APEA pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

PHARMACOLOGY EXAM vc




Exam Solution vc




MSN 611 Pharm Final Exam Information (Video) 2026 A
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+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE
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D ANSWERS (947AE)
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QUESTION 1 vc




Nursing Fundamentals vc




ANSWER

IV route is the fastest
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QUESTION 2 vc




Pharmacokinetics
ANSWER

ADME 1. Absorption: how medication gains access to the body 2. Distribution 3. Metabolism 4. Excretio
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n



QUESTION 3 vc




1st pass effect
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ANSWER

When a drug is metabolized at a specific point in the body, resulting in a lower concentration of the acti
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ve substance. This phenomenon is termed the first-
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pass effect and is most often described in the context of absorption of chemicals following ingestion. In
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general, the first- vc vc



pass effect after oral absorption is the result of efficient uptake and metabolism of compounds by the liv
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er.



QUESTION 4 vc




Generic vs Brand vc vc

,ANSWER

A medication only has ONE generic name but can have MULTIPLE brand names (ex: ibuprofen; MOTRIN
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/ADVIL)



QUESTION 5 vc




When should a patient be assessed before administering a medication?
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ANSWER

The patient should be assessed right before administration of a drug (ex: assess BP prior to administeri
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ng a BP med)
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QUESTION 6 vc




What assessment in a patient needs immediate intervention?
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ANSWER

Oliguria or anuria vc vc




QUESTION 7 vc




NSAIDS
ANSWER

Nephrotoxic & Hepatotoxic COX-1/COX- vc vc vc



2 inhibitors with the exception of Celecoxib #1 Adverse Effect: GI bleeding (fecal occult blood test)
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QUESTION 8 vc




Acetaminophen
ANSWER

Hepatotoxic Not an antiinflammatory vc vc vc




QUESTION 9 vc




Corticosteroids
ANSWER

Different routes-- vc



> inhaled, intranasal, IM, topical Major systemic adverse effects: hyperglycemia, HTN, depressed immun
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e function, decreased bone density (for these reasons we do NOT like to administer steroids systemicall
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y)

, QUESTION 10 vc




What reasons are steroids used?
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ANSWER

Asthma, cancer, nausea, etc.
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QUESTION 11 vc




Serotonin 5-HT Receptor Agonists (-triptans)
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ANSWER

Work to treat migraines Migraines are most common in females These medications are TERATOGENIC C
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ontraindicated in patients with cardiac disease, HTN, or taking other medications such as SSRIs/SNRIs
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QUESTION 12 vc




Opioids
ANSWER

Patients should not be on more than one opioid medication Can cause bradypnea and hypotension Long
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-term side effect: constipation *Naloxone is used to reverse OD
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QUESTION 13 vc




What other uses do opioids have?
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ANSWER

Cough (codeine) Diarrhea
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QUESTION 14 vc




SSRIs
ANSWER

Increase overall serotonin in the body 1st line medication for depression and anxiety Sertraline (Zoloft),
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fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro), and citalopram (Celexa) Can increase ris
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k for suicide (black box warning) --
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> ask the patient if they have any thoughts of suicide SE: weight gain and sexual dysfunction Can cause i
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nsomnia so this should be taken in the morning Risk for serotonin syndrome
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QUESTION 15 vc