NURS 676 Advanced Pharmacology Final - Practice Quiz 650 Questions Latest Update 2024- 2025 Actual Exam Questions and 100% Verified Correct Answers
- Antagonists like Ranitadine may elevate all the following values except? - CORRECT
ANSWER: CRP
A 15-year-old with a 6-month history of moderate to severe depression started anti- depressant therapy with Sertraline two weeks ago. The nurse will teach the family that he is most at risk during the first three weeks of medication therapy for: - CORRECT
ANSWER: Suicidality
A 19-year-old female client with depression who has been taking amitriptyline for three weeks returns to the clinic for a follow-up. The nurse anticipates the possibility of
observing which of the following symptoms? - CORRECT ANSWER: Suicidal thoughts
A 23-year-old male who has a history of a cold in the last week comes to the clinic complaining of priapism. What is most likely the cause of his problem? - CORRECT
ANSWER: 3 Red Bull energy drinks consumed in the last 24 hours
A 3-year-old child comes to the clinic for an overdose of pseudoephedrine. For what signs of toxicity should the nurse be watching? Select all that apply - CORRECT
ANSWER: Insomnia, tachycardia, seizures
A child has been diagnosed with enuresis. TCA imipramine has been prescribed for the child. The nurse understands that this medication is in which category? - CORRECT
ANSWER: antispasmodic
A child's mother tells you, "The doctor has prescribed our daughter digoxin to take at home. Are there any special things we should do?" What patient teaching is needed? -
CORRECT ANSWER: prior to administration take an apical pulse. Do not give the
medication if the pulse is below 100 beats/min.
- Always assess apical pulse before giving Digoxin
A class of incretin enhancers known as DPP-4 inhibitors do which of the following? -
CORRECT ANSWER: Prevents the breakdown of incretins
A client calls saying she seems to need to use more and more of the albuterol each day. What is the nurse's most important concern? - CORRECT ANSWER: This could be an early sign of a serious asthma attack
A client goes to the store to get some over the counter cold medication at night when the pharmacy has closed. He is looking for the pseudoephedrine, which is locked 1 / 4
behind the pharmacy door. He must wait until the pharmacy opens in the morning. What
is the reason for this? - CORRECT ANSWER: Pseudoephedrine is the starting
ingredient for methamphetamines
A client has been prescribed cromolyn (Intal) a Mast cell stabilizer and asks you how this medication helps. What is the best response by the nurse? - CORRECT ANSWER: It acts by inhibiting the release of histamine from mast cells.
A client has been prescribed Hycomine Compound, an opioid combination drug for control of cough. This drug contains hydrocodone, phenylephrine, chlorpheniramine, and acetaminophen. Which instructions are a priority part of medication education? -
CORRECT ANSWER: "Take this drug exactly as directed."
A client is prescribed an intranasal glucocorticoid for allergic rhinitis and benign nasal polyps. What should the nurse include in client education about this drug? - CORRECT
ANSWER: "Do not eat licorice while taking this drug."
A client is starting on Zafirlukast. What is a priority nursing assessment before starting
the drug? - CORRECT ANSWER: AST and ALT lab values
A client on pioglitazone calls the office complaining of swelling in her legs, shortness of breath and feeling more tired since starting the drug. What is the best instruction by the
nurse? - CORRECT ANSWER: Stop taking the drug and come in for an appointment
with the healthcare provider
A client taking lithium carbonate started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears. The
lithium serum level is 2 mEq/L. The nurse interprets this value as: - CORRECT
ANSWER: Toxic level
A client who has been taking buspirone for two months returns to the clinic for a follow- up. The nurse determines that the medication is effective if there is an absent display
of... - CORRECT ANSWER: Feelings of panic, fear, and uneasiness
A client who received chemotherapy 7 days ago calls and reports a temperature of 101.2 but denies chills, cough, or sore throat. What will you tell the client? - CORRECT
ANSWER: You will need to be seen right away. You are at an increased risk for
bacterial infection
A client with depression is taking phenelzine. The nurse advises the client to avoid
consuming which foods while taking the medication - CORRECT ANSWER: Yogurt
A client with schizophrenia has been started on medication therapy with clozapine. A nurse assesses the results of which laboratory study to monitor for adverse effect
related to this medication? - CORRECT ANSWER: White blood cell
- / 4
A female patient is taking ampicillin. What is important to tell her about the prescription?
- CORRECT ANSWER: Ask her about oral contraceptive use.
