MSN 571 – Midterm Questions With Answers Tested And Verified Solutions RATED A+, Exams of Nursing

Download MSN 571 – Midterm Questions With Answers Tested And Verified Solutions RATED A+ and more Exams Nursing in PDF only on Docsity! MSN 571 – Midterm Questions With Answers Tested And Verified Solutions RATED A+ Note: Please share, add questions (with answers) to get as many from the test bank as possible Green Highlight – correct; Yellow – maybe but not confirmed; Red - Wrong What is the first line therapy when treating hyperlipidemia? A. Bile Acide Sequestrants B. Statin Therapy C. Lifestyle modifications D. Niacin A patient asks you how does the statin drugs work. How would you respond? A. “It inhibits the absorption of dietary cholesterol in the small intestine” B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the biosynthesis of cholesterol in the liver” C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in the feces” D. “It stimulates the biliary system to increase the excretion of dietary cholesterol” Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol? A. Atorvastatin B. Gemfibrozil C. Ezetimibe D. Cholestyramine A patient tells you that she gets red after taking her niacin. What advice do you give her? A. Discontinue the medication B. Drink plenty of water C. premedicate with aspirin You are managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules which annual intervention will you recommend? A. Pneumococcal polysaccharide vaccine (PPSV23) B. Pneumococcal conjugate vaccine (PCV13) C. Quadrivalent inactivated influenza vaccine (QIV) D. Live attenuated influenza vaccine (LAV) A patient who is taking OTC proton pump inhibitors was recently placed on an oral antifungal for a fungal infection. After a week, the patient reported that the fungal infection has not improved. Which antifungal medication was the patient taking? A. Fluconazole B. Caspofungin C. Intraconazole D. Amphotericin B A patient diagnosed with hepatitis B begins treatment with Adefovir and ask how long the drug therapy will last. what time frame will the prescriber give the patient? A. Until nephrotoxicity occurs B. A lifetime C. 48 weeks D. An indefinite, prolonged period of time When prescribing acyclovir patients should be educated regarding the: A. Need to drink lots of fluids during treatment B. High risk of developing diarrhea C. ? D. ? Idarucizumab is used to reverse the activity of which antithrombotic drug in cases of bleeding? A. Dalteparin B. Warfarin C. Alteplase D. Dabigatran The patient is receiving anticoagulant therapy period the INR value for the patient today is 1.5. In response to this, what will you do? A. ? B. ? C. ? D. Prescribe an additional dose of warfarin Warfarin’s primary mechanism of action is inhibition of the synthesis of vitamin K dependent clotting factors. These factors include which of the following? A. Factors II, IX, and X and proteins C and S B. Factors VII, IX, X, and XII and protein 5 C. Factors II, VII, VIII, and XII and proteins C and S D. Factors II, VII, VIII, and X and protein C In which of the following patients will you prescribe appropriate therapy for lice infestation? A. Spinosad to a 6 year old patient with head lice B. Lindane to a 105lb patient with lice C. Malathion to a 3 year old patient with head lice D. Ivermectin to a 12kg patient with lice Tretinoin is commonly employed in the treatment of which of the following? A. Psoriasis B. Seborrheic dermatitis C. Acne A. penicillin VK B. azithromycin C. amoxicillin D. Cefadroxil (Duricef) Which of the following drug treatment strategies is associated with peptic ulcer disease? A. opioids B. Corticosteroids C. antibiotics (amoxicillin and clarithromycin) D. hormonal therapy Which of the following diseases or disorders are most likely treated with ACE inhibitors? A. Hyperthyroidism B. Pulmonary hypertension C. Cushing’s syndrome D. Angina E. Chronic kidney disease (with or without diabetes) Your 23 year old female patient is pregnant and has gonorrhea. The medical history includes anaphylaxis following exposure to amoxicillin. The most appropriate drug to use is: A. ciprofloxacin B. ceftriaxone C. cefixime D. Doxycycline The patient is receiving anticoagulant therapy. the INR value for the patient today is 1.5. In response to do this, what will you do? A. the level is outside the expected target therapeutic level of anticoagulation; It is too high B. the level cannot be interpretated without knowing the prothrombin time and the international normalized ratio (INR). C. The level is outside the expected target therapeutic level of anticoagulation; It is too low. D. The level is within the expected target therapeutic level of anticoagulation Which laboratory test is an indirect measure of atherosclerotic plaque? A. Homocysteine B. C-reactive protein (CRP) C. Low density lipoprotein (LDL) D. Erythrocyte sedimentation rate (ESR) Below question: don’t know the correct combination. Below is what was picked but incorrect. The patient who has been prescribed lithium for a diagnosis of bipolar disorder asked why blood tests are required on a regular basis. Which provider responses demonstrate an understanding of why the patient requires a variety of laboratory tests? Select all that apply A. we need to monitor how your thyroid is functioning B. lithium can cause you to lose potassium; So we regularly monitor your blood potassium level C. We need to monitor kidney function while you are on this drug D. This medication can cause you to lose sodium, so we need to measure sodium levels E. Your liver can be damaged by lithium regular testing helps us monitor for that Which statement by a patient about the use of aspirin during pregnancy indicates a need for further learning? A. aspirin can affect hemostasis in the newborn B. aspirin can be used to relieve pain during pregnancy C. Aspirin can cause antepartum hemorrhage D. Aspirin is most harmful when used late in pregnancy elderly patients are known to have a number of medications, what is the highest priority for these patients related to polypharmacy? A. drug interactions B. cost of medications C. Schedule of medications D. Nonadherence to drug regimen The NP student is concerned than an older patient’s adverse drug reactions are due to reduced renal excretion. Which laboratory result should be closely monitor? A. Serum creatinine levels B. Serum albumin levels C. Creatinine clearance D. Blood urea nitrogen (BUN) A parent of a 5 year old child with allergic rhinitis is seeking an approved treatment to make the child feel better. which of the following is recommended? A. Diphenhydramine B. Meclizine C. Cetirizine D. Promethazine What is the term for the study of the way drugs influence the body? A. Pharmacotherapeutics B. Pharmacology C. Pharmacokinetics D. Pharmacodynamics Which term refers to the ratio between the drugs therapeutic effects and its toxic effects? A. cumulative effect B. therapeutic index C. Tolerance D. Affinity Which science provides Primary Health care providers the opportunity to individualize drug therapy based on a patient's genetic makeup? A. Pharmacodynamics B. Pharmacogenomics C. Pharmacokinetics D. Pharmac0genetics The administration of a drug influences cell physiology. What is the term for this concept? A. Pharmacotherapeutics B. Pharmacokinetics C. Pharmacology D. Pharmacodynamics A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to: A. Identify poor metabolizers of tamoxifen B. Ensure the patient will not have increased adverse drug reactions to the tamoxifen C. Identify potential drug-drug interactions that may occur with tamoxifen D. Reduce the likelihood of therapeutic failure with tamoxifen treatment ED50 refers to: A. half-life of the drug B. Half of the drug dose should be prescribed C. The median effective dose D. Half of the drug is eliminated Which of the follow is not one of the four processes of pharmacokinetics? A. Administration B. Absorption C. Distribution D. Excretion Which medication classification is used to decrease preload in patients with heart failure? A. Diuretics B. Corticosteroids C. Beta blockers D. Calcium channel blockers Which patient population benefits the most from diuretic therapy? A. Those with orthostatic hypertension B. Diabetics C. Those with stable angina A. Fluoroquinolones B. Macrolides C. Aminoglycosides D. Tetracyclines Which antibiotic binds to the 50S subunit of the bacterial ribosome and could most likely result in the development of pseudomembranous colitis? A. Clindamycin B. Tetracycline C. vancomycin D. Amoxicillin Beta lactamase inhibitors are often indicated in which of the following? A. Often combined with penicillin antibiotics B. May decrease absorption of medications C. First dose effect D. Delayed absorption of oral drugs Which of the following terms best describes the mechanism of action of metoprolol? A. A1 antagonist effects B. Beta one selective C. Nonselective beta with alpha blocking D. Nonselective alpha-blockers Which of the following drug classes is/are used in initial hypertension management of African American population? A. Clonidine primary B. Betablockers primary C. thiazide or calcium channel blocker primary D. ACE- I primary Which of the following medications or drugs? Passes is commonly indicated for managing just stational hypertension? A. Spironolactone (Aldactone) B. Loop diuretics C. Calcium channel blockers D. ? A patient is administered cefotetan for a urinary tract infection. After two days, the patient complains of stomach cramps, nausea, vomiting, excessive sweating, itching, and headache. The patient also has decreased blood pressure. How would you interpret the assessment? A. The patient has taken ranitidine in addition to the cefotetan B. The patient has taken probenecid in addition to the cefotetan C. The patient has taken methotrexate in addition to the cefotetan D. The patient has taken ethanol (alcohol) in addition to the cefotetan The antimicrobial that is recommended and highly effective for the treatment of gonorrhea at all anatomic sites of infection: A. Cephalexin B. Parental Ceftriaxone C. Ciprofloxacin D. Penicillin Below question: don’t know the correct combination. Below is what was picked but incorrect. The NP explains to the NP students about penicillin. Which is true about penicillin? Select all that apply A. They cause bacteria to take up excess amounts of water and rupture B. They are known as beta lactam antibiotics C. They are active only against bacteria that are growing and dividing D. They are bacterial static E. There are considered one of the safest antibiotics Your patient is allergic to penicillin and sulfa medications. Which antibiotic can be given safely to the patient? A. Keflex B. Bactrim DS C. Zithromycin D. Cephalasporin born first in second generation Acute bacterial rhinosinusitis syndrome (ABRS) A. Escherichia Coli, Klebsiella pneumoniae, Proteus Mirabilis B. Acinetobacter, Enterococcus Faecalis, Campylobacter C. Streptococcus pneumoniae, Moraxella catarrhalis, Haemophilus influenzae D. Legionella pneumoniae, mycoplasma pneumoniae, chlamydia pneumoniae This selection of antibiotics for the treatment of infections, is based on which understanding of selective toxicity? A. The ability to avoid injuring host cells B. The ability to suppress bacterial resistance C. the ability to transfer DNA coding D. The ability to act against a specific microbe Don’t know the question, but here are the options: A. Nitrofurantoin B. Trimethoprim/Sulfamethoxazole C. Doxycycline D. Clindamycin While conducting a well child checkup for a 2 year old, you note the presence of three superficial pustular vesicles on her neck. Which medication will you plan to prescribe as treatment? A. Oral penicillin B. Topical mupirocin C. Oral erythromycin D. Topical neomycin Mild acne may be initially treated with: A. OTC benzoyl perioxide B. Minocycline C. Topical combined antibiotic D. Topical retinoid Which Organism is a common sexually transmitted bacterial infection? A. Clostridium perfringens B. Helicobacter pylori C. Treponema pallidum D. Staphylococcus aureus A 19 year old female is diagnosed with bacterial vaginosis. What is a common treatment prescribed? A. Metronidazole B. Azithromycin C. Amoxicillin D. Ciprofloxacin A 24 year old patient is diagnosed with genital herpes simplex virus infection. Which of the following agents is indicated for use in this diagnosis?\ A. Lamivudine B. Cidofovir C. Valacyclovir D. Zanamivir Tolerance may be caused by desensitization, internalization or downregulation of receptors, requiring higher drug doses to maintain the same response. Tolerance also often results from enhanced drug elimination that alters the concentrations of drugs available to interact with receptor. True False A patient comes to your clinic having taken an undetermined amount of heroin. The drug of choice for heroin overdose is: