NURS 6521N Week 1 to Week 11 Quiz (Latest): Advanced Pharmacology: Walden University

NURS 6521N Week 1 Quiz / NURS6521 Week 1 Quiz (Latest): Advanced Pharmacology: Walden University

Question 1

                In order to promote therapeutic drug effects, the nurse should always encourage patients to                                   

 Question 2

                A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)                                    

 Question 3

                Which of the following statements best defines how a chemical becomes termed a drug?           

 Question 4

                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?                                    

 Question 5

                A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication?                                             

 Question 6

                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 following?                                              

 Question 7

                A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?                                         

 Question 8

                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?                                 

 Question 9

                A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of                                          

 Question 10

0 out of 1 points

                A patient has a blood serum drug level of 50 units/mL. The drug's half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range?                                               

 Question 11

                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?                                               

 Question 12

                A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which of the patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice?                                

 Question 13

                A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the                                        

 Question 14

                A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking the antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The nurse is aware that a rash can be an adverse effect of an antibiotic and can be either a biologic, chemical, or physiologic action of the drug, which is an example of                                             

 Question 15

                Talwin given in combination with Vistaril diminishes the adverse effects of nausea caused by the Talwin. This drug interaction affecting the pharmacodynamics of the Talwin is                                      

 Question 16

                A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy?                                          

 Question 17

                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?                                         

 Question 18

                30 ml = _______________tbsp                                               

 Question 19

                A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be                                   

 Question 20

                Which of the following affects drug distribution throughout the body?                                  

 Question 21

                A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient's compromised renal function will likely                                   

 Question 22

                A nurse is instructing a patient concerning a newly prescribed drug. Which of the following should be included to help improve patient compliance and safety?                                    

 Question 23

                An older adult patient with a history of Alzheimer's disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient's cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient?                                      

 Question 24

                In response to a patient's nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback?                                

 Question 25

                For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications?                                               

 Question 26

                A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of                                      

 Question 27

                A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing interventions would best promote medication adherence?                                         

 Question 28

                A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. The nurse understands the potential adverse effects of this drug and would consequently prioritize which of the following nursing diagnoses?                                        

 Question 29

                A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by                                       

 Question 30

                An elderly patient with a history of congestive heart failure has been admitted to hospital with failure to thrive and admission blood work reveals a hemoglobin level of 6.9 g/dL. The care team has consequently administered two units of packed red blood cells, but auscultation of the client's lungs now reveals diffuse crackles. Administration of what drug is likely to resolve the patient's pulmonary edema?                                            

 Question 31

                An elderly man has been admitted to a residential care facility and the nurse has conducted a medication reconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier. The nurse recognizes this drug as being an antiandrogen and is consequently justified in presuming that the man has a history of what disease?                                  

 Question 32

                A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration?                                     

 Question 33

                A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following measures should the nurse suggest?                                      

 Question 34

                A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is                                               

 Question 35

                An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for                                 

 Question 36

                Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina?                                    

 Question 37

                A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse would be sure to instruct the patient to                                               

 Question 38

                A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice?                                               

 Question 39

                A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition?                                           

 Question 40

                A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to

NURS 6521N Week 2 Quiz / NURS6521 Week 2 Quiz (Latest): Advanced Pharmacology: Walden University

Question 1

Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

A.

A 52-year-old male with adult-onset diabetes

B.

A 62-year-old male with gout

C.

A 47-year-old female with hypertension

D.

A 17-year-old female with symptoms of an upper respiratory infection

1 points  

Question 2

A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess

A.

body temperature.

B.

blood pressure.

C.

fluid intake.

D.

skin changes.

1 points  

Question 3

A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.

A.

Is there a need for the drug in treating the presenting problem?

B.

Is this the best drug for the presenting problem?

C.

Can the patient take the prescribed drug?

D.

None of the above.

1 points  

Question 4

A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that

A.

drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves.

B.

she must be prepared to show identification when buying a drug that contains pseudoephedrine.

C.

pseudoephedrine is being phased out of the marketplace in order to combat illegal use.

D.

under the Combat Methamphetamine Abuse Act, pseudoephedrine now requires a prescription.

1 points  

Question 5

A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a

A.

weight-based protocol dose.

B.

higher-than-normal dose.

C.

lower-than-normal dose.

D.

child's dose.

1 points  

Question 6

A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will

A.

Provide instructions pertaining to each medication the patient is currently taking and then add the medications ordered during the hospitalization.

B.

explain to the patient the pharmacokinetics of each drug he will be taking in the hospital.

C.

compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider.

D.

determine the best pharmacy for the patient to buy his medications.

1 points  

Question 7

A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug?

A.

The pharmacokinetics of the drug

B.

The therapeutic effects and possible adverse effects

C.

The cost of the drug

D.

Where to purchase the medication

1 points  

Question 8

What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours?

A.

Dose

B.

Route

C.

Frequency

D.

Trade name of the drug

1 points  

Question 9

A patient has been prescribed a Scheduled 5 drug, an example of this drug is

A.

Antianxiety

B.

Narcotic Analgesics

C.

Barbituates

D.

Antitussives

1 points  

Question 10

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?

A.

The drugs' biologic names

B.

The drugs' chemical names

C.

The drugs' trade names

D.

The drugs' generic names

1 points  

Question 11

These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug

A.

Schedule 1

B.

Schedule 2

C.

Schedule 3

D.

Schedule 4

1 points  

Question 12

A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called

A.

pharmacotherapeutics.

B.

pharmacoeconomics.

C.

pharmacodynamics.

D.

pharmacogenomics.

1 points  

Question 13

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?

A.

Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat

B.

Administering investigational drugs to patients

C.

Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug

D.

Working with animals who are given experimental drugs

1 points  

Question 14

A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states

A.

Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed.

B.

Consult with several pharmacists to determine the cost of each drug.

C.

educate the patient to discard syringes in recycle bin

D.

consult with the physician concerning choice of medications for the patient.

1 points  

Question 15

The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?

A.

500 mg

B.

1000 mg

C.

1500 mg

D.

150 mg

1 points  

Question 16

Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug

A.

Schedule 1

B.

Schedule 2

C.

Schedule 3

D.

Schedule 4

1 points  

Question 17

A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by

A.

consulting a drug guide for compatibility.

B.

identifying the patient by checking the armband and asking the patient to state his name.

C.

questioning the patient concerning allergies.

D.

washing his or her hands before handling the medications.

1 points