NUR 100 Pharmacology Final Exam New Latest
Version with All Questions Actual Exam and
Correct Answer
An 82 year old patient is admitted to the hospital after an episode of confusion at home. The
nurse is assessing the current medications he is taking at home. Which method is the best way to
assess his home medications?
a. ask the patient what medications he takes at home
b. ask the patients wife what medications he takes at home
c. ask the patients wife to bring his medications to the hospital in their original containers
d. contact the patients pharmacy for a list of the patients current medications ---------- Correct
Answer ------------ C
An elderly woman took a prescription medicine to help her sleep; however, she felt restless all
night and did not sleep at all. The nurse recognizes that this woman has experienced which type
or reaction or effect?
a. allergic reaction
b. idiosyncratic reaction
c. mutagenic effect
d. synergistic effect ---------- Correct Answer ------------ B
The nurse is caring for a patient with cirrhosis or hepatitis and recognizes that abnormalities in
which phase of pharmokinetics may occur in this patient?
a. absorption
b. distribution
c. metabolism
d. excretion ---------- Correct Answer ------------ C
A patient who has hypertension is now taking a daily beta blocker. Which term best describes
this type of therapy?
a. palliative therapy
b. maintenance therapy
c. supportive therapy
d. supplemental therapy ---------- Correct Answer ------------ B
What is Alarm rxn? ---------- Correct Answer ----------- -body functions are heightened to
respond to stressors
-like fight or flight response
What is Resistance stage? ---------- Correct Answer ----------- -body functions normalize while
responding to stressors
-body ATTEMPTS TO COPE w/ stressor & tries to RETURN to homeostasis
(stabilization of BP & hormones)
,What is Exhaustion stage? ---------- Correct Answer ----------- -results in recovery or death
What is role conflict? ---------- Correct Answer ----------- - develops when a person must assume
opposing roles with incompatible expectations;
A patient has been diagnosed with late stage cancer. After consulting with his family, he tells the
nurse "i would like to try to live long enough to see my granddaughter graduate in 3 months, but
after that I dont want any extra treatments." The patient is demonstrating which of these?
a. veracity
b. beneficence
c. maleficence
d. autonomy ---------- Correct Answer ------------ D
When caring for an older adult Chinese patient, the nurse recognizes which of these cultural
issues that may influence the care of this patient?
a. chest x rays are seen as a break in the souls integrity
b. hospital diets are interpreted as being healing and healthful
c. the use of herbal products may be an important practice for this patient
d. being hospitalized is a source of peace and socialization for this culture ---------- Correct
Answer ------------ C
A patient is being counseled for possible participation in a clinical trial for a new medication.
After the patient meets with the physician, the nurse is asked to obtain the patients signature on
the consent forms. The nurse knows that this informed consent indicated which of these?
a. once therapy has begun, the patient cannot withdraw from the clinical trial
b. the patient has been informed of all potential hazards and benefits of the therapy
c. the patient has received only the information that will help to make the clinical trial a success
d. no matter what happens, the patient will not be able to sue the researchers for damages ---------
- Correct Answer ------------ B
A new drug has been approved for use, and the drug manufacturer has made it available for sale.
During the first 6 months, the FDA receives reports of severe adverse effects that were not
discovered during the testing and considers withdrawing the drug. This illustrates which phase of
investigational drug studies?
a. Phase I
b. Phase II
c. Phase III
d. Phase IV ---------- Correct Answer ------------ D
A patient of Japanese descent says that members of her family often have "strong reactions" after
taking certain medications, but her white friends have no problems with the same dosages of the
same drugs. The nurse recognizes that, because of this trait, which statement applies?
a. she may need lower dosages of the medications prescribed
b. she may need high dosages of the medications prescribed
c. she should not receive these medications because of potential problems with metabolism
, d. these situations vary greatly and her accounts may not indicate a valid cause for concerns ------
---- Correct Answer ------------ A
During the medication administration process, it is important that the nurse remembers which
guideline?
a When in doubt about a drug, ask a colleague about it before giving the drug.
b. Ask what the patient knows about the drug before giving it.
c When giving a new drug, be sure to read about it after giving it.
d If a patient expresses a concern about a drug, stop, listen, and investigate the concerns. ----------
Correct Answer ------------ D
If a student nurse realizes that he or she has made a drug error, the instructor should remind the
student of which concept?
a) The student bears no legal responsibility when giving medications.
b) The major legal responsibility lies with the health care institution at which the student is
placed for clinical experience.
c) The major legal responsibility for drug errors lies with the faculty members.
d) Once the student has committed a medication error, his or her responsibility is to the patient
and to being honest and accountable. ---------- Correct Answer ------------ D
The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth
(NPO) and finds an order written as follows: Digoxin, 250 mcg stat". Which action is
appropriate?
a. give the medication immediately by mouth because the patient has no intravenous access at
this time
b. clarify the order with the prescriber before giving the drug
c. ask the charge nurse what route the prescriber meant to use
d. start an IV line then give the medication IV so that it will work faster because the patients
status is NPO at this time ---------- Correct Answer ------------ B
The nurse is reviewing medication orders. Which digoxin dose is written correctly?
a. digoxin .25mg
b. digoxin .250mg
c. digoxin 0.250mg
d. digoxin 0.25mg ---------- Correct Answer ------------ D
The nurse is performing medication reconciliation during a patients admission assessment.
Which question by the nurse reflects medication reconciliation?
a. do you have any medication allergies?
b. do you have a list of all the medications including OTC you are currently taking?
c. do you need to take anything to help you sleep at night?
d. what pharmacies do you use when you fill your prescriptions? ---------- Correct Answer --------
---- B
A 47 year old patient with diabetes is being discharged home and must take insulin injections
twice a day. The nurse keeps in mind which concepts when considering patient teaching?
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