A friend of yours is asking you about inhalers to prevent "asthma" caused by exercise.You explain to your friend that - CORRECT ANSWER: Albuterol inhalers are used 15 to 30 minutes prior to physical activity to prevent exercise-induced bronchospasm.
A known vesicant is started on a patient with cancer. The nurse will monitor for: -
CORRECT ANSWER: IV site or port for pain, redness, and swelling
A male patient who is taking the second-generation antipsychotic reports to the nurse that he has observed a clear fluid leaking from his right nipple for the past month. The nurse's best initial intervention is: - CORRECT ANSWER: Inform the patient that this could be a side effect of the medication
A newborn is given IV antibiotics. What assessment parameter addresses the newborns ability to distribute the antibiotic throughout the body? - CORRECT ANSWER: Plasma Protein Levels
- Many drugs are transported by plasma proteins. Newborns with immature liver
function may not have enough serum albumin to transport drugs readily.
A newly admitted client has started taking bupropion. The nurse understands which of the following side effects that would indicate an overdose of the medication? -
CORRECT ANSWER: Seizure
A nurse administering IV calcium should consider: Choose all that apply. - CORRECT
ANSWER: - Monitor IV site closely for signs of infiltration
- Monitor serum calcium levels to avoid hypercalcemia
- Administer slowly to avoid hypotension, dysrhythmias and cardiac arrest
A nurse administering promethazine for a patient's nausea understands the risks of IV administration include: (choose all that apply) - CORRECT ANSWER: Necrosis to the vein, swelling to veins and tissues, caustic impact to the intima of the vein, may lead to gangrene or amputation of affected limb, spasms of blood vessels
A nurse counsels a patient who has been prescribed a monoamine oxidase inhibitor (MAOI) to treat depression to avoid foods containing tyramine. Which of the following foods should the patient avoid? (select all that apply) - CORRECT ANSWER: Yogurt, tofu, pepperoni
A nurse is preparing to give an IM injection to a patient that is 6 months old. What
injection site would be best? - CORRECT ANSWER: Vastus Lateralis
A nurse is teaching a patient about her new prescription enalapril for hypertension. The
nurse knows teaching was successful when the patient states - CORRECT ANSWER: I
will let my doctor know if I get dizzy, light headed or have a headache 3 / 4
A nurse is teaching a patient newly started on an antidysrhythmic medication. The nurse knows teaching has been effective when the patient states: - CORRECT ANSWER: I may experience more dysrhythmias because of changes in electrolyte absorption
A nurse is teaching parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate. Which should the nurse include in teaching about the side effects of this medication? - CORRECT ANSWER: "your child may experience a sense of nervousness."
A nurse notes that a client with schizophrenia and receiving an antipsychotic medication is having uncontrolled movement of the lips and tongue. The nurse determines that the
client is experiencing? - CORRECT ANSWER: Tardive dyskinesia
A nurse will expect which symptom or occurrence when giving Dextran 40? -
CORRECT ANSWER: Blood pressure rising from 110/62 to 145/81
A nurse will prepare teaching materials regarding which drug for the parents of a child diagnosed with attention-deficit/hyperactivity disorder (ADHD)? - CORRECT ANSWER: Methylphenidate
A nurse working night shift may be at risk for a deficiency of which vitamin? -
CORRECT ANSWER: Vitamin D
A patient began trihexyphenidyl for treatment of Parkinson's disease. Which finding
demonstrates a positive response to the medication? - CORRECT ANSWER: Gait is
steady with decreased rigidity.
A patient being treated for DKA received an Insulin infusion, Sodium Bicarbonate, and D5W. Why did this patient receive D5W? - CORRECT ANSWER: Insulin will facilitate glucose metabolism so serum glucose may drop too quickly
A patient comes to the clinic complaining of angina. While getting a history from the patient the nurse takes note that: - CORRECT ANSWER: a patient taking Sildenafil should not be given nitrates for angina
A patient complains of cramps in his calves, parasthesia to his toes and a feeling that his heart is not beating normally. These symptoms may indicate which of the following
imbalance? - CORRECT ANSWER: Hyperkalemia
A patient currently being treated for depression with daily sertraline (Zoloft), an SSRI antidepressant, is coming to your unit postoperatively. What medication prescription
should the nurse note as contraindicated for this patient? - CORRECT ANSWER:
*Tramadol (Ultram) 50mg PO BID PRN for pain
- / 4