NUR 600 Exam Advanced Clinical
Pharmacology & Advanced Health
Assessment Questions and Correct Answers
Question 1
Chronic pain is a complex problem. Some specific strategies to deal with it include:
A. Telling the patient to "let pain be your guide" to using treatment therapies B.
Prescribing pain medication on a "PRN" basis to keep down the amount used
C. Scheduling return visits on a regular basis rather than waiting for poor pain control
to drive the need for an appointment
D. All of the above
Correct Answer
B. Prescribing pain medication on a "PRN" basis to keep down the amount used
Question 2
A laboratory result indicates the peak level for a drug is above the minimum toxic
concentration. This means that the:
A. Concentration will produce therapeutic effects
B. Concentration will produce an adverse response
C. Time between doses must be shortened
D. Duration of action of the drug is too long
Correct Answer
B. Concentration will produce an adverse response
Question 3
The goal of treatment of acute pain is:
A. Pain at a tolerable level where patient may return to activities of daily living B.
Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs
Correct Answer
C. Reduction or elimination of pain with minimum adverse reactions
Page 1 of 54
,Question 4
The treatment for a patient who experiences hypothalamic-pituitary-adrenal axis
suppression while taking the corticosteroid prednisone, a Type C adverse drug
reaction, is to:
A. Immediately discontinue the prednisone
B. Administer epinephrine
C. Slowly taper the patient off of the prednisone
D. Monitor for long-term effects, such as cancer
Correct Answer
C. Slowly taper the patient off of the prednisone
Question 5
The client is scheduled for treatment with betamethasone (Celestone). The nurse
anticipates that this medication will be administered via the _____ route.
a. oral
b. intravenous
c. intramuscular
d. subcutaneous
Correct Answer
c. intramuscular
Question 6
Valerian tea causes relaxation and can be used to help a patient fall asleep.
Overdosage of valerian (more than 2.5 gm/dose) may lead to:
A. Cardiac disturbances
B. Central nervous system depression
C. Respiratory depression
D. Skin rashes
Correct Answer
A. Cardiac disturbances
Page 2 of 54
,Question 7
Most beta-lactam antibiotics are excreted through the kidneys. The nurse should
assess the client's renal function by monitoring which levels?
a. Blood urea nitrogen and serum creatinine
b. Creatinine phosphokinase and alkaline phosphatase
c. White blood cell count and red blood cell count
d. Hemoglobin and hematocrit
Correct Answer
a. Blood urea nitrogen and serum creatinine
Question 8
According to the World Health Organization Classification, Type B adverse reactions
are:
A. When a drug is a teratogen
B. When a drug is carcinogenic
C. A delayed ADR, such as renal failure
D. An allergic or idiosyncratic response
Correct Answer
D. An allergic or idiosyncratic response
Question 9
Robert is a 72 year old who has hypertension and angina. He is at risk for common
medication practices seen in the elderly including:
A. Use of another person's medications
B. Hoarding medications
C. Changing his medication regimen without telling his provider
D. All of the above
Correct Answer
D. All of the above
Page 3 of 54
, Question 10
Janie is a 5-month-old breastfed infant with a fever. Treatment for her fever may
include:
A. "Baby" aspirin
B. Acetaminophen suppository
C. Ibuprofen suppository
D. Alternating acetaminophen and ibuprofen
Correct Answer
B. Acetaminophen suppository
Question 11
.Actions taken to reduce drug-drug interaction problems include all of the following
EXCEPT:
A. Reducing the dose of one of the drugs
B. Scheduling their administration at different times
C. Prescribing a third drug to counteract the adverse reaction of the combination
D. Reducing the dosage of both drugs
Correct Answer
C. Prescribing a third drug to counteract the adverse reaction of the combination
Question 12
teady state is:
A. The point on the drug concentration curve when absorption exceeds excretion
B. When the amount of drug in the body remains constant
C. When the amount of drug in the body stays below the MTC
D. All of the above
Correct Answer
B. When the amount of drug in the body remains constant
Page 4 of 54
Pharmacology & Advanced Health
Assessment Questions and Correct Answers
Question 1
Chronic pain is a complex problem. Some specific strategies to deal with it include:
