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MSN571 Mid Term Pharm Questions With Answers, Exams of Nursing

Virginia State University (VSU)Nursing

MSN571 Mid Term Pharm Questions With Answers

Typology: Exams

2022/2023

Available from 06/18/2023

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MSN571 Mid Term Pharm Questions With Answers
1. Which is required for red blood cell production
โ—All
โ—Iron
โ—Folate
โ—Vitamin B12
2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will:
โ—Refer the patient to hematologist
โ—Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in
1 month for a repeat CBC, serum iron and TIBC
โ—Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly
office visits for injections.
โ—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?
โ—alpha
โ—delta
โ—mu
โ—beta
โ—kappa
4.Which is true about morphine
โ—It does not cause tolerance with prolong use
โ—It promotes nausea and vomiting through direct stimulation of the chemoreceptor
trigger zone of the medulla
โ—It does not cause urinary retention and hesitancy
โ—Respiratory depression is rare
12. Which of the following medications is a fluroquinolone antibiotic?
pf3
pf4
pf5
pf8
pf9
pfa
pfd

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MSN571 Mid Term Pharm Questions With Answers

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

โ— Azithromycin โ— Ciprofloxacin โ— Penicillin โ— Amikacin

  1. Which of the following terms best describes the mechanism of action of metoprolol? โ— Alpha 1 antagonist effects โ— Beta 1 selective ( beta-1-adrenergic receptor inhibitor) โ— Nonselective Beta with Alpha blocking โ— Nonselective Alpha blockers
  2. Which antibiotic class disrupts metabolism in bacteria and is often combined with trimethoprim? โ— Aminoglycosides โ— Cephalosporins โ— Macrolides โ— Fluoroquinolones โ— Sulfonamides
  3. Which of the following group of antibiotics has a beta-lactam ring in the molecular structure? โ— Cephalosporins โ— Fluoroquinolones โ— Macrolides โ— Sulfonamides โ— Tetracycline
  4. Which of the following drug classes should be avoided in peptic ulcer disease? โ— Avoid antibiotics โ— Avoid NSAIDS โ— Avoid diuretics โ— Avoid proton pump inhibitors
  5. Fluroquinolones antibiotics are most likely indicated in which of the following conditions? โ— Follicular conjunctivitis

Amoxicillin-clavulanic acid Penicillin G Ampicillin Nafcillin

  1. Every antibiotic drug class has resistant organisms that influence prescribing decisions. True False
  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 recommended A 25 year old who did not finish the vaccine series as a teen Men who have sex with men

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 infantโ€™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

Sunscreen use 45 Sublingual nitroglycerin can be used in lower dosages than with the other routes The potency is 100 times higher It bypasses the liver It is not a catabolized down by gastric acids It does not need to be absorbed into the bloodstream

  1. A patient requires rapid diuresis and is not urinating well. Which diuretic would be the most effective? Lasix Spironolactone Triamterene HCTZ 47 An elderly patient has problems remembering to take her medication three times a day. Which one of the drug formulations might be particularly might be particularly useful in this case? Skin patch Extended release Suppository Suspension
  2. The major reason for not crushing a sustained release capsule is that, if crushed the coated beads of the drugs could possibly result in: Disintegration Malabsorption Deterioration Toxicity
  3. Patients who have a poor metabolism phenotype will have A need for increased dosages of medications Slowed metabolism of a prodrug into an active drug, leading to accumulation prodrug Accumulation of inactive metabolites of drugs
  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 childโ€™s parent states/ โ€œThis is the 5 th^ ear infection this year. What can we do? What action will the provider take to address the childโ€™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
  1. On assessment of a patient with hyperlipidemia you learn that the patient has recently undergone liver transportation. Which antihyperlipidemic drug should be excluded from the patientโ€™s prescription? Gemfibrozil Atorvastatin Cholestyramine Ezetimibe
  2. Before prescribing simvastatin, which baseline data are collected to help prevent adverse effects of therapy? Select all that apply Potassium Uric Acid Renal Function Gastric distress Muscle pain Liver enzymes
  3. A patient with cardiovascular disease is taking rosuvastatin. Which finding would indicates a potential adverse effect of this drug? Muscle pain and tenderness Blood pressure of 140/90mm Hg Wheezing and shortness of breath Platelet count of 100 x 103mm 3
  4. Which of the following labs would you want to order for routine monitoring of a patient receiving the anticoagulant Lovenox (enoxaparin) None of these labs would be used PT/INR Hgb alone PTT
  5. A provider is reviewing an older adult patientsโ€™ chart during a routine visit. Which patient information is of most concern regarding the renewing of medication prescriptions for highly protein-bound drugs? Low serum Creatinine Increased body fat

A 19 year old that comes with a greenish odorish discharge with vaginal itching. During vaginal exam, vaginal mucosa is erythemas, wet mount of discharge shows motile organism. The patient is started on appropriate therapy. Later that evening, a patient has flushing, nausea, vomiting after drinking wine. Which of the following medications has she been treated with? Flagyl diflucan azithromycin ceftriaxone A 19 yr old w/ bacterial vaginosis. What is the common treatment prescribed? cipro amoxicillin flagyl azithromycin Which of the following groups of people are at risk for early hypertension? African American Mexican American Mediterranean Older women Which of the following diseases or disorders are likely treated with ACE inhibitors? hyperthyroidism pulmonary hypertension cushing syndrome angina chronic kidney disease with or without diabetes