6521 Advanced Pharmacology Final exam with correct answers
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Course
Advanced pharmacology
Institution
Advanced Pharmacology
6521 Advanced Pharmacology Final
exam with correct answers
6521 Advanced Pharmacology Final
exam with correct answers
6521 Advanced Pharmacology Final
exam with correct answers
6521 Advanced Pharmacology Final
exam with correct answers
6521 Advanced Pharmacology Final
exam with correct ans...
6521 Advanced Pharmacology Final
exam with correct answers
234. A nurse is providing education to a group of patients regarding amphetamines. To
evaluate the group's understanding, the nurse asks a participant what effects
amphetamines would have on her. The participant shows that she understands the
effects of these drugs if she gives which answers? Select all that apply. - CORRECT
ANSWERS-"Amphetamines suppress the perception of pain."
"Amphetamines increase the heart rate."
"Amphetamines elevate mood."
A 12-year-old female patient is admitted to the hospital before sinus surgery. The nurse
preparing to care for this patient notes that the admission hemoglobin is 10.2 gm/dL,
and the hematocrit is 32%. The nurse will ask the child's parents which question about
their daughter? - CORRECT ANSWERS-"Has she begun menstruating?"
A 12-year-old male patient diagnosed with hypogonadism will begin testosterone
injections. What will the nurse include when teaching the family about this therapy? -
CORRECT ANSWERS-Injections are given every 2 to 4 weeks for 3 to 4 years.
A 14-year-old male patient has not begun puberty. His parents tell the nurse that their
son does not want to go to school, because he gets teased. The nurse learns that the
boy's father did not begin puberty until age 16 years. Laboratory tests on this child do
not reveal true hypogonadism. What will the nurse tell these parents when they ask
what can be done for their son? - CORRECT ANSWERS-"A limited course of androgen
therapy may be prescribed, but it is not necessary."
A 14-year-old male patient who plays football is admitted to the hospital. The nurse
notes that the patient has short stature for his age according to a standard growth chart.
The patient is muscular, has a deep voice, and needs to shave. The nurse notifies the
provider of these findings. Which test will the nurse expect the provider to order? -
CORRECT ANSWERS-Liver function tests and serum cholesterol
A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, and bacteriuria
greater than 100,000/mL of urine. Which are the most likely diagnosis and treatment? -
CORRECT ANSWERS-Uncomplicated lower urinary tract infection treatable with short-
course therapy
,A 30-year-old male patient reports having two to four urinary tract infections a year.
What will the nurse expect to teach this patient? - CORRECT ANSWERS-"You will need
to take a low dose of medication for 6 months to prevent infections."
A 50-year-old female patient asks a nurse about taking aspirin to prevent heart disease.
The patient does not have a history of myocardial infarction. Her cholesterol and blood
pressure are normal, and she does not smoke. What will the nurse tell the patient? -
CORRECT ANSWERS-There is most likely no protective benefit for patients her age.
A 50-year-old postmenopausal patient who has had a hysterectomy has moderate to
severe vasomotor symptoms and is discussing estrogen therapy (ET) with the nurse.
The patient is concerned about adverse effects of ET. The nurse will tell her that: -
CORRECT ANSWERS-transdermal preparations have fewer side effects.
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital
for treatment of a urinary tract infection. The prescriber has ordered intravenous
ciprofloxacin [Cipro]. Before administering the third dose of this drug, the nurse reviews
the bacterial culture report and notes that the causative organism is Escherichia coli.
The bacterial sensitivity report is pending. The patient complains of right ankle pain.
What will the nurse do? - CORRECT ANSWERS-Withhold the dose of ciprofloxacin and
notify the provider of the patient'ssymptoms.
A child has been taking SD methylphenidate [Ritalin], 10 mg at 0800 and 1200 and 5
mg at 1600, for 2 months. The parents tell the nurse that the child sometimes misses
the noon dose while at school. The child's appetite is normal. The teacher has reported
a slight improvement in hyperactivity and impulsivity. What will the nurse do? -
CORRECT ANSWERS-Ask the prescriber whether this child could be given
methylphenidate [Concerta].
A child has received amoxicillin [Amoxil] for three previous ear infections, but a current
otitis media episode is not responding to treatment. The nurse caring for this child
suspects that resistance to the bacterial agent has occurred by which microbial
mechanism? - CORRECT ANSWERS-Drug inactivation
A child has ringworm of the scalp. A culture of the lesion reveals a dermatophytic
infection. The nurse teaching the child's parents about how to treat this infection will
include which statement? - CORRECT ANSWERS-"Your child will need to take this oral
medication for 6 to 8 weeks."
A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The prescriber
orders a central nervous system stimulant. Which statement by the child's parent
indicates a need for further teaching? - CORRECT ANSWERS-"This drug will make him
less impulsive while he's at school."
, A child will begin taking methylphenidate [Ritalin] for attention-deficit/hyperactivity
disorder. Important baseline information about this patient will include: - CORRECT
ANSWERS-height and weight.
A child will receive 750 mg of an antibiotic for 10 days. The child attends day care. The
drug may be dosed in several ways and is available in two concentrations. Which
dosing regimen will the nurse discuss with the child's provider? - CORRECT
ANSWERS-500 mg/5 mL to 375 mg PO twice daily
A child with an ear infection is not responding to treatment with amoxicillin [Amoxil]. The
nurse will expect the provider to order: - CORRECT ANSWERS-amoxicillin-clavulanic
acid [Augmentin].
A child with otitis media has had three ear infections in the past year. The child has just
completed a 10-day course of amoxicillin [Amoxil] with no improvement. The parent
asks the nurse why this drug is not working, because it has worked in the past. What
will the nurse tell the patient? - CORRECT ANSWERS-"The bacteria have synthesized
penicillinase."
A clinic nurse is assessing an adolescent male patient who has been receiving
androgen therapy for hypogonadism via a transdermal patch. The patient's last clinic
visit was 4 weeks earlier. Which part of the interval history is of most concern to the
nurse? - CORRECT ANSWERS-Five-pound weight gain
A female patient has come to the STD clinic and has been diagnosed with a
Trichomonas vaginalis infection. What education should be provided to this patient? -
CORRECT ANSWERS-Male partners should always be treated, even if they are
asymptomatic
A female patient who has hepatitis C is being treated with pegylated interferon alpha
and ribavirin [Ribasphere]. It will be important for the nurse to teach this patient that: -
CORRECT ANSWERS-she will need a monthly pregnancy test during her treatment.
A hospitalized patient who is given one dose of flurazepam continues to show
drowsiness the next day. A nursing student asks the nurse the reason for this, because
the drug's half-life is only 2 to 3 hours. Which response by the nurse is correct? -
CORRECT ANSWERS-"When this drug is metabolized, the resulting compound has
longer-lasting effects."
A male patient with hepatitis C will begin triple drug therapy with pegylated interferon
alpha 2a [Pegasys], ribavirin [Ribasphere], and boceprevir [Victrelis]. The patient tells
the nurse that his wife is pregnant. What will the nurse tell him? - CORRECT
ANSWERS-Boceprevir is contraindicated in males whose partners are pregnant.
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