NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Quizzes Review Test Submission: Week 2 – Quiz
Review Test Submission: Week 2 –
Quiz
Course NURS-6521N-7/NURS-6521F-7/NURS-6521D-7-Advanced
Pharmacology2018 Fall Quarter 08/27-11/18-PT27
Test Week 2 – Quiz
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Please answer each question below and click Submit when you have completed the Quiz.
Question 1
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 relled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug
Question 2
A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive more acid glycoproteins than
other ethnic groups. Therefore, when they take drugs that bind to these proteins, they have lower amounts of free or active drug than when the same dose is given to someone of another ethnic group. Since the patient is a white American, he has been prescribed a higher-than-normal dose of the drug that binds to the acid glycoprotein.
Question 3
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? Phase III studies involve administering investigational drugs to patients in a vast clinical market who are voluntarily enrolled in double-blind studies. In phase I studies, a small number of healthy human volunteers are given the
drug after blood urine and other appropriate samples are taken to monitor drug metabolism. Sometimes volunteers who have a certain disease are used in phase I instead of healthy volunteers if the drug is expected to have significant toxicity. In phase II, volunteers are given various dosages of the test compound and studied in great detail. Dosage guidelines are usually determined in this phase. Nurses are more likely to be responsible for administering the investigational drugs in phase III than in phases I and II. Use of animal testing is done in the preclinical trials and would not involve a nurse.
Question 4
A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?
Question 5
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? The patient must be knowledgeable about all aspects of the drug regimen so it can be self-administered safely and selectively. All of the responses are important, but the patient must be able to tell if the drug is producing an selective response and must also know the adverse effects report. Knowing where to purchase the medication and how much it costs is good. information, but it is not the most important information for self-administration. Knowing the pharmacokinetics does not concern most patients.
Question 6
A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess An increase of magnesium could cause hypotension; therefore, the nurse
should assess the patient’s blood pressure. Body temperature, skin changes, and fluid intake are not critically associated with an overdose of magnesium.
Question 7
A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.
Question 8
A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting on a bus and fractured her hip. How should the woman’s nurse best exemplify cultural competence in the care of this patient? Cultural competence requires maintaining awareness of one’s own values and beliefs without letting them have undue influence on those of other backgrounds, demonstrating knowledge and understanding of another’s culture, accepting and respecting cultural differences, and considering a
patient’s culture carefully. This does not mean that only Spanish-speaking staff members should provide care, that the nurse must teach the patient about American culture or that the nurse should address the children before the patient.
Question 9
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 relled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug
Question 10
A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? A nurse can administer narcotics in the hospital after ensuring that narcotics are dispensed only with a written prescription. JCAHO sets the standards for quality of patient care and accreditation of health care institutions, not for using narcotics.
Question 11
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Narcotics such as morphine are considered C-II drugs because of the high abuse potential with severe dependence liability. C-I drugs have high abuse potential and are not accepted for medical use. C-III drugs have a lesser abuse potential than C-II drugs and an accepted medical use. C-IV drugs have a low abuse potential and limited dependence liability.
Question 12
Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD Which scheduled drug is this?
Question 13
What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours?
Question 14
A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient goes to surgery. The nurse’s response to this request should be If possible, every effort should be made to accommodate the patient’s traditional practices. As long as the rituals or ceremonies do not interfere with treatment or care, they should be allowed. The nurse does not have to notify the physician if the patient’s care is uninterrupted. A nurse should never be judgmental or make light of cultural practices.
Question 15
A nurse at a large, university hospital has been informed that a drug trial will be taking place that may involve several patients in the hospital over the next several months. What is the nurse’s most likely role in this drug testing process? Nurses are generally most involved in phase III of clinical trials and may be responsible for administering investigational drugs to patients. The final determination of the efficacy and safety of the drug is beyond the scope of nurses. Nurses do not normally consult on the choice of testing methodology.
Question 16
A nurse who provides care in a long-term care facility is documenting a new resident’s medication regimen on the resident’s intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident’s current drugs because The use of generic instead of proprietary (trade) names mitigates some of the potential for confusion that exists due to similar trade names between
Trade names do not vary from state to state and use of these names in documentation is not legally restricted. There are not typically differences in the use of drugs that are based solely on generic or proprietary
name.
Question 17
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?
Question 18
The nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse practitioner would expect the pharmacist to ll the prescription bottle with how many ml?
Question 19
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
Question 20
Response
Feedback:
Which of the following serves to protect the public by ensuring the purity of a drug and its contents? Federal legislation serves to protect the public from drugs that are impure, toxic, ineffective, or improperly tested prior to marketing. The primary purpose of federal legislation is to ensure safety. The United States Adopted Names Council was established to ensure uniform drug nomenclature. The offocial name of each drug is published in the United States Pharmacopeia and the National Formulary. The American Pharmaceutical Association does not ensure the safety and purity of drug content but is a professional
organization for pharmacists.
Question 21
A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will If an interpreter or translator is not available, the nurse should look at the patient, speak slowly, and use nonverbal communication to help the patient understand the message. Speaking loudly and using exaggerated mouth movements only serve to intimidate or belittle the patient and should not be done.
Question 22
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 The process of comparing medications ordered by the health care provider with the medications the patient is taking at home and communicating the discrepancies is called medication reconciliation. This process is continued each time the patient is transferred within the hospital, and at discharge. At discharge when the drug regimen is set, the nurse will educate the patient and the family about the medications. This process improves patient outcomes, hopefully preventing serious effects. Determining where the patient buys his medication is not usually done by the hospital nurse. Patients do not need to know the pharmacokinetics of each drug they take
unless they ask.
Question 23
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 Sudafed and any combination drugs that contain pseudoephedrine have been removed from the shelves of drug stores, but they have not been taken off the market. Consumers must purchase drugs containing pseudoephedrine from a pharmacy, despite the fact the drugs do not require a prescription. Identification is not required to purchase these drugs.
Question 24
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? Pharmacogenomics is the area of study that explores the unique individual patient responses to drugs based on the mapping of the human genome. This mapping introduces the possibility of personally designed medical care
and drug regimens based on a person’s unique genetic make-up. Pharmacotherapeutics is the branch of pharmacology that deals with uses of drugs to treat, prevent, and diagnose disease. Pharmacodynamics involves how a drug affects the body, and pharmacoeconomics includes any costs involved in drug therapy.
Question 25
A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by. A nurse should always make sure that two or more drugs can be given at the
same time before the administration process is begun. Incompatibility can affect absorption and distribution. Once the nurse is certain that the drugs are compatible, he or she should perform handwashing and prepare the medications for administration. The nurse should also identify the patient appropriately and ask about drug allergies prior to administering the medication.
Question 26
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
