Pharmacology MSN 571 Exam Test Bank ( Update) Questions
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A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially? - CORRECT ANSWER -Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and
maximize medication effectiveness? - CORRECT ANSWER -Auscultate the patient's lung
sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding
would be most concerning to the provider? - CORRECT ANSWER -The patient drinks two
glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital discharge.
Which action by the provider will best support the patient's ability to effectively manage
medication therapy? - CORRECT ANSWER -Asking the patient to demonstrate how to measure
and administer insulin
A patient reports that a medication prescribed for recurrent migraine headaches is not working.
Which action is the prescriber's priority when addressing the patient's concern? - CORRECT
ANSWER -Ask the patient about the number and frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for hepatotoxicity. Which
action is most important when prescribing this medication to an 80-year-old patient? -
CORRECT ANSWER -Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most important for the
provider to take in order to determine if the therapeutic level is maintained? - CORRECT
ANSWER -Order periodic laboratory testing.
,Which factor best supports an increase for full prescriptive authority for both advanced practice
registered nurses (APRNs) and physician assistants (PAs)? - CORRECT ANSWER -More
patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset of a
pruritic, dull red, maculopapular rash on the chest and neck. Which action is most important for
the provider to take to minimize this patient's risk for injury? - CORRECT ANSWER -
Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to adherence
to any type of medication therapy? - CORRECT ANSWER -Providing medication education that
the patient can easily understand
Which patient statement suggests to the provider that the patient's nonadherence with their
medication plan is related to dissatisfaction with the therapy? - CORRECT ANSWER -"I've been
taking this medication for well over a week and I lost only a half a pound."
How can the prescriber's regular collaboration with a pharmacist improve positive outcomes for
patients? - CORRECT ANSWER -Pharmacists have additional information on drug interactions.
The pharmacist can suggest adequate medication dosing. Pharmacists have firsthand knowledge
of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of effective medication
education? - CORRECT ANSWER -"This medication needs to be stored in the refrigerator.
"Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with dinner." "You need to take the
medication as we discussed until all the tablets are gone." "Call the office immediately if you
begin experiencing any itching, headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder asks 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? - CORRECT ANSWER -"We need to
monitor how your thyroid is functioning." "We need to monitor kidney function while you are on
this drug. This medication can cause you to lose sodium, so we need to measure sodium levels."
, When prescribing lovastatin, what will a provider advise to decrease the risk of developing
muscle toxicity? - CORRECT ANSWER -Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does the provider
take to decrease risk to the patient? - CORRECT ANSWER -Monitor the patient's plasma drug
levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms. What process
informs the provider's response to the patient's concerns? - CORRECT ANSWER -
Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the same amount of the
same drug. Which statement informs the prescriber's response when explaining this phenomenon
to the patient? - CORRECT ANSWER -Inactive ingredients used in composition can result in
differing rates of dissolution, which can alter the drug's onset of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The prescriber confirms
that the dosing is correct. Which possible cause of this situation will the provider explore? -
CORRECT ANSWER -Whether patient is taking a medication that binds to serum albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4 inducing drug
is prescribed, what drug adjustment may be necessary to maintain a therapeutic level of CYP3A4
substrate? - CORRECT ANSWER -Increase dosage of the CYP3A4 substrate
The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical pain. What
instruction will the prescriber include regarding alcohol intake? - CORRECT ANSWER -"You
should avoid drinking alcohol while you are taking the pain medication I've ordered."
Which order for furosemide is written appropriately by the prescriber? - CORRECT ANSWER -
Furosemide [Lasix] 20 mg PO daily
& Verified Answers, 100% Guaranteed Pass || Complete A+ Guide
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially? - CORRECT ANSWER -Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and
maximize medication effectiveness? - CORRECT ANSWER -Auscultate the patient's lung
sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding
would be most concerning to the provider? - CORRECT ANSWER -The patient drinks two
glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital discharge.
Which action by the provider will best support the patient's ability to effectively manage
medication therapy? - CORRECT ANSWER -Asking the patient to demonstrate how to measure
and administer insulin
A patient reports that a medication prescribed for recurrent migraine headaches is not working.
Which action is the prescriber's priority when addressing the patient's concern? - CORRECT
ANSWER -Ask the patient about the number and frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for hepatotoxicity. Which
action is most important when prescribing this medication to an 80-year-old patient? -
CORRECT ANSWER -Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most important for the
provider to take in order to determine if the therapeutic level is maintained? - CORRECT
ANSWER -Order periodic laboratory testing.
,Which factor best supports an increase for full prescriptive authority for both advanced practice
registered nurses (APRNs) and physician assistants (PAs)? - CORRECT ANSWER -More
patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset of a
pruritic, dull red, maculopapular rash on the chest and neck. Which action is most important for
the provider to take to minimize this patient's risk for injury? - CORRECT ANSWER -
Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to adherence
to any type of medication therapy? - CORRECT ANSWER -Providing medication education that
the patient can easily understand
Which patient statement suggests to the provider that the patient's nonadherence with their
medication plan is related to dissatisfaction with the therapy? - CORRECT ANSWER -"I've been
taking this medication for well over a week and I lost only a half a pound."
How can the prescriber's regular collaboration with a pharmacist improve positive outcomes for
patients? - CORRECT ANSWER -Pharmacists have additional information on drug interactions.
The pharmacist can suggest adequate medication dosing. Pharmacists have firsthand knowledge
of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of effective medication
education? - CORRECT ANSWER -"This medication needs to be stored in the refrigerator.
"Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with dinner." "You need to take the
medication as we discussed until all the tablets are gone." "Call the office immediately if you
begin experiencing any itching, headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder asks 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? - CORRECT ANSWER -"We need to
monitor how your thyroid is functioning." "We need to monitor kidney function while you are on
this drug. This medication can cause you to lose sodium, so we need to measure sodium levels."
, When prescribing lovastatin, what will a provider advise to decrease the risk of developing
muscle toxicity? - CORRECT ANSWER -Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does the provider
take to decrease risk to the patient? - CORRECT ANSWER -Monitor the patient's plasma drug
levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms. What process
informs the provider's response to the patient's concerns? - CORRECT ANSWER -
Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the same amount of the
same drug. Which statement informs the prescriber's response when explaining this phenomenon
to the patient? - CORRECT ANSWER -Inactive ingredients used in composition can result in
differing rates of dissolution, which can alter the drug's onset of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The prescriber confirms
that the dosing is correct. Which possible cause of this situation will the provider explore? -
CORRECT ANSWER -Whether patient is taking a medication that binds to serum albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4 inducing drug
is prescribed, what drug adjustment may be necessary to maintain a therapeutic level of CYP3A4
substrate? - CORRECT ANSWER -Increase dosage of the CYP3A4 substrate
The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical pain. What
instruction will the prescriber include regarding alcohol intake? - CORRECT ANSWER -"You
should avoid drinking alcohol while you are taking the pain medication I've ordered."
Which order for furosemide is written appropriately by the prescriber? - CORRECT ANSWER -
Furosemide [Lasix] 20 mg PO daily
