2023-2024 NURS676 Pharmacology Midterm Exam With Answers (100 Solved Questions)

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WCUMIDTERMEXAM2023-2024NURS 676Advanced PharmacologyMidterm ExamLatest 2023-2024Fall QTR(100% Verified Answers)QSN1A nurse works in a private hospital and needs to administer some narcotic drugsto one ofher patients. Which of the following should the nurse consider when administeringnarcotics to patients in a hospital setting?SelectedAnswer:•QSN2Narcotics to be used in the hospital are dispensed only with awritten prescription.1 out of 1 pointsA patient has been receiving regular doses of an agonist for 2 weeks. Which ofthe following should the nurse anticipate?SelectedAnswer:•QSN3The drug will decrease in effectiveness1 out of 1 pointsA nurse is creating a plan of care for a 68-year-old woman with a recentdiagnosis of unstable angina and new prescription for nitroglycerin. Which of thefollowing nursing diagnoses should the nurse prioritize in the planning of thispatient's care?SelectedAnswer:•QSN4Acute Pain, Headache, related to adverse effects of drugtherapy1 out of 1 pointsA nurse is caring for a patient who abuses marijuana. The treatment formarijuana abuse consists mainly ofSelectedAnswer:•QSN5nonpharmacologic interventions combined with an exerciseprogram.1 out of 1 pointsA nurse is caring for a patient who is in severe pain and is receiving an opioidanalgesic. Which of the following would be the nurse's priority assessments?SelectedAnswer:•QSN6Pain intensity, respiratory rate, and level of consciousness1 out of 1 pointsA patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase theamount of the free drug that is available to body cells?SelectedAdministering the drug intravenously rather than

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Answer:orally•QSN71 out of 1 pointsA nurse is providing a patient with a list of drugs as a part of the patient's plan ofcare. Which of the following drug nomenclatures should the nurse use to list thedrugs?SelectedAnswer:•QSN8The drugs' generic names1 out of 1 pointsFederal legislation dictates a lengthy and rigorous process of testing for newdrugs. What is the primary purpose of this testing process?SelectedAnswer:•QSN9To ensure the safety of the public1 out of 1 pointsDuring a clinic visit, a patient complains of having frequent muscle cramps in herlegs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient thatprolonged use of laxativesSelectedAnswer:•QSN10may cause nutrient deficiencies.1 out of 1 pointsA home health nurse notes that there have been changes to a patient's oraldrug regimen. The nurse will closely monitor the new drug regimen toSelectedAnswer:identify any changes in drug absorption that would change thedrug effect.•QSN111 out of 1 pointsWhat critical piece of information is missing from the following medication order:Amoxicillin 250 mg every 8 hours?SelectedAnswer:•QSN12Route1 out of 1 pointsA patient has recently been prescribed a drug that treats his hypertension byblocking the sympathetic receptors in his sympathetic nervous system. Thisaction is characteristic of

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SelectedAnswer:•QSN13an adrenergic antagonist.1 out of 1 pointsWhich of the following will a nurse inform the patient is one of the most commonadverse effects of guaifenesin (Robitussin)?SelectedAnswer:•QSN14Gastrointestinal distress0 out of 1 pointsA patient who has ongoing pain issues has been prescribed meperidine(Demerol) IM. How should the nurse best administer this medication?SelectedAnswer:•QSN15Into the patient shoulder muscle using a small-gauge needle0 out of 1 pointsA nurse is providing patient education to a 35-year-old man who has beenprescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. Thenurse should anticipate that the drug will be administeredSelectedAnswer:•QSN16orally.1 out of 1 pointsA 49-year-old woman has been diagnosed with myalgia. The physician hasrecommended aspirin. The patient is concerned that the aspirin will upset herstomach. The nurse will encourage the patient toSelectedAnswer:•QSN17swallow the tablet with milk or food.1 out of 1 pointsA nurse notes new drug orders for a patient who is already getting severalmedications. Which of the following is the most important consideration whenpreparing to administer the new drugs?SelectedAnswer:•QSN18Possible drug–drug interactions that might occur1 out of 1 pointsA nurse is discussing with a patient the efficacy of a drug that his physician hassuggested, and he begin taking. Efficacy of a drug means which of the

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following?SelectedAnswer:•QSN19How well a drug produces its desired effect1 out of 1 pointsThe nurse's assessment of a community-dwelling adult suggests that the clientmay have drug allergies that have not been previously documented. Whatstatement by the client would confirm this?SelectedAnswer:"I broke out in hives and got terribly itchy when I started a newprescription last year."•QSN201 out of 1 pointsAn 80-year-old patient has been taking lorazepam since his wife died a yearago. He has been staying with his son, but will now move to an assisted livingfacility. Before admission to the assisted living facility, the patient's physician hasdetermined that the drug is no longer needed. The nurse at the facility will plantoSelectedAnswer:•QSN21withdraw the drug gradually over a 2 to 3 week period.1 out of 1 pointsA patient has been prescribed lithium therapy. Which of the following signs andsymptoms will the nurse tell the patient to report immediately?SelectedAnswer:•QSN22Muscle twitching1 out of 1 pointsThe lower respiratory system utilizes a number of different mechanisms thatconfer protection and maintain homeostasis. Which of the followingphysiological processes protects the lower respiratory system?SelectedAnswer:Cilia sweep foreign material and mucus upward toward thetrachea and larynx where they can then be swallowed.•QSN231 out of 1 pointsA female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use.Which of the following adverse effects should the nurse closely monitor for inthis patient?SelectedAnswer:Oropharyngeal Candida albicans infection

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•QSN241 out of 1 pointsA nurse practitioner understands when prescribing a medication that there arecertain @QUIZs to address. Check all that apply.SelectedAnswers:•QSN25Is there a need for the drug in treating the presentingproblem?Is this the best drug for the presenting problem?Can the patient take the prescribed drug?1 out of 1 pointsA teenage boy has undergone a diagnostic workup following several months ofpersistent, bloody diarrhea that appears to lack an infectious etiology. The boyhas also experienced intermittent abdominal pain and has lost almost 15pounds this year. Which of the following medications is most likely to treat thisboy's diagnosis?SelectedAnswer:•QSN26Mesalamine1 out of 1 pointsA nurse working for a drug company is involved in phase III drug evaluationstudies. Which of the following might the nurse be responsible for during thisstage of drug development?SelectedAnswer:•QSN27Administering investigational drugs to patients1 out of 1 pointsA 65-year-old woman has an advanced form of rheumatoid arthritis. Hertreatment includes a regular dosage of methotrexate. The nurse will advise herto take which of the following vitamin supplements while taking the drug?SelectedAnswer:•QSN28Vitamin B1 out of 1 pointsAn unconscious patient has been brought to the hospital, and the physician hasprescribed a life-saving drug to be administered parenterally. Which of thefollowing methods would be the most appropriate for the nurse to use whenadministering the medication?SelectedAnswer:•QSN29Intravenous infusion.

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1 out of 1 pointsA male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before thedrug therapy begins, a priority action by the nurse will be to assess the patient'sSelectedAnswer:•QSN30use of alcohol.1 out of 1 pointsTo minimize the risk of adverse effects of glucagon when given to anunconscious diabetic patient, as the patient regains consciousness, the nurseshouldSelectedAnswer:•QSN31administer carbohydrates.1 out of 1 pointsA nurse is caring for a 61-year-old man who has had a severe attack of goutwhile in the hospital for food poisoning. The nurse administers colchicineintravenously in order toSelectedAnswer:•QSN32avoid aggravating the gastrointestinal tract.1 out of 1 pointsA patient who is experiencing withdrawal from heavy alcohol use havedeveloped psychosis and been treated with haloperidol. Which of the followingassessment findings should prompt the care team to assess the patient forneuroleptic malignant syndrome?SelectedAnswer:•QSN33The patient develops muscle rigidity and a sudden, highfever.1 out of 1 pointsA patient who has been admitted to the hospital for a mastectomy has statedthat she has experienced adverse drug effects at various times during her life.Which of the following strategies should the nurse prioritize in order to minimizethe potential of adverse drug effects during the patient's stay in the hospital?SelectedAnswer:Monitor the patient vigilantly for signs and symptoms ofpotentially adverse drug effects•QSN341 out of 1 pointsA patient receives 25 units of NPH insulin at 7.AM. At what time of day shouldthe nurse advise the patient to be most alert for a potential hypoglycemicreaction?

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