NURS 5334 Advanced Pharmacology for
NP UT Arlington
NURS 5334 Advanced Pharmacology for NP
UT Arlington Practice Test – 350 Questions
and Correct Verified Answers/ NURS 5334
Exam Prep
A nurse is caring for a postsurgical patient who has small torturous veins and had a difficlut IV
insertion. the patient isnow recieving medications on a regular basis. what is the best nursing
intervention to minimize the adverse effects of this drug therapy?
A) monitor the patient's bleeding time
B) check the patients blood glucose levels
C) record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
- Correct Answer :D) monitor the iv site for redness, swelling, or pain
A patient is in the clinic after 6 weeks of taking riluzozle (Rilutek) for a recent diagnosis of
amyotrophic lateral sclerosis. The nurse will prioritize assessment for which of the following?
A) weight gain
B) constipation
C) increased energy
D) dizziness - Correct Answer :D) dizziness
Which of the following patients demonstrates the clearest indication for treatment with
prednisone?
A+ TEST BANK 1
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to
leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor –
Correct Answer :B)
A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
Prednisone is mostly used to treat conditions such as breathing problems, skin diseases,
arthritis, immune system disorders, eye problems, blood problems and disorders, allergies,
and cancer. Prednisone lowers the response of the immune system of an individual to various
diseases with an aim of reducing some symptoms such as allergic reactions and swellings.
Prednisone achieves this as it belongs to a category of drugs referred to as corticosteroids.
Emphysema, leukemia, and hypertension do not need lowering of the response of the body's
immune system and hence cannot be treated using prednisone.
A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the drug to be given orally. The nurse
notices that the oral dosage is considerably higher than the parenteral dose and understands
that this due to__
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect
- Correct Answer :D)
A+ TEST BANK 2
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
First pass effect is a phenomenon of drug metabolism whereby the concentration of a drug
specifically when administered orally, is greatly reduced before it reaches the systemic
circulation. Therefore, necessitating the need for higher oral dosage than the parenteral dose.
A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per IV
infusion pump for an acute ventricular arrhythmia associated with an acute MI. Which of the
following patient manifestations would cause the nurse to notify the physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
- Correct Answer :A)
The nurse would notify the physician immediately if the patient exhibits confusion while
receiving lidocaine (Xylocaine) for an acute ventricular arrhythmia associated with an acute
MI. Confusion can be a sign of lidocaine toxicity, which can lead to serious complications such
as seizures or cardiac arrest. Therefore, it is important to alert the physician promptly so that
appropriate interventions can be taken to ensure the patient's safety and well-being.
A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for
administration of the drug, the nurse will__
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period
- Correct Answer :C)
A+ TEST BANK 3
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
Nesiritide is used for intravenous treatment of individuals with acutely decompensated heart
failure who have dyspnea (shortness of breath) at rest or with minimal activity. Following the
preparation of the infusion bag, withdraw the bolus volume from the Nesiritide infusion bag
and administer it over approximately 60 seconds through an IV port in the tubing. Blood
pressure must be monitored closely during Nesiritide administration.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
- Correct Answer :B)
Muscle twitching
Explanation: Muscle twitching can be a sign of lithium toxicity and should be reported
immediately. Increased urination, hair loss, and increased thirst are common side effects of
lithium therapy but do not require immediate reporting unless they become severe or
persistent.
A nurse is caring for a patient who has just been diagnosed with Parkinson disease. The
patient does not understand how the medication ordered, carbidopa-levodopa, is going to
help her condition. Which of the following is the correct response by the nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for several
months."
B) "This drug will change the immune processes in your body to help decrease the tissue
damage."
A+ TEST BANK 4
NP UT Arlington
NURS 5334 Advanced Pharmacology for NP
UT Arlington Practice Test – 350 Questions
and Correct Verified Answers/ NURS 5334
Exam Prep
A nurse is caring for a postsurgical patient who has small torturous veins and had a difficlut IV
insertion. the patient isnow recieving medications on a regular basis. what is the best nursing
intervention to minimize the adverse effects of this drug therapy?
A) monitor the patient's bleeding time
B) check the patients blood glucose levels
C) record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
- Correct Answer :D) monitor the iv site for redness, swelling, or pain
A patient is in the clinic after 6 weeks of taking riluzozle (Rilutek) for a recent diagnosis of
amyotrophic lateral sclerosis. The nurse will prioritize assessment for which of the following?
A) weight gain
B) constipation
C) increased energy
D) dizziness - Correct Answer :D) dizziness
Which of the following patients demonstrates the clearest indication for treatment with
prednisone?
A+ TEST BANK 1
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to
leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor –
Correct Answer :B)
A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
Prednisone is mostly used to treat conditions such as breathing problems, skin diseases,
arthritis, immune system disorders, eye problems, blood problems and disorders, allergies,
and cancer. Prednisone lowers the response of the immune system of an individual to various
diseases with an aim of reducing some symptoms such as allergic reactions and swellings.
Prednisone achieves this as it belongs to a category of drugs referred to as corticosteroids.
Emphysema, leukemia, and hypertension do not need lowering of the response of the body's
immune system and hence cannot be treated using prednisone.
A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the drug to be given orally. The nurse
notices that the oral dosage is considerably higher than the parenteral dose and understands
that this due to__
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect
- Correct Answer :D)
A+ TEST BANK 2
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
First pass effect is a phenomenon of drug metabolism whereby the concentration of a drug
specifically when administered orally, is greatly reduced before it reaches the systemic
circulation. Therefore, necessitating the need for higher oral dosage than the parenteral dose.
A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per IV
infusion pump for an acute ventricular arrhythmia associated with an acute MI. Which of the
following patient manifestations would cause the nurse to notify the physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
- Correct Answer :A)
The nurse would notify the physician immediately if the patient exhibits confusion while
receiving lidocaine (Xylocaine) for an acute ventricular arrhythmia associated with an acute
MI. Confusion can be a sign of lidocaine toxicity, which can lead to serious complications such
as seizures or cardiac arrest. Therefore, it is important to alert the physician promptly so that
appropriate interventions can be taken to ensure the patient's safety and well-being.
A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for
administration of the drug, the nurse will__
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period
- Correct Answer :C)
A+ TEST BANK 3
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
Nesiritide is used for intravenous treatment of individuals with acutely decompensated heart
failure who have dyspnea (shortness of breath) at rest or with minimal activity. Following the
preparation of the infusion bag, withdraw the bolus volume from the Nesiritide infusion bag
and administer it over approximately 60 seconds through an IV port in the tubing. Blood
pressure must be monitored closely during Nesiritide administration.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
- Correct Answer :B)
Muscle twitching
Explanation: Muscle twitching can be a sign of lithium toxicity and should be reported
immediately. Increased urination, hair loss, and increased thirst are common side effects of
lithium therapy but do not require immediate reporting unless they become severe or
persistent.
A nurse is caring for a patient who has just been diagnosed with Parkinson disease. The
patient does not understand how the medication ordered, carbidopa-levodopa, is going to
help her condition. Which of the following is the correct response by the nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for several
months."
B) "This drug will change the immune processes in your body to help decrease the tissue
damage."
A+ TEST BANK 4
