dez johnson
Quiz by , created more than 1 year ago

good practice test for exam 2! good luck!

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Pharmacology exam 2

Pharmacology exam 2

Question 1 of 46

1

Which heart failure drug raises a concern for digitalization?

Select one of the following:

  • digoxin

  • nitrostat

  • Propranolol

  • adalat

Explanation

Question 2 of 46

1

which anti-TB agent is bacteriostatic

Select one of the following:

  • enalapril

  • rifampin

  • ethambutol

  • flovent

Explanation

Question 3 of 46

1

you are treating an elderly pt. She is currently on metformin to treat her diabetes. After completing your assessment it’s clear her b/p is spiking. What med do you administer?

Select one of the following:

  • captorpil

  • theolair

  • nitroprusside

  • losartan

Explanation

Question 4 of 46

1

Adrenergic transmissions takes place in the ______ branch and uses ______ as the transmitter

Select one of the following:

  • parasympathetic; neorepinephrine

  • sympathetic; acetylocholine

  • parasympathetic; acetylocholine

  • sympathetic; norepinephrine

Explanation

Question 5 of 46

1

you are completing documentation for your pt who has been admitted for dysrhythmia. The pt is experiencing HR greater than 100 and and uncountable amount of ectopics. What terms would you use to describe this pt?

Select one of the following:

  • pt experiencing flutter and bradycardia

  • pt experiencing fibrillation and bradycardia

  • pt is experiencing fibrillation and tachycardia

  • pt is experiencing flutter and tachycardia

Explanation

Question 6 of 46

1

this drug is used to treat glaucoma and is considered a weak diuretic:

Select one of the following:

  • osmitrol

  • diamox

  • aldactone

  • losartan

Explanation

Question 7 of 46

1

Your pt that you treated for angina pectoris a week ago is back in the hospital. He is complaining of a headache, blurred vision, syncope. What do you do?

Select one of the following:

  • discontinue his cardene medication

  • administer metoprolol

  • discontinue his nitrostat medication

  • give him some ibuprofen

Explanation

Question 8 of 46

1

Pt is being rushed into your emergency room. He is is experiencing tachycardia, shortness of breath, and tightness in his chest. Its clear he is having a heart attack, we need to administer a med stat or we are going to lose him. what do we do nurse??

Select one of the following:

  • administer nitroglycerin- nitrostat

  • start chest compression and insert a urinary catheter

  • check his vitals, then complete a head to toe assessment

  • administer norvasc

Explanation

Question 9 of 46

1

this drug has a positive inotropic, negative dromotropic and a negative chromotropic?

Select one of the following:

  • atenolol

  • lisinopril

  • digoxin

  • doxazosin

Explanation

Question 10 of 46

1

which drug(s) should not be administered with grapefruit juices?

Select one or more of the following:

  • Verapamil - calan

  • zyrtec

  • benadryl

  • theolair

Explanation

Question 11 of 46

1

Losartan blocks RAAS in the kidneys by reducing the conversion to Angiotensin II from Angiotensin I

Select one of the following:

  • True
  • False

Explanation

Question 12 of 46

1

You treated a pt for heart failure a couple weeks ago. He is back in the hospital with his wife complaining of decreased impotence and drowsiness during the day. What response do you have to him?

Select one of the following:

  • These are normal side effects of the drug and will go away in a week, just give the drug some time.

  • discontinue the drug and notify doctor.

  • administer him some viagra and send him on his way.

  • administer losartan to counteract the effects.

Explanation

Question 13 of 46

1

which hypertension drugs should you educate pt on for orthostatic hypotension?

Select one or more of the following:

  • Doxazosin - cardura

  • methyldopa - aldomet

  • enalapril

  • prazosin - minipress

Explanation

Question 14 of 46

1

Your currently treating a pt with heart failure. Your CNA comes to notify you that your pt is experiencing some fluid retention since you've prescribed hydralazine. What would you like her to do for this pt?

Select one of the following:

  • check his vitals and update her if his BP spikes

  • tell her to discontinue the hydralazine and set everything up for administration of losartan

  • set everything up for an administration of atenolol and lasix

  • up his fluids and tell her to check back in with you in 30 mins

Explanation

Question 15 of 46

1

spironolactone - aldactone blocks Na, K, Cl re-absorption and retains potassium

Select one of the following:

  • True
  • False

Explanation

Question 16 of 46

1

which diuretic is the most commonly prescribed and results in less water re-absorption?

Select one of the following:

  • hydrochlorothiazides

  • mannitol - osmitrol

  • Acetazolamide - diamox

  • lasix

Explanation

Question 17 of 46

1

Your pt has been prescribed Diamox and he is being discharged today. What comment by the pt tells you he knows everything he needs to know about this drug and its concerns?

Select one of the following:

  • I'm going to make sure I take this right when I wake up.

  • If i experience any gout attacks or dyscrasias I'll give you a call.

  • I need to go get some K+ supplements.

  • Everyone gets this drug.

Explanation

Question 18 of 46

1

a myocardial infarction is considered a venous thromboembolic disorder.

Select one of the following:

  • True
  • False

Explanation

Question 19 of 46

1

Your pt is experiencing a thrombophlebitis. You are taking to long to treat it and now it is moving in the bloodstream! What do we have now?

Select one of the following:

  • pulmonary embolism

  • embolus

  • deep vein thrombosis

  • thrombus

Explanation

Question 20 of 46

1

Your pt is currently on Heparin for DVT. What statement by another nurse tells you she is qualified to take care of your pt and knows how to administer this drug?

Select one of the following:

  • I'll be sure to check her PT and INR everyday.

  • I'll keep her Vitamin K antidote close in case of emergency.

  • I'll be sure the 1st does is high before lowering it to a steady rate.

  • I'll be sure to aspirate the syringe when preparing to administer.

Explanation

Question 21 of 46

1

Your pt has been on iv heparin and coumadin. Pt has reached therapeutic level now. What do you do?

Select one of the following:

  • allow him to eat his spinach salad now.

  • continue to monitor his APTT every 6 hours

  • discontinue his IV heparin.

  • check for sub-clinical bleeding such as petechiae or acchumosis.

Explanation

Question 22 of 46

1

which diuretic inhibits the action of aldosterone?

Select one of the following:

  • aldactone

  • osmitrol

  • lasix

  • hydrochlorothiazide

Explanation

Question 23 of 46

1

another name for a bruise is ecchymosis.

Select one of the following:

  • True
  • False

Explanation

Question 24 of 46

1

which agent will use plasmin to dissolve fibrin clots?

Select one of the following:

  • anti-platelet agent - acetylsalicylic acid

  • thrombolytic agent - activase

  • hemostatic agent - amicar

  • statin agent - zocor

Explanation

Question 25 of 46

1

Your handing off a pt, with an acute MI who is on Acetylsalicylic acid, to the next nurse on shift. What response by him tells you he knows everything he needs to know?

Select one of the following:

  • I'll be sure to monitor the IV site for any extravasation.

  • I'll be sure that he doesn't receive any of the cabbage on the dinner menu this evening.

  • His medication should dissolve any blood clots he may have.

  • If he starts experiencing petechiae I'll notify the doctor.

Explanation

Question 26 of 46

1

Whats nursing concern for expectorants should you be mindful of?

Select one of the following:

  • no OTC drugs

  • no smoking or 2nd hand smoke

  • no grapefruit or apple juice

  • avoid tyramine

Explanation

Question 27 of 46

1

Your pt is currently on zocor for his cholesterol. What are some things that may interact with this drug.

Select one or more of the following:

  • orange juice

  • digoxin

  • grapefruit

  • lasix

  • warfarin

Explanation

Question 28 of 46

1

a nurse tells you that she plans to administer lescol - a statin agent in the morning when cholesterol synthesis is at a peak. Is this correct?

Select one of the following:

  • True
  • False

Explanation

Question 29 of 46

1

Your pt has been prescribed cholestyramine - Questran. He's been experiencing a buildup of fat in his stool and loose, greasy, and foul bowel movement. What is this called?

Select one of the following:

  • cholelithiasis

  • rhabdomyolysis

  • extravasation

  • steatorrhea

Explanation

Question 30 of 46

1

which agent decreases cholesterol and inhibits the breakdown of high density lipoproteins?

Select one of the following:

  • Fibric acid agent - lopid

  • Bile sequestering agent - Questran

  • statin agent - Mevacor

  • Hemostatic agent - Amicar

Explanation

Question 31 of 46

1

The client taking atorvastatin (Lipitor) reports decreased urine output, edema, and weight gain. The nurse initially assesses the client for which of the following conditions?

Select one of the following:

  • Rhabdomyolysis

  • rhabdomyoma

  • rhabdomyosarcoma

  • rhinorrhea

Explanation

Question 32 of 46

1

The client with deep vein thrombosis is being treated with a heparin infusion. The nurse would monitor for therapeutic effectiveness by noting which of the following?

