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

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    WCU MIDTERM EXAM 2023 - 2024 NURS 676 Advanced Pharmacology Midterm Exam Latest 2023-2024 Fall QTR (100% Verified Answers) QSN1 A nurse works in a private hospital and needs to administer some narcotic drugsto one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Selected Answer: • QSN2 Narcotics to be used in the hospital are dispensed only with a written prescription. 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Selected Answer: • QSN3 The drug will decrease in effectiveness 1 out of 1 points A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selected Answer: • QSN4 Acute Pain, Headache, related to adverse effects of drug therapy 1 out of 1 points A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of Selected Answer: • QSN5 nonpharmacologic interventions combined with an exercise program. 1 out of 1 points A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selected Answer: • QSN6 Pain intensity, respiratory rate, and level of consciousness 1 out of 1 points A 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 the amount of the free drug that is available to body cells? Selected Administering the drug intravenously rather than

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    WCU MIDTERM EXAM 2023 - 2024 Answer: orally • QSN7 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Selected Answer: • QSN8 The drugs' generic names 1 out of 1 points Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selected Answer: • QSN9 To ensure the safety of the public 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. 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 that prolonged use of laxatives Selected Answer: • QSN10 may cause nutrient deficiencies. 1 out of 1 points A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Selected Answer: identify any changes in drug absorption that would change the drug effect. • QSN11 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Selected Answer: • QSN12 Route 1 out of 1 points A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of

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    WCU MIDTERM EXAM 2023 - 2024 Selected Answer: • QSN13 an adrenergic antagonist. 1 out of 1 points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selected Answer: • QSN14 Gastrointestinal distress 0 out of 1 points A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? Selected Answer: • QSN15 Into the patient shoulder muscle using a small-gauge needle 0 out of 1 points A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered Selected Answer: • QSN16 orally. 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Selected Answer: • QSN17 swallow the tablet with milk or food. 1 out of 1 points A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Selected Answer: • QSN18 Possible drug – drug interactions that might occur 1 out of 1 points A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the

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    WCU MIDTERM EXAM 2023 - 2024 following? Selected Answer: • QSN19 How well a drug produces its desired effect 1 out of 1 points The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? Selected Answer: "I broke out in hives and got terribly itchy when I started a new prescription last year." • QSN20 1 out of 1 points An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to Selected Answer: • QSN21 withdraw the drug gradually over a 2 to 3 week period. 1 out of 1 points A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? Selected Answer: • QSN22 Muscle twitching 1 out of 1 points The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selected Answer: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. • QSN23 1 out of 1 points A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selected Answer: Oropharyngeal Candida albicans infection

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    WCU MIDTERM EXAM 2023 - 2024 • QSN24 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain @QUIZs to address. Check all that apply. Selected Answers: • QSN25 Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selected Answer: • QSN26 Mesalamin e 1 out of 1 points A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? Selected Answer: • QSN27 Administering investigational drugs to patients 1 out of 1 points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: • QSN28 Vitamin B 1 out of 1 points An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Selected Answer: • QSN29 Intravenous infusion.

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    WCU MIDTERM EXAM 2023 - 2024 1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer: • QSN30 use of alcohol. 1 out of 1 points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should Selected Answer: • QSN31 administer carbohydrates. 1 out of 1 points A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to Selected Answer: • QSN32 avoid aggravating the gastrointestinal tract. 1 out of 1 points A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? Selected Answer: • QSN33 The patient develops muscle rigidity and a sudden, high fever. 1 out of 1 points A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient's stay in the hospital? Selected Answer: Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects • QSN34 1 out of 1 points A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

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