REGIS NU 641 CLINICAL ADV PHARMACOLOGY
FINAL EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A
1. When administering the drug senna to a patient, a health care provider must inform the
patient of which of the following
a. This drug is intended to lower blood pressure and is best used in combination
with other antihypertensives
b. This drug is not intended for long term use
c. The patient must limit his/her fiber intake
d. Advise patient to change positions slowly to limit the risk of orthostatic
hypotension
2. When giving digoxin (Lanoxin) to a patient, the health care provider notices various
signs and symptoms of an overdose. The health care provider knows to give which of the
following to reverse digoxin toxicity
a. Naloxone
b. Vitamin K
c. Digibind
d. Fluemanzil
3. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what
the action of the drug is. As a health care provider, you explain that the action of an ACE
inhibitor is
a. To lower blood pressure by blocking the conversion of angiotensin I to
vasoconstrictor angiotensin II
b. To inhibit reabsorption of sodium back into the body, ultimately increasing urine
output and lowering blood pressure
c. To decrease heart rate and blood pressure by competing with Beta1 and Beta2
receptors in the heart and lungs
d. To lower blood glucose by stimulating the release of insulin
4. Which of the following types of insulin is “long-acting”?
a. Lispro (Humalog)
b. NPH (Humulin N)
c. Regular insulin (Humulin R)
d. Glargine (Lantus)
5. What is the therapeutic use of metformin?
A. Lower blood pressure.
B. To diminish seizure activity.
C. The maintenance of a person’s blood glucose.
D. Increase heart rate and decrease gastrointestinal secretions.
,6. What is the correct definition for absorption of a drug?
a. Movement of drug from site of administration to various tissues of the body.
b. Describes the absorption, distribution, metabolism & excretion of drugs.
c. These types of drugs can be taken over the counter.
d. This addresses how various drugs affect different forms of the body.
7. What do you assess for in a patient who is on Valproate? Select all that apply.
A. Suicidal thoughts
B. Monitor for seizures.
C. Bipolar disorder.
D. Migraines.
8. What is true about food and drug precautions? Select all that apply.
a. You must limit certain types of food or concurrent administration of certain types
of drugs.
b. Certain combinations of food and drugs can cause adverse reactions.
c. Precautions may require limiting certain types of food or concurring drugs rather
than restricting the drug itself.
d. When one drug changes the way, another drug affects that drug.
9. ACE Inhibitors are used in the treatment of all EXCEPT:
a. Hypertension
b. Heart Failure
c. Hypotension
d. Diabetic nephropathy
10. Which of the following is used to treat migraine headaches?
a. Beta-blockers
b. Cholinesterase Inhibitors
c. ACE inhibitors
d. Anti-epileptic drugs (AEDs)
11. When administering a Serotonin Antagonist it is important to monitor for
a. Intake and output
b. Mental status changes
c. Respiratory rate
d. Anorexia
12. Which of the following is the antidote for Heparin?
a. Protamine sulfate
, b. Vitamin K
c. Naloxone
d. Toradol
13. A patient has been taking hydrocodone, and opioid analgesic for their moderate pain,
and they have taken over their prescribed dose. What should you give as the
antidote if theyexperience toxicity?
a. Naloxone
b. N-acetylcysteine
c. Atropine
d. Digoxin immune Fab
14. A patient is being educated on taking levothyroxine, a drug used to balance thyroid
activity. What should you include in their education?
A. Don’t bother your health care professionals if you experience side effects
B. Take this at the same time every day
C. Thyroid tests are unnecessary while taking this drug
D. It is okay to take this drug if you have recently had a myocardial infarction
15. A patient states he experiences anxiety and has panic attacks at least once a week. What
might be helpful for this patient?
a. Phenytoin (Dilantin)
b. Lithium
c. Alprazolam (Xanax)
d. Spironolactone
16. Which of the following is NOT an opioid or NSAID?
a. Morphine
b. Ibuprofen
c. Hydromorphone
D. Acetaminophen
17. Why is it important to monitor ins and outs with patients using ACE inhibitors?
a. To assess for renal impairment
b. You must make sure the patient is receiving adequate fluid intake
c. To assess the patient for potential heart failure
d. You must assess for NSAID use
e. To assess for decreased blood pressure
, 18. Which drug goes through extensive first-pass hepatic metabolism?
a. Heparin
b. Insulin
c. Propranolol
d. Nitroglycerine
e. Warfarin
19. What nursing interventions should you do when a patient is on Albuterol (select all that
apply)
a. Assess lung sounds, Pulse, and Blood pressure before administering
b. Monitor for changes in behavior
c. Observe for paradoxical bronchospasms
d. Assess for abdominal distention
e. Note sputum color and texture
20. What patient could potentially take the drug Senna?
a. A patient with an eating disorder
b. A patient who has not passed stool in 5 days
c. A patient with anal fissures
d. A patient with a history of hemorrhoids
e. A patient who has hypersensitivity
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