Pharmacology Test Exam Q&A, Exams of Nursing

Download Pharmacology Test Exam Q&A and more Exams Nursing in PDF only on Docsity! NURS: PHARM TEST EXAM Q & A/2023.Qualified,Download to score A • 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?" NURS: PHARM TEST EXAM Q & A/2023.Qualified,Download to score A • Question 4 1 out of 1 points Which can elevate theophylline levels? Selected Answer: Concomitant treatment with cimetidine (Tagamet).. Selected Answer: edema • Question 9 1 out of 1 points What drug class will decrease the facial flushing that occurs with niacin? Selected Answer: NSAIDS • Question 10 1 out of 1 points When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug classifications that would tend to reduce insulin sensitivity are: Selected Answer: Diuretics and beta blockers. • Question 11 1 out of 1 points How does cholestyramine lowers blood cholesterol? Selected Answer: Sequestering bile salts and thus decreasing absorption and increasing catabolism • Question 12 1 out of 1 points A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. The patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. Selected Answer: 1.7 mcg/kg of body weight per day • Question 13 1 out of 1 points A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware that Selected Answer: there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin • Question 14 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps 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 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 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: Agranulocytosis • Question 28 0 out of 1 points An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently diagnosed with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient? Selected Answer: Begin theophylline (Theo-24; methylxanthine) 200 mg q12h PO. • Question 29 1 out of 1 points The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who complains of almost daily indigestion and heartburn for the past year with a strong acid taste in the mouth about an hour after meals, and frequent belching and awakening at night with choking. The history is negative for chronic illnesses and alarm symptoms. A diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the patient? Selected Answer: Omeprazole (Prilosec) 20 mg every morning 30 minutes before breakfast. • Question 30 1 out of 1 points Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists? Selected Answer: increased bladder tone • Question 31 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: C-II drug. • Question 32 1 out of 1 points Which of the following is a contraindication for antimuscarinic drugs? Selected Answer: pyloric stenosis • 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.” Midterm Pharm • 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? • Question 47 1 out of 1 points Which of the following oral medications is the safest to use during pregnancy? Selected Answer: Methyldopa • Question 48 1 out of 1 points The Family nurse practitioner prescribed losartan 50 mg PO daily for a hypertensive patient. This medication promotes vasodilation by: Selected Answer: Blocking the action of angiotensin II • Question 49 0 out of 1 points The NP knows that lithium levels should be measured while patients are on lithium therapy. The NP also recognizes that lithium has a Selected Answer: has a low therapeutic index and toxicity can occur at doses close to therapeutic levels • Question 50 1 out of 1 points A patient who is a steroid-dependent asthmatic is started on a beclomethasone inhaler. Which should be part of patient education? Selected Answer: Rinse the mouth well after each use • Question 51 0 out of 1 points The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: Selected Answer: intranasal H1 antihistamines. • Question 52 1 out of 1 points You are seeing a 65 year old male with a long history of COPD who has recently developed hypertension. Which class of antihypertensive agents should the Nurse Practitioner avoid for this patient? Selected Answer: Beta-Blockers 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 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 A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Selected Answer: The amount of alcohol consumption • Question 66 1 out of 1 points A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? Selected Answer: Nausea • Question 67 1 out of 1 points The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? Selected Answer: Give the medication through a straw to decrease the staining of the teeth. • Question 68 0 out of 1 points The Nurse Practitioner is preparing to Prescribe a medication regimen for her patient. He or she recognizes that criteria for choosing an effective drug for any disorder include: Selected Answer: Following U.S. Drug Enforcement Administration guidelines for prescribing • Question 69 1 out of 1 points A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? Intolerance to cold • Question 70 1 out of 1 points A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be Selected Answer: suppository. • Question 71 1 out of 1 points Which medication class is recognized for the treatment of moderate to severe dementia? Selected Answer: NMDA receptor antagonists. • Question 72 1 out of 1 points • 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? Select ed Answe r: Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker • Question 81 1 out of 1 points • Question 85 0 out of 1 points Which mechanism of platelet inhibition is exhibited by aspirin? Selected Answer: NOT - Adenosine diphosphate (ADP) antagonism OR Phosphodiesterase inhibition • Question 86 1 out of 1 points The Elderly are at high risk of Adverse Drug Reactions due to: Selected Answer: age related decrease in renal function • Question 87 1 out of 1 points A patient on valproic acid may experience which of the following symptoms? Selected Answer: All of the above • Question 88 1 out of 1 points A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? Select ed Answe r: "This schedule allows rest periods so that adverse effects are decreased but the anti- inflammatory effects continue." • Question 89 0 out of 1 points Successful treatment for an adult patient with Helicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen? Selected Answer: NOT - Bismuth (Pepto-Bismol), cephalexin (Keflex), and metronidazole (Flagyl) OR Amoxicillin, bismuth (Pepto- Bismol), metronidazole (Flagyl), and cimetidine (Tagamet). • Question 90 0 out of 1 points A patient is recovering from an acute episode of thrombophlebitis and is being treated with warfarin (Coumadin) 5 mg PO daily. In reviewing medication information, the Nurse Practitioner would include what information in their teaching? Selected Answer: Aerobic exercises are the most effective • Question 91 1 out of 1 points 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]