Pharmacology Final Exam
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QUESTIONS AND VERIFIED
ANSWERS 100%
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11. The nurse notes in a patient's medical record that nesiritide has been ordered. Based on this
order, the nurse interprets that the patient has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart failure with dyspnea at rest
C. Systolic heart failure
D. Long-term treatment of heart failure. - correct answer B. Acutely decompensated heart
failure with dyspnea at rest
SELECT ALL THAT APPLY:
1. When a patient is experiencing digoxin toxicity, which clinical situation would necessitate the
use of digoxin immune Fab (Digibind)? Select all that apply.
A. The patient reports seeing colorful halos around lights.
B. The patient's serum potassium level is above 5 mEq/L.
C. The patient is experiencing nausea and anorexia.
D. The patient is experiencing severe sinus bradycardia that does not respond to cardiac pacing.
E. The patient has taken an overdose of greater than 10 mg of digoxin. - correct answer B. The
patient's serum potassium level is above 5 mEq/L.
,D. The patient is experiencing severe sinus bradycardia that does not respond to cardiac pacing.
(E) might be right as well a person taking 10mg of digoxin is a indication of toxicity...page 340
states life threatening digoxin overdose in adults and 4 mg in children)
2. Which drug classes are considered first-line treatment for heart failure? Select all that apply.
A. Angiotensin converting enzyme (ACE) inhibitors
B. Angiotensin II receptor blockers (ARBs)
C. Digoxin (cardiac glycoside)
D. Beta-blockers
E. Nesiritide (Natrecor), the B-type natriuretic peptide - correct answer ACE
ARBS
Beta-blockers
loop diuretics
1.When administering topical nitroglycerin ointment, the nurse should use which technique?
A. The ointment should be applied on the chest over the heart.
B. The ointment should be used only in the case of a mild angina episode.
C. The old ointment should be removed before new ointment is applied.
D. The ointment should be massaged gently into the skin, then covered with plastic wrap. -
correct answer C. The old ointment should be removed before new ointment is applied.
2.The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because
of an acute myocardial infarction. Which statement is true regarding the administration of the
intravenous form of this medication?
A. Specific nonpolyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.
B. It is stable for only 24 hours after preparation.
C. It can be given in infusions with other medications.
,D. The solution will be slightly colored green or blue. - correct answer A. Specific
nonpolyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.
3.A 53-year-old man has been admitted for evaluation of chest pain. He has been diagnosed
with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching
the patient how to use sublingual nitroglycerin, what instruction should the nurse include?
A. Take up to five doses at 15-minute intervals for an angina attack.
B. If the tablet does not dissolve quickly, chew the tablet for maximal effect.
C. If the chest pain is not relieved after one tablet, call 911 immediately to activate emergency
medical services.
D. Wait 1 minute between doses of sublingual tablets, up to three doses. - correct answer C. If
the chest pain is not relieved after one tablet, call 911 immediately to activate emergency
medical services.
4.A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing
games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest.
What type of angina does he have?
A. Classic
B. Variant
C. Unstable
D. Prinzmetal's - correct answer A. Classic also called (Chronic stable angina); chest pain that has
as its primary cause arteriosclerosis, which results in a long-term but relatively stable level of
obstruction in one or more coronary arteries.
5.A patient arrives in the emergency department with severe chest pain. She says she has had
pain off and on for a week now. Which assessment finding would indicate the need for cautious
use of nitrates and nitrites?
A. Blood pressure of 98/68 mm Hg
B. History of liver disease
C. History of heart failure
, D. History of a myocardial infarction 2 years ago - correct answer A. Blood pressure of 98/68 mm
Hg
6.A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides
instructions to the patient about the medication. What does the nurse tell the patient?
A. The tablet should be chewed for faster release of the medication.
B. To increase the effect of the drug, take it with grapefruit juice.
C. If the adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication
immediately.
D. A high-fiber diet with plenty of fluids will help prevent the constipation that may occur. -
correct answer D. A high-fiber diet with plenty of fluids will help prevent the constipation that
may occur.........CCBs: phenylalkylamins, benzothiazepines, and dihydroridines (verapril,
dilitiazem, amlodipine)
7.When applying transdermal nitroglycerin patches, how will the nurse instruct the patient?
A. "Use any nonhairy area on the body."
B. "Use only the chest area for application sites."
C. "Temporarily remove the patch if you go swimming."
D. "Apply the patch to the same site consistently." - correct answer A. "Use any nonhairy area
on the body.
8.A patient has been taking a beta-blocker for 4 weeks as part of his antianginal therapy. He also
has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse
should include which information?
A. "Watch for unusual weight loss."
B. "Monitor your pulse for increased heart rate."
C. "Use the hot tub and sauna at the gym as long as time is limited to 15 minutes."
D. "Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia." - correct
answer D. "Monitor your blood glucose levels for possible hypoglycemia or
hyperglycemia."...BBs (-LOL), atenolol, metoprolol, nadolol, and propranolol.
