ADVANCED PHARMACOLOGY EXAM 2 360 QUESTIONS WITH ALL CORRECT ANSWERS ALREADY
GRADED A+
Women who have migraines with an aura should not be prescribed estrogen because of:
An increased risk of stroke occurring with estrogen use
A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient
includes:
Counseling regarding decreasing or not smoking while taking oral contraceptives
A 19-year-old female is a nasal Staph aureus carrier and is placed on five days of rifampin for
treatment. Her only other medication is combined oral contraceptives. What education should
she receive regarding her medications?
She should use a back-up method of birth control such as condoms for the rest of the current
pill pack to avoid the low possibility of birth control pill (BCP) ineffectiveness.
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms
with the lowest adverse effects she should be prescribed:
A vaginal estradiol ring
Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting
enzyme inhibitor is needed. Prior to prescribing this drug, the nurse practitioner (NP) should
assess for:
Decreased renal function
,Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating hypertension
in diabetic patients because they:
All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE inhibitor is angioedema. Which of the
following statements is true about this adverse response?
Swelling of the tongue and hoarseness are the most common symptoms.
ACE inhibitors are useful in a variety of disorders. Which of the following statements is true
about both their usefulness in a particular disorder and the reason for their use?
Both 1 and 2 are true:
1. They are useful to prevent stable angina because they decrease the thickening of vascular
walls due to decreased modified release.
2. They are useful to prevent heart failure because they reduce remodeling of injured
myocardial tissues.
Despite good blood pressure control, an NP might change a patient's drug from an ACE inhibitor
to an angiotensin II receptor blocker (ARB) because the ARB:
Does not produce a dry, hacking cough
,While taking an ARB, patients need to avoid certain over-the-counter drugs without irst
consulting the provider because:
Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
Laboratory monitoring for patients on ACE inhibitors or ARBs should include:
Serum creatinine levels with the drug dosage reduced for values greater than 2.5 mg/dL
Jacob has hypertension, for which a calcium channel blocker has been prescribed. This drug
helps control blood pressure because it:
Decreases the amount of calcium inside the cell
Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel
blocker?
Edema of the hands and feet
Patient teaching related to amlodipine includes:
Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should
be:
, Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin because it exhibits:
Negative inotropism
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring
for this combination includes:
Serum potassium
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason
for it must be correct.
Administration to older adults because of reduced renal function
Serum digoxin levels are monitored for potential toxicity. Monitoring should occur:
Because a reference point is needed to adjust dosage
Which of the following is true about procainamide and its dosing schedule?
Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for
dyspnea, jugular venous distention, and peripheral edema because they may indicate:
Onset of congestive heart failure
GRADED A+
Women who have migraines with an aura should not be prescribed estrogen because of:
An increased risk of stroke occurring with estrogen use
A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient
includes:
Counseling regarding decreasing or not smoking while taking oral contraceptives
A 19-year-old female is a nasal Staph aureus carrier and is placed on five days of rifampin for
treatment. Her only other medication is combined oral contraceptives. What education should
she receive regarding her medications?
She should use a back-up method of birth control such as condoms for the rest of the current
pill pack to avoid the low possibility of birth control pill (BCP) ineffectiveness.
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms
with the lowest adverse effects she should be prescribed:
A vaginal estradiol ring
Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting
enzyme inhibitor is needed. Prior to prescribing this drug, the nurse practitioner (NP) should
assess for:
Decreased renal function
,Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating hypertension
in diabetic patients because they:
All of the above:
Improve insulin sensitivity
Improve renal hemodynamics
Reduce the production of angiotensin II
A potentially life-threatening adverse response to an ACE inhibitor is angioedema. Which of the
following statements is true about this adverse response?
Swelling of the tongue and hoarseness are the most common symptoms.
ACE inhibitors are useful in a variety of disorders. Which of the following statements is true
about both their usefulness in a particular disorder and the reason for their use?
Both 1 and 2 are true:
1. They are useful to prevent stable angina because they decrease the thickening of vascular
walls due to decreased modified release.
2. They are useful to prevent heart failure because they reduce remodeling of injured
myocardial tissues.
Despite good blood pressure control, an NP might change a patient's drug from an ACE inhibitor
to an angiotensin II receptor blocker (ARB) because the ARB:
Does not produce a dry, hacking cough
,While taking an ARB, patients need to avoid certain over-the-counter drugs without irst
consulting the provider because:
Both 1 and 2:
1. Cimetidine is metabolized by the CYP3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
Laboratory monitoring for patients on ACE inhibitors or ARBs should include:
Serum creatinine levels with the drug dosage reduced for values greater than 2.5 mg/dL
Jacob has hypertension, for which a calcium channel blocker has been prescribed. This drug
helps control blood pressure because it:
Decreases the amount of calcium inside the cell
Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel
blocker?
Edema of the hands and feet
Patient teaching related to amlodipine includes:
Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should
be:
, Started at about half the usual dosage
Larry has heart failure, which is being treated with digoxin because it exhibits:
Negative inotropism
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring
for this combination includes:
Serum potassium
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason
for it must be correct.
Administration to older adults because of reduced renal function
Serum digoxin levels are monitored for potential toxicity. Monitoring should occur:
Because a reference point is needed to adjust dosage
Which of the following is true about procainamide and its dosing schedule?
Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for
dyspnea, jugular venous distention, and peripheral edema because they may indicate:
Onset of congestive heart failure
