Nursing Pharmacology Final Exam at Fox Valley Technical College
Access The Exact Questions for Nursing Pharmacology Final Exam at Fox Valley Technical College
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for Nursing Pharmacology Final Exam at Fox Valley Technical College on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free Nursing Pharmacology Final Exam at Fox Valley Technical College Questions
Simethicone may be added to some medications or given independently for what therapeutic effect?
-
Decrease the amount of gas associated with gastrointestinal disorders.
-
Increase the acid-fighting ability of some medications.
-
Preventing constipation by decreasing peristalsis.
-
Preventing the diarrhea associated with gastrointestinal medications.
Explanation
Explanation of Correct Answer:
Simethicone is an anti-foaming agent that works by reducing the surface tension of gas bubbles in the stomach and intestines, which helps the gas to be eliminated more easily. It is commonly used to reduce bloating, discomfort, and the amount of gas associated with gastrointestinal disorders such as indigestion or after surgery.
Correct Answer Is:
A. Decrease the amount of gas associated with gastrointestinal disorders.Which of the following statements are true regarding antipsychotic drugs? (Select 4 that apply.)
-
Antipsychotic drugs reverse mental illness
-
Antipsychotic drugs may cause neuroleptic malignant hyperthermia
-
Many symptoms of psychosis, like hallucinations, can be controlled with medication
-
Almost all clients are compliant with medications
-
Antipsychotic drugs may cause extrapyramidal symptoms
-
Antipsychotic drugs work by blocking dopamine receptors in the brain
-
Antipsychotic drugs may cause Cushing's disease
-
Antipsychotic drugs are reversed by Acetylcysteine
Explanation
Explanation of Correct Answers:
B. Antipsychotic drugs may cause neuroleptic malignant hyperthermia
Neuroleptic malignant hyperthermia (NMS) is a rare but life-threatening condition that can occur with the use of antipsychotic medications. It is characterized by fever, muscle rigidity, and autonomic dysregulation. Immediate intervention is required if NMS is suspected.
C. Many symptoms of psychosis, like hallucinations, can be controlled with medication
Antipsychotic medications are effective in controlling symptoms of psychosis, including hallucinations, delusions, and disorganized thinking. These medications help manage these symptoms by modulating neurotransmitter activity, particularly dopamine.
E. Antipsychotic drugs may cause extrapyramidal symptoms
Extrapyramidal symptoms (EPS) include movement disorders like tremors, rigidity, bradykinesia, and tardive dyskinesia. These side effects can occur with antipsychotic medications, especially older first-generation antipsychotics.
F. Antipsychotic drugs work by blocking dopamine receptors in the brain
Antipsychotics primarily work by blocking dopamine receptors (D2 receptors) in the brain. This action helps to control dopaminergic overactivity, which is thought to contribute to the symptoms of psychosis, such as hallucinations and delusions.
Correct Answer Is:
B. Antipsychotic drugs may cause neuroleptic malignant hyperthermiaC. Many symptoms of psychosis, like hallucinations, can be controlled with medication
E. Antipsychotic drugs may cause extrapyramidal symptoms
F. Antipsychotic drugs work by blocking dopamine receptors in the brain
A client is being discharged home on oxycodone for control of severe pain following surgery. Which education should the nurse provide to the client and their spouse? (Select 5 that apply)
-
Slow position change
-
Increase fiber and fluid intake
-
Take acetaminophen for breakthrough pain
-
Avoid driving or operating machinery
-
Monitor signs for increased respiratory rate and elevated blood pressure
-
Taper medication slowly
-
Avoid foods high in sodium
-
Take with food to reduce nausea
Explanation
Explanation of Correct Answers:
A. Slow position change
Oxycodone can cause orthostatic hypotension and dizziness. Changing positions slowly helps prevent lightheadedness and reduces the risk of falls, especially during the early phase of opioid therapy.
B. Increase fiber and fluid intake
Opioids commonly cause constipation by slowing gastrointestinal motility. Increasing dietary fiber and fluid intake helps prevent opioid-induced constipation and supports normal bowel function.
D. Avoid driving or operating machinery
Oxycodone can cause sedation, dizziness, and impaired judgment. Clients should avoid driving or operating heavy machinery until they know how the medication affects them.
F. Taper medication slowly
Abrupt discontinuation of opioids can cause withdrawal symptoms. Gradually tapering the medication under provider guidance helps prevent withdrawal and promotes safe discontinuation.
H. Take with food to reduce nausea
Nausea is a common side effect of opioids. Taking oxycodone with food can help minimize gastrointestinal discomfort and improve medication tolerance.
Correct Answer Is:
A. Slow position changeB. Increase fiber and fluid intake
D. Avoid driving or operating machinery
F. Taper medication slowly
H. Take with food to reduce nausea
The client is taking sucralfate for a peptic ulcer. The nurse instructs the client about the therapeutic actions of sucralfate explaining that this drug promotes ulcer healing by which of the following actions?
-
Increases gastric pH
-
Interacts with gastric acid and creates a protective barrier in the stomach.
-
Inhibits the proton pump, decreasing gastric acid.
-
Neutralizes gastric acid by blocking histamine.
Explanation
Sucralfate works by interacting with gastric acid and forming a viscous protective barrier over the ulcerated area of the stomach lining. This barrier protects the ulcer from further damage due to gastric acid, promoting healing. It does not directly affect gastric acid secretion but rather acts locally to protect the ulcer site from acidic damage.
Correct Answer Is:
B. Interacts with gastric acid and creates a protective barrier in the stomach.The client is admitted for pneumonia and was having difficulty breathing. After receiving an albuterol nebulizer treatment for the first time, the patient tells the nurse they can breathe better but feels like their heart is racing. The client is feeling anxious and wondering if their infection is getting worse. What is the nurse's best response?
-
"We will skip the next scheduled albuterol nebulizer."
-
"This is to be expected, but I will continue to monitor your breathing and pulse."
-
"I will notify the physician, because you are right, this may be a sign that your condition is worsening."
-
"These symptoms are more likely to be an allergy to the albuterol so I will notify your physician."
Explanation
Explanation of Correct Answer:
B. "This is to be expected, but I will continue to monitor your breathing and pulse."
Albuterol is a bronchodilator used to treat breathing difficulties. One of its common side effects is tachycardia (increased heart rate), as it stimulates beta-2 receptors in the heart. The nurse should reassure the client that this is a known side effect, but still continue to monitor their breathing and pulse to ensure their condition is stable. This response is appropriate for a first-time treatment with albuterol.
Correct Answer Is:
B. "This is to be expected, but I will continue to monitor your breathing and pulse."The nurse is reviewing information about NSAIDs (nonsteroidal anti-inflammatory drugs). Which of the following information about NSAIDs are correct? (Select 5 that apply)
-
Celecoxib is a selective COX-2 inhibitor
-
NSAIDs are not effective to treat fever
-
Ketorolac is a powerful NSAID that can only be used for 5 days
-
NSAIDs have a boxed warning for GI bleeding
-
NSAIDs can be used to treat inflammation
-
Tramadol is a weak NSAID
-
NSAIDs have opioid-like CNS properties
-
Acetaminophen is an NSAID
-
NSAIDs work by blocking prostaglandin synthesis
Explanation
Explanation of Correct Answers:
A. Celecoxib is a selective COX-2 inhibitor
Celecoxib is a COX-2 inhibitor that selectively targets the COX-2 enzyme, which is responsible for producing inflammatory prostaglandins. This selective action helps reduce inflammation while minimizing gastric side effects compared to non-selective NSAIDs.
C. Ketorolac is a powerful NSAID that can only be used for 5 days
Ketorolac is a strong NSAID that is typically used for short-term management of moderate to severe pain. It is recommended for use for no more than 5 days due to its potential for serious side effects like GI bleeding and renal damage.
D. NSAIDs have a boxed warning for GI bleeding
NSAIDs are known to increase the risk of gastrointestinal bleeding and ulceration. As a result, they come with a boxed warning about the potential for GI bleeding, especially with prolonged use or high doses.
E. NSAIDs can be used to treat inflammation
One of the primary uses of NSAIDs is to reduce inflammation. They are commonly used for conditions like arthritis, musculoskeletal pain, and inflammatory disorders.
I. NSAIDs work by blocking prostaglandin synthesis
NSAIDs work by inhibiting cyclooxygenase (COX) enzymes, which are responsible for producing prostaglandins. Prostaglandins are involved in inflammation, pain, and fever, so blocking their synthesis helps reduce these symptoms.
Correct Answer Is:
A. Celecoxib is a selective COX-2 inhibitorC. Ketorolac is a powerful NSAID that can only be used for 5 days
D. NSAIDs have a boxed warning for GI bleeding
E. NSAIDs can be used to treat inflammation
I. NSAIDs work by blocking prostaglandin synthesis
A teenage client is taking duloxetine (Cymbalta) for depression. The dose has been increased by the provider. The nurse advises the client and the family to watch for which adverse effect?
-
Thrush
-
Irritability
-
Warning signs of suicide
Explanation
Duloxetine (Cymbalta), like other antidepressants, can increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults, especially after dose adjustments. It is crucial to closely monitor the teenage client for any warning signs of suicide, including talking about death, withdrawing from activities, or displaying significant mood swings. These symptoms require immediate intervention and consultation with the healthcare provider.
Correct Answer Is:
C. Warning signs of suicideThe nurse is caring for a patient who is taking levothyroxine (Synthroid) to treat hypothyroidism. The patient now reports palpitations, weight loss, and diarrhea. The nurse suspects which of the following effects has developed?
-
Hyperthyroidism
-
Addison's disease
-
Allergy to medication
-
Cushing's disease
Explanation
Palpitations, weight loss, and diarrhea are classic signs of excess thyroid hormone. When a patient taking levothyroxine develops these symptoms, it indicates that the dose may be too high, leading to an overcorrection from hypothyroidism into hyperthyroidism. This can occur if dosing is excessive or if the patient’s thyroid hormone needs have changed, and it requires prompt provider evaluation and dose adjustment.
Correct Answer Is:
A. HyperthyroidismThe physician writes orders for a client who is a type 2 diabetic. Which order would the nurse question?
-
Use insulin lispro for a sliding scale via insulin pen
-
Administer regular & NPH insulin mixed in the same syringe
-
Administer metformin 500 mg BID
-
Administer insulin glargine (Lantus) based on sliding scale ACHS
Explanation
Insulin glargine (Lantus) is a long-acting basal insulin designed to provide a steady level of insulin over 24 hours. It is not appropriate for sliding-scale use because it does not have a rapid onset or peak effect. Sliding-scale insulin requires short- or rapid-acting insulin to correct blood glucose levels. Using Lantus on a sliding scale increases the risk of hypoglycemia and poor glucose control.
Correct Answer Is:
D. Administer insulin glargine (Lantus) based on sliding scale ACHSThe nursing student is reviewing medications with the instructor. Which of the following statements is not correct and needs additional follow-up from the instructor?
-
Client with Parkinson's disease need the carbidopa to allow the levodopa to cross the blood brain barrier.
-
Client who receives haloperidol treatment for schizophrenia will reverse the disease.
-
Client with Alzheimer’s can be prescribed donepezil to slow the progression of the disease.
-
Clients with cerebral palsy may have an intrathecal baclofen pump to control muscle spasticity.
Explanation
Haloperidol does not reverse schizophrenia. Antipsychotic medications are used to control symptoms such as hallucinations, delusions, and disorganized thinking, but they do not cure or reverse the underlying disorder. Schizophrenia is a chronic mental illness that requires long-term management, and symptom control varies among individuals.
Correct Answer Is:
B. Client who receives haloperidol treatment for schizophrenia will reverse the disease.How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .