Page 1 of 194
NUR 326 FINAL Exam PHARMACOLOGY ALL
500 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: You are caring for a 56 year old type 1 diabetic male currently being treated for
pneumonia. Treatment has been initiated and the nurse you are assigned with is asking you to
now switch focus on his diabetes as his BG is 325. Which nursing diagnosis is accurate r/t his
diabetic needs?
a. Compromised blood regulatory mechanism r/t stress and infection secondary to diabetes aeb
BG of 325
b. Diabetic crisis r/t stress and infection aeb BG of 325 and current antibiotic therapy
c. Risk for unstable BG r/t stress and infection
d. Risk for compromised immune response r/t stress and infection secondary to diabetes -
ANSWER-c
QUESTION: John was diagnosed with bipolar disorder and prescribed lithium carbonate. He
presents at the emergency department with severe diarrhea, blurred vision and tinnitus. How
should the nurse interpret these symptoms?
a. Symptoms indicate lithium carbonate toxicity
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b. Symptoms indicate consumption of foods high in tyramine
c. Symptoms indicate lithium carbonate discontinuation syndrome
d. Symptoms indicate the development of lithium carbonate tolerance - ANSWER-a
QUESTION: Amy has recently been diagnosed with depression by her physician. After treatment
with fluoxetine (prozac), she begins to have new symptoms of pressured speech and flight of
ideas. Based on the nurse's objective assessment, what should the nurse do?
a. Order olanzapine (zyprexa) to address altered thoughts
b. Order benztropine (cogentin) to address extrapyramidal symptoms
c. Ask the physician to increase the dosage of fluoxetine
d. Collaborate findings with the physician to possibly rethink the diagnosis - ANSWER-d
QUESTION: A highly agitated patient is pacing the unit and states, "I could buy and sell this
place." The client's mood fluctuates from fits of laughter to outbursts of anger. What is the
most accurate documentation of this client's behavior?
a. Rates mood 8/10. Exhibiting looseness of association. Euphoric
b. Mood euthymic. Exhibiting magical thinking. Restless
c. Mood labile. Exhibiting delusions and has some somatic complaints
d. Agitated and pacing. Exhibiting grandiosity. Mood labile - ANSWER-d
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QUESTION: What term is used to describe decreased attention to and enjoyment from
previously pleasurable activities?
a. Anergia
b. Euphoria
c. Anhedonia
d. Euthymia - ANSWER-c
QUESTION: The nurse is caring for a patient who just started seraltine (zoloft) for her
depression. She wants to know when she will start feeling better. The nurse's best response is:
a. SSRIs typically take 3-6 weeks to take full effect
b. TCAs typically have a quicker onset, so you should see results soon
c. Hopefully, you will start to feel better in about 30-40 minutes
d. As soon as you start using some of your coping skills along with medicinal therapy - ANSWER-
a
QUESTION: John was diagnosed with schizophrenia disorder. He is currently hearing voices that
tell him to hurt himself and he also sees shadows. John is experiencing:
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a. Negative symptoms with hallucinations
b. Negative symptoms with delusions
c. Positive symptoms with hallucinations
d. Positive symptoms with delusions - ANSWER-c
Q; A diabetic patient has the following presentation: unresponsive to voice or touch,
tachycardia, diaphoresis and pallor. Which of the following actions by the healthcare provider is
the priority?
A. Fluid, electrolyte and glucose resuscitation
B. Administer IV lantus insulin per protocol
C. Administer oral glucose
D. Send UAA and CbC to lab stat - ANSWER-A
QUESTION: Which of the following is not considered characteristic of a type 1 diabetic in DKA?
a. Right lower quadrant pain
b. Plasma glucose greater than 250
c. Ketones in the urine
d. Ketoacidosis - ANSWER-a
4
NUR 326 FINAL Exam PHARMACOLOGY ALL
500 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: You are caring for a 56 year old type 1 diabetic male currently being treated for
pneumonia. Treatment has been initiated and the nurse you are assigned with is asking you to
now switch focus on his diabetes as his BG is 325. Which nursing diagnosis is accurate r/t his
diabetic needs?
a. Compromised blood regulatory mechanism r/t stress and infection secondary to diabetes aeb
BG of 325
b. Diabetic crisis r/t stress and infection aeb BG of 325 and current antibiotic therapy
c. Risk for unstable BG r/t stress and infection
d. Risk for compromised immune response r/t stress and infection secondary to diabetes -
ANSWER-c
QUESTION: John was diagnosed with bipolar disorder and prescribed lithium carbonate. He
presents at the emergency department with severe diarrhea, blurred vision and tinnitus. How
should the nurse interpret these symptoms?
a. Symptoms indicate lithium carbonate toxicity
1
, Page 2 of 194
b. Symptoms indicate consumption of foods high in tyramine
c. Symptoms indicate lithium carbonate discontinuation syndrome
d. Symptoms indicate the development of lithium carbonate tolerance - ANSWER-a
QUESTION: Amy has recently been diagnosed with depression by her physician. After treatment
with fluoxetine (prozac), she begins to have new symptoms of pressured speech and flight of
ideas. Based on the nurse's objective assessment, what should the nurse do?
a. Order olanzapine (zyprexa) to address altered thoughts
b. Order benztropine (cogentin) to address extrapyramidal symptoms
c. Ask the physician to increase the dosage of fluoxetine
d. Collaborate findings with the physician to possibly rethink the diagnosis - ANSWER-d
QUESTION: A highly agitated patient is pacing the unit and states, "I could buy and sell this
place." The client's mood fluctuates from fits of laughter to outbursts of anger. What is the
most accurate documentation of this client's behavior?
a. Rates mood 8/10. Exhibiting looseness of association. Euphoric
b. Mood euthymic. Exhibiting magical thinking. Restless
c. Mood labile. Exhibiting delusions and has some somatic complaints
d. Agitated and pacing. Exhibiting grandiosity. Mood labile - ANSWER-d
2
, Page 3 of 194
QUESTION: What term is used to describe decreased attention to and enjoyment from
previously pleasurable activities?
a. Anergia
b. Euphoria
c. Anhedonia
d. Euthymia - ANSWER-c
QUESTION: The nurse is caring for a patient who just started seraltine (zoloft) for her
depression. She wants to know when she will start feeling better. The nurse's best response is:
a. SSRIs typically take 3-6 weeks to take full effect
b. TCAs typically have a quicker onset, so you should see results soon
c. Hopefully, you will start to feel better in about 30-40 minutes
d. As soon as you start using some of your coping skills along with medicinal therapy - ANSWER-
a
QUESTION: John was diagnosed with schizophrenia disorder. He is currently hearing voices that
tell him to hurt himself and he also sees shadows. John is experiencing:
3
, Page 4 of 194
a. Negative symptoms with hallucinations
b. Negative symptoms with delusions
c. Positive symptoms with hallucinations
d. Positive symptoms with delusions - ANSWER-c
Q; A diabetic patient has the following presentation: unresponsive to voice or touch,
tachycardia, diaphoresis and pallor. Which of the following actions by the healthcare provider is
the priority?
A. Fluid, electrolyte and glucose resuscitation
B. Administer IV lantus insulin per protocol
C. Administer oral glucose
D. Send UAA and CbC to lab stat - ANSWER-A
QUESTION: Which of the following is not considered characteristic of a type 1 diabetic in DKA?
a. Right lower quadrant pain
b. Plasma glucose greater than 250
c. Ketones in the urine
d. Ketoacidosis - ANSWER-a
4
