Pharm Midterm Exam Questions with Answers, Quizzes of Nursing

Download Pharm Midterm Exam Questions with Answers and more Quizzes Nursing in PDF only on Docsity! Pharm Midterm Exam Questions with Answers • Question 1 1 out of 1 points The anticoagulant drug that acts as a vitamin K antagonist is: Selected Answer: coumadin • Question 2 1 out of 1 points What is a serious side effect of ibuprofen in the older adult patient? Selected Answer: Impairment of renal function • Question 3 1 out of 1 points A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? Selected Answer: "Do you take any herbal supplements or alternative medications?" • Question 4 1 out of 1 points Which can elevate theophylline levels? Selected Answer: Concomitant treatment with cimetidine (Tagamet).. • Question 5 1 out of 1 points Which of the following can block the action of heparin? Selected Answer: Protamine sulfate • Question 6 1 out of 1 points A possible side effect from the use of nifedipine (Procardia XL) is: Selected Answer: Edema of the ankles and headaches • Question 7 0 out of 1 points Which of the following is a potential adverse side effect of autonomic-anticholinergic agents? Selected Answer: Reduced GI motility • Question 8 1 out of 1 points Typical adverse reactions to oral calcium-channel blockers include: Midterm Pharm • Question 16 1 out of 1 points You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? Selected Answer: Muscle twitching, numbness, tingling, burning sensations of the limbs, and diarrhea. • Question 17 0 out of 1 points The APRN's ability to prescribe controlled substances is regulated by: Selected Answers: NOT - All of the above OR DEA • Question 18 1 out of 1 points A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? Selected Answer:Doses of basal insulin twice daily with regular insulin before each meal • Question 19 0 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: American Pharmaceutical Association • Question 20 1 out of 1 points Midterm Pharm Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. daily Which medication most likely is contributing to her hypoglycemic episodes Selected Answer: Glyburide • Question 21 0 out of 1 points A 65-year-old male presents with a history of worsening urinary urgency, frequency, and hesitancy. He also tells you that he has to "push really hard" to urinate and that his urine dribbles a little after he is done urinating. What medication should be avoided Selected Answer: NOT – paroxetine OR omeprazole • Question 22 1 out of 1 points The side effects of antihistamines are mostly due to their: Selected Answer: Anticholinergic effects • Question 23 1 out of 1 points Midterm Pharm 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. • Question 24 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 woman's medication regimen. The nurse should consequently assess for signs and symptoms of Selected Answer:hyperkalemia. • Question 25 1 out of 1 points Autonomic drugs have little effect when administered: Selected Answer: orally • Question 26 0 out of 1 points A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure . He presents with red, painful swelling of the great toe. In addition to treating gout, you recognize that you may need to: Selected Answer: Change his thiazide antihypertensive medication • Question 27 1 out of 1 points Midterm Pharm sensitivity in both liver and peripheral tissues • Question 35 1 out of 1 points Acetazolamide is categorized as which of the following? Selected Answer: Carbonic anhydrase inhibitor • Question 36 1 out of 1 points The recommended range for maintaining serum theophylline levels is: Selected Answer: 10 to 20 μg/mL. • Question 37 1 out of 1 points What information would the Nurse Practitioner include in teaching a patient about the treatment of vitamin B12 deficiency following a total gastrectomy? Selected Answer: The patient will receive monthly cyanocobalamin (vitamin B12) injections for life (after being given daily weekly injections for the first month). • Question 38 1 out of 1 points Some first generation antihistamines are used: Midterm Pharm Selected Answer: to prevent motion sickness • Question 39 1 out of 1 points Which type of antihistamines are used to inhibit the secretion of gastric acid in patients with gastrointestinal disorders? Selected Answer: H2 • Question 40 1 out of 1 points The Nurse Practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching? Selected Answer: “I do not need to use a spacer with my MDI.” • Question 41 1 out of 1 points /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: Selected Answer: The state board of nursing for each state • Question 42 1 out of 1 points Which of the following is a side effect or precaution associated with ACE inhibitors? Midterm Pharm Selected Answer: Angioedema • Question 43 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? Selected Answer:Bleeding • Question 44 0 out of 1 points 60-year-old male presents to your office with a history of seizure disorder. The patient states that he has been taking valproic acid. Which of the following is a known potential adverse effect of valproic acid? Selected Answer: NOT - Gingival Hyperplasia OR Weight loss • Question 45 0 out of 1 points Classes of medications typically used to treat hyperthyroid conditions include: Selected Answer:Antibiotics and corticosteroids. • Question 46 1 out of 1 points Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. Selected Answer: True Midterm Pharm All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics except: Selected Answer: Montelukast (Singulair) • Question 55 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? Selected Answer: How well a drug produces its desired effect • Question 56 1 out of 1 points Some first-generation antihistamines are used: Selected Answer: to prevent motion sickness • Question 57 1 out of 1 points A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? Selected Answer:"No, the drug dosage will likely stay the same." • Question 58 0 out of 1 points Midterm Pharm A 39 y/o female is diagnosed with Graves disease. She also has a small goiter =. Her symptoms are not deemed to be severe and propylthiouracil is prescribed. Whare is the most serious potential adverse effect of this medication? Selected Answer: Renal Failure • Question 59 1 out of 1 points Glargine (Lantus) is an insulin analog that essentially has no peak and is usually administered: Selected Answer: Once a day. • Question 60 1 out of 1 points The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered-dose inhaler (MDI) has been ordered as treatment. Which patient response would indicate to the family nurse practitioner that the patient understands how to take the medication? Selected Answer: “I will take 1 puff of the medication and then wait a minute before taking the second puff.” • Question 61 1 out of 1 points Which antihypertensive agent is associated with hair growth? Selected Answer: Minoxidil Midterm Pharm • Question 62 0 out of 1 points A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? Selected Answer: Teach the patient to take omeprazole 1 hour before meals. • Question 63 1 out of 1 points What is associated with chronic overtreatment with levothyroxine (Synthroid)? Selected Answer: Osteoporosis • Question 64 0 out of 1 points A primary therapy for patients with mild ulcerative colitis is: Selected Answer:Prednisone (Deltasone). • Question 65 1 out of 1 points Midterm Pharm Selected Answer: The high vitamin K levels will decrease the INR • Question 74 1 out of 1 points Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation? Selected Answer: Discontinue the pravastatin and order a liver function profile test • Question 75 1 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Selected Answer: onset of action • Question 76 1 out of 1 points A common side effect of metformin (Glucophage) therapy is: Selected Answer: diarrhea • Question 77 1 out of 1 points Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially prescribed the medication, she asks you about the common side effects of this type of medication. Which choice below is correct? Selected Answer: weight gain • Question 78 1 out of 1 points Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ? Selected Answer: Liver • Question 79 1 out of 1 points A Nurse Practitioner is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following? Selected Answer: Coffee • Question 80 1 out of 1 points Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Selecte d Answer : Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker • Question 81 1 out of 1 points Ms. Simpson has a known history of asthma. She is on Theophylline daily. The NP contemplates giving her an antibiotic for her respiratory infection. The NP knows that which choice below could elevate theophylline levels? Selected Answer: Ciprofloxacin • Question 82 1 out of 1 points Which of the following statements accurately describes digoxin? Selected Answer: It blocks the Na-K ATPase pump. • Question 83 1 out of 1 points Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Selected Answer: confusion • Question 84 1 out of 1 points A patient with a history of bronchial asthma is seen in the clinic for increased episodes of difficulty breathing. He has been taking theophylline 100 mg PO tid. He is 40 years old and obese with an 16-pack-year history of cigarette smoking and excessive intake of coffee daily. He eats a low-carbohydrate, high-protein diet. Which identified factors decrease the therapeutic effects of the theophylline? Selected Answer: Smoking history and diet Selected Answer: ACE Inhibitor • Question 93 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 Selected Answer:administer carbohydrates • Question 94 1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer:use of alcohol • Question 95 1 out of 1 points A patient with a known history of benign prostatic hyperplasia (BPH) presents to the clinic 4 days after developing a cold. He tells you he began experiencing a sore throat and nasal congestion and began to take an over the counter decongestant. Today, he complains of not urinating over the last 12 hours. He also has suprapubic fullness on exam. Which of the following medications are most likely responsible for this patient's urinary retention? Selected Answer:Phenylephriine • Question 96 1 out of 1 points 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 • Question 97 1 out of 1 points A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selected Answer:Oropharyngeal Candida albicans infection • Question 98 0 out of 1 points Drugs that use CYP 3A4 isoenzymes for metabolism may: Selected Answer:NOT - Induce the metabolism of another drug • Question 99 1 out of 1 points Which of the following conditions is a contraindication for pioglitazone (Actos). Selected Answer:Severe congestive heart failure • Question 100 1 out of 1 points The family of a Parkinson’s patient brings him to the clinic because he is experiencing increasing difficulty with ambulation. The family nurse practitioner increases the patient’s dose of carbidopa (25 mg)/levodopa (100 mg) (Sinemet 25–100 mg) from three to four times daily. What is important for the family nurse practitioner to teach the family regarding the increase in the dose of this medication? Selected Answer:Orthostatic hypotension can be problematic at higher dosing ranges. • 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? Selected Answer:[None Given]