NURS 6521N Midterm Exam – Question and Answers

 Question 1

1 out of 1 points

A patient has been prescribed a Scheduled 5 drug, an example of this drug is

Antitussive

 Question 2

0 out of 1 points

Drugs have a high potential for abuse. There is no routine therapeutic use for these

drugs and they are not available for regular use. They may be obtained for

“investigational use only” by applying to the U.S. Drug Enforcement Agency.

Examples include heroin and LSD. Which scheduled drug is this?

Schedule 1

 Question 3

1 out of 1 points

A nurse at a large, university hospital has been informed that a drug trial will be

taking place that may involve several patients in the hospital over the next several

months. What is the nurse's most likely role in this drug testing process?

Administering the investigational drug to patients

Response

Feedback:

Nurses are generally most involved in phase III of clinical trials and may

be responsible for administering investigational drugs to patients. The

final determination of the efficacy and safety of the drug is beyond the

scope of nurses. Nurses do not normally consult on the choice of

testing methodology.

 Question 4

1 out of 1 points

A nurse is a member of a research team that is exploring unique differences in

responses to drugs that each individual possesses, based on genetic make-up. This

area of study is called

Pharmacogenomics

Response

Feedback

:

Pharmacogenomics is the area of study that explores the unique

individual patient responses to drugs based on the mapping of the

human genome. This mapping introduces the possibility of personally

designed medical care and drug regimens based on a person's unique

genetic make-up. Pharmacotherapeutics is the branch of pharmacology

that deals with uses of drugs to treat, prevent, and diagnose disease.

Pharmacodynamics involves how a drug affects the body, and

pharmacoeconomics includes any costs involved in drug therapy.

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 Question 5

1 out of 1 points

The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of

medication patient will take per day?

1500 mg

 Question 6

1 out of 1 points

A nurse practitioner understands when prescribing a medication that there are certain

questions to address. Check all that apply.

Is there a need for the drug in treating the presenting problem? Is this the best drug

for the presenting problem? Can the patient take the prescribed drug?

 Question 7

1 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

lower-than-normal dose

Response

Feedback:

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 8

1 out of 1 points

What critical piece of information is missing from the following medication order:

Amoxicillin 250 mg every 8 hours?

Route

 Question 9

1 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

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