NURS MISC Pharmacology Final Exam With Answers (228 Solved Questions)

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NURS MISCPharmacology Final Exam Questions & Answers1Pharmacology Final Exam Questions1.When administering the drug senna to a patient, a health care provider must inform thepatient of which of the followinga.This drug is intended to lower blood pressure and is best used in combinationwith other antihypertensivesb.Thisdrugisnotintendedforlongtermusec.The patient must limit his/her fiber intaked.Advise patient to change positions slowly to limit the risk of orthostatichypotension2.When giving digoxin (Lanoxin) to a patient, the health care provider notices varioussigns and symptoms of an overdose. The health care provider knows to give which of thefollowing to reverse digoxin toxicitya.Naloxoneb.Vitamin Kc. Digibindd. Fluemanzil3.While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks whatthe action of the drug is. As a health care provider, you explain that the action of an ACEinhibitor isa.TolowerbloodpressurebyblockingtheconversionofangiotensinItovasoconstrictor angiotensinIIb.To inhibit reabsorption of sodium back into the body, ultimately increasing urineoutput and lowering blood pressurec.To decrease heart rate and blood pressure by competing with Beta1 and Beta2receptors in the heart and lungsd.To lower blood glucose by stimulating the release of insulin4.Which of the following types of insulin is“long-acting”?a.Lispro (Humalog)b.NPH (Humulin N)c.Regular insulin (Humulin R)d. Glargine (Lantus)1.What is the therapeutic use of metformin?A.Lower blood pressure.B.To diminish seizure activity.C.Themaintenanceofaperson’sbloodglucose.D.Increase heart rate and decrease gastrointestinal secretions.

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NURS MISCPharmacology Final Exam Questions & Answers21.What is the correct definition for absorption of a drug?A.Movementofdrugfromsiteofadministrationtovarioustissuesofthebody.B.Describes the absorption, distribution, metabolism & excretion of drugs.C.These types of drugs can be taken over the counter.D.This addresses how various drugs affect different forms of the body.2.What do you assess for in a patient who is on Valproate? Select all that apply.A. Suicidal thoughtsB.Monitorforseizures.C.Bipolardisorder.D.Migraines.3.What is true about food and drug precautions? Select all that apply.A.Youmustlimitcertaintypesoffoodorconcurrentadministrationofcertaintypesof drugs.B.Certaincombinationsoffoodanddrugscancauseadversereactions.C.Precautionsmayrequirelimitingcertaintypesoffoodorconcurringdrugsratherthan restricting thedrug itself.D.When one drug changes the way, another drug affects that drug.1.ACE Inhibitors are used in the treatment of all EXCEPT:a.Hypertensionb.Heart Failurec. Hypotensiond. Diabetic nephropathy2.Which of the following is used to treat migraine headaches?a. Beta-blockersb.Cholinesterase Inhibitorsc.ACE inhibitorsd.Anti-epileptic drugs (AEDs)3.When administering a Serotonin Antagonist it is important to monitor fora.Intake and outputb.Mentalstatuschangesc.Respiratory rated.Anorexia4.Which of the following is the antidote for Heparin?a. Protamine sulfate

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NURS MISCPharmacology Final Exam Questions & Answers3b.Vitamin Kc.Naloxoned.Toradol1.A patient has been taking hydrocodone, and opioid analgesic for their moderate pain,and they have taken over their prescribed dose. What should you give as the antidote if theyexperience toxicity?A.NaloxoneB.N-acetylcysteineC.AtropineD.Digoxin immune Fab1.A patient is being educated on taking levothyroxine, a drug used to balance thyroidactivity. What should you include in their education?A.Don’t bother your health care professionals if you experience side effectsB. Take this at the same time every dayC.Thyroid tests are unnecessary while taking this drugD.It is okay to take this drug if you have recently had a myocardial infarction1.A patient states he experiences anxiety and has panic attacks at least once a week. Whatmight be helpful for this patient?A.Phenytoin (Dilantin)B.LithiumC.Alprazolam(Xanax)D.Spironolactone1.Which of the following is NOT an opioid or NSAID?A.MorphineB.IbuprofenC.HydromorphoneD. Acetaminophen1)Why is it important to monitor ins and outs with patients using ACE inhibitors?A.To assess for renal impairmentB.You must make sure the patient is receiving adequate fluid intakeC.To assess the patient for potential heart failureD.You must assess for NSAID useE.To assess for decreased blood pressure

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NURS MISCPharmacology Final Exam Questions & Answers42)Which drug goes through extensive first-pass hepatic metabolism?A.HeparinB.InsulinC.PropranololD.NitroglycerineE.Warfarin3)What nursing interventions should you do when a patient is on Albuterol (select all thatapply)A.Assess lung sounds, Pulse, and Blood pressure before administeringB.Monitor for changes in behaviorC.Observe for paradoxical bronchospasmsD.Assess for abdominal distentionE.Note sputum color and texture4)What patient could potentially take the drug Senna?A.A patient with an eating disorderB.A patient who has not passed stool in 5 daysC.A patient with anal fissuresD.A patient with a history of hemorrhoidsE.A patient who has hypersensitivityQuestion #1What is the category class of Lithium?A. Antidiabetics, biguanidesB. Mood stabilizersC. Antiarrhythmics, anticonvulsantsD. Vascular headache suppressantsQuestion #2What do you need to teach your patient if they are taking sennosides? Select All ThatApply.A.Laxativesshouldbeusedforshort-termtherapyB.The medication does not cure hypothyroidismC.Thecoloroftheurinemaychangetoapink,red,violet,yellow,orbrownD.Makesureother forms of bowelregulationarebeingusedQuestion #3What is the therapeutic use of Phenytoin?A.Replacement in hypothyroidism to restore normal hormonal balanceB.Diminished accumulation of acid in the gastric lumen with lessened gastroesophagealrefluxC.Diminishedseizureactivity,terminationofventriculararrhythmiasD.Prevention of thrombus formation, prevention of extension of existing thrombi

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NURS MISCPharmacology Final Exam Questions & Answers5Question #4At what amount does Acetaminophen stop controlling pain?A.Over1,000mgB.750 mgC.Over 1,500 mgD.150 mgWhen should the drug Montelukast be takenA.Use at least two hours before exerciseB.Daily in eveningC.Usetwohoursbeforeexerciseordaily ineveningD.None of the aboveHow should the oral form of albuterol be takenA.AdministerwithmealstominimizegastricirritationB.Administer before meals with waterC.Administer after meals with waterD.Administer in the morning with milkWhat should a Client taking Omeprazole report to the Heath Care ProviderA.Black, tarry stoolsB.DiarrheaC.Abdominal painD. All of the aboveWhen administering an Antiulcer Agents, you should bemorecautious when administering it toA.A healthy 27 year old patientB.Patient with renal failureC.Elderly patientsD.All of the aboveE. Choices B & C1.What is the common side effect that is normal with the initial therapy of Nitroglycerinedue to increased vasodilation?a.Abdominal crampsb.Calf painc. Headached. Blurred vision*Correct answer: C*Page 906; Adverse Reactions;Davis’sDrug Guide2.Two tests should be monitored for a patient currently on Warfarin. What are those twotests? Select ALL that apply.a.PT

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NURS MISCPharmacology Final Exam Questions & Answers6b.aPTTc. INRd. BMP3.Which of the following diuretics inhibits sodium reabsorption in the kidneys while savingK+ and Hydrogen ions?a.Spironolactoneb.Furosemidec.Hydrochlorothiazided.Bumetanide4.A nurse is about to administer Propanolol to a patient. The nurse takes thepatient’sapical pulse and documents it as 58 bmp. How should the nurse continue?a.Administer the medication as normalb.Cut the tablet in half and administer half of the normal dosec.Give the XR form of the medicationd.Withholdadministrationofthemedicationandnotifyphysician1.Which of the following should be monitored for patients taking diuretics? (select all thatapply)a.Dailyweightb.Intakeandoutputc.Amountandlocationofedemad.Appetitee.Lungsounds2.Which of the following drugs has a therapeutic effect that increases cardiac output andslows heart rate?a.Heparinb.Alprazolamc. Digoxind. Levothyroxine3.Which of the following is a potassium-sparing diuretic?a.Furosemideb.Spironolactonec.Hydrochlorothiazided.Bumetanide

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NURS MISCPharmacology Final Exam Questions & Answers74.What is the antidote for Warfarin?a.Vitamin Db.Vitamin Cc. Vitamin Kd. Vitamin B61.A nurse is completing discharge teaching for a client who has a newprescription for transdermal patches. Which of the following statementsshould the nurse identify as an indication that the client understands theinstructions?A."I will clean the site with an alcohol swab before I apply the patch."B."I will rotate the application sites weekly."C."Iwillapplythepatchtoanareaofskinwithnohair."D."I will place the new patch on the site of the old patch.2.A nurse is teaching a client who has a prescription for a long-term use oforal prednisone for chronic asthma. The nurse should instruct the client tomonitor for which of the following adverse effects?A.WeightGainB.NervousnessC.BradycardiaD.Constipation3.A nurse is caring for a patient who is taking Digoxin. The nurse shouldinstruct the patient to monitor and report which of the following adverseeffects? ( select all the apply)A.FatigueB.ConstipationC. AnorexiaD.RashE. Diplopia4.What is the antidote for Heparin?A.Atropineb. ProtamineC. Calcium CarbonateD. Ferrous Sulfate

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NURS MISCPharmacology Final Exam Questions & Answers8COLLAPSE1.Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeleduse for:A.headachesB.cold remedyC.neurothpathicpainD.antianxiety2.When taking Digoxin, low levels of what can cause toxicity?A. potassiumB.calciumC.sodiumD.magnesium3.What is the category class of Valproate?A.anticoagulantB.antianxiety, benzodiazepinesC.anticonvulsant,vascularheadachesuppressantD.moodstabilizer4.When taking Nitroglycerine (transdermal), you should have how manyhours nitrate free each day?A.1-2 hoursB.5-10 hoursC.3-4 hours

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NURS MISCPharmacology Final Exam Questions & Answers9D.10-12hoursCOLLAPSE1.Lithium is used to?A.Lower blood glucoseB.slow the heart rateC. stabilize moodD. heal ulcers2.the antidote for Warfarin is?A.NarcanB. Vitamin KC. GlucagonD. Vitamin B3.When administering Phenytoin you should monitor?A.behaviorB.therapeutic blood levelsC.for Steven Johnson syndromeD. all of the above4.Angiotension II receptor agents medications usually end in?A. sar-tanB.ase

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NURS MISCPharmacology Final Exam Questions & Answers10C.ololD.pril1.What is the Therapeutic Effects of Lithium?A.)Prevents/decreasesincidenceofacutemanicepisodesB.)MaintenanceofbloodglucoseC.) Control of hyperglycemia in diabetic patientsD.) Diminished seizure activity2.What is the action of Metformin?A.)Decrease intestinal glucose absorptionB.) Increase sensitivity to insulinC.) Decrease hepatic glucose productionD.) All of the above3.What is the medication effectiveness of Propranolol? Select all that apply.A.) Decrease in BPB.) Prevention of MIC.)DecreasetremorsD.) Decrease in GI pain and irritation4.What is a common side effect of Albuterol?A.)ParadoxicalBronchospasmB.)DiarrheaC.) Seizures

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NURS MISCPharmacology Final Exam Questions & Answers11D.) Vision loss1)What is the therapeutic use of Albuterol?A)BronchodilationB) Anti-coagulantC) Anti-arrhythmicD) Proton-pump inhibitor2)What is an expected outcome for LithiumA) Reduced risk of myocardial infarctionB) Reduced risk of GI ulcersC) Decrease in respiratory distressD)Decreasedincidenceofacutemanicepisodes3)What is the antidote for Heparin?A) WarfarinB)ProtaminesulfateantidoteC) InsulinD) Naloxone4)What medication is a contraindication to NitroglycerinA) HydrochloroquinoneB) MethylprednisoloneC) PhenazopyridineD)Erectiledysfunctiondrugs1.What is the classification of Ondansetron?a.Antihypertensiveb.Antiarrthymiac.Antiemeticd.Antiulcer agentAnswer:C2.Which of the following drugs has a therapeutic effect that prevents thromboembolicevent?a.Warfarinb.Amlodipine

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NURS MISCPharmacology Final Exam Questions & Answers12c.Nitroglycerined.ClopidogrelAnswer:A3.Select allwhen taking Iron Supplements.a.One hour before or 2 hours after mealb.Full glass of water/ juicec.No caffeined.Carry identification card saying you are on Iron SupplementsAnswer:A,B,C4.What is the expected outcome for Valproate?a.Decreased feverb.Decreased sense of anxietyc.Decreased blood pressured.Decreased Seizure activityAnswer:D1.Before administering Digoxin, the nurse should complete which task?A.Obtain an ECGB.CountapicalPulsefor1minute*C.Take temperatureD.Obtain I/O2.In the case of a Heparin overdose, which antidote would you give?A.NaloxoneB.IbutilideC.MethylphenidateD. Protamine sulfate *
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