NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers

NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers

NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers

NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Quizzes Review Test Submission: Week 2 – Quiz
Review Test Submission: Week 2 –
Quiz
Course NURS-6521N-7/NURS-6521F-7/NURS-6521D-7-Advanced
Pharmacology2018 Fall Quarter 08/27-11/18-PT27
Test Week 2 – Quiz
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24 out of 25 points
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Question 1
These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule
2. These drugs contain a combination of controlled and noncontrolled substances. Use of
these drugs can cause a moderate to low physiologic dependence and a higher psychological
dependence. A verbal order can be given to the pharmacy and the prescription can be
relled up to ve times within 6 months. Examples include certain narcotics (codeine) and
nonbarbiturate sedatives. This is scheduled drug
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9/8/2018 Review Test Submission: Week 2 – Quiz – NURS-6521N-7/…
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Question 2
Response
Feedback:
A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins.
The nurse understands that white Americans usually receive
White Americans have been found to have more acid glycoproteins than
other ethnic groups. Therefore, when they take drugs that bind to these
proteins, they have lower amounts of free or active drug than when the same
dose is given to someone of another ethnic group. Since the patient is a white
American, he has been prescribed a higher-than-normal dose of the drug
that binds to the acid glycoprotein. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 3
Response
Feedback:
A nurse working for a drug company is involved in phase III drug evaluation studies. Which of
the following might the nurse be responsible for during this stage of drug development?
Phase III studies involve administering investigational drugs to patients in a
vast clinical market who are voluntarily enrolled in double-blind studies. In
phase I studies, a small number of healthy human volunteers are given the
drug after blood urine and other appropriate samples are taken to monitor
drug metabolism. Sometimes volunteers who have a certain disease are used
in phase I instead of healthy volunteers if the drug is expected to have
signicant toxicity. In phase II, volunteers are given various dosages of the
test compound and studied in great detail. Dosage guidelines are usually
determined in this phase. Nurses are more likely to be responsible for
administering the investigational drugs in phase III than in phases I and II.
Use of animal testing is done in the preclinical trials and would not involve a
nurse.
Question 4
A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What
information is required for the nurse practitioner to disclose on lab transmittal?
Question 5
Response
Feedback:
A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
The patient must be knowledgeable about all aspects of the drug regimen so
it can be self-administered safely and eectively. All of the responses are
important, but the patient must be able to tell if the drug is producing an
eective response and must also know the adverse eects to report.
Knowing where to purchase the medication and how much it costs is good
information, but it is not the most important information for selfadministration. Knowing the pharmacokinetics does not concern most
patients.
Question 6
A patient has taken an overdose of a vitamin/mineral supplement containing magnesium.
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Response
Feedback:
The nurse will be sure to assess
An increase of magnesium could cause hypotension; therefore, the nurse
should assess the patient’s blood pressure. Body temperature, skin changes,
and uid intake are not critically associated with an overdose of magnesium.
NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 7
A nurse practitioner understands when prescribing a medication that there are certain
questions to address. Check all that apply.
Question 8
Response
Feedback:
A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from
Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting
o a bus and fractured her hip. How should the woman’s nurse best exemplify cultural
competence in the care of this patient?
Cultural competence requires maintaining awareness of one’s own values
and beliefs without letting them have undue inuence on those of other
backgrounds, demonstrating knowledge and understanding of another’s
culture, accepting and respecting cultural dierences, and considering a
patient’s culture carefully. This does not mean that only Spanish-speaking
sta members should provide care, that the nurse must teach the patient
about American culture or that the nurse should address the children before
the patient. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers.
Question 9
Drugs have a valid medical use but a high potential for abuse, both psychological and
physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written
prescription cannot be provided at the time. However, a written prescription must be
provided within 72 hours with the words authorization for emergency dispensing written on
the prescription. These prescriptions cannot be relled. A new prescription must be written
each time. Examples include certain amphetamines and barbiturates. This is scheduled drug
Question 10
Response
Feedback:
A nurse works in a private hospital and needs to administer some narcotic drugs to one of
her patients. Which of the following should the nurse consider when administering narcotics
to patients in a hospital setting?
A nurse can administer narcotics in the hospital after ensuring that narcotics
are dispensed only with a written prescription. JCAHO sets the standards for
quality of patient care and accreditation of health care institutions, not for
using narcotics.
Question 11
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as
needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high
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Response NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Feedback:
p g
abuse potential for this drug and that it is categorized as a
Narcotics such as morphine are considered C-II drugs because of the high
abuse potential with severe dependence liability. C-I drugs have high abuse
potential and are not accepted for medical use. C-III drugs have a lesser
abuse potential than C-II drugs and an accepted medical use. C-IV drugs have
a low abuse potential and limited dependence liability.
Question 12
Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs
and they are not available for regular use. They may be obtained for “investigational use
only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD.
Which scheduled drug is this?
Question 13
What critical piece of information is missing from the following medication order: Amoxicillin
250 mg every 8 hours?
Question 14
Response
Feedback:
A Native American man who lives a traditional lifestyle is scheduled to have heart surgery.
The tribal chief has requested that the tribe’s medicine man perform a ritual before the
patient goes to surgery. The nurse’s response to this request should be
If possible, every eort should be made to accommodate the patient’s
traditional practices. As long as the rituals or ceremonies do not interfere
with treatment or care, they should be allowed. The nurse does not have to
notify the physician if the patient’s care is uninterrupted. A nurse should
never be judgmental or make light of cultural practices. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 15
Response
Feedback:
A nurse at a large, university hospital has been informed that a drug trial will be taking place
that may involve several patients in the hospital over the next several months. What is the
nurse’s most likely role in this drug testing process?
Nurses are generally most involved in phase III of clinical trials and may be
responsible for administering investigational drugs to patients. The nal
determination of the ecacy and safety of the drug is beyond the scope of
nurses. Nurses do not normally consult on the choice of testing methodology.
Question 16
Response
A nurse who provides care in a long-term care facility is documenting a new resident’s
medication regimen on the resident’s intake admission. The nurse is documenting the
generic, rather than proprietary, names of the resident’s current drugs because
The use of generic instead of proprietary (trade) names mitigates some of the
potential for confusion that exists due to similar trade names between
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9/8/2018 Review Test Submission: Week 2 – Quiz – NURS-6521N-7/…
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Feedback: dierent drugs. Trade names do not vary from state to state and use of these
names in documentation is not legally restricted. There are not typically
dierences in the use of drugs that are based solely on generic or proprietary
name. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 17
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication
patient will take per day?
Question 18
The nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse practitioner
would expect the pharmacist to ll the prescription bottle with how many ml?
Question 19
A patient will begin three new medications as part of her treatment plan. The nurse
practitioner understands that proper disposal of medications is key when the nurse
practitioner states
Question 20
Response
Feedback:
Which of the following serves to protect the public by ensuring the purity of a drug and its
contents?
Federal legislation serves to protect the public from drugs that are impure,
toxic, ineective, or improperly tested prior to marketing. The primary
purpose of federal legislation is to ensure safety. The United States Adopted
Names Council was established to ensure uniform drug nomenclature. The
ocial name of each drug is published in the United States Pharmacopeia
and the National Formulary. The American Pharmaceutical Association does
not ensure the safety and purity of drug content but is a professional
organization for pharmacists. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 21
Response
Feedback:
A nurse is admitting a Mexican woman to the hospital who cannot speak or understand
English. The patient is alone, and there is no interpreter available. When trying to
communicate with the patient the nurse will
If an interpreter or translator is not available, the nurse should look at the
patient, speak slowly, and use nonverbal communication to help the patient
understand the message. Speaking loudly and using exaggerated mouth
movements only serve to intimidate or belittle the patient and should not be
done.
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Question 22
Response
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A nurse has just completed a medication history on a newly admitted patient. In order to
complete medication reconciliation for this patient the nurse will
The process of comparing medications ordered by the health care provider
with the medications the patient is taking at home and communicating the
discrepancies is called medication reconciliation. This process is continued
each time the patient is transferred within the hospital, and at discharge. At
discharge when the drug regimen is set, the nurse will educate the patient
and the family about the medications. This process improves patient
outcomes, hopefully preventing serious eects. Determining where the
patient buys his medication is not usually done by the hospital nurse.
Patients do not need to know the pharmacokinetics of each drug they take
unless they ask. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
Question 23
Response
Feedback:
A patient with seasonal allergies is exasperated by her recent nasal congestion and has
expressed her desire to treat it by using pseudoephedrine. The nurse should inform the
patient that
Sudafed and any combination drugs that contain pseudoephedrine have
been removed from the shelves of drug stores, but they have not been taken
o the market. Consumers must purchase drugs containing
pseudoephedrine from a pharmacy, despite the fact the drugs do not require
a prescription. Identication is not required to purchase these drugs.
Question 24
Response
Feedback:
A nurse is a member of a research team that is exploring unique dierences in responses to
drugs that each individual possesses, based on genetic make-up. This area of study is called
Pharmacogenomics is the area of study that explores the unique individual
patient responses to drugs based on the mapping of the human genome.
This mapping introduces the possibility of personally designed medical care
and drug regimens based on a person’s unique genetic make-up.
Pharmacotherapeutics is the branch of pharmacology that deals with uses of
drugs to treat, prevent, and diagnose disease. Pharmacodynamics involves
how a drug aects the body, and pharmacoeconomics includes any costs
involved in drug therapy.
Question 25
Response
Feedback:
A nurse receives an order to administer a critically ill patient two drugs immediately (stat).
The nurse begins the process by
A nurse should always make sure that two or more drugs can be given at the
same time before the administration process is begun. Incompatibility can
aect absorption and distribution. Once the nurse is certain that the drugs
are compatible, he or she should perform handwashing and prepare the
medications for administration. The nurse should also identify the patient
appropriately and ask about drug allergies prior to administering the
medication. NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers
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Question 26
When completing this quiz, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
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NURS-6521 Advanced Pharmacology exam
NURS-6521 Advanced Pharmacology Week 2 Exam questions and answers

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