.png){kind=logo}
Pharmacology Final NCLEX Questions Leave the first rating Students also studied Terms in this set (183) Save Pharmacology Final Exam Question...101 terms tinagold258Preview Pharmacology RESPIRATORY NCLE...98 terms Gduke641Preview OB Postpartum NCLEX Questions 52 terms ashley_coots7 Preview Pharma 49 terms not Which components of pharmacokinetics does the nurse need to understand before administering a drug? (select all that apply)
- Drugs with a smaller volume of drug distribution have a longer half-life.
- Oral drugs are dissolved through the process of pinocytosis.
- Patients with kidney disease may have fewer protein-binding sites and are at
- Rapid absorption decreases the bioavailability of the drug.
- When the drug metabolism rate is decreased, excess drug accumulation can
risk for drug toxicity.
occur, which can cause toxicity.
ANSWERs: C & E
The nurse will question the health care provider if a drug with a half-life of more than 24 hours is ordered to be given more than how often?
- Once daily
- Every other day
- Twice weekly
- Once weekly
ANSWER: A ONCE DAILY
The nurse is explaining drug action to a nursing student.Which statement made by the nurse is correct?
- "Water-soluble and ionized drugs are quickly absorbed"
- "A drug not bound to protein is an active drug"
- "Most receptors are found under the cell membrane."
- "Toxic effects can result if the trough level is low."
ANSWER: B
The nurse is caring for a patient with congestive heart failure who is receiving digoxin (Digitek, Lanoxicaps, Lanolin). The nurse plans to take which action when administering digoxin?
- Check the peak levels of digoxin.
- Check the trough levels of digoxin.
- Monitor for tachyphylaxis.
- Monitor the therapeutic range of digoxin.
ANSWER: D
The nurse anticipates that the health care provider will order which laboratory test for an older adult with renal dysfunction?
- Creatinine clearance
- Glomerular filtration rate
- Urine specific gravity
- Urine pH
ANSWER: A
When reviewing the patient's medication regimen, the nurse understands that the interval of drug dosage is related to what?
- Half-life
- Stimulation of receptors
- Therapeutic index
- Trough level
ANSWER: A
Which nursing assessment(s) will the nurse include when developing a patient medication plan? (Select all that apply)
- Check peak and trough levels of drugs
- Check the drug literature for the protein-binding percentage of a drug.
- Identify side effects of drugs that are nonspecific.
- Evaluate the patient's reaction to a drug.
- To enhance absorption, advise the patient to crush an enteric-coated tablet
before taking.
ANSWERS: A B & C
A student nurse is studying the phases of drug action.Which statement by the student indicates to the nursing instructor that the student understands the pharmaceutic phase?
- "To achieve drug action, drugs are moved by four processes."
- "For the drug to cross the biologic membrane, the drug becomes a solution."
- "In this phase, drugs are concentrated and a biologic or physiologic response
- "The pharmaceutic phase is the process by which the drug becomes available
occurs."
to body fluids and tissue."
ANSWER: B
The nurse plans to advise the patient to avoid which food(s) before ingesting an enteric-coated medication?(select all that apply)
- Bananas
- Baked lamb chops
- Broiled fish
- Ice cream
- Fried chicken
ANSWERS: D & E
The nurse will monitor the patient taking albuterol (Proventil)(asthma) for which conditions? (select all that apply)
- Palpitations
- Hypertension
- Hypoglycemia
- Bronchospasm
- Uterine contractions
ANSWERS: A & B
Nadolol (Corgard) is prescribed for a patient. The nurse realizes that this drug is a beta-adrenergic blocker and that this drug classification is contraindicated for patients with which condition?
- Hypothyroidism
- Angina pectoris
- Bronchial asthma
- Liver dysfunction
ANSWER: C
The nurse realizes that beta1 receptor stimulation is differentiated from beta2 stimulation in that stimulation of beta1 receptors leads to which condition?
- Increased bronchodilation
- Decreased uterine contractility
- Increased myocardial contractility
- Decreased blood flow to skeletal muscles
ANSWER: C
A patient is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The nurse should monitor the patient for which condition?
