2023 Final: Pharm MN553 Questions and Answers

If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at home with OTC ranitidine daily, the appropriate treatment would be: Question options: Prokinetic (metoclopramide) for 4 to 8 weeks Proton pump inhibitor (omeprazole) for 12 weeks Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks Cytoprotective drug (misoprostol) for 2 weeks - ANSWER Proton pump inhibitor (omeprazole) for 12 weeks Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to: Question options: Search for information using the most common search engines Serve as content experts in developing, implementing, and evaluating information Systems Write programs to assure the integrity of health information Use information technology to prescribe drugs - ANSWER Serve as content experts in developing, implementing, and evaluating information Systems The first-line therapy for mild-persistent asthma is: Question options: High-dose montelukast Theophylline Low-dose inhaled corticosteroids Long-acting beta-2-agonists - ANSWER Low-dose inhaled corticosteroids Drugs that have a significant first-pass effect: Question options: Must be given by the enteral (oral) route only Bypass the hepatic circulation Are rapidly metabolized by the liver and may have little if any desired action Are converted by the liver to more active and fat-soluble forms - ANSWER Are rapidly metabolized by the liver and may have little if any desired action Pharmacoeconomics is: Question options: The study of the part of the U.S. economy devoted to drug use The study of the impact of prescription drug costs on the overall economy The analysis of the costs and consequences of any health-care-related treatment or service The analysis of the clinical efficacy of the drug - ANSWER The analysis of the costs and consequences of any health-care-related treatment or service Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is atenolol. Beta blockers treat hypertension by: Question options: Increasing heart rate to improve cardiac output Reducing vascular smooth muscle tone Increasing aldosterone-mediated volume activity Reducing aqueous humor production - ANSWER Reducing vascular smooth muscle tone Gender differences between men and women in pharmacokinetics include: Question options: More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations Slower organ blood flow rates so drugs tend to take longer to be excreted - ANSWER Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution Precautions that should be taken when prescribing controlled substances include: Question options: Faxing the prescription for a Schedule II drug directly to the pharmacy Using tamper-proof paper for all prescriptions written for controlled drugs Keeping any pre-signed prescription pads in a locked drawer in the clinic Using only numbers to indicate the amount of drug to be prescribed - ANSWER Using tamper-proof paper for all prescriptions written for controlled drugs Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for: Question options: Urinary retention Cardiac output Peripheral edema Skin rash - ANSWER Urinary retention Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: Question options: Complete blood count Blood glucose C-reactive protein BUN, creatinine, and creatinine clearance - ANSWER BUN, creatinine, and creatinine clearance Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes: Question options: