NURS 6521 Final Exam Version 2 •
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Question 1
A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? Selected Answer:
Correct Answer: Response Feedback :
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D.
Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat C.
Administering investigational drugs to patients Phase III studies involve administering investigational drugs to patients in a vast clinical market who are voluntarily enrolled in double-blind studies. In phase I studies, a small number of healthy human volunteers are given the drug after blood urine and other appropriate samples are taken to monitor drug metabolism. Sometimes volunteers who have a certain disease are used in phase I instead of healthy volunteers if the drug is expected to have significant toxicity. In phase II, volunteers are given various dosages of the test compound and studied in great detail. Dosage guidelines are usually determined in this phase. Nurses are more likely to be responsible for administering the investigational drugs in phase III than in phases I and II. Use of animal testing is done in the preclinical trials and would not involve a nurse. Question 2 0 out of 1 points
A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a Selected Answer:
Correct Answer:
Response Feedback :
D.
higher-than-normal dose. C.
lower-than-normal dose. The patient would likely be prescribed a lower-than-normal dose of lithium to treat the disorder since he is an American. Chinese Americans require lower levels of lithium to achieve a therapeutic response. Different drugs can be metabolized only by specific liver enzymes, and receptors are custom-designed to
accept only certain drug configurations. As with enzymes, the number and type of receptors are influenced by genetics. Chinese Americans, and other Chinese people, appear to have a greater number of lithium-activated receptors than other groups. •
Question 3 0 out of 1 points
The nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse practitioner would expect the pharmacist to fill the prescription bottle with how many ml? Selected Answer:
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A.
50 ml D.
150 ml Question 4 0 out of 1 points
These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug Selected Answer:
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D.
Schedul e4 C.
Schedul e3 Question 5 1 out of 1 points
Which of the following serves to protect the public by ensuring the purity of a drug and its contents? Selected Answer:
Correct Answer:
Response
D.
Federal legislation D.
Federal legislation Federal legislation serves to protect the public from drugs that
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are impure, toxic, ineffective, or improperly tested prior to marketing. The primary purpose of federal legislation is to ensure safety. The United States Adopted Names Council was established to ensure uniform drug nomenclature. The official name of each drug is published in the United States Pharmacopeia and the National Formulary. The American Pharmaceutical Association does not ensure the safety and purity of drug content but is a professional organization for pharmacists. Question 6 1 out of 1 points
A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident's current drugs because Selected Answer:
Correct Answer:
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D.
there is a potential for confusion and miscommunication if proprietary names are used. D.
there is a potential for confusion and miscommunication if proprietary names are used. The use of generic instead of proprietary (trade) names mitigates some of the potential for confusion that exists due to similar trade names between different drugs. Trade names do not vary from state to state and use of these names in documentation is not legally restricted. There are not typically differences in the use of drugs that are based solely on generic or proprietary name. Question 7 1 out of 1 points
A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? Selected Answer:
Correct Answer:
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A.
National Provider Identification (NPI) A.
National Provider Identification (NPI) Question 8 1 out of 1 points
A nurse practitioner understands when prescribing a medication that there
are certain questions to address. Check all that apply. Selected Answers:
A.
Is there a need for the drug in treating the presenting problem? B.
Is this the best drug for the presenting problem? C.
Can the patient take the prescribed drug? Correct Answers:
A.
Is there a need for the drug in treating the presenting problem? B.
Is this the best drug for the presenting problem? C.
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Can the patient take the prescribed drug? Question 9 1 out of 1 points
A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient? Selected Answer:
Correct Answer:
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A.
Consider dimensions of the woman's cultural background when planning care. A.
Consider dimensions of the woman's cultural background when planning care. Cultural competence requires maintaining awareness of one's own values and beliefs without letting them have undue influence on those of other backgrounds, demonstrating knowledge and understanding of another's culture, accepting and respecting cultural differences, and considering a patient's culture carefully. This does not mean that only Spanish-speaking staff members should provide care, that the nurse must teach the patient about American culture or that the nurse should address the children before the patient. Question 10 1 out of 1 points
A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug?
Selected Answer:
Correct Answer:
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C.
The therapeutic effects and possible adverse effects C.
The therapeutic effects and possible adverse effects The patient must be knowledgeable about all aspects of the drug regimen so it can be self-administered safely and effectively. All of the responses are important, but the patient must be able to tell if the drug is producing an effective response and must also know the adverse effects to report. Knowing where to purchase the medication and how much it costs is good information, but it is not the most important information for self-administration. Knowing the pharmacokinetics does not concern most patients. Question 11 1 out of 1 points
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selected Answer:
Correct Answer:
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C.
C-II drug. C.
C-II drug. Narcotics such as morphine are considered C-II drugs because of the high abuse potential with severe dependence liability. C-I drugs have high abuse potential and are not accepted for medical use. C-III drugs have a lesser abuse potential than C-II drugs and an accepted medical use. C-IV drugs have a low abuse potential and limited dependence liability. Question 12 1 out of 1 points
A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will Selected Answer:
C.
use nonverbal language.