NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified lat, Exams of Nursing

Download NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified lat and more Exams Nursing in PDF only on Docsity! NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ • Question 1 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 Selec ted Answ er: C-II drug. • Question 2 1 out of 1 points Glargine (Lantus) is an insulin analog that essentially has no peak and is usually administered: Select ed Answer: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Once a day. • Question 3 0 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? Selec ted Answ er: Ranitidine (Zantac) 150 mg bid. NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: ACE Inhibitor • Question 7 1 out of 1 points Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Selec ted Answ er: con fusi on • Question 8 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: Select ed Answ er: The state board of nursing for each state • Question 9 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? Selec ted Answer: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ " D o you take any herbal supplements or alternative medications?"  Question 10 0 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 Answer1.2 mcg/kg of body weight per day • Que stio n 11 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 1 out of 1 points A patient with a known history of benign prostatic hyperplasia (BPH) presents to the clinic 4 days after developing a cold. He tells you he began experiencing a sore throat and nasal congestion and began to take an over the counter decongestant. Today, he complains of not urinating over the last 12 hours. He also has suprapubic fullness on exam. Which of the following medications are most likely responsible for this patient's urinary retention? Selec ted Answ er: Phenyl ephri ine • Question 14 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 1 out of 1 points Which of the following is a side effect or precaution associated with ACE inhibitors? Selec ted Answ er: Angi oede ma • Question 15 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Some first generation antihistamines are used: 1 out of 1 points Select ed Answ er: to prevent motion sickness • Question 16 What is a serious side effect of ibuprofen in the older adult patient? 1 out of 1 points Select ed Answ er: Impairmen t of renal function • Question 17 1 out of 1 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ • Question 20 Acetazolamide is categorized as which of the following? 1 out of 1 points Select ed Answ er: Carbonic anhydrase inh ibitor • Question 21 0 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Select ed Answer: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ o n s et of acti on • Question 22 1 out of 1 points Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: Select ed Answ er: The high vitamin K levels will decrease the INR • Question 23 Some first-generation antihistamines are used: 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Select ed Answ er: to prevent motion sickness • Question 24 1 out of 1 points All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics except: Select ed Answ er: Albuterol inhaler (proventi l) • Question 25 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Select ed Answ er: Li ve r • Question 29 A possible side effect from the use of nifedipine (Procardia XL) is: 0 out of 1 points Select ed Answ er: Hyperkalem ia and tetany • Question 30 Metformin (Glucophage) acts by: 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: Decreasing hepatic glucose production with minor effects on insulin sensitivity in both liver and peripheral tissues • Question 31 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? Selec ted Answ er: How well a drug produces its desired effect • Question 32 The Elderly are at high risk of Adverse Drug Reactions due to: 1 out of 1 points Select ed Answ er: age related decrease in renal function • Question 33 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 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? NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: "No, the drug dosage will likely stay the same." • Question 37 Which of the following is a contraindication for antimuscarinic drugs? 0 out of 1 points Select ed Answ er: Parkinso n disease • Question 38 0 out of 1 points Which medication class is recognized for the NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ treatment of moderate to severe dementia? Selec ted Answ er: Cholinesterase inhibitors. • Question 39 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? Selec ted Answ er: Beta- Blocke rs • Question 40 0 out of 1 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Answer: • Question 43 1 out of 1 points Ms. Simpson has a known history of asthma. She is on Theophylline daily. The NP contemplates giving her an antibiotic for her respiratory infection. The NP knows that which choice below could elevate theophylline levels? Selec ted Answ er: Cipro floxa cin • Question 44 0 out of 1 points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ should Selec ted Answ er: monitor for nausea and vomiting. • Question 45 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? Select ed Answ er: Rinse the mouth well after each use • Question 46 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 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 Selec ted Answ er: there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin. • Question 47 1 out of 1 points 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 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ the therapeutic effects of the theophylline? Selec ted Answ er: Coffee intake and weight • Question 50 Autonomic drugs have little effect when administered: 0 out of 1 points Select ed Answ er: by inhal ation • Question 51 Which can elevate theophylline levels? 1 out of 1 points Selec ted Answer: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Concomit ant treatment with cimetidine (Tagamet). • Question 52 A patient on valproic acid may experience which of the following symptoms? 1 out of 1 points Select ed Answ er: All of the abov e • Question 53 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? NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: The patient will receive monthly cyanocobalamin (vitamin B12) injections for life (after being given daily weekly injections for the first month). • Question 54 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? NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Mr . Pe nny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. • Question 58 0 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? Select ed Answ er: “The salmeterol that I take provides me with long-term control.” • Question 59 A primary therapy for patients with mild ulcerative colitis is: 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: Mesalamine (Pentasa). • Question 60 1 out of 1 points Which of the following conditions is a contraindication for pioglitazone (Actos). Select ed Answ er: Severe congestive heart failure NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ • Question 61 0 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? Selec ted Answ er: Give the iron with food to increase the absorption of the medication • Question 62 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. NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Selec ted Answ er: Hema tou ria • Question 65 1 out of 1 points The Family nurse practitioner prescribed losartan 50 mg PO daily for a hypertensive patient. This medication promotes vasodilation by: Select ed Answ er: Blocking the action of angiotensin II • Question 66 1 out of 1 points NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug classifications that would tend to reduce insulin sensitivity are: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Select ed Answ er: Diuretics and beta blockers. • Question 67 0 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? Selec ted Answ er: wei ght los s • Question 68 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Both 1 and 2 • Question 72 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 Selec ted Answ er: use of alcohol. • Question 73 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 0 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? Selec ted Answ er: Carbidopa/levodopa has shown efficacy in slowing disease progression. • Question 74 0 out of 1 points A 65-year-old male presents with a history of NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ 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 Selec ted Answ er: paro xeti ne • Question 75 How does cholestyramine lowers blood cholesterol? 1 out of 1 points Select ed Answer: NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ • Question 79 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? Selec ted Answ er: Limit dairy produ cts • Question 80 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 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ monitor for in this patient? Selec ted Answ er: Oropharyngeal Candida albicans infection • Question 81 1 out of 1 points A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by Selec ted Answ er: decreasing the influx of sodium into neurons. • Question 82 0 out of 1 points Successful treatment for an adult patient with NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ Helicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen? Select ed Answ er: Bismuth (Pepto-Bismol), cephalexin (Keflex), and metronidazole (Flagyl). • Question 83 Which of the following can block the action of heparin? 1 out of 1 points Select ed Answ er: Prota mine sulfat e • Question 84 NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ and dark colored urine. What is your best course of action given presentation? Selec ted Answ er: Discontinue the pravastatin and order a liver function profile test • Question 87 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: Selec ted Answ er: Following U.S. Drug Enforcement Administration guidelines for prescribing NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ • Question 88 1 out of 1 points 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 Selec ted Answ er: a decrease in the amount of creatinine to be filtered. • Question 89 1 out of 1 points Typical adverse reactions to oral calcium-channel NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+ blockers include: Select ed Answ er: e d e m a • Question 90 1 out of 1 points What drug class will decrease the facial flushing that occurs with niacin? Select ed Answ er: NS AI D S NURS6521 Pharmacology Midterm Test EXAM Q & As with all answers 100%correctly verified latest update 2022/2023 graded A+