Pharmacology Mid-Term Exam: MSN571 Practice Questions, Exams of Nursing

A mid-term exam for a pharmacology course, likely msn571. It includes 51 multiple-choice questions covering a range of topics in pharmacology, such as red blood cell production requirements, iron deficiency anemia treatment, opioid analgesics, antibiotic classes and mechanisms, drug interactions, and considerations for special populations like children, pregnant women, and the elderly. The questions assess understanding of drug classes, mechanisms of action, contraindications, adverse effects, and appropriate prescribing practices. It also covers topics such as vaccinations, fungal infections, hypertension management, and pharmacokinetic principles. The exam is designed to evaluate the student's knowledge and application of pharmacological concepts in clinical scenarios, focusing on safe and effective medication use.

Typology: Exams

2024/2025

Available from 07/26/2025

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Mid Term Pharm MSN571
1. Which is required for red blood cell production
All
Iron
Folate
Vitamin B12
2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You
will:
Refer the patient to hematologist
Prescribe ferrous sulfate 325mg po TID and schedule the patient to
return in 1 month for a repeat CBC, serum iron and TIBC
Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly
office visits for injections.
Schedule the patient to return in 6 months for additional guaiac stool testing.
3. Most clinically used opioids analgesics are selective for which type of opioid
receptor?
alpha
delta
mu
beta
kappa
4.Which is true about morphine
It does not cause tolerance with prolong use
It promotes nausea and vomiting through direct stimulation of the
chemoreceptor trigger zone of the medulla
It does not cause urinary retention and hesitancy
Respiratory depression is rare
12. Which of the following medications is a fluroquinolone antibiotic?
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29

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Mid Term Pharm MSN

  1. Which is required for red blood cell production All Iron Folate Vitamin B
  2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will: Refer the patient to hematologist Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1 month for a repeat CBC, serum iron and TIBC Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office visits for injections. Schedule the patient to return in 6 months for additional guaiac stool testing.
  3. Most clinically used opioids analgesics are selective for which type of opioid receptor? alpha delta mu beta kappa 4.Which is true about morphine It does not cause tolerance with prolong use It promotes nausea and vomiting through direct stimulation of the chemoreceptor trigger zone of the medulla It does not cause urinary retention and hesitancy Respiratory depression is rare
  4. Which of the following medications is a fluroquinolone antibiotic?

Azithromycin Ciprofloxacin Penicillin Amikacin

  1. Which of the following terms best describes the mechanism of action of metoprolol? Alpha 1 antagonist effects Beta 1 selective ( beta-1-adrenergic receptor inhibitor) Nonselective Beta with Alpha blocking Nonselective Alpha blockers
  2. Which antibiotic class disrupts metabolism in bacteria and is often combined with trimethoprim? Aminoglycosides Cephalosporins Macrolides Fluoroquinolones Sulfonamides
  3. Which of the following group of antibiotics has a beta-lactam ring in the molecular structure? Cephalosporins Fluoroquinolones Macrolides Sulfonamides Tetracycline
  4. Which of the following drug classes should be avoided in peptic ulcer disease? Avoid antibiotics Avoid NSAIDS Avoid diuretics Avoid proton pump inhibitors
  5. Fluroquinolones antibiotics are most likely indicated in which of the following conditions? Follicular conjunctivitis
  1. A child with an ear infection is not responding to treatment with amoxicillin. What alternative medication will the provider order?

Amoxicillin-clavulanic acid Penicillin G Ampicilli n Nafcillin

  1. Every antibiotic drug class has resistant organisms that influence prescribing decisions. True Fals e
  2. The dosage of Amoxicillin for the treatment of pediatric acute otitis media is Amoxicillin 50mg/kg/day Amoxicillin 90mg/kg/day Amoxicillin 25mg/kg/day Amoxicillin 150mg/kg/day
  3. Which antibiotic is in the macrolide class? Minocycline (Minocin) Nitrofurantoin ( Macrobid) Clarithromycin ( Biaxin) Trimethoprim
  4. Contraindications to hepatitis B vaccination is: All pregnant and lactating women Previous severe hypersensitivity or anaphylaxis A history of poliomyelitis Mild viral illness
  5. Treatment for fungal infections of the toenails (onychomycosis) includes Miconazole Cream Oral Griseofulvin Mupirocin Cream Ketoconazole Cream
  6. In which of the following the human papillomavirus (HPV) vaccine is not

Only young men through the age of 21 Men with compromised immune systems (including HIV) through age 30 if they did not get the HPV vaccine as teenagers

  1. What is the treatment option for a patient who reported small vesicular lesions on the genitals that lasted between 10 and 20 days? Acyclovir (Zovirax) Three injections of penicillin One time dose of azithromycin Test of cure
  2. When teaching a pregnant patient about the effects of medication on the fetus, the greatest harm from maternally ingested medications occurs during which time period? Birthing process First trimester Second trimester Third trimester
  3. Which concept guides the NP care of infants receiving a variety of medications? Drugs given subcutaneously (subQ) remain in the body longer in infants than in adults Drugs given intravenously (IV) leave the body more quickly in infants than in adults The blood brain barrier protects the infant’s brain from toxic drugs Gastric emptying time is shorter in infants than in children and adults
  4. Which of the following is true? Enzyme inducers can enhance clinical responses to prodrug The bioavailability of lipid soluble drugs is increased in the elderly Drug doses may need to be increased in pregnancy All of the above
  5. Physiological changes in the elderly that accounts for a small volume of distribution and an increase in the plasma concentration of digoxin are: Increased activity of hepatic enzymes that facilitate drug metabolism Decreased total body water Increased total body of

water Decreased total body fat

  1. A patient has been taking 10mg per day of prednisone for the past 6 months. The Patient should be assessed for? Gout Iron deficiency anemia Renal dysfunction Osteoporosis
  2. Which of the following is (are) useful in the eradication of Tinea organisms? Butoconazole Terbinafine (Lamisil) Griseofulvin None of these are correct Both Griseofulvin and Terbinafine (Lamisil)
  3. When teaching a patient about amiodarone, you should advise the patient to avoid which food and drink? Gluten Poultry Whole milk Grapefruit juice
  4. Which class of drugs is recommended by the JNC8 as the first line therapy for uncomplicated essential hypertension? Angiotensin converting enzyme inhibitors Thiazide Diuretics Loop diuretics Alpha 1 adrenergic receptor blocking agents
  5. A patient has been prescribed amiodarone. What should be included in the patient teaching about this medication? Photophobia and wearing sunglasses Gastrointestinal upset Decrease Fluid

intake High fiber diet

Accumulation of inactive metabolites of drugs

Increased elimination of an active drug

  1. Drugs that are prone to cause adverse effects include: Insulin Stimulant s Inhaled anticholinergics Diuretics
  2. An NP is reviewing information about a drug. The drug is taken orally, and after 12 hours, traces of the drug are found in urine and cerebrospinal fluid. What is this process called? Pharmacokinetic Pharmacotherapeuti cs Pharmaceutics Pharmacodynamics Rationale: The interactions between the body and a drug are studied in two ways: pharmacokinetics and pharmacodynamics. Pharmacokinetics is the study of the processes of absorption, distribution, metabolism, and excretion of a drug. Pharmaceutics is the science of how drugs are made in proper forms and dosages and then supplied to the market. Pharmacodynamics is the study of how a drug acts on the body and its effects on various systems in the body. Pharmacotherapeutics is the study of uses of drugs to prevent and treat diseases
  3. Which of the following is the most appropriate choice to describe age associated changes that can affect pharmacokinetics in older patients? Changes in gastrointestinal function that lead to reduced drug absorption Decrease in body fat Increase in total body water Decrease in Creatinine clearance
  4. What occurs when a drug binds to a receptor in the body? It gives the receptor a new function
  1. The patient is diagnosed with otitis media with perforated ear drum. You want to prescribe an otic preparation. Which if the following is not appropriate? Ciprofloxacin/ dexamethasone Ofloxacin otic Acetic acid Otic Ciprofloxacin/Hydrocortisone Ofloxacin and ciprofloxacin are recommended for the patient with a perforated eardrum. These medicines are safe for the patient with a perforated eardrum. Neomycin, polymyxin B, and hydrocortisone are contraindicated in patients with a perforated eardrum because these drugs may cause permanent damage to the ear.
  2. A patient is diagnosed with otitis externa. Comorbidities include diabetes mellitus Hypertension, and advanced multiple sclerosis. Which type of education regarding medication administration would you provide? The oral administration of a prescription for fluoroquinolone The oral administration of prescription for hydrocortisone/neomycin/Polymyxin B combination solution The administration of topical medications for a prescription of alcohol plus acetic acid solution The administration of topical combination for a prescription of a fluoroquinolone/glucocorticoid combination solution
  3. A 2-year-old child presents to the clinic with otalgia and fever. The left tympanic membrane (TM) is erythematous and bulging: the right TM is perforated and draining. The child’s parent states/ “This is the 5 th^ ear infection this year. What can we do? What action will the provider take to address the child’s ear problem? Prescribe both ceftriaxone (Rocephin) IM with benzocaine ear drops for pain? Discuss beginning prophylactic antibiotic therapy with trimethoprim/sulfamethoxazole Prescribe amoxicillin clavulanate and refer the child to an otolaryngologist Prescribe both high dose amoxicillin and the influenza vaccine
  4. What is the mechanism of action of ezetimibe? It inhibits the absorption of bile thus causing the liver to produce bile from cholesterol It inhibits absorption of the dietary and biliary cholesterol in the small intestine (p. 1052) It decreases the adhesion of cholesterol on the arterial walls

It inhibits the biosynthesis of cholesterol in the liver

Low serum Creatinine Increased body fat

Low serum albumin Chronic constipation

  1. you are caring for a patient with bipolar disorder who is taking lithium. Which abnormal lab is most essential for you to reevaluate this patient’s dosage of lithium? Potassium level of 5.0 mEq/L Blood urea nitroglycerin of 20mg/dl Sodium level of 128mEq/L Prothrombin time of 8 secs
  2. It is essential for the practitioner to understand the responsibility involved in prescribing a drug or drugs and to consider seriously which class of medication is most appropriate for the patient. The decision is reached based on a thorough knowledge of diagnosis and treatment. True Fals e
  3. Nurse practitioner prescriptive authority is regulated by The National Council of State Board of Nursing The State Board of Nursing for each state The state Board of Pharmacy The US Drug Enforcement Administration A post op patient is prescribed fentanyl? What schedule drug is it? A: schedule II Which outcome should the nurse practitioner establish for a patient with trichomoniasis who is receiving flagyl? decrease in yellow green