Select one or more of the following:

  • Prothrombin time (PT)

  • Platelet counts

  • Activated partial thromboplastin time (aPTT)

  • International normalized ratio (INR)

Explanation

Question 33 of 46

1

The nurse is monitoring a client receiving acetazolamide (Diamox). Which of the following acid–base imbalances is a potential risk for this client?

Select one of the following:

  • Metabolic acidosis

  • Metabolic alkalosis

  • Respiratory acidosis

  • Respiratory alkalosis

Explanation

Question 34 of 46

1

which anti inflammatory agent works by preventing airway edema and inflammation?

Select one of the following:

  • cromolyn - intal

  • montelukast - singulair

  • Beclomethasone - Qvar

  • Ipratropium - atrovent

Explanation

Question 35 of 46

1

What nursing concerns should you be aware of when administering Rifampin?

Select one of the following:

  • its a potent CYP450 inducer

  • administer Vitamin B6

  • avoid tyramine

  • its bacteriostatic

Explanation

Question 36 of 46

1

You are seeing a new pt who was just brought in from track practice. She is having an asthma attack and we need to get it under control. What drug should we give her?

Select one of the following:

  • Albuterol - Proventil

  • Levalbuterol - Xopenex

  • Theophylline - Theolair

  • Ipratropium - Atrovent

Explanation

Question 37 of 46

1

which adrenergic agonist works as an OTC bronchodilator?

Select one of the following:

  • Phenylephrine

  • Epinepherine

  • Ephedrine

  • Neo-Synephrine

Explanation

Question 38 of 46

1

which adrenergic agonist is used as a critical care drug for heart attack, heart failure, and shock?

Select one of the following:

  • albuterol

  • dopamine

  • terbutaline

  • Epinepherine

Explanation

Question 39 of 46

1

Adrenergic antagonist will prevent what type of responses?

Select one of the following:

  • fight or flight response

  • effects of norepinephrine at muscarinic receptors

  • rest or digest response

  • effects of acetylocholine

Explanation

Question 40 of 46

1

you are preparing to hand off your pt to the next nurse on shift. He is currently on Phentolamine - Regitine. What comments made by the nurse tells you she knows everything she needs to know?

Select one of the following:

  • this medication will cure his BPH

  • I should give him his next round when he wakes up in the morning

  • I'll be sure to do frequent checks due to possible incontinence

  • this drug can also treat hypotension

Explanation

Question 41 of 46

1

The nurse is monitoring a client who is taking digoxin for adverse effects. Which findings are characteristics of digoxin toxicity?

Select one or more of the following:

  • Tremors

  • Dysrhythmias

  • Irritability

  • Blurred vision

  • Nausea and vomiting

  • Decreased libido

Explanation

Question 42 of 46

1

When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs?

Select one of the following:

  • Alpha blockers - cardura

  • Diuretics - lasix

  • ACE inhibitors - captopril

  • Vasodilators - hydralazine

Explanation

Question 43 of 46

1

The nurse is assessing a pt who will be starting antihypertensive therapy with an ACE inhibitor. Which condition, if present in the pt would be reason for caution use?

Select one of the following:

  • Asthma

  • Rheumatoid arthritis

  • Hyperthyroidism

  • Renal insufficiency

Explanation

Question 44 of 46

1

A pt has received a double dose of heparin during surgery and is bleeding through his incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse will prepare to take what action at this time?

Select one of the following:

  • Give IV vitamin K as an antidote

  • Give IV protamine sulfate as an antidote

  • Call the blood bank for an immediate platelet transfusion

  • Obtain an order for packed red blood cells

Explanation

Question 45 of 46

1

Which point will the nurse emphasize to a pt who is taking an antilipemic medication in the statin class?

Select one of the following:

  • A low fat diet is not necessary while taking these medications

  • The drug needs to be taken on an empty stomach before meals

  • Improved cholesterol levels will be evident within 2 weeks

  • It is important to report muscle pain immediately

Explanation

Question 46 of 46

1

The nurse is administering cholestyramine - questran, a bile acid sequestrant. Which nursing interventions are appropriate?

Select one or more of the following:

  • administer drug on empty stomach

  • Administer drug with meals

  • Instruct the pt to take a fiber supplement while taking this drug

  • Increase fluid intake

  • Don’t administer this drug at the same time as other drugs

  • Instruct pt to follow a low fiber diet while takin this drug

Explanation

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