CORRECT ANSWERS LATEST ALL YU NEED TO

NR565 Midterm ACTUAL EXAM 320 QUESTIONS AND

CORRECT ANSWERS LATEST ALL YU NEED TO

PASS NR565 MIDTERM EXAM//ALREADY GRADED A+

A patient has recently moved from Vermont to Southern Florida. The patient presents to the clinic complaining of dizzy spells and weakness. While conducting the admission assessment, the patient tells the nurse that he have been on the same antihypertensive drug for 6 years and had stable blood pressures and no adverse effects. Since his move, he has been having problems and he feels that the drug is no longer effective. The clinic nurse knows that one possible reason for the change in the effectiveness of the drug could be what?

• The impact of the placebo effect on the patients response.
• The accumulative effect of the drug if it has been taken for many years.
• The impact of the warmer environment on the patients physical status.
• Problems with patient compliance with the drug regimen while on vacation. - ANSWER-c.

An important concept taught by the nurse when providing medication teaching is the need to provide a complete list of medications taken to health care providers to avoid what?

• Spending large amounts of money on medications
• Allergic reactions to medications
• Drugdrug interactions
• Critical concentrations of medications in the body - ANSWER-c.

A pharmacology student asks the instructor what an accurate description of a drug agonist is. What is the instructors best response?

• A drug that reacts with a receptor site on a cell preventing a reaction with another chemical on a

different receptor site

• A drug that interferes with the enzyme systems that act as catalyst for different chemical reactions
• A drug that interacts directly with receptor sites to cause the same activity that a natural chemical

would cause at that site

• A drug that reacts with receptor sites to block normal stimulation, producing no effect -

ANSWER-c.

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A nurse is caring for a patient who has been receiving a drug by the intramuscular route but will receive the drug orally after discharge. How does the nurse explain the increased dosage prescribed for the oral dose?

• Passive diffusion
• Active transport
• Glomerular filtration
• First-pass effect - ANSWER-d.

A nurse is working as a member of a research team involved in exploring the unique response to drugs each individual displays based on genetic make-up. What is this area of study is called?

• Pharmacotherapeutics
• Pharmacodynamics
• Pharmacoeconomics
• Pharmacogenomics - ANSWER-d.

The nurse uses what term to describe the drug level required to have a therapeutic effect?

• Critical concentration
• Dynamic equilibrium
• Selective toxicity
• Active transport - ANSWER-a.

A nurse is caring for a patient who is supposed to receive two drugs at the same time. What is the nurses priority action?

• Wash her hands before handling the medications.
• Consult a drug guide for compatibility.
• Question the patient concerning drug allergies.
• Identify the patient by checking the armband and asking the patient to state his name. -

ANSWER-b.

The nurse is talking with a group of nursing students who are doing clinical hours on the unit. A student asks if all intramuscular (IM) drugs are absorbed the same. What factor would the floor nurse tell the students to affect absorption of the IM administration of drugs?

• Perfusion of blood to the subcutaneous tissue 2 / 4

• Integrity of the mucous membranes
• Environmental temperature
• Blood flow to the gastrointestinal tract - ANSWER-c.

The patient is taking a drug that affects the body by increasing cellular activity. Where does this drug work on the cell?

• Receptor sites
• Cell membrane
• Golgi body
• Endoplasmic reticulum - ANSWER-a.

Several processes enable a drug to reach a specific concentration in the body. Together they are called dynamic equilibrium. What are these processes? (Select all that apply.)

• Distribution to the active site b. Biotransformation
• Absorption from the muscle
• Excretion - ANSWER-a.

b.d.

A nurse is administering digoxin to a patient. To administer medications so that the drug is as effective as possible, the nurse needs to consider what?

• Pharmacotherapeutics
• Pharmacokinetics
• Pharmacoeconomics
• Pharmacogenomics - ANSWER-b.

Which types of drugs taken by a pregnant patient are more likely to have effects on a fetus?

• Drugs that are highly polar
• Ionized drugs
• Lipid-soluble drugs
• Protein-bound drugs - ANSWER-c. 3 / 4

A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before knowing she was pregnant might have harmed the fetus. What will the nurse do?

• Ask the patient what she took and when she learned she was pregnant.
• Contact the patient's provider to request an ultrasound.
• Counsel the patient to consider termination of the pregnancy.
• Suggest to the patient that she go to a high-risk pregnancy center. - ANSWER-a.

A patient who has just learned she is pregnant has stopped using a prescription medication that she takes for asthma because she does not want to harm her baby. What will the nurse tell her?

• That asthma medications will not affect the fetus
• That her baby's health is dependent on hers
• To avoid taking medications during her pregnancy
• To resume the medication in her second trimester - ANSWER-b.

A pregnant patient in active labor is admitted to the emergency department. A toxicology screen and a physical assessment reveal that the patient is an active heroin addict. The nurse who cares for the neonate after delivery should anticipate which clinical manifestations?

• Passivity and flat affect
• Diarrhea and salivation
• A shrill cry and irritability
• Restless sleep and seizures - ANSWER-c.

A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage?

• They may need to be given in higher doses if they undergo renal clearance.
• They require lower doses if they are metabolized by the liver.
• They are less likely to cross the placenta and affect the fetus.
• They are more likely to cause anatomical defects if they are teratogenic. - ANSWER-a.

A patient has just given birth to a baby boy with a cleft palate. The nurse will review the patient's medication history with special emphasis on drugs taken during which period?

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