Pharmacology MSN 571 practice questions
1. A provider has prescribed a female patient a medication that induces P-glycoprotein (PGP).
The provider will be particularly concerned about which aspects of the patient's medical history?
- ANS-Intestinal problems, Kidney function, Liver function
A 4-year-old child who ingested several cigarettes at home presents to the emergency
department with nausea and vomiting and a weak, thready pulse of 120 beats/minute. What
intervention will the provider order? - ANS-Respiratory support
A 5-year-old has gray teeth. When taking a medication history, the provider will ask about
previous use of which group of medications? - ANS-Tetracyclines
A child attending daycare is prescribed 750 mg of an antibiotic for 10 days. The drug may be
dosed in several ways and is available in two concentrations. Which dosing regimen will the
provider consider to best assure drug adherence? - ANS-375 mg of a 500 mg/5 mL solution PO
twice daily
A college student is brought to the emergency department after collapsing at a nightclub. The
patient has a temperature of 105F, a clenched jaw, and confusion. Which medication will the
provider prescribe? - ANS-Dantrolene
A drug can cause symptoms that resemble those of Parkinson disease. What action should the
prescriber take to minimize the potential patient risk? - ANS-Thoroughly educate the patient
about recognizing such symptoms and the need to notify the office immediately.
A frail older adult patient is admitted to the hospital after several days of vomiting, diarrhea, poor
intake of foods and fluids, and anuria for 8 hours. What laboratory studies will the provider order
to help guide medication administration? - ANS-Creatinine clearance, Plasma drug levels,
Serum albumin
A medication prescribed for a neonate is eliminated primarily by hepatic metabolism. What
action will the prescriber take to minimize risk to the infant? - ANS-Prescribe a dose that is
relatively lower than an adult dose when adjusted for body surface area
A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and maximize
medication effectiveness? - ANS-Auscultate the patient's lung sounds and obtain other relevant
vital signs.
, A patient arrives in the emergency department after becoming dehydrated. Based on the
patient's history, the provider determines that isotonic dehydration has occurred. Which solution
will be ordered to treat this patient? - ANS-0.9% sodium chloride in sterile water
A patient arrives in the emergency department reporting chest pain that has lasted longer than 1
hour and is unrelieved by nitroglycerin. The patient's electrocardiogram reveals elevation of the
ST segment. Initial cardiac troponin levels are negative. The patient is receiving oxygen via
nasal cannula. Which drug will the provider order to be given immediately? - ANS-Aspirin 325
mg chewable
A patient arrives in the emergency department reporting muscle weakness and drowsiness. The
nurse notes a heart rate of 80 beats/minute, a respiratory rate of 18 breaths/minute, and a blood
pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal rhythm. The provider will
be most concerned about the patient's use of what medication? - ANS-Antacids
A patient asks why a combination product containing an opioid analgesic and a nonsteroidal
antiinflammatory drug (NSAID) has been prescribed to manage cancer pain. Which response
will the provider give the patient? - ANS-"The combination provides increased pain relief than
when either product is used alone."
A patient collapses after running a marathon on a hot day and is brought to the emergency
department to be treated for dehydration. The provider will prescribe which therapy? -
ANS-Intravenous hypotonic fluids administered in stages
A patient develops shortness of breath shortly after taking the initial dose of a newly prescribed
medication. The patient's heart rate is 86 beats/minute, the respiratory rate is 24 breaths/minute,
and the blood pressure is 120/70 mm Hg. The prescriber will discontinue the drug based on the
assumption the patient experienced what medication induced effect? - ANS-A side effect
A patient diagnosed with C. difficile infection is considered a high risk for recurrence. Which
medication will the provider prescribed? - ANS-Bezlotoxumab
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially? - ANS-Arrange to schedule an appointment with the
patient.
A patient diagnosed with heart failure (HF) and taking an angiotensin-converting enzyme (ACE)
inhibitor, has developed fibrotic changes in the heart and vessels. Which type of medication will
the provider order to counter this development? - ANS-Aldosterone antagonist
A patient diagnosed with STEMI is about to undergo a primary percutaneous coronary
intervention (PCI). Which combination of pharmacotherapeutic agents will the provider prescribe
to augment this procedure? - ANS-Heparin, aspirin, and clopidogrel
1. A provider has prescribed a female patient a medication that induces P-glycoprotein (PGP).
The provider will be particularly concerned about which aspects of the patient's medical history?
