Exam (elaborations)
PHARM FINAL EXAM REVIEW QUESTIONS PART 1
Course
Advanced pharmacology
Institution
Advanced Pharmacology
PHARM FINAL EXAM REVIEW QUESTIONS PART 1
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Advanced pharmacology
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PHARM FINAL EXAM REVIEW
QUESTIONS PART 1
kidneys4-4ans--What4plays4the4largest4role4in4excretion?4
a.4Skin4
b.4Liver4
c.4Kidneys4
d.4Stomach
c4-4ans--A4post-
surgical4client4rates4the4pain4at410/10.4The4nurse4confirms4that4there4are4standing4orders
4for4the4administration4of4opioid4analgesics4as4needed.4What4route4of4administration4sho
uld4the4nurse4choose4to4achieve4the4fastest4effect?
a.4Oral4
b.4Intramuscular
c.4Intravenous
d.4subcutaneous
b4-4ans--
A4nurse4notes4new4drug4orders4for4a4client4who4is4already4getting4several4medications.4
Which4is4the4most4important4consideration4when4preparing4to4administer4the4new4drugs?
A.4how4the4client4will4feel4about4new4medications4added4to4the4drug4therapy
B.4possible4drug-drug4interactions4that4might4occur
C.4any4special4nursing4considerations4that4the4nurse4must4be4aware4of
D.4if4generic4preparations4of4the4drugs4can4be4used
,b4-4ans--
A4nurse4consults4a4drug4guide4that4states4the4drug's4half4life4is4904minutes.4Which4phras
e4accurately4describes4the4concept4of4this4medication's4serum4half-life?
A.4the4time4required4for4IV4medications4to4penetrate4the4brain4tissue
B.4904minutes4after4the4drug4peak,4there4will4be450%4of4the4peak4level4
C.4the4safest4margin4to4prevent4toxicity
D.4the4dose4adjustment4that4reduces4the4risk4of4adverse4effects4by4one4half
d4-4ans--
What4changes4due4to4aging4in4the4geriatric4client4may4affect4excretion4and4lead4to4accu
mulation4of4drugs4(toxicity)4in4the4body?
A.4decreased4activity.
B.4decreased4gastric4motility.
C.4decreased4cognition.
D.4decreased4glomerular4filtration4rate.
a,4d4-4ans--
Which4statements4are4true4regarding4pharmacodynamics4and4the4pediatric4client?
4Select4all4that4apply.
A.4Body4composition4is4a4cause4of4pharmacodynamic4variability4in4the4pediatric4client.
B.4The4immune4system4of4the4pediatric4client4can4affect4drug4absorption.
C.4Genetics4and4nutrition4have4little4impact4on4the4target4cell4sites4and4protein4receptors.
D.4Medication4effectiveness4is4influenced4by4water,4electrolyte,4and4protein4levels.
E.4Excretion4and4its4impact4on4the4client4are4influenced4by4the4route4of4ingestion.
d4-4ans--
A4nurse4has4been4administering4a4drug4to4a4client4intramuscularly4(IM).4The4health4care4
provider4discontinued4the4IM4dose4and4wrote4an4order4for4the4drug4to4be4given4orally.4Th
e4nurse4notices4that4the4oral4dosage4is4considerably4higher4than4the4parenteral4dose4and
4understands4that4this4due4to:
A.4passive4diffusion.
,B.4active4transport.
C.4glomerular4filtration.
D.4first-pass4effect.
b,4c,4d4-4ans--Which4of4the4following4can4a4nurse4do4to4help4prevent4drug4errors?
4Select4all4that4apply.4
A.4Always4administer4the4drug4before4answering4any4client's4questions
B.4Avoid4distractions4and4concentrate4on4only4one4task4at4a4time.
C.4Confirm4any4questionable4orders.
D.4Practice4the4five4+414rights4of4drug4administration.
a4-4ans--
A4client's4drug4level4has4reached4critical4concentration.4What4action4should4the4nurse4pe
rform?
A.4Assess4for4evidence4of4the4expected4therapeutic4effects.
B.4Assess4for4indications4of4impaired4metabolism.
C.4Assess4for4signs4of4delayed4drug4excretion.
D.4Perform4an4emergency4assessment.
a4-4ans--
The4nurse4is4conducting4an4admission4assessment4of4a4new4client.4When4asked4about4a
ny4food4or4drug4allergies,4the4client4states4that4the4client4is4allergic4to4tetracycline.4What4
action4should4the4nurse4next4perform?
A.4Ask4the4client,4"What4happens4when4you4take4a4dose4of4tetracycline?"
B.4Ask4the4client,4"Are4you4allergic4to4any4other4antibiotics,4or4just4tetracycline?"
C.4Document4an4allergy4to4tetracycline4in4the4client's4health4record
D.4Educate4the4client4about4antibiotics4that4are4alternatives4to4tetracycline.
c4-4ans--A460-year-old4man4has4scheduled4a4follow-
up4appointment4with4his4primary4care4provider4stating4that4the4omeprazole4(Prilosec)4whi
ch4he4was4recently4prescribed4is4ineffective.4The4client4states,4"I4take4it4as4soon4as4I4feel4
, heartburn4coming4on,4but4it4doesn't4seem4to4help4at4all."4How4should4the4nurse4best4resp
ond4to4this4client's4statement?
A.4"It4could4be4that4Prilosec4isn't4the4right4drug4for4you,4so4it4would4be4best4to4talk4this4ov
er4with4your4care4provider."
B.4"Prilosec4won't4really4decrease4the4sensation4of4heartburn,4but4it4is4still4minimizing4the
4damage4to4your4throat4and4stomach4that4can4be4caused4by4the4problem."
C.4"Prilosec4will4help4your4heartburn4but4it's4not4designed4to4provide4immediate4relief4of4s
pecific4episodes4of4heartburn."
D.4"A4better4strategy4is4to4take4a4dose4of4Prilosec4154to4304minutes4before4meals4or4drink
s4that4cause4you4to4get4heartburn."
a4-4ans--
A4community4health4nurse4is4conducting4a4health4promotion4session4with4a4group4from4a
4local4seniors'4center.4The4nurse4has4addressed4the4issue4of4laxative4overuse4in4this4pop
ulation.4The4nurse4should4highlight4what4consequence4of4the4overuse4of4laxatives?
A.4dependence
B.4impaired4absorption4of4water-soluble4vitamins
C.4fecal4incontinence
D.4abdominal4pain
c4-4ans--
Aspirin4is4not4recommended4for4use4in4children.4This4is4due4to4its4association4with4which4
condition?
A.4megaloblastic4anemia.
B.4gastrointestinal4blockage.
C.4Reye's4syndrome.
D.4growth4retardation.
b,4c4-4ans--Which4properties4does4Tylenol4(acetaminophen)4have?4(Select4all4that4apply.)
A.4Anti-inflammatory
B.4Analgesic