REVIEW!!!! LATEST
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
11. The nurse notes in a patient's medical record that nesiritide has been ordered. Based on this
order, the nurse interprets that the patient has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart failure with dyspnea at rest
C. Systolic heart failure
D. Long-term treatment of heart failure. - correct answer B. Acutely decompensated heart
failure with dyspnea at rest
SELECT ALL THAT APPLY:
1. When a patient is experiencing digoxin toxicity, which clinical situation would necessitate the
use of digoxin immune Fab (Digibind)? Select all that apply.
A. The patient reports seeing colorful halos around lights.
B. The patient's serum potassium level is above 5 mEq/L.
C. The patient is experiencing nausea and anorexia.
D. The patient is experiencing severe sinus bradycardia that does not respond to cardiac pacing.
E. The patient has taken an overdose of greater than 10 mg of digoxin. - correct answer B. The
patient's serum potassium level is above 5 mEq/L.
,D. The patient is experiencing severe sinus bradycardia that does not respond to cardiac pacing.
(E) might be right as well a person taking 10mg of digoxin is a indication of toxicity...page 340
states life threatening digoxin overdose in adults and 4 mg in children)
2. Which drug classes are considered first-line treatment for heart failure? Select all that apply.
A. Angiotensin converting enzyme (ACE) inhibitors
B. Angiotensin II receptor blockers (ARBs)
C. Digoxin (cardiac glycoside)
D. Beta-blockers
E. Nesiritide (Natrecor), the B-type natriuretic peptide - correct answer ACE
ARBS
Beta-blockers
loop diuretics
1.When administering topical nitroglycerin ointment, the nurse should use which technique?
A. The ointment should be applied on the chest over the heart.
B. The ointment should be used only in the case of a mild angina episode.
C. The old ointment should be removed before new ointment is applied.
D. The ointment should be massaged gently into the skin, then covered with plastic wrap. -
correct answer C. The old ointment should be removed before new ointment is applied.
2.The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because
of an acute myocardial infarction. Which statement is true regarding the administration of the
intravenous form of this medication?
A. Specific nonpolyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.
B. It is stable for only 24 hours after preparation.
C. It can be given in infusions with other medications.
,D. The solution will be slightly colored green or blue. - correct answer A. Specific
nonpolyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.
3.A 53-year-old man has been admitted for evaluation of chest pain. He has been diagnosed
with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching
the patient how to use sublingual nitroglycerin, what instruction should the nurse include?
A. Take up to five doses at 15-minute intervals for an angina attack.
B. If the tablet does not dissolve quickly, chew the tablet for maximal effect.
C. If the chest pain is not relieved after one tablet, call 911 immediately to activate emergency
medical services.
D. Wait 1 minute between doses of sublingual tablets, up to three doses. - correct answer C. If
the chest pain is not relieved after one tablet, call 911 immediately to activate emergency
medical services.
4.A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing
games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest.
What type of angina does he have?
A. Classic
B. Variant
C. Unstable
D. Prinzmetal's - correct answer A. Classic also called (Chronic stable angina); chest pain that has
as its primary cause arteriosclerosis, which results in a long-term but relatively stable level of
obstruction in one or more coronary arteries.
5.A patient arrives in the emergency department with severe chest pain. She says she has had
pain off and on for a week now. Which assessment finding would indicate the need for cautious
use of nitrates and nitrites?
A. Blood pressure of 98/68 mm Hg
B. History of liver disease
C. History of heart failure
, D. History of a myocardial infarction 2 years ago - correct answer A. Blood pressure of 98/68 mm
Hg
6.A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides
instructions to the patient about the medication. What does the nurse tell the patient?
A. The tablet should be chewed for faster release of the medication.
B. To increase the effect of the drug, take it with grapefruit juice.
C. If the adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication
immediately.
D. A high-fiber diet with plenty of fluids will help prevent the constipation that may occur. -
correct answer D. A high-fiber diet with plenty of fluids will help prevent the constipation that
may occur.........CCBs: phenylalkylamins, benzothiazepines, and dihydroridines (verapril,
dilitiazem, amlodipine)
7.When applying transdermal nitroglycerin patches, how will the nurse instruct the patient?
A. "Use any nonhairy area on the body."
B. "Use only the chest area for application sites."
C. "Temporarily remove the patch if you go swimming."
D. "Apply the patch to the same site consistently." - correct answer A. "Use any nonhairy area
on the body.
8.A patient has been taking a beta-blocker for 4 weeks as part of his antianginal therapy. He also
has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse
should include which information?
A. "Watch for unusual weight loss."
B. "Monitor your pulse for increased heart rate."
C. "Use the hot tub and sauna at the gym as long as time is limited to 15 minutes."
D. "Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia." - correct
answer D. "Monitor your blood glucose levels for possible hypoglycemia or
hyperglycemia."...BBs (-LOL), atenolol, metoprolol, nadolol, and propranolol.
