Advanced Pharmacology Midterm Sample 3 (Study Guide), Exams of Nursing

Download Advanced Pharmacology Midterm Sample 3 (Study Guide) and more Exams Nursing in PDF only on Docsity! • Question 1 1 out of 1 points A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for • Question 2 1 out of 1 points Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about • Question 3 1 out of 1 pointsThe most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: Selected Answer:Bismu h, Metronidazole, Omeprazole, and Tetracycline • Question 4 1 out of 1 points A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of • Question 5 1 out of 1 points A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid • Question 6 0 out of 1 points The APRN is treating a 56 year old male with diagnosed atrial fibrillation. He is complaining of being light headed. His vital signs are BP 100/68 HR 144 RR 22. The best choice of medication to treat this patient is: Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Advanced Pharmacology Midterm Submitted 1/12/20 Due Date 1/13/20 Status Completed Attempt Score 98 out of 100 points Selected Answer: nitrate tolerance. Selected Answer: potential adverse effects of the drugs that Mr. Nguyen will be taking. Selected Answer: hypertension. Selected Answer: adrenal insufficiency. Selected Answer: 3. • Question 7 1 out of 1 points A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? • Question 8 1 out of 1 points Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? • Question 9 1 out of 1 points Which of the following is TRUE about long acting beta agonist use in asthma patients? • Question 10 1 out of 1 points • Question 11 1 out of 1 points • Question 12 1 out of 1 points A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Cardiac glycoside such as Digoxin Selected Answer: Electrolyte levels Selected Answer: Gastrointestinal distress Selected Answer: It can be combined with an inhaled corticosteroid to improve asthma control A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which of the patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice? Selected Answer: Atorvastatin (Lipitor) A Nurse Practitioner is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? Selected Answer: Wear appropriate clothing and sunscreen whenever he is in direct sunlight • Question 26 1 out of 1 points A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? • Question 27 1 out of 1 points A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely benefit most from the addition of: • Question 28 1 out of 1 points A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? • Question 29 1 out of 1 points • Question 30 1 out of 1 points An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? • Question 31 1 out of 1 points Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? Selected Answer: A 79-year-old male with cardiomegaly Selected Answer: Enlarged prostate gland Selected Answer: 2. Beta blocker Selected Answer: Digoxin immune fab 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? Selected Answer: Blood pressure Selected Answer: An oral antidepressant that the patient has been taking daily for several years • Question 32 1 out of 1 points A Nurse Practitioner has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely • Question 33 1 out of 1 points • Question 34 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? • Question 35 1 out of 1 points • Question 36 1 out of 1 points A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selected Answer: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. Selected Answer: decrease the amount of circulating blood sent through the kidneys. A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by Selected Answer: her history of emphysema. Selected Answer: The therapeutic effects and possible adverse effects The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide? Selected Answer: Give 19 units of Lantus subcutaneously prior to bedtime. Selected Answer: "As long as the ritual does not interfere with the patient's preoperative care, it will be okay." • Question 37 • Question 38 1 out of 1 points A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive • Question 39 1 out of 1 points A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? • Question 40 1 out of 1 points A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the Nurse Practitioner to monitor? • Question 41 1 out of 1 points • Question 42 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? • Question 43 1 out of 1 points Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A 1 out of 1 points A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? Selected Answer: Digoxin Selected Answer: a higher-than-normal dose of drugs that bind to acid glycoproteins. Selected Answer: "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." Selected Answer: Potassium levels A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, "I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all." How should the nurse best respond to this patient's statement? Selected Answer: "Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn." Selected Answer: Route • Question 56 1 out of 1 points Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? • Question 57 1 out of 1 points • Question 58 1 out of 1 points A Nurse Practitioner is administering drugs to a 70-year-old patient who has a reduced plasma albumin level. When assessing the patient for therapeutic outcomes of drug therapy, the Nurse Practitioner will also be careful to observe for • Question 59 1 out of 1 points • Question 60 1 out of 1 points • Question 61 1 out of 1 points Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A A Nurse Practitioner is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The Nurse Practitioner should anticipate that the drug will be administered Selected Answer: transdermally. Selected Answer: Hair loss Which statement is FALSE regarding the treatment of hyperthyroidism? Selected Answer: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females. Selected Answer: possible drug toxicity. A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is Selected Answer: intranasal. A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selected Answer: Mesalamine A Nurse Practitioner is instructing a patient concerning a newly prescribed drug. Which of the following should be included to help improve patient compliance and safety? • Question 62 1 out of 1 points A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to • Question 63 1 out of 1 points The APRN would use what class of medication to manage COPD? • Question 64 1 out of 1 points A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? • Question 65 1 out of 1 points A Nurse Practitioner receives an order to administer a critically ill patient two drugs immediately (stat). The Nurse Practitioner begins the process by • Question 66 1 out of 1 points • Question 67 1 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication • Question 68 1 out of 1 points Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Selected Answer: Measures to alleviate any discomfort associated with adverse effects Selected Answer: avoid prolonged exposure to sunlight. Selected Answer: Short-acting and long acting inhaled beta2 agonists Selected Answer: Bleeding Selected Answer: consulting a drug guide for compatibility. Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? Selected Answer: The resident's apical heart rate is 112 beats/minute with a regular rhythm Selected Answer: four times a day. • Question 74 • Question 69 1 out of 1 points • Question 70 1 out of 1 points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should • Question 71 1 out of 1 points A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to • Question 72 1 out of 1 points • Question 73 1 out of 1 points A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A The Nurse Practitioner is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the Nurse Practitioner if there are any "bad side effects" that she should be aware of. Which of the following statements should underlie the nurse's response? Selected Answer: Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects. Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should Selected Answer: apply the patch to Mr. Lacuna's back to reduce the chance that he will remove it. Selected Answer: administer carbohydrates. Selected Answer: remove the contact lenses before applying the drops. Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by Selected Answer: oxidizing cholesterol to bile acids. Selected Answer: Throat irritation • Question 85 1 out of 1 pointsAn expected outcome for a patient who has just taken sublingual nitroglycerin should be Selected Answer:increased heart rate and decreased blood pressure. • Question 86 1 out of 1 points A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? • Question 87 1 out of 1 points A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following? • Question 88 1 out of 1 points A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? • Question 89 1 out of 1 points A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? • Question 90 1 out of 1 points A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to • Question 91 1 out of 1 points Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Selected Answer: Albuterol Selected Answer: "Determine if the drug is going to make you drowsy before you drive." Selected Answer: Serum phosphate level Selected Answer: The man's chest sounds are clear and his ankle edema is lessened. Selected Answer: How well a drug produces its desired effect Selected Answer: omit the dose if the meal does not contain fat. • Question 92 1 out of 1 points • Question 93 1 out of 1 points • Question 94 1 out of 1 points A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at bedtime and regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin? • Question 95 1 out of 1 points You are seeing a 55 year old patient recently diagnosed with a bleeding ulcer. What should be the initial treatment choice for this patient? • Question 96 1 out of 1 points A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Advanced practice nurse prescribing of scheduled medications is affected most by: Selected Answer: Individual states laws regarding scheduled medications that can be prescribed and for how long A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Selected Answer: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver A Nurse Practitioner is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The Nurse Practitioner will base the patient's plan of care on the understanding that there is Selected Answer: a decrease in the amount of creatinine to be filtered. Selected Answer: Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes before each meal Selected Answer: A Proton Pump Inhibitor • Question 97 1 out of 1 points A patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of the following medications can be administered to decrease the nighttime episodes and prevent asthma attacks? • Question 98 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to • Question 99 0 out of 1 points A 62 year old male who had a myocardial infarction one year ago is being seen for hypertension. Which medication has the best evidence in mortality reduction? • Question 100 1 out of 1 points A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by • Question 101 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Advanced Pharmacology Midterm Sample 3 (Study Guide) graded A Selected Answer: Triglyceride levels Selected Answer: Leukotriene modifiers Selected Answer: swallow the tablet with milk or food. Selected Answer: Beta blocker Selected Answer: inhibiting the movement of calcium ions across the cardiac muscle cell membrane. Selected Answer: Yes