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NURS6521 MIDTERM EXAM Advanced Pharmacology, Exams of Nursing
A series of multiple-choice questions related to advanced pharmacology. The questions cover a range of topics, including medication schedules, drug regimens, adverse effects, and treatment choices for various conditions. The questions are designed to test the knowledge of nurse practitioners and other healthcare professionals in the field of pharmacology.
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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
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Selec ted Answ er: nitrate toleranc e.
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- Question^3 1 out of 1 points The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is:
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Selec ted Answ er: potential adverse effects of the drugs that Mr. Nguyen will be taking. Selec ted Answ er: Bismuth, Metronidazole, Omeprazole, and Tetracycline
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- Question^4 1 out of 1 points
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- 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 decr
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A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of Selec ted Answ er: hypertension. Selec ted Answ er: adrenal insufficiency.
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- 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 heade
- The best choice of medication to treat this patient is: - 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 hist
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Selec ted Answ er:
Cardiac glycoside such as Digoxin Selec ted Answer:
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- 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 o - Question^9 1 out of 1 points Which of the following is TRUE about long acting beta agonist use in asthma patients?
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l ectrolyt e levels Selec ted Answ er: Gastroin testinal distress Selected It^ can^ be^ combined^ with^ an^ inhaled corticosteroid to improve
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- Question^10 1 out of 1 points
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Answer: 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: omit the dose if the meal does not contain fat.
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- Question 12 1 out of 1 points
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Selec ted Answ er: 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
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- Question 11 1 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by:
- Question 13 1 out of 1 points
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consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Selec ted Answ er: 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
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care on the understanding that there is Selec ted Answ er: a decrease in the amount of creatinine to be filtered. Selec ted Answ er: Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes before each meal
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- Question 14 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 regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin?
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- Question 15
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You are seeing a 55 year old patient recently diagnosed with a bleeding ulcer. What should be the initial treatment choice for this patient? Select ed Answ er:
A
Proton Pump Inhibito r Selec ted Answer:
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- Question 16 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 values would be a priority for the nurse to assess before administration?
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Triglyceri de levels Selec ted Answ er: Leukotri ene modifier s Selec ted Answer:
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- Question 17 1 out of 1 points A patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of the following medications can be administered to decrease the nighttime episodes and prevent asthma attacks? - Question 18 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to
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swallow the tablet with milk or food. Selec ted Answ er: Bet a bloc ker Selected Answer:
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- Question 19 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 the best evidence in mortality reduction? - Question 20 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. Verapamil achieves a therapeutic effect by
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inhibiting the movement of calcium ions across the cardiac muscle cell membrane.
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- 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 rece - 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 thre
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Atorvastatin (Lipitor) Selec ted Answ er: ototo xicit y. Selec ted Answer:
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- Question^23 1 out of 1 points
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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? Selec ted Answ er: The patient's protein deficit will likely increase the levels of the free drug in his blood.
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- Question^24 1 out of 1 points A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurs
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Selec ted Answ er: understand the signs and symptoms of hypoglycemia.
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- Question^25 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 m - 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 fin
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Selec ted Answ er: A 79-year-old male with cardiomegaly Selec ted Answ er: Enlarged prostate gland
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- 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 - Question^28 1 out of 1 points
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Selec ted Answ er:
Bet a bloc ker A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an
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- Question^29 1 out of 1 points
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electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? Selec ted Answ er: 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? Selec ted Answer:
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Blood pressure
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- Question^31 1 out of 1 points The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain home
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An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? Selec ted Answ er: An oral antidepressant that the patient has been taking daily for several years
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- Question^32 1 out of 1 points A Nurse Practitioner has administered a medication to a patient with hypertension. The prescribed drug is suppose - Question^33 1 out of 1 points
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Selec ted Answ er: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. Selec ted Answ er: decrease the amount of circulating blood sent through the kidneys. A 76-year-old woman has a complex medical
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- 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 m
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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 Selec ted Answ er: her history of emphys ema.