- ANS-Intestinal problems, Kidney function, Liver function
A 4-year-old child who ingested several cigarettes at home presents to the emergency
department with nausea and vomiting and a weak, thready pulse of 120 beats/minute. What
intervention will the provider order? - ANS-Respiratory support
A 5-year-old has gray teeth. When taking a medication history, the provider will ask about
previous use of which group of medications? - ANS-Tetracyclines
A child attending daycare is prescribed 750 mg of an antibiotic for 10 days. The drug may be
dosed in several ways and is available in two concentrations. Which dosing regimen will the
provider consider to best assure drug adherence? - ANS-375 mg of a 500 mg/5 mL solution PO
twice daily
A college student is brought to the emergency department after collapsing at a nightclub. The
patient has a temperature of 105F, a clenched jaw, and confusion. Which medication will the
provider prescribe? - ANS-Dantrolene
A drug can cause symptoms that resemble those of Parkinson disease. What action should the
prescriber take to minimize the potential patient risk? - ANS-Thoroughly educate the patient
about recognizing such symptoms and the need to notify the office immediately.
A frail older adult patient is admitted to the hospital after several days of vomiting, diarrhea, poor
intake of foods and fluids, and anuria for 8 hours. What laboratory studies will the provider order
to help guide medication administration? - ANS-Creatinine clearance, Plasma drug levels,
Serum albumin
A medication prescribed for a neonate is eliminated primarily by hepatic metabolism. What
action will the prescriber take to minimize risk to the infant? - ANS-Prescribe a dose that is
relatively lower than an adult dose when adjusted for body surface area
A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and maximize
medication effectiveness? - ANS-Auscultate the patient's lung sounds and obtain other relevant
vital signs.
, A patient arrives in the emergency department after becoming dehydrated. Based on the
patient's history, the provider determines that isotonic dehydration has occurred. Which solution
will be ordered to treat this patient? - ANS-0.9% sodium chloride in sterile water
A patient arrives in the emergency department reporting chest pain that has lasted longer than 1
hour and is unrelieved by nitroglycerin. The patient's electrocardiogram reveals elevation of the
ST segment. Initial cardiac troponin levels are negative. The patient is receiving oxygen via
nasal cannula. Which drug will the provider order to be given immediately? - ANS-Aspirin 325
mg chewable
A patient arrives in the emergency department reporting muscle weakness and drowsiness. The
nurse notes a heart rate of 80 beats/minute, a respiratory rate of 18 breaths/minute, and a blood
pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal rhythm. The provider will
be most concerned about the patient's use of what medication? - ANS-Antacids
A patient asks why a combination product containing an opioid analgesic and a nonsteroidal
antiinflammatory drug (NSAID) has been prescribed to manage cancer pain. Which response
will the provider give the patient? - ANS-"The combination provides increased pain relief than
when either product is used alone."
A patient collapses after running a marathon on a hot day and is brought to the emergency
department to be treated for dehydration. The provider will prescribe which therapy? -
ANS-Intravenous hypotonic fluids administered in stages
A patient develops shortness of breath shortly after taking the initial dose of a newly prescribed
medication. The patient's heart rate is 86 beats/minute, the respiratory rate is 24 breaths/minute,
and the blood pressure is 120/70 mm Hg. The prescriber will discontinue the drug based on the
assumption the patient experienced what medication induced effect? - ANS-A side effect
A patient diagnosed with C. difficile infection is considered a high risk for recurrence. Which
medication will the provider prescribed? - ANS-Bezlotoxumab
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially? - ANS-Arrange to schedule an appointment with the
patient.
A patient diagnosed with heart failure (HF) and taking an angiotensin-converting enzyme (ACE)
inhibitor, has developed fibrotic changes in the heart and vessels. Which type of medication will
the provider order to counter this development? - ANS-Aldosterone antagonist
A patient diagnosed with STEMI is about to undergo a primary percutaneous coronary
intervention (PCI). Which combination of pharmacotherapeutic agents will the provider prescribe
to augment this procedure? - ANS-Heparin, aspirin, and clopidogrel
