1 | P a g e ADVANCED PHARMACOLOGY MIDTERM EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!! A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for A) dizziness. B) diarrhea. C) increased secretions. D) facial flushing. - ANSWER- A) dizziness. A patient has been admitted to the intensive care unit following a myocardial infarction. His nurse is preparing to administer his ordered medications when she notices that one drug ordered is used for treating seizure disorders. The nurse does not find a history of seizures in the patient's record. The most appropriate action for the nurse is to__ A) ask the charge nurse if she knows why the drug has been ordered. 2 | P a g e B) look up the drug to see if there are other conditions that the drug could be prescribed for. C) question the physician about the prescribed medication. D) call the pharmacist and inquire about therapeutic uses of the drug. - ANSWER- C) question the physician about the prescribed medication. A nurse is aware of the high incidence and prevalence of major depression in the population. Which of the following individuals possesses the clearest risk factors for depression? A) A man who has a history of intravenous drug use and multiple hospital admissions for subsequent infections B) A woman whose father had a long history of depression before he committed suicide C) A man who is experiencing significant lifestyle changes after losing his job D) A woman who has recently begun treatment for idiopathic seizure activity - ANSWER- B) A woman whose father had a long history of depression before he committed suicide The nurse has been assigned a 49-year-old patient who has acute colitis, and the nurse just completed gathering data concerning core drug knowledge and core patient variables. To implement nursing management of drug therapy for this patient, the nurse will then__ A) evaluate the outcome of the drug therapy. B) devise strategies to maximize the therapeutic effects of the drug. 3 | P a g e C) implement planned nursing actions. D) assess for data that will indicate interactions between core drug knowledge and core patient variables. - ANSWER- B) devise strategies to maximize the therapeutic effects of the drug. A nurse has been caring for a 49-year-old man who was hospitalized with recurrent ventricular fibrillation and received IV amiodarone. The man is now scheduled to be discharged on oral amiodarone, and the nurse has just completed discharge instructions. Which of the following statements made by the patient indicates that further instruction is necessary? A) "I will notify my physician if I develop a cough and have difficulty breathing." B) "I am going on a cruise next week and plan to just lie in the sun all day and relax." C) "I plan to see my ophthalmologist in 2 weeks." D) "It is important for me to have my thyroid gland checked regularly - ANSWER- B) "I am going on a cruise next week and plan to just lie in the sun all day and relax." - photosensitive drug A 73-year-old man was diagnosed with Parkinson disease earlier this year and has begun taking carbidopa-levodopa four times daily in an effort to control the signs and symptoms of the disease. The nurse should recognize that this therapeutic effect is achieved by influencing the__ A) uptake of acetylcholine. 4 | P a g e B) dopamine receptors in the brain. C) synthesis of epinephrine. D) sensitivity of beta-2 receptors. - ANSWER- B) dopamine receptors in the brain. Rationale: Levodopa is the precursor to dopamine. Most commonly, clinicians use levodopa as a dopamine replacement agent for the treatment of Parkinson's disease. It is most effectively used to control bradykinetic symptoms that are apparent in Parkinson's disease. Levodopa is typically prescribed to a patient with Parkinson's disease once symptoms become more difficult to control with other anti-Parkinsonism drugs. The drug can also be used for postencephalitic Parkinsonism and symptomatic Parkinsonism due to carbon monoxide intoxication. A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? A) Blood pressure B) Urinary output C) Heart rate D) Blood urea nitrogen (BUN) - ANSWER- A) Blood pressure