used to treat impetigo. - d d d d d d d
d d d d d d d d d d d False;
antibiotics treat impetigo. d d
A nurse's teenage daughter tearfully states, "I keep getting pimples on my face even though I wash
d d d d d d d d d d d d d d d d d
it every day and I'm not eating any chips or cookies. What can I do?" While considering over-the-
d d d d d d d d d d d d d d d d d
counter treatment options, what common ingredient will the nurse most likely find in topical
d d d d d d d d d d d d d d
creams and lotions? - d d d d
d d d d d d d d d d d Benzoyl peroxide d
A patient is being treated for severe acne with a retinoid. Which laboratory finding should the
d d d d d d d d d d d d d d d d
nurse monitor for during this type of treatment? -
d d d d d d d d d
d d d d d d d d d d d Amylase and lipase d d
The nurse prepares to admit a 71-year-old patient with a long-standing history of rheumatoid
d d d d d d d d d d d d d d
arthritis who has been taking ibuprofen 600 mg tid for many years. The nurse would be most
d d d d d d d d d d d d d d d d d
concerned if the patient reported which of the following symptoms? -
d d d d d d d d d d d
d d d d d d d d d d d Sharp, stabbing pain in the mid epigastric region.
d d d d d d d
3|Page
With Mark Scheme d d
While performing a skin assessment for a newly admitted 82-year-old patient, the nurse notes that
d d d d d d d d d d d d d d d
the patient has reddened, peeling areas between his toes and around the soles of his feet. Which
d d d d d d d d d d d d d d d d d
of the following medications would the nurse request? -
d d d d d d d d d
d d d d d d d d d d d Clotrimazole
Pediculicides kill nits and lice. - d d d d d d
d d d d d d d d d d d True
A nurse is reviewing systemic diseases that have an effect on bone mineralization. Which clinical
d d d d d d d d d d d d d d d
diseases are affected by hypocalcemia? (Select all that apply). -
d d d d d d d d d d
d d d d d d d d d d d Osteoporosis
Osteomalacia
Fractures
The LPN is reviewing the patient's medication profile and finds that the patient is taking NSAIDs to
d d d d d d d d d d d d d d d d d
relieve generalized arthritic pain. Which physiological action does the nurse identify with NSAIDs -
d d d d d d d d d d d d d d
d d d d d d d d d d d Increased risk of gastric irritation d d d d
A patient is having painful muscle spasms. Which medications does the nurse anticipate that the
d d d d d d d d d d d d d d d
health-care provider might prescribe? (Select all that apply.) -
d d d d d d d d d
d d d d d d d d d d d Benzodiazepines
Muscle relaxants d
The nurse is preparing to apply a topical ointment to a patient with a skin rash. Which of the
d d d d d d d d d d d d d d d d d d d
following actions should the nurse take first to help facilitate absorption of the medication? -
d d d d d d d d d d d d d d d
d d d d d d d d d d d Ensure that the skin is clean and dry.
d d d d d d d
A nurse is assessing a patient's mouth and observes patchy white plaques on the oral mucosa.
d d d d d d d d d d d d d d d d
What clinical condition should the nurse suspect? -
d d d d d d d d
d d d d d d d d d d d Thrush
1|Page
,The student nurse is preparing to give a patient 20 mEq of potassium chloride. Directions state to
d d d d d d d d d d d d d d d d d
mix the powdered medication with at least 4 oz of juice or water. The instructor would be satisfied
d d d d d d d d d d d d d d d d d d
with the student's preparation if the student had which of the following liquids? -
d d d d d d d d d d d d d d
d d d d d d d d d d d 120 mL of grape juice d d d d
A 16-year-old patient comes to the urgent care clinic with symptoms of tonsillitis. The patient tells
d d d d d d d d d d d d d d d d
the nurse she takes tetracycline daily for the treatment of acne. The nurse would be most
d d d d d d d d d d d d d d d d
concerned if the health-care provider prescribed which of the following? -
d d d d d d d d d d d
d d d d d d d d d d d Amoxicillin clavulanate d
The nurse is providing care for a patient who is experiencing muscle spasms. The health-care
d d d d d d d d d d d d d d d
provider has ordered cyclobenzaprine. The nurse should inform the patient to anticipate which of
d d d d d d d d d d d d d d
the following side effects from this medication -
d d d d d d d d
d d d d d d d d d d d Dizziness and drowsiness d d
While caring for patients on the medical unit, the nurse should see which of the following patients
d d d d d d d d d d d d d d d d d
first? - d d
d d d d d d d d d d d A 61-year-old patient who takes ibuprofen for arthritis and is complaining of severe stomach
d d d d d d d d d d d d d d
pain
While shopping for an over-the-counter (OTC) cough suppressant, the nurse identifies that the
d d d d d d d d d d d d d
medication will be classified as a: - d d d d d d d
d d d d d d d d d d d Schedule V medication d d
While playing at the park with her children, the nurse notes a toddler who has honey-colored crusts
d d d d d d d d d d d d d d d d
and open areas on the lips and nose. Which of the following actions should the nurse take first? -
d d d d d d d d d d d d d d d d d d d d
d d d d d d d d d d d Suggest the child's parent seek treatment for suspected thrush with an oral antifungal agent.
d d d d d d d d d d d d d
HPV is an example of a -
d d d d d d d
d d d d d d d d d d d Viral infection d
A patient presents with a fever blister on the upper lip. Which medication should the nurse
d d d d d d d d d d d d d d d d
anticipate that the health-care provider will order? -
d d d d d d d d
d d d d d d d d d d d Topical/oral antiviral d
2|Page
, A student nurse is preparing to pass out medications on the rehab unit. Which statement would be
d d d d d d d d d d d d d d d d d
included in the patient teaching for an individual taking metaxalone? -
d d d d d d d d d d d
d d d d d d d d d d d "This medication helps reduce the spasticity in your muscles."
d d d d d d d d
A patient has been prescribed methotrexate for the treatment of rheumatoid arthritis. Which
d d d d d d d d d d d d d
information should be included in the plan of care? (Select all that apply). -
d d d d d d d d d d d d d d
d d d d d d d d d d d Monitoring of alanine transaminase d d d
Monitoring of complete blood count (CBC) d d d d d
Monitoring of aspartate transaminase d d d
The nurse is caring for a 10-year-old child with profound cerebral palsy who takes muscle relaxants
d d d d d d d d d d d d d d d d
and antispasmodics and has continued neck muscle rigidity, which increasingly interferes with his
d d d d d d d d d d d d d
ability to turn his head. Which of the following medications is most likely to be added to the child's
d d d d d d d d d d d d d d d d d d d
treatment plan? - d d d
d d d d d d d d d d d Botulinum toxin A d d
Antifungals are used to treat impetigo. - d d d d d d d
d d d d d d d d d d d False;
antibiotics treat impetigo. d d
A nurse's teenage daughter tearfully states, "I keep getting pimples on my face even though I wash
d d d d d d d d d d d d d d d d d
it every day and I'm not eating any chips or cookies. What can I do?" While considering over-the-
d d d d d d d d d d d d d d d d d
counter treatment options, what common ingredient will the nurse most likely find in topical
d d d d d d d d d d d d d d
creams and lotions? - d d d d
d d d d d d d d d d d Benzoyl peroxide d
A patient is being treated for severe acne with a retinoid. Which laboratory finding should the
d d d d d d d d d d d d d d d d
nurse monitor for during this type of treatment? -
d d d d d d d d d
d d d d d d d d d d d Amylase and lipase d d
The nurse prepares to admit a 71-year-old patient with a long-standing history of rheumatoid
d d d d d d d d d d d d d d
arthritis who has been taking ibuprofen 600 mg tid for many years. The nurse would be most
d d d d d d d d d d d d d d d d d
concerned if the patient reported which of the following symptoms? -
d d d d d d d d d d d
d d d d d d d d d d d Sharp, stabbing pain in the mid epigastric region.
d d d d d d d
3|Page
