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Advanced Pharmacology Midterm Exam Questions With Answers Latest Update
Typology: Exams
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- 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 - Question^3 The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: Selected 1 out Answer:Bismuth,of 1 points Metro - 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 influenc - 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 h - 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 vit
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 - 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 guaifenes - 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 re 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^13 1 out of 1 points - Question^14 1 out of 1 points - Question^15 1 out of 1 points The Nurse Practitioner is conducting a medication reconciliation of a new resident of a long-term care facility. The Nurse - Question^16 1 out of 1 points A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sne - Question^17 A patient has been prescribed a Scheduled 5 drug, an example of this drug is Selected Answer:Antitussives 1 out of 1 points - Question^18 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. T woman's medication regimen. The nurse should consequently assess for signs and symptoms of Selected Answer: hyperkalemia. A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? Selected Answer: Serum potassium levels During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer: may cause nutrient deficiencies. Selected Answer: To balance urate concentration and prevent gout attacks Selected Answer: a CNS reflex that is initiated by receptors in the nasal cavities. Selected Answer: Coffee
- Question^19 1 out of 1 points A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic expla - Question^20 1 out of 1 points A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adve - Question^21 1 out of 1 points A Nurse Practitioner is caring for a 78-year-old patient with renal insufficiency and chronic heart failure who is receiving - Question^22 1 out of 1 points A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three con - Question^23 1 out of 1 points - Question^24 1 out of 1 points A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse woul - Question^25 1 out of 1 points Selected Answer: inhibits cholesterol syntheses. Selected Answer: Take it on an empty stomach, 1 hour before or 2 hours after meals Selected Answer: ototoxicity. Selected Answer: a diuretic. A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? Selected Answer: The^ patient's^ protein^ deficit^ will^ likely^ increase^ the^ levels^ of^ the^ free drug in his blood. Selected Answer: understand the signs and symptoms of hypoglycemia.
- 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 - 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 o - 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 i - 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 b - Question^31 1 out of 1 points 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 - 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 imp - 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 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 w - 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 - 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 m - 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 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 1 out of 1 points
- Question^44 1 out of 1 points - Question^45 1 out of 1 points - Question^46 1 out of 1 points Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin sp - Question^47 1 out of 1 points A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority - Question^48 1 out of 1 points - Question^49 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. A Nurse Practitioner is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the Nurse Practitioner take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? Selected Answer: Carefully assess the patient for infections Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? Selected Answer: A bulk-forming (fiber) laxative Selected Answer: The woman will be more susceptible to hypotension than a younger patient. Selected Answer: The amount of alcohol consumption A Nurse Practitioner 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 Practitioner is documenting the generic, rather than proprietary, names of the resident's current drugs because Selected Answer: there^ is^ a^ potential^ for^ confusion^ and^ miscommunication^ if proprietary names are used.
- Question^50 1 out of 1 points A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures - Question^51 1 out of 1 points - Question^52 1 out of 1 points A Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) ha - Question^53 1 out of 1 points - Question^54 1 out of 1 points The APRN should educate a diabetic patient that beta blockers may mask the signs and symptoms of - Question^55 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 Selected Answer: Administering the drug intravenously rather than orally 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? Selected Answer: Mr.^ Penny^ requires^ concurrent^ treatment^ with^ a^ beta^ blocker,^ nitrate, or a calcium channel blocker. Selected Answer: History of taking anticoagulant drugs A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is currently having problems with not being able to swallow large tablets or capsules. The man also wears dentures, which makes it even more difficult for him to swallow medication. He is in the clinic to talk to the nurse about his problem. The nurse will instruct him to Selected Answer: open the capsule and sprinkle the beads in applesauce. Selected Answer: hypoglycemia
- 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 th - 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 ass - Question^59 1 out of 1 points - Question^60 1 out of 1 points - Question^61 1 out of 1 points 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 lova - 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 followin - 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 Practi - 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 - Question^68 1 out of 1 points 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^75 1 out of 1 points - Question^76 1 out of 1 points - Question^77 1 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 he - Question^78 1 out of 1 points - Question^79 1 out of 1 points A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.) Selected Answers: Heart rate Blood pressure A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? Selected Answer: It^ is^ unlikely^ to^ influence^ the^ patient's^ other^ medications^ because gabapentin does not interact with other drugs. A Nurse Practitioner who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? Selected Answer: A patient with a history of angina who experienced a non-ST wave myocardial infarction Selected Answer: Coordinate bone density testing for the patient. Mrs. Houston is a 78-year-old woman who resides in an assisted living facility. Her doctor prescribed digoxin at her last visit to the clinic and she has approached the nurse who makes regular visits to the assisted-living facility about this new drug. What teaching point should the nurse emphasize to Mrs. Houston? Selected Answer: The^ importance^ of^ having^ required^ laboratory^ work^ performed^ on time 1 out of 1 points
- Question^80 1 out of 1 points - Question^81 1 out of 1 points - Question^82 1 out of 1 points - Question^83 1 out of 1 points It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following - Question^84 1 out of 1 points In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient's hypertension? Selected Answer: Using^ the^ two^ drugs^ to^ treat^ a^ health^ problem^ may^ create^ a synergistic effect. A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Selected Answer: Phenelzine (Nardil) A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in Selected Answer: 15 to 30 minutes. Which of the following statements best defines how a chemical becomes termed a drug? Selected Answer: A^ chemical^ must^ have^ a^ proven^ therapeutic^ value^ or^ efficacy^ without severe toxicity or damaging properties to become a drug. Selected Answer: Blood ammonia levels The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations?
- Question^85 An expected outcome for a patient who has just taken sublingual nitroglycerin should be Selected 1 out of Answer:increased 1 points heart - 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 statement - Question^87 1 out of 1 points A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartbur - 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). W - 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 takin - 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 edu - Question^91 1 out of 1 points 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 regula - 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 choic - 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 valu 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 medicatio - 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 concerne - 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 th - 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. Ver - 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 ac 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