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RNSG 1301 PHARMACOLOGY FINAL EXAM
2025 LONE STAR COLLEGE 100% ACCURATE
SPRING EXAM COMPLETE WITH ANSWERS
GRADED A+
A patient is about to undergo a diagnostic bowel procedure the nurse expects which drug to be used for total cleansing of the Bowel? Golytely A 55-year-old obese patient with diagnosis of Candidiasis in the skin folds under her breast when the nurse sees her at a follow- up visit two months later she complains it has returned she said she applied the medicine for a week then stopped because the itching stopped... May require prolonged therapy A patient's medication order Indicates that he is to receive a dose of cosyntropin the nurse is aware that this drug is used for what problem? Adrenal cortical insufficiency
A patient newly diagnosed with hyperthyroidism received a prescription for a thyroid hormone replacement drug The nurse assesses for which potential contraindication? Recent MI Conditions such as infantile rickets, tetany, osteomalacia are caused by a deficiency in which vitamin or mineral? Vitamin D A patient with hyperthyroidism Is given a prescription for levathyroxine when the nurse explains that this is a synthetic form of thyroid hormone He explains that he prefers to receive more natural forms of drugs what will the nurseExplain to him about the advantages of levathyroxine? Half life is long enough for Once a day dosing The nurse will prepare to give which preparation to a newborn Within the first hour of delivery? Vitamin K
A patient who is taking Propylthiouracil (PTU) For hyperthyroidism wants to know how this medicine works. How do you explain it? Impedes formation Of thyroid hormone A 19-year-old college student has been diagnosed with hypothyroidism and started thyroid replacement therapy, Synthroid. After one week she calls the clinic to say she feels no better The nurses response is based off the fact that It takes 3 to 4 weeks to work During treatment for a patient who has breast cancer The nurse hears the physician mention that the patient has reached nadir the nurse knows that this term means? Lowest Level of neutrophils reached during therapy When monitoring a patient who is taking a thyroid replacement Therapy which of the following signs of an excessively high dose of this drug Thyroid crisis
- palpitations
- Nervousness
- irritability A patient is to receive a topical corticosteroid for the treatment of psoriasis when administering this medication The nurse is aware that which of the following forms is commonly most penetrating when applied to the skin
- ointments What time of the day do you usually administer levothyroxine In the morning The nurse is teaching a class about thyroid Disease which condition is caused by low levels of thyroid hormone during youth Cretinism
- Confusion A patient is on aminoglycoside therapy. The nurse will monitor the patient for which indicator of nephrotoxicity?
- Tinnitus
- Hearing loss If a patient is a type two diabetic And they are going to be placed on the glyburide what is the best time to take this medication Can cause hypoglycemia so take with food or right before eating The nurse is reviewing instructions for a patient with type two diabetes Who has given her self insulin injection as part of therapy what should you do if your fasting blood glucose is 47 mg/dL I will take an oral form of glucose (normal would be 80-120)
After starting treatment for type two diabetes mellitus six months earlier the patient is in the office for a follow up examination. Which laboratory test for best show the patient adherence to the anti diabetic therapy over the past few months A1c The nurse is preparing to administer insulin intravenously which statement about IV insulin is true? Only regular insulin can be administered IV A patient with a history of COPD And type 2 diabetes has been treated for pneumonia for the past week, he has been receiving IV corticosteroids as wells as antibiotics. His pneumonia has resolved But blood glucose is still elevated and is required small amounts of sliding scale insulin. What is the reason for this? Corticosteroids increase blood glucose levels A 48-year-old is diagnosed with Metabolic syndrome and it started on Metformin The purpose of metformin in the situation is to?
A patient is receiving aminoglutethimide (Cytadren) therapy, The nurse knows that this medication is used for which condition Cushing syndrome The nurse notes in a patient's medication history that the patients taking allopurinol (xylophone)based on this finding the nurse interprets that the patient has which disorder Gout When monitoring a patient who is taking a systematically administered glucocorticoid, the nurse should monitor for signs of which condition? Hypokalemia A patient with a tracheostomy has difficulty removing excessive thick mucus from the respiratory tract The nurse anticipates that the drug that will be administered to remove the mucus will be Guaifenesin
The nurse expects that a patient experiencing under secretion (hyposecretion) of adrenocortical hormones when which Condition is found upon assessment?
- Dehydration
- weight loss increased potassium levels
- decreased serum sodium levels A patient has a prescription for two inhalers. One inhaler is a bronchodilator And the other is a corticosteroid. Which instruction regarding these inhalers should the nurse give to the patient?
- Bronchodilator first!!
- Corticosteroid is for maintenance it's to slow to help with asthma attack
Which contraceptive most closely duplicates the normal hormonal level of the female menstrual cycle Triphasic Before administering epogen to a patient in renal failure which lab result is most important to assess? Hemoglobin An eight-year-old girl is diagnosed with true pituitary dwarfism she's been treated with somatotropin the nurse will monitor for which expected outcome? increased growth A patient is receiving methotrexate And is experiencing a severe bone marrow suppression the nurse will expect which intervention to reduce this problem Leucovorin
The nurse is reviewing Prevention of infection measures with a patient who is receiving antineoplastic therapy. Which statement by the patient indicates a need for further teaching? I should eat only fruits and vegetables A patient who has been on long-term corticosteroids Therapy has had therapy to correct and abdominal hernia. The nurse keeps in mind that which potential Affect on this medication may have the most impact on this patient's recovery? Delayed wound healing The patient asked the nurse for advice on one of the newer antihistamines that do not cause drowsiness. Which of these drugs is appropriate? Claritin The nurse recognizes that the use of estrogen drugs is contraindicated In which of the following patients? Thrombophlebitis
Moderate to severe pain When administering a new medication to a patient the nurse notes that it is highly protein bound. The nurse should expect which result? The duration of the medication will be longer A 50 year old woman Will be taking selective estrogen modulators (Serms), which is part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse affects with this patient including a possible occurrence of? Venous thrombosis embolism The nurse is aware confusion, forgetfulness, and increase risk of falls are common response of an elderly patient who is taking which type of drug? Sedatives
All of the following drug agents are anti-fungal except? Myambutol (treats TB) What can fluconazole/Diflucan be used for? One time vaginal infections During a follow up visit a patient who has been on estrogen therapy admits that she's continuing to smoke cigarettes The nurse will remind the patient that smoking while on estrogen may lead to increase? Risk of thrombosis What is a black box warning? Can be prescribed as long as prescriber and patient know that there is potential risk Mild to severe pain is best treated with which medication?
Stop taking it 72 hour before because it can cause thrombosis flombitus A patient has been recently diagnosed with TB. The nurse will make sure the patient realizes that he or she Is contagious when? Initial period of the illness While monitoring a patient who had surgery under general anesthesia two hours ago, the nurse notes a sudden elevation in body temperature what could this be a sign of? Malignant hyperthermia When administering a neuromuscular blocking agent the nurse needs to know and remember which principal? Artificial mechanical ventilation
During the immediate postoperative period the post anesthesia care unit Nurse is assessing the patient who had head surgery. The patient is Experiencing tachycardia, tachypnea, muscle rigidity and temp of 103 F. The nurse will prepare for what treatment? Dantrolene/dantrium You notice that a patient is on hydrochlorothiazide. You recall that all are true adverse effects of this diuretic except Hypocalcemia An anti-convulsant drug has been ordered as part of the pain management for the patient. The nurse explains to the patient the purpose of the anticonvulsant is for? Neuropathic pain A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough the nurse know that is an adverse effect of which of the following antihypertensive drugs or classes
