ADVANCED PHARMACOLOGY MIDTERM
EXAM/NURS 6521 MIDTERM EXAM
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1. A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he begin taking. Efficacy of a drug
means which of the following?
A) The amount of the drug that must be give...
1. A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he begin taking. Efficacy of a drug
means which of the following?
A) The amount of the drug that must be given to produce a particular re-
sponse
B) How well a drug produces its desired effect
C) A drug's strength of attraction for a receptor site
D) A drug's ability to stimulate its receptor
2. A nurse is conducting a medication resolution of a new resident of a
care facility and notes that the woman has been taking neostigmine.
The nurse should recognize that the woman may have a history of what
,health problem?
A) Alzheimer disease
B) Parkinson disease
C) Myasthenia gravis
D) Multiple sclerosis
3. A 77-year-old man's chronic heart failure is being treated with a regi-
men of quinapril (Accupril) and furosemide (Lasix). Which of the fol-
lowing assessment findings would suggest that the loop diuretic is con-
tributing to a therapeutic effect?
A) The man's glomerular filtration rate and creatinine levels are
within reference ranges.
B) The man's heart rate is between 60 and 70 beats per minute with
a regular rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
D) The man's chest sounds are clear and his ankle edema is
lessened.
4. A nurse explains to a patient that nitroglycerin patches should be ap-
plied in the morning and removed in the evening. This medication
schedule reduces the potential for
,adverse effects.
A) nitrate dependence.
B) nitrate tolerance.
C) toxic effects.
C
5. A nurse who provides care on a busy medical unit of a large hospital
is constantly faced with new drugs on patients' medication administra-
tion records. What strategy should the nurse employ to foster up-to-date
information about the nursing management of new or uncommon
drugs?
A) Focus on learning about a prototype drug that is characteristic of
a larger drug class
B) Identify similarities between new drugs and older drugs that are com-
monly used on the unit
C) Commit time and energy during each shift to learning about
new drugs
, D) Liaise with pharmacists and pharmacy technicians who work at
the hospital
6. A 58-year-old man is admitted to the emergency department. A diag-
nosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer
which of the following drugs?
A) Furosemide
B) Digoxin immune fab
C) Captopril
D) Dopamine
7. A nurse is caring for a postsurgical patient who has small tortuous
veins and had a difficult IV insertion. The patient is now receiving IV
medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
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