dez johnson
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good practice test for exam 2! good luck!

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dez johnson
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Pharmacology exam 2

Frage 1 von 46

1

Which heart failure drug raises a concern for digitalization?

Wähle eine der folgenden:

  • digoxin

  • nitrostat

  • Propranolol

  • adalat

Erklärung

Frage 2 von 46

1

which anti-TB agent is bacteriostatic

Wähle eine der folgenden:

  • enalapril

  • rifampin

  • ethambutol

  • flovent

Erklärung

Frage 3 von 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?

Wähle eine der folgenden:

  • captorpil

  • theolair

  • nitroprusside

  • losartan

Erklärung

Frage 4 von 46

1

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

Wähle eine der folgenden:

  • parasympathetic; neorepinephrine

  • sympathetic; acetylocholine

  • parasympathetic; acetylocholine

  • sympathetic; norepinephrine

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Frage 5 von 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?

Wähle eine der folgenden:

  • pt experiencing flutter and bradycardia

  • pt experiencing fibrillation and bradycardia

  • pt is experiencing fibrillation and tachycardia

  • pt is experiencing flutter and tachycardia

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Frage 6 von 46

1

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

Wähle eine der folgenden:

  • osmitrol

  • diamox

  • aldactone

  • losartan

Erklärung

Frage 7 von 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?

Wähle eine der folgenden:

  • discontinue his cardene medication

  • administer metoprolol

  • discontinue his nitrostat medication

  • give him some ibuprofen

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Frage 8 von 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??

Wähle eine der folgenden:

  • administer nitroglycerin- nitrostat

  • start chest compression and insert a urinary catheter

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

  • administer norvasc

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Frage 9 von 46

1

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

Wähle eine der folgenden:

  • atenolol

  • lisinopril

  • digoxin

  • doxazosin

Erklärung

Frage 10 von 46

1

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

Wähle eine oder mehr der folgenden:

  • Verapamil - calan

  • zyrtec

  • benadryl

  • theolair

Erklärung

Frage 11 von 46

1

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 12 von 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?

Wähle eine der folgenden:

  • 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.

Erklärung

Frage 13 von 46

1

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

Wähle eine oder mehr der folgenden:

  • Doxazosin - cardura

  • methyldopa - aldomet

  • enalapril

  • prazosin - minipress

Erklärung

Frage 14 von 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?

Wähle eine der folgenden:

  • 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

Erklärung

Frage 15 von 46

1

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 16 von 46

1

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

Wähle eine der folgenden:

  • hydrochlorothiazides

  • mannitol - osmitrol

  • Acetazolamide - diamox

  • lasix

Erklärung

Frage 17 von 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?

Wähle eine der folgenden:

  • 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.

Erklärung

Frage 18 von 46

1

a myocardial infarction is considered a venous thromboembolic disorder.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 19 von 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?

Wähle eine der folgenden:

  • pulmonary embolism

  • embolus

  • deep vein thrombosis

  • thrombus

Erklärung

Frage 20 von 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?

Wähle eine der folgenden:

  • 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.

Erklärung

Frage 21 von 46

1

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

Wähle eine der folgenden:

  • 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.

Erklärung

Frage 22 von 46

1

which diuretic inhibits the action of aldosterone?

Wähle eine der folgenden:

  • aldactone

  • osmitrol

  • lasix

  • hydrochlorothiazide

Erklärung

Frage 23 von 46

1

another name for a bruise is ecchymosis.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 24 von 46

1

which agent will use plasmin to dissolve fibrin clots?

Wähle eine der folgenden:

  • anti-platelet agent - acetylsalicylic acid

  • thrombolytic agent - activase

  • hemostatic agent - amicar

  • statin agent - zocor

Erklärung

Frage 25 von 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?

Wähle eine der folgenden:

  • 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.

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Frage 26 von 46

1

Whats nursing concern for expectorants should you be mindful of?

Wähle eine der folgenden:

  • no OTC drugs

  • no smoking or 2nd hand smoke

  • no grapefruit or apple juice

  • avoid tyramine

Erklärung

Frage 27 von 46

1

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

Wähle eine oder mehr der folgenden:

  • orange juice

  • digoxin

  • grapefruit

  • lasix

  • warfarin

Erklärung

Frage 28 von 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?

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 29 von 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?

Wähle eine der folgenden:

  • cholelithiasis

  • rhabdomyolysis

  • extravasation

  • steatorrhea

Erklärung

Frage 30 von 46

1

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

Wähle eine der folgenden:

  • Fibric acid agent - lopid

  • Bile sequestering agent - Questran

  • statin agent - Mevacor

  • Hemostatic agent - Amicar

Erklärung

Frage 31 von 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?

Wähle eine der folgenden:

  • Rhabdomyolysis

  • rhabdomyoma

  • rhabdomyosarcoma

  • rhinorrhea

Erklärung

Frage 32 von 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?

Wähle eine oder mehr der folgenden:

  • Prothrombin time (PT)

  • Platelet counts

  • Activated partial thromboplastin time (aPTT)

  • International normalized ratio (INR)

Erklärung

Frage 33 von 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?

Wähle eine der folgenden:

  • Metabolic acidosis

  • Metabolic alkalosis

  • Respiratory acidosis

  • Respiratory alkalosis

Erklärung

Frage 34 von 46

1

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

Wähle eine der folgenden:

  • cromolyn - intal

  • montelukast - singulair

  • Beclomethasone - Qvar

  • Ipratropium - atrovent

Erklärung

Frage 35 von 46

1

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

Wähle eine der folgenden:

  • its a potent CYP450 inducer

  • administer Vitamin B6

  • avoid tyramine

  • its bacteriostatic

Erklärung

Frage 36 von 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?

Wähle eine der folgenden:

  • Albuterol - Proventil

  • Levalbuterol - Xopenex

  • Theophylline - Theolair

  • Ipratropium - Atrovent

Erklärung

Frage 37 von 46

1

which adrenergic agonist works as an OTC bronchodilator?

Wähle eine der folgenden:

  • Phenylephrine

  • Epinepherine

  • Ephedrine

  • Neo-Synephrine

Erklärung

Frage 38 von 46

1

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

Wähle eine der folgenden:

  • albuterol

  • dopamine

  • terbutaline

  • Epinepherine

Erklärung

Frage 39 von 46

1

Adrenergic antagonist will prevent what type of responses?

Wähle eine der folgenden:

  • fight or flight response

  • effects of norepinephrine at muscarinic receptors

  • rest or digest response

  • effects of acetylocholine

Erklärung

Frage 40 von 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?

Wähle eine der folgenden:

  • 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

Erklärung

Frage 41 von 46

1

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

Wähle eine oder mehr der folgenden:

  • Tremors

  • Dysrhythmias

  • Irritability

  • Blurred vision

  • Nausea and vomiting

  • Decreased libido

Erklärung

Frage 42 von 46

1

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

Wähle eine der folgenden:

  • Alpha blockers - cardura

  • Diuretics - lasix

  • ACE inhibitors - captopril

  • Vasodilators - hydralazine

Erklärung

Frage 43 von 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?

Wähle eine der folgenden:

  • Asthma

  • Rheumatoid arthritis

  • Hyperthyroidism

  • Renal insufficiency

Erklärung

Frage 44 von 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?

Wähle eine der folgenden:

  • 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

Erklärung

Frage 45 von 46

1

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

Wähle eine der folgenden:

  • 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

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Frage 46 von 46

1

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

Wähle eine oder mehr der folgenden:

  • 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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