A. Telling the patient to "let pain be your guide" to using treatment therapies B.
Prescribing pain medication on a "PRN" basis to keep down the amount used
C. Scheduling return visits on a regular basis rather than waiting for poor pain control
to drive the need for an appointment
D. All of the above
Correct Answer
B. Prescribing pain medication on a "PRN" basis to keep down the amount used
Question 2
A laboratory result indicates the peak level for a drug is above the minimum toxic
concentration. This means that the:
A. Concentration will produce therapeutic effects
B. Concentration will produce an adverse response
C. Time between doses must be shortened
D. Duration of action of the drug is too long
Correct Answer
B. Concentration will produce an adverse response
Question 3
The goal of treatment of acute pain is:
A. Pain at a tolerable level where patient may return to activities of daily living B.
Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs
Correct Answer
C. Reduction or elimination of pain with minimum adverse reactions
Page 1 of 54
,Question 4
The treatment for a patient who experiences hypothalamic-pituitary-adrenal axis
suppression while taking the corticosteroid prednisone, a Type C adverse drug
reaction, is to:
A. Immediately discontinue the prednisone
B. Administer epinephrine
C. Slowly taper the patient off of the prednisone
D. Monitor for long-term effects, such as cancer
Correct Answer
C. Slowly taper the patient off of the prednisone
Question 5
The client is scheduled for treatment with betamethasone (Celestone). The nurse
anticipates that this medication will be administered via the _____ route.
a. oral
b. intravenous
c. intramuscular
d. subcutaneous
Correct Answer
c. intramuscular
Question 6
Valerian tea causes relaxation and can be used to help a patient fall asleep.
Overdosage of valerian (more than 2.5 gm/dose) may lead to:
A. Cardiac disturbances
B. Central nervous system depression
C. Respiratory depression
D. Skin rashes
Correct Answer
A. Cardiac disturbances
Page 2 of 54
,Question 7
Most beta-lactam antibiotics are excreted through the kidneys. The nurse should
assess the client's renal function by monitoring which levels?
a. Blood urea nitrogen and serum creatinine
b. Creatinine phosphokinase and alkaline phosphatase
c. White blood cell count and red blood cell count
d. Hemoglobin and hematocrit
Correct Answer
a. Blood urea nitrogen and serum creatinine
Question 8
According to the World Health Organization Classification, Type B adverse reactions
are:
A. When a drug is a teratogen
B. When a drug is carcinogenic
C. A delayed ADR, such as renal failure
D. An allergic or idiosyncratic response
Correct Answer
D. An allergic or idiosyncratic response
Question 9
Robert is a 72 year old who has hypertension and angina. He is at risk for common
medication practices seen in the elderly including:
A. Use of another person's medications
B. Hoarding medications
C. Changing his medication regimen without telling his provider
D. All of the above
Correct Answer
D. All of the above
Page 3 of 54
, Question 10
Janie is a 5-month-old breastfed infant with a fever. Treatment for her fever may
include:
A. "Baby" aspirin
B. Acetaminophen suppository
C. Ibuprofen suppository
D. Alternating acetaminophen and ibuprofen
Correct Answer
B. Acetaminophen suppository
Question 11
.Actions taken to reduce drug-drug interaction problems include all of the following
EXCEPT:
A. Reducing the dose of one of the drugs
B. Scheduling their administration at different times
C. Prescribing a third drug to counteract the adverse reaction of the combination
D. Reducing the dosage of both drugs
Correct Answer
C. Prescribing a third drug to counteract the adverse reaction of the combination
Question 12
teady state is:
A. The point on the drug concentration curve when absorption exceeds excretion
B. When the amount of drug in the body remains constant
C. When the amount of drug in the body stays below the MTC
D. All of the above
Correct Answer
B. When the amount of drug in the body remains constant
Page 4 of 54
