NURS 6521 Midterm Exam Graded A+

NURS 6521 Midterm Exam Graded A+ Review Test Submission: Exam - Week 7 User Course NURS-6521 ,Advanced Pharmacology.2020 Summer Qtr 06/01-08/23-PT27 Test Exam - Week 7 Started 7/16/20 11:26 AM Submitted 7/16/20 1:23 PM Due Date 7/20/20 1:59 AM Status Completed Attempt Score 65 out of 100 points Time Elapsed 1 hour, 56 minutes out of 2 hours Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displayed Submitted Answers, Incorrectly Answered Questions • Question 1 1 out of 1 points 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? Selected Answer: Nausea • Question 2 0 out of 1 points You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? Selected Answer: Increased irritability, abdominal cramping, and lower extremity weakness. • Question 3 1 out of 1 points A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? Selected Answer: Coordinate bone density testing for the patient. • Question 4 0 out of 1 points Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation? Selected Answer: Obtain a liver function test • Question 5 0 out of 1 points The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: Selected Answer: intranasal H1 antihistamines. • Question 6 0 out of 1 points Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. Selected Answer: False • Question 7 1 out of 1 points Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: Selected Answer: The high vitamin K levels will decrease the INR • Question 8 1 out of 1 points 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? Selected Answer: Give the medication through a straw to decrease the staining of the teeth. • Question 9 1 out of 1 points 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? Selected Answer: "No, the drug dosage will likely stay the same." • Question 10 0 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer: potassium level. • Question 11 1 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Selected Answer: onset of action • Question 12 0 out of 1 points Metformin (Glucophage) acts by: Selected Answer: Enhancing insulin secretion • Question 13 1 out of 1 points Some first-generation antihistamines are used: Selected Answer: to prevent motion sickness • Question 14 1 out of 1 points 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? Selected Answer: How well a drug produces its desired effect • Question 15 0 out of 1 points Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. dailo Which medication most likely is contributing to her hypoglycemic episodes Selected Answer: Metformin • Question 16 0 out of 1 points Autonomic drugs have little effect when administered: Selected Answer: intramuscularly • Question 17 0 out of 1 points A patient on valproic acid may experience which of the following symptoms? Selected Answer: Constipation • Question 18 1 out of 1 points Which of the following is a side effect or precaution associated with ACE inhibitors? Selected Answer: Angioedema