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Pharmacology exam 2

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good practice test for exam 2! good luck!
dez johnson
Quiz by dez johnson, updated more than 1 year ago
dez johnson
Created by dez johnson about 6 years ago
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Resource summary

Question 1

Question
Which heart failure drug raises a concern for digitalization?
Answer
  • digoxin
  • nitrostat
  • Propranolol
  • adalat

Question 2

Question
which anti-TB agent is bacteriostatic
Answer
  • enalapril
  • rifampin
  • ethambutol
  • flovent

Question 3

Question
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?
Answer
  • captorpil
  • theolair
  • nitroprusside
  • losartan

Question 4

Question
Adrenergic transmissions takes place in the ______ branch and uses ______ as the transmitter
Answer
  • parasympathetic; neorepinephrine
  • sympathetic; acetylocholine
  • parasympathetic; acetylocholine
  • sympathetic; norepinephrine

Question 5

Question
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?
Answer
  • pt experiencing flutter and bradycardia
  • pt experiencing fibrillation and bradycardia
  • pt is experiencing fibrillation and tachycardia
  • pt is experiencing flutter and tachycardia

Question 6

Question
this drug is used to treat glaucoma and is considered a weak diuretic:
Answer
  • osmitrol
  • diamox
  • aldactone
  • losartan

Question 7

Question
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?
Answer
  • discontinue his cardene medication
  • administer metoprolol
  • discontinue his nitrostat medication
  • give him some ibuprofen

Question 8

Question
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??
Answer
  • administer nitroglycerin- nitrostat
  • start chest compression and insert a urinary catheter
  • check his vitals, then complete a head to toe assessment
  • administer norvasc

Question 9

Question
this drug has a positive inotropic, negative dromotropic and a negative chromotropic?
Answer
  • atenolol
  • lisinopril
  • digoxin
  • doxazosin

Question 10

Question
which drug(s) should not be administered with grapefruit juices?
Answer
  • Verapamil - calan
  • zyrtec
  • benadryl
  • theolair

Question 11

Question
Losartan blocks RAAS in the kidneys by reducing the conversion to Angiotensin II from Angiotensin I
Answer
  • True
  • False

Question 12

Question
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?
Answer
  • 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.

Question 13

Question
which hypertension drugs should you educate pt on for orthostatic hypotension?
Answer
  • Doxazosin - cardura
  • methyldopa - aldomet
  • enalapril
  • prazosin - minipress

Question 14

Question
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?
Answer
  • 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

Question 15

Question
spironolactone - aldactone blocks Na, K, Cl re-absorption and retains potassium
Answer
  • True
  • False

Question 16

Question
which diuretic is the most commonly prescribed and results in less water re-absorption?
Answer
  • hydrochlorothiazides
  • mannitol - osmitrol
  • Acetazolamide - diamox
  • lasix

Question 17

Question
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?
Answer
  • 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.

Question 18

Question
a myocardial infarction is considered a venous thromboembolic disorder.
Answer
  • True
  • False

Question 19

Question
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?
Answer
  • pulmonary embolism
  • embolus
  • deep vein thrombosis
  • thrombus

Question 20

Question
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?
Answer
  • 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.

Question 21

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

Question 22

Question
which diuretic inhibits the action of aldosterone?
Answer
  • aldactone
  • osmitrol
  • lasix
  • hydrochlorothiazide

Question 23

Question
another name for a bruise is ecchymosis.
Answer
  • True
  • False

Question 24

Question
which agent will use plasmin to dissolve fibrin clots?
Answer
  • anti-platelet agent - acetylsalicylic acid
  • thrombolytic agent - activase
  • hemostatic agent - amicar
  • statin agent - zocor

Question 25

Question
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?
Answer
  • 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.

Question 26

Question
Whats nursing concern for expectorants should you be mindful of?
Answer
  • no OTC drugs
  • no smoking or 2nd hand smoke
  • no grapefruit or apple juice
  • avoid tyramine

Question 27

Question
Your pt is currently on zocor for his cholesterol. What are some things that may interact with this drug.
Answer
  • orange juice
  • digoxin
  • grapefruit
  • lasix
  • warfarin

Question 28

Question
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?
Answer
  • True
  • False

Question 29

Question
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?
Answer
  • cholelithiasis
  • rhabdomyolysis
  • extravasation
  • steatorrhea

Question 30

Question
which agent decreases cholesterol and inhibits the breakdown of high density lipoproteins?
Answer
  • Fibric acid agent - lopid
  • Bile sequestering agent - Questran
  • statin agent - Mevacor
  • Hemostatic agent - Amicar

Question 31

Question
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?
Answer
  • Rhabdomyolysis
  • rhabdomyoma
  • rhabdomyosarcoma
  • rhinorrhea

Question 32

Question
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?
Answer
  • Prothrombin time (PT)
  • Platelet counts
  • Activated partial thromboplastin time (aPTT)
  • International normalized ratio (INR)

Question 33

Question
The nurse is monitoring a client receiving acetazolamide (Diamox). Which of the following acid–base imbalances is a potential risk for this client?
Answer
  • Metabolic acidosis
  • Metabolic alkalosis
  • Respiratory acidosis
  • Respiratory alkalosis

Question 34

Question
which anti inflammatory agent works by preventing airway edema and inflammation?
Answer
  • cromolyn - intal
  • montelukast - singulair
  • Beclomethasone - Qvar
  • Ipratropium - atrovent

Question 35

Question
What nursing concerns should you be aware of when administering Rifampin?
Answer
  • its a potent CYP450 inducer
  • administer Vitamin B6
  • avoid tyramine
  • its bacteriostatic

Question 36

Question
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?
Answer
  • Albuterol - Proventil
  • Levalbuterol - Xopenex
  • Theophylline - Theolair
  • Ipratropium - Atrovent

Question 37

Question
which adrenergic agonist works as an OTC bronchodilator?
Answer
  • Phenylephrine
  • Epinepherine
  • Ephedrine
  • Neo-Synephrine

Question 38

Question
which adrenergic agonist is used as a critical care drug for heart attack, heart failure, and shock?
Answer
  • albuterol
  • dopamine
  • terbutaline
  • Epinepherine

Question 39

Question
Adrenergic antagonist will prevent what type of responses?
Answer
  • fight or flight response
  • effects of norepinephrine at muscarinic receptors
  • rest or digest response
  • effects of acetylocholine

Question 40

Question
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?
Answer
  • 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

Question 41

Question
The nurse is monitoring a client who is taking digoxin for adverse effects. Which findings are characteristics of digoxin toxicity?
Answer
  • Tremors
  • Dysrhythmias
  • Irritability
  • Blurred vision
  • Nausea and vomiting
  • Decreased libido

Question 42

Question
When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs?
Answer
  • Alpha blockers - cardura
  • Diuretics - lasix
  • ACE inhibitors - captopril
  • Vasodilators - hydralazine

Question 43

Question
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?
Answer
  • Asthma
  • Rheumatoid arthritis
  • Hyperthyroidism
  • Renal insufficiency

Question 44

Question
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?
Answer
  • 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

Question 45

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

Question 46

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