NU 578 All Unit Final Examination –
Pharmacology for Advanced Practice Nurses
What is the ultimate concern for the nurse when administering a drug? -
<<<<ANSWERS>>>Intensity of the response
What is the objective of drug therapy? - <<<<ANSWERS>>>To provide maximum
benefit with minimal harm
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the patient's
response to a drug? (SATA) - <<<<ANSWERS>>>-Age
-Gender
-Weight
-Genetics
The nurse is preparing to administer a dose of penicillin. Before administering the
medication, the nurse assesses the patient's allergy history. Which aspect of drug
therapy does this represent? - <<<<ANSWERS>>>Identifying high-risk patients
A nurse is preparing to give an oral dose of drug X to treat a patient's high blood
pressure. After giving the drug, the nurse finds that it not only reduces the blood
pressure without serious harmful effects, but it also causes the patient to have nausea
and headache. Based on this information, which property of an ideal drug is this drug
lacking? - <<<<ANSWERS>>>Selectivity
The nurse is preparing to give a drug with certain properties. Which property of the drug
is the most compelling indication that it should not be given? - <<<<ANSWERS>>>The
drug is not effective for its intended purpose.
Why is it important for drugs to have ease of administration? -
<<<<ANSWERS>>>Fewer administration errors
The nurse teaches a patient not to consume alcohol with nitroglycerine, because the
blood pressure often drops significantly when nitroglycerine is taken with alcohol. Which
drug property does this illustrate? - <<<<ANSWERS>>>Drug interaction
When studying the impact a drug has on the body, the nurse is reviewing what? -
<<<<ANSWERS>>>The drug's pharmacodynamics
,When studying the effects of drugs in humans, the nurse is learning about what? -
<<<<ANSWERS>>>Clinical pharmacology
Which statement by a new nurse indicates that further study is indicated? -
<<<<ANSWERS>>>Drugs are defined as illegal substances.
What is the ultimate concern for the nurse when administering a drug? -
<<<<ANSWERS>>>Intensity of the response
What is the objective of drug therapy? - <<<<ANSWERS>>>To provide maximum
benefit with minimal harm
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the patient's
response to a drug? (SATA) - <<<<ANSWERS>>>-Age
-Gender
-Weight
-Genetics
The nurse is preparing to administer a dose of penicillin. Before administering the
medication, the nurse assesses the patient's allergy history. Which aspect of drug
therapy does this represent? - <<<<ANSWERS>>>Identifying high-risk patients
The nurse is preparing to administer a medication with the following order: "Aldomet 250
mg daily." What should the nurse do? - <<<<ANSWERS>>>Verify the order with the
prescriber.
Which aspect of drug therapy indicates to the nurse whether a drug is having a
beneficial effect? - <<<<ANSWERS>>>Evaluating therapeutic responses
The nurse is managing the care of a group of patients with cancer who will be receiving
chemotherapy. The nurse defines goals, sets priorities, identifies interventions, and
establishes criteria for evaluating success. Which phase of the nursing process does
this represent? - <<<<ANSWERS>>>Planning
The nurse identifies which as the goal of drug therapy in the treatment of patients? -
<<<<ANSWERS>>>Production of maximum benefit with minimum harm
A diabetic patient is taught the signs and symptoms of hypoglycemia with insulin use.
The patient knows to eat fast-acting carbohydrates. This is an example of which goal? -
<<<<ANSWERS>>>Minimizing adverse effects
When questioning a patient about his or her allergic reaction to a drug, the nurse should
ask for which additional information? - <<<<ANSWERS>>>The type of reaction
, The nurse is obtaining a drug history for a patient admitted to the unit. The nurse
obtains information about past and present health histories, currently used prescription
drugs, behavioral factors, and use of over-the-counter (OTC) drugs. What other
information does the nurse need to obtain? (SATA.) - <<<<ANSWERS>>>-Use of
recreational drugs and substances
-Use of herbal remedies
-Self-treatment with complementary and alternative drugs
Which statements about medication administration would the nurse identify as true?
(SATA) - <<<<ANSWERS>>>-All drugs have the potential to produce undesired effects.
-Drug therapy often can be enhanced by nonpharmacologic measures.
-Patient adherence is essential in achieving the therapeutic objective of medications.
When educating patients about their medications, the nurse includes information about
which topics? (SATA) - <<<<ANSWERS>>>-What to do if a dose is missed
-The duration of treatment
-The method of drug storage
-Symptoms of adverse effects
Which legislation sets rules for the manufacture and distribution of drugs considered to
have the potential for abuse? - <<<<ANSWERS>>>Controlled Substances Act of 1970
What is a result of the Prescription Drug User Fee Act (PDUFA) of 1992? -
<<<<ANSWERS>>>New drugs reach the market sooner than ever before.
Which is a true statement about new drug development in the United States? -
<<<<ANSWERS>>>Randomized controlled trials are the best way to assess drug
therapy.
N-acetyl-para-aminophenol is an example of which type of drug name? -
<<<<ANSWERS>>>Chemical
A new medication becomes available for treatment of a debilitating neurologic disease.
What would the nurse expect about the safety of the drug? - <<<<ANSWERS>>>The
drug has passed the FDA approval process.
Why are trade names much easier to say and remember than generic names? -
<<<<ANSWERS>>>Companies have a marketing advantage when the trade name is
easier to recognize.
Which term is commonly used for nonprescription drugs? - <<<<ANSWERS>>>Over
the counter
Which is a true statement about new drug development? (SATA) - <<<<ANSWERS>>>-
Drug trials require that those involved don't know which subjects are receiving the drug
or control.
Pharmacology for Advanced Practice Nurses
What is the ultimate concern for the nurse when administering a drug? -
<<<<ANSWERS>>>Intensity of the response
What is the objective of drug therapy? - <<<<ANSWERS>>>To provide maximum
benefit with minimal harm
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the patient's
response to a drug? (SATA) - <<<<ANSWERS>>>-Age
-Gender
-Weight
-Genetics
The nurse is preparing to administer a dose of penicillin. Before administering the
medication, the nurse assesses the patient's allergy history. Which aspect of drug
therapy does this represent? - <<<<ANSWERS>>>Identifying high-risk patients
A nurse is preparing to give an oral dose of drug X to treat a patient's high blood
pressure. After giving the drug, the nurse finds that it not only reduces the blood
pressure without serious harmful effects, but it also causes the patient to have nausea
and headache. Based on this information, which property of an ideal drug is this drug
lacking? - <<<<ANSWERS>>>Selectivity
The nurse is preparing to give a drug with certain properties. Which property of the drug
is the most compelling indication that it should not be given? - <<<<ANSWERS>>>The
drug is not effective for its intended purpose.
Why is it important for drugs to have ease of administration? -
<<<<ANSWERS>>>Fewer administration errors
The nurse teaches a patient not to consume alcohol with nitroglycerine, because the
blood pressure often drops significantly when nitroglycerine is taken with alcohol. Which
drug property does this illustrate? - <<<<ANSWERS>>>Drug interaction
When studying the impact a drug has on the body, the nurse is reviewing what? -
<<<<ANSWERS>>>The drug's pharmacodynamics
,When studying the effects of drugs in humans, the nurse is learning about what? -
<<<<ANSWERS>>>Clinical pharmacology
Which statement by a new nurse indicates that further study is indicated? -
<<<<ANSWERS>>>Drugs are defined as illegal substances.
What is the ultimate concern for the nurse when administering a drug? -
<<<<ANSWERS>>>Intensity of the response
What is the objective of drug therapy? - <<<<ANSWERS>>>To provide maximum
benefit with minimal harm
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the patient's
response to a drug? (SATA) - <<<<ANSWERS>>>-Age
-Gender
-Weight
-Genetics
The nurse is preparing to administer a dose of penicillin. Before administering the
medication, the nurse assesses the patient's allergy history. Which aspect of drug
therapy does this represent? - <<<<ANSWERS>>>Identifying high-risk patients
The nurse is preparing to administer a medication with the following order: "Aldomet 250
mg daily." What should the nurse do? - <<<<ANSWERS>>>Verify the order with the
prescriber.
Which aspect of drug therapy indicates to the nurse whether a drug is having a
beneficial effect? - <<<<ANSWERS>>>Evaluating therapeutic responses
The nurse is managing the care of a group of patients with cancer who will be receiving
chemotherapy. The nurse defines goals, sets priorities, identifies interventions, and
establishes criteria for evaluating success. Which phase of the nursing process does
this represent? - <<<<ANSWERS>>>Planning
The nurse identifies which as the goal of drug therapy in the treatment of patients? -
<<<<ANSWERS>>>Production of maximum benefit with minimum harm
A diabetic patient is taught the signs and symptoms of hypoglycemia with insulin use.
The patient knows to eat fast-acting carbohydrates. This is an example of which goal? -
<<<<ANSWERS>>>Minimizing adverse effects
When questioning a patient about his or her allergic reaction to a drug, the nurse should
ask for which additional information? - <<<<ANSWERS>>>The type of reaction
, The nurse is obtaining a drug history for a patient admitted to the unit. The nurse
obtains information about past and present health histories, currently used prescription
drugs, behavioral factors, and use of over-the-counter (OTC) drugs. What other
information does the nurse need to obtain? (SATA.) - <<<<ANSWERS>>>-Use of
recreational drugs and substances
-Use of herbal remedies
-Self-treatment with complementary and alternative drugs
Which statements about medication administration would the nurse identify as true?
(SATA) - <<<<ANSWERS>>>-All drugs have the potential to produce undesired effects.
-Drug therapy often can be enhanced by nonpharmacologic measures.
-Patient adherence is essential in achieving the therapeutic objective of medications.
When educating patients about their medications, the nurse includes information about
which topics? (SATA) - <<<<ANSWERS>>>-What to do if a dose is missed
-The duration of treatment
-The method of drug storage
-Symptoms of adverse effects
Which legislation sets rules for the manufacture and distribution of drugs considered to
have the potential for abuse? - <<<<ANSWERS>>>Controlled Substances Act of 1970
What is a result of the Prescription Drug User Fee Act (PDUFA) of 1992? -
<<<<ANSWERS>>>New drugs reach the market sooner than ever before.
Which is a true statement about new drug development in the United States? -
<<<<ANSWERS>>>Randomized controlled trials are the best way to assess drug
therapy.
N-acetyl-para-aminophenol is an example of which type of drug name? -
<<<<ANSWERS>>>Chemical
A new medication becomes available for treatment of a debilitating neurologic disease.
What would the nurse expect about the safety of the drug? - <<<<ANSWERS>>>The
drug has passed the FDA approval process.
Why are trade names much easier to say and remember than generic names? -
<<<<ANSWERS>>>Companies have a marketing advantage when the trade name is
easier to recognize.
Which term is commonly used for nonprescription drugs? - <<<<ANSWERS>>>Over
the counter
Which is a true statement about new drug development? (SATA) - <<<<ANSWERS>>>-
Drug trials require that those involved don't know which subjects are receiving the drug
or control.
