Nur 600 - Exam 1
Advanced Pharmacology And Advanced
Pathophysiology.
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QUESTIONS
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Nur 600 - Exam 1
Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
C. The State Board of Nursing for each state
Robert is a 72 year old who has hypertension and angina. He is at risk for
common medication practices seen in the elderly including:
A. Use of another person's medications
B. Hoarding medications
C. Changing his medication regimen without telling his provider
D. All of the above
D. All of the above
To improve positive outcomes when prescribing for the elderly the nurse
practitioner should:
A. Assess cognitive functioning in the elder
B. Encourage the patient to take a weekly "drug holiday" to keep drug costs
down
C. Encourage the patient to cut drugs in half with a knife to lower costs
D. All of the above
A. Assess cognitive functioning in the elder
When an elderly diabetic patient is constipated the best treatment options
include:
A. Mineral oil
B. Bulk-forming laxatives such as psyllium
C. Stimulant laxatives such as senna
D. Stool softeners such as docusate
D. Stool softeners such as docusate
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Delta is an 88 year old who has mild low back pain. What guidelines should be
followed when prescribing pain management for Delta?
A. Keep the dose of oxycodone low to prevent development of tolerance
B. Acetaminophen is the first-line drug of choice
C. Avoid prescribing NSAIDs
D. Add in a short-acting benzodiazepine for a synergistic effect on pain
B. Acetaminophen is the first-line drug of choice
Robert is complaining of poor sleep. Medications that may contribute to sleep
problems in the elderly include:
A. Diuretics
B. Trazodone
C. Clonazepam
D. Levodopa
A. Diuretics
Different areas of the brain are involved in specific aspects of pain. The
reticular and limbic systems in the brain influence:
A. The sensory aspects of pain
B. The discriminative aspects of pain
C. The motivational aspects of pain
D. The cognitive aspects of pain
C. The motivational aspects of pain
Patients need to be questioned about all pain sites because:
A. Patients tend to report the most severe or important in their perception
B. Pain tolerance generally decreases with repeated exposure
C. The reported pain site is usually the most important to treat
D. Pain may be referred from a different site to the one reported
A. Patients tend to report the most severe or important in their perception
The chemicals that promote the spread of pain locally include:
A. Serotonin
B. Norepinephrine
C. Enkephalin
D. Neurokinin A
D. Neurokinin A
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Narcotics are exogenous opiates. They act by:
A. Inhibiting pain transmission in the spinal cord
B. Attaching to receptors in the afferent neuron to inhibit the release of
substance P
C. Blocking neurotransmitters in the midbrain
D. Increasing beta-lipoprotein excretion from the pituitary
B. Attaching to receptors in the afferent neuron to inhibit the release of substance P
Age is a factor in different responses to pain. Which of the following age-
related statements about pain is NOT true?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during
pregnancy may permanently alter neuronal organization in the child.
C. Increases in pain threshold in older adults may be related to peripheral
neuropathies and changes in skin thickness
D. Decreases in pain tolerance are evident in older adults
A. Preterm and newborn infants do not yet have functional pain pathways.
Which of the following statements is true about acute pain?
A. Somatic pain comes from body surfaces and is only sharp and well
localized.
B. Visceral pain comes from the internal organs and is most responsive to
acetaminophen and opiates.
C. Referred pain is present in a distant site for the pain source and is based on
activation of the same spinal segment as the actual pain site.
D. Acute neuropathic pain is caused by lack of blood supply to the nerves in a
given area.
C. Referred pain is present in a distant site for the pain source and is based on
activation of the same spinal segment as the actual pain site.
One of the main drug classes used to treat acute pain is NSAIDs. They are
used because:
A. They have less risk for liver damage than acetaminophen
B. Inflammation is a common cause of acute pain
C. They have minimal GI irritation
D. Regulation of blood flow to the kidney is not affected by these drugs
B. Inflammation is a common cause of acute pain