NSG318 Pharmacology Practice Exam With Answers (46 Solved Questions)

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Name: ________________________ Class: ___________________ Date: __________ID: A1NSG 318 Exam 3 ReviewMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room withthe morning medications, the patient states, “I am seeing a funny yellow color around the lights.”What is the nurse’s next action?a.Assess the patient for symptoms of digoxin toxicity.b.Withhold the next dose of the diuretic.c.Administer the digoxin and diuretic together as ordered.d.Document this finding, and reassess in 1 hour.____2.A patient has received an overdose of intravenous heparin, and is showing signs of excessivebleeding. Which substance is the antidote for heparin overdose?a.Vitamin Eb.Vitamin Kc.Protamine sulfated.Potassium chloride____3.A patient is taking nystatin (Mycostatin) oral lozenges to treat an oral candidiasis infection resultingfrom inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?a.“Chew the lozenges until they are completely dissolved.”b.“Let the lozenge dissolve slowly and completely in your mouth without chewingit.”c.“Rinse your mouth with water before taking the inhaler.”d.“Rinse your mouth with mouthwash after taking the inhaler.”____4.What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?a.Omit a dose once a week.b.Leave the patch on for 2 days at a time.c.Cut the patch in half for 1 week until the tolerance subsides.d.Remove the patch at bedtime, and then apply a new one in the morning.____5.A woman is traveling to a country where she will be at high risk for malarial infection. What will thenurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaquenil)?a.Hydroxychloroquine is better absorbed and has fewer adverse effects if taken onan empty stomach.b.The drug is started 3 weeks before exposure but can be discontinued once sheleaves the area.c.The medication is taken only when she observes mosquito bites because it canhave toxic effects if taken unnecessarily.d.The drug is usually started 1 to 2 weeks before traveling to endemic areas and iscontinued for 4 weeks after leaving the area.

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2____6.The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement bythe nurse is correct?a.“Avoid direct sunlight and tanning beds while on this medication.”b.“Milk and cheese products result in increased levels of tetracycline.”c.“Antacids taken with the medication help to reduce gastrointestinal distress.”d.“Take the medication until you are feeling better.”____7.A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. Hesays the pain usually goes away after one or two sublingual nitroglycerin tablets and rest. What typeof angina is he experiencing?a.Classicb.Variantc.Unstabled.Prinzmetal’s____8.A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. Thenurse expects which drug to be ordered for this patient?a.Acyclovir (Zovirax)b.Ganciclovir (Cytovene)c.Ribavirin (Virazole)d.Amantadine (Symmetrel)____9.A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. Thenurse will monitor for which adverse effect that is associated with these drugs?a.Neuralgiab.Double visionc.Hypotensiond.Tendonitis and tendon rupture____10.If a patient is taking fluconazole (Diflucan) with an oral anticoagulant, the nurse will monitor forwhich possible interaction?a.Reduced action of oral anticoagulantsb.Increased effects of oral anticoagulantsc.Hypokalemiad.Decreased effectiveness of the antifungal drug____11.The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which statement bythe nurse is an appropriate instruction regarding these drugs?a.“The medication can be stopped when your symptoms are relieved.”b.“Discontinue this medication if menstruation begins.”c.“Daily douching is part of the treatment for vaginal fungal infections.”d.“Abstain from sexual intercourse until the treatment has been completed and theinfection has resolved.”

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