- Decreased pulse
- Pupil constriction
- Bronchial constriction
- Increased blood pressure
ANSWER: D
A patient who is taking epinephrine is also taking several other medications. The nurse should realize that there is a possible drug interaction with which drugs? (Select all that apply.)
- albuterol (Proventil)
- metoprolol (Lopressor)
- propranolol (Inderal)
- digoxin (Lanoxin)
- methyldopa (Aldomet)
ANSWERS: B C & D
A patient is prescribed metoprolol (Lopressor) to treat hypertension. It is important for the nurse to monitor the patient for which condition? (select all that apply)
- Bradycardia
- Hypotension
- Ankle edema
- Decreased respirations
- Increased respirations
ANSWERS: A & B
The nurse is administering atenolol (Tenormin) to a patient. Which concurrent drugs does the nurse expect to most likely cause an interaction? (Select all that apply).
- ginseng supplement
- An NSAID, such as aspirin
- atropine, an anticholinergic
- haloperidol (Haldol)
- methyldopa (Aldomet)
ANSWERS: B & C
A patient is receiving bethanechol (Urecholine), The nurse realizes that the action of this drug is to treat which condition?
- Glaucoma
- Urinary retention
- Delayed gastric emptying
- Gastroesophageal reflux disease (GERDS)
ANSWER: B
The nurse teaches the patient receiving atropine (Atreza) to expect which side effect?
- Diarrhea
- Bradycardia
- Blurred vision
- Frequent urination
ANSWER: C
When benztropine (Congentin) is ordered for a patient, the nurse acknowledges that this drug is an effective treatment for which condition?
- Parkinsonism
- Paralytic ileus
- Motion sickness
- Urinary retention
ANSWER: A
Dicyclomine (Bentyl) is an anticholinergic, which the nurse realizes is given to treat which condition?
- Mydriasis
- Constipation
- Urinary retention
- Irritable bowel syndrome
ANSWER: D
The nurse realizes that cholinergic agonists mimic which parasympathetic neurotransmitter?
- dopamine
- acetylcholine
- cholinesterase
- monoamine oxidase
ANSWER: B
The nurse is administering bethanechol (Urecholine), a cholinergic agonist, and should know that the expected cholinergic effects include which of the following?
- Increased heart rate
- Decreased peristalsis
- Decreased salivation
- Increased pupil constriction
ANSWER: D
When a patient has a cholinergic overdose from excessive dosing of bethanechol (Urecholine), the nurse anticipates administration of which drug as the antidote?
- atropine
- tolterodine
- benztropine
- metoclopramide
ANSWER: A
It is important for the nurse teaching the patient regarding secobarbital (Seconal) to include which information about the drug?
- It is a short-acting drug that may cause one to awaken early in the morning.
- It is an intermediate-acting drug that frequently causes REM rebound.
- It is an intermediate-acting drug that frequently causes a hangover effect.
- It is a long-acting drug that is frequently associated with dependence.
ANSWER: A
A patient taking lorazepam (Ativan) (for anxiety) asks the nurse how this drug works. The nurse should respond by stating that is is a benzodiazepine that acts by which mechanism?
- Depressing the CNS, leading to a loss of consciousness.
- Depressing the CNS, including the motor and sensory activities.
- Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric
- Creating an epidural block by placement of the local anesthetic in the outer
acid (GABA) to GAMA receptors.
covering of the spinal cord.
ANSWER: C
A patient is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/adverse reactions of this drug.Which is a side effect of zolpidem?
- Insomnia
- Headache
- Laryngospasm
- Blood dyscrasias
ANSWER: B
A patient received spinal anesthesia. Which is most important for the nurse to monitor?
- Loss of consciousness
- Hangover effects and dependence
- Hypotension and headaches
- Excitement or delirium
ANSWER: C
A nurse is teaching a patient about zolpidem. Which is important for the nurse to include in the teaching of this drug?
- The maximum dose is 20 mg/day
- It may lead to psychological dependence
- For older adults, the dose is 15 mg at bedtime.
- The drug should only be used for 21 days or less.
.png)