NSG 6005 Midterm Exam 2019/ NSG6005 Midterm Exam 2019: South University (Already graded A)

NSG 6005 Midterm Exam / NSG6005 Midterm Exam: South University South University NSG 6005 Midterm Exam / South University NSG6005 Midterm Exam 1) A patient’s nutritional intake and lab work reflect hypoalbuminemia. This is critical to prescribing because: 2) Drugs that have a significant first-pass effect: 3) The route of excretion of a volatile drug will likely be: 4) The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: 5) Factors that affect gastric drug absorption include: 6) Which one of the following statements about bioavailability is true? 7) Steady state is: 8) The time required for the amount of drug in the body to decrease by 50% is called: 9) An advantage of prescribing a sublingual medication is that the medication is: 10) Drugs that use CYP3A4 isoenzymes for metabolism may: 11) A nurse practitioner would prescribe the liquid form of ibuprofen for a six-year-old because: 12) The first step in the prescribing process according to the World Health Organization is: 13) Patient education regarding prescribed medication includes: 14) Pharmacokinetic factors that affect prescribing include: 15) Infants and young children are at higher risk of ADRs due to: 16) Infants and young children are at higher risk of ADRs due to: 17) The elderly are at high risk of ADRs due to: 18) The type of ADR that is the result of an unwanted but otherwise normal pharmacological action of a drug given in the usual therapeutic doses is: 19) A patient may develop neutropenia from using topical Silvadene for burns. Neutropenia is: 20) The angiotensin converting enzyme (ACE) inhibitor Lisinopril is a known teratogen. Teratogens cause Type __ ADR. 21) A twenty-four-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of opioid medication to treat his pain. He is at risk for Type __ ADR when he no longer requires the opioids. 22) Which of the following factors may adversely affect a patient’s adherence to a therapeutic drug regimen? 23) Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that: 24) Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and 60%. To improve adherence in this population, prescribe drugs: 25) Genetic polymorphisms account for differences in metabolism, including: 26) Warfarin resistance may be seen in patients with VCORC1 mutation, leading to: 27) Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required prior to prescribing warfarin. 28) Carbamazepine has a black box warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to: 29) Herbs and supplements are tested for safety by the FDA. 30) Carbamazepine has a black box warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to: 31) Common OTC pain relievers such as acetaminophen or ibuprofen: 32) Common OTC pain relievers such as acetaminophen or ibuprofen: 33) When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare-ups. This is an example of: 34) Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? 35) Harold, a forty-two-year-old African American, has moderate persistent asthma. Which of the following asthma medications should he use cautiously, if at all? 36) Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the: 37) Tiotropium bromide (Spiriva) is an inhaled anticholinergic: 38) Christy has exercise and mild persistent asthma and is prescribed two puffs of albuterol fifteen minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (Qvar) is also prescribed. Teaching regarding her inhalers includes which one of the following? 39) When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows 40) Montelukast (Singulair) may be prescribed for: 41) Patients with allergic rhinitis may benefit from a prescription of: 42) Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient takin diphenhydramine would include assessing for: 43) Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they: 44) Decongestants such as pseudoephedrine (Sudafed): 45) The first-line treatment for cough related to a upper respiratory infection in a five-year-old is: 46) Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel 3 guidelines. In adults, mild-persistent asthma is classified as asthma symptoms that occur: 47) In five- to eleven-year-old children, mild-persistent asthma is diagnosed when asthma symptoms occur: 48) A stepwise approach to the pharmacologic management of asthma: 49) Monitoring a patient with persistent asthma includes: 50) Asthma exacerbations at home are managed by the patient by: 51) One goal of asthma management in children is: 52) A patient with a COPD exacerbation may require: 53) Education of patients with COPD who use inhaled corticosteroids includes the following: 54) Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first? 55) Josie is a five-year-old who presents to the clinic with a forty-eight-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down, and her weight is 4 pounds less than her last recorded weight. Besides intravenous (IV) fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie? 56) Patients who are on chronic long-term PPI therapy require monitoring for: 57) Sadie is a seventy-two-year-old who takes omeprazole for her chronic GERD. Chronic long-term omeprazole use places her at increased risk for: 58) Metoclopramide improves GERD symptoms by: 59) Infants with reflux are initially treated with: 60) Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? 61) Harold, a forty-two-year-old African American, has moderate persistent asthma. Which of the following asthma medications should he use cautiously, if at all? 62) Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the: 63) Tiotropium bromide (Spiriva) is an inhaled anticholinergic: 64) Christy has exercise and mild persistent asthma and is prescribed two puffs of albuterol fifteen minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (Qvar) is also prescribed. Teaching regarding her inhalers includes which one of the following? 65) Montelukast (Singulair) may be prescribed for: 66) Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient takin diphenhydramine would include assessing for: 67) Decongestants such as pseudoephedrine (Sudafed): 68) In five- to eleven-year-old children, mild-persistent asthma is diagnosed when asthma symptoms occur: 69) Monitoring a patient with persistent asthma includes 70) Education of patients with COPD who use inhaled corticosteroids includes the following: