NURS 6521 Pharmacology Midterm Test set 1 / NURS 6521 Pharmacology Midterm Exam latest spring 2020/2021

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NURS 6521 Pharmacology Midterm Test set 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 a... ware that there is a high abuse potential for this drug and that it is categorized as a • Question 2 Glargine (Lantus) is an insulin analog that essentially has no peak and is usually administered: • Question 3 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? • Question 4 A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? • Question 5 Typical adverse reactions to oral calcium-channel blockers include: • Question 6 Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? • Question 7 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? • Question 8 /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: • Question 9 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? • Question 10 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. • Question 11 A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? • Question 12 A 76-year-old woman has a complex medical 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 • Question 13 A common side effect of metformin (Glucophage) therapy is: • Question 14 The side effects of antihistamines are mostly due to their: • Question 15 The APRN's ability to prescribe controlled substances is regulated by: • Question 16 Which type of antihistamines are used to inhibit the secretion of gastric acid in patients with gastrointestinal disorders? • Question 17 The recommended range for maintaining serum theophylline levels is: • Question 18 The anticoagulant drug that acts as a vitamin K antagonist is: • Question 19 Which of the following is a potential adverse side effect of autonomic-anticholinergic agents? • Question 20 The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: • Question 21 The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the • Question 22 Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: • Question 23 Some first-generation antihistamines are used: • Question 24 All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics except: • Question 25 Which of the following oral medications is the safest to use during pregnancy? • Question 26 Ginger, a 25 year old female presents at the clinic with known history of depression. She reports taking an SSRI with only partial relief. Which of the following drugs can be used safely at any dose in conjunction with an SSRI? • Question 27 Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: • Question 28 Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ? • Question 29 A possible side effect from the use of nifedipine (Procardia XL) is: • Question 30 Metformin (Glucophage) acts by: • Question 31 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? • Question 32 The Elderly are at high risk of Adverse Drug Reactions due to: • Question 33 A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? • Question 34 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? • Question 35 A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? • Question 36 A female patient is taking 0.125 mg of digoxin daily 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? • Question 37 Which of the following is a contraindication for antimuscarinic drugs? • Question 38 Which medication class is recognized for the treatment of moderate to severe dementia? • Question 39 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? • Question 40 Advanced practice nurse prescribing of scheduled medications is affected most by: • Question 41 A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure . He presents with red, painful swelling of the great toe. In addition to treating gout, you recognize that you may need to: • Question 42 A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be • Question 43 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? • Question 44 To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should • Question 45 A patient who is a steroid-dependent asthmatic is started on a beclomethasone inhaler. Which should be part of patient education? • Question 46 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 • Question 47 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 nurse informed the patient that prolonged use of laxatives • Question 48 Which antihypertensive agent is associated with hair growth? • Question 49 A patient with a history of bronchial asthma is seen in the clinic for increased episodes of difficulty breathing. He has been taking theophylline 100 mg PO tid. He is 40 years old and obese with an 16-pack-year history of cigarette smoking and excessive intake of coffee daily. He eats a low-carbohydrate, high-protein diet. Which identified factors decrease the therapeutic effects of the theophylline? • Question 50 Autonomic drugs have little effect when administered: • Question 51 Which can elevate theophylline levels? • Question 52 A patient on valproic acid may experience which of the following symptoms? • Question 53 What information would the Nurse Practitioner include in teaching a patient about the treatment of vitamin B12 deficiency following a total gastrectomy? • Question 54 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? • Question 55 Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists? • Question 56 The NP knows that lithium levels should be measured while patients are on lithium therapy. The NP also recognizes that lithium has a • Question 57 Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? • Question 58 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? • Question 59 A primary therapy for patients with mild ulcerative colitis is: • Question 60 Which of the following conditions is a contraindication for pioglitazone (Actos). • Question 61 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? • Question 62 An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently diagnosed with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient? • Question 63 Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. [Show More]

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