NR 566, Advanced Pharmacology for Care of the Family
NR 566 Midterm Exam With 100% Correct and
Verified Answers. Complete 2025 Verified Guide
(Chamberlain College of Nursing)
Which non-amphetamines are FDA approved for weight loss that have lower abuse
risk? - CORRECT ANS >>Phentermine and Diethylpropion
How does Phentermine and Diethylpropion promote weight loss? - CORRECT ANS >>-
Promote weight loss by decreasing appetite
-They are central nervous system (CNS) stimulants that suppress appetite by increasing
the availability of norepinephrine at receptors in the brain
What is the maximum recommended duration of use for non-amphetamines? -
CORRECT ANS >>3 months or less
What drug schedule are Phentermine and Diethylpropion under? - CORRECT ANS
>>Schedule IV
What labs should be monitored with Phentermine and Diethylpropion? What condition
should we screen for? - CORRECT ANS >>-baseline CMP (watch electrolytes and
creatinine)
-screen for depression
Phentermine adverse effects - CORRECT ANS >>-increase HR and BP
-dry mouth and constipation
What is role of topiramate in weight loss? - CORRECT ANS >>Increases satiety
What are some Phentermine/topiramate contraindications for use? - CORRECT ANS
>>not approved in children and contraindicated with severe hepatic impairment
How should we educate patient to take Phentermine/topiramate to avoid insomnia? -
CORRECT ANS >>given before 1600
What are some high-risk patient conditions that we should use Phentermine/topiramate
with caution? - CORRECT ANS >>hx drug abuse, glaucoma, pregnant, HTN,
hyperthyroidism
Phentermine/topiramate adverse effects - CORRECT ANS >>insomnia, nervousness,
anxiety, depression, blurred vision
,NR 566, Advanced Pharmacology for Care of the Family
Which of the following would be a contraindication to prescribing
phentermine/topiramate? Select all that apply. - CORRECT ANS >>A) Glaucoma
B) Hypothyroidism
C) Hypertension
D) Hyperthyroidism
E) Vitamin D Deficiency
F) A, B, E
- CORRECT ANS >> A, C,D
Orlistat is a lipase inhibitor that acts on the _________ and reduces absorption of fat by
30%. - CORRECT ANS >>GI tract
Take multivitamin ___hours before/after to supplement fat-soluble vitamins that may not
be absorbed well when taking Orlistat. - CORRECT ANS >>2
Orlistat is OTC as 60 mg TID with meals. Not approved in children <____. - CORRECT
ANS >>12
Orlistat results in the least amount of weight loss of all. How much? - CORRECT ANS
>>2-3% body weight (7 lbs in year)
Orlistat adverse effects - CORRECT ANS >>Fecal incontinence, oily rectal leakage,
flatus, abdominal cramps. liver damage (light-colored stools, dark urine, fatigue,
jaundice, anorexia)
When is Orlistat contraindicated? - CORRECT ANS >>In those with malabsorption
syndrome or cholestasis
What vitamin deficiency are we concerned about when taking Orlistat...especially if the
patient is on coumadin? - CORRECT ANS >>Monitor Coumadin as Vitamin K deficiency
may occur and intensify effect of Coumadin.
A patient with a BMI of 27 would be considered: - CORRECT ANS >>overweight
Lorcaserin adverse effects - CORRECT ANS >>headache, URI, back pain,
hypoglycemia (in DM), blood dyscrasias, cognitive impairment, psychiatric disorders,
priapism, pulmonary hypertension, and valvular heart disease
Lorcaserin MOA - CORRECT ANS >>Reduces waist circumference, fasting glucose,
insulin, total cholesterol, LDL, triglycerides
When is Lorcaserin contraindicated? - CORRECT ANS >>CrCl <30
-Not approved in children
, NR 566, Advanced Pharmacology for Care of the Family
Lorcaserin drug interactions - CORRECT ANS >>-MAOI inhibitors, SSRIs, SNRIs, St.
Johns wart, and triptans
-Increased risk for serotonin syndrome
Naltrexone and Bupropion black box warning - CORRECT ANS >>increased risk for
suicidal ideation and suicide attempts in children, adolescents, and young adults
Do not take Naltrexone and Bupropion within ___weeks of taking a _____. - CORRECT
ANS >>-two
-MAOI
Due to Naltrexone and Bupropion antagonist effects, it can reduce effects of what? -
CORRECT ANS >>opioids
Naltrexone and Bupropion contraindications - CORRECT ANS >>HTN, seizure
disorders, eating disorders, alcohol or drug withdrawal
Liraglutide MOA - CORRECT ANS >>-promotes weight loss by slowing gastric
emptying
-increases satiety
-Not approved children.
When taking Liraglutide, it is not unusual for baseline HR to increase ______bpm -
CORRECT ANS >>10-20
-monitor for tachycardia
When taking Liraglutide, monitor for ________ in patients with diabetes - CORRECT
ANS >>hypoglycemia
Baseline labs for Liraglutide - CORRECT ANS >>lipids, CMP, HgA1C q 6 months,
triglycerides
Liraglutide black box warning - CORRECT ANS >>associated with a risk for thyroid C-
cell tumors based on studies in rodents
-Contraindicated in people with multiple endocrine neoplasia syndrome type 2 (MEN 2)
or personal/family history of medullary thyroid carcinoma
Those trying to LOSE weight should exercise at least ____ min/week or more -
CORRECT ANS >>150
What BMI is bariatric surgery considered? - CORRECT ANS >>35 or more
Common procedures:
-Gastric Bypass Surgery (Roux-en-Y procedure)
-Laparoscopic implantation of an adjustable gastric band
NR 566 Midterm Exam With 100% Correct and
Verified Answers. Complete 2025 Verified Guide
(Chamberlain College of Nursing)
Which non-amphetamines are FDA approved for weight loss that have lower abuse
risk? - CORRECT ANS >>Phentermine and Diethylpropion
How does Phentermine and Diethylpropion promote weight loss? - CORRECT ANS >>-
Promote weight loss by decreasing appetite
-They are central nervous system (CNS) stimulants that suppress appetite by increasing
the availability of norepinephrine at receptors in the brain
What is the maximum recommended duration of use for non-amphetamines? -
CORRECT ANS >>3 months or less
What drug schedule are Phentermine and Diethylpropion under? - CORRECT ANS
>>Schedule IV
What labs should be monitored with Phentermine and Diethylpropion? What condition
should we screen for? - CORRECT ANS >>-baseline CMP (watch electrolytes and
creatinine)
-screen for depression
Phentermine adverse effects - CORRECT ANS >>-increase HR and BP
-dry mouth and constipation
What is role of topiramate in weight loss? - CORRECT ANS >>Increases satiety
What are some Phentermine/topiramate contraindications for use? - CORRECT ANS
>>not approved in children and contraindicated with severe hepatic impairment
How should we educate patient to take Phentermine/topiramate to avoid insomnia? -
CORRECT ANS >>given before 1600
What are some high-risk patient conditions that we should use Phentermine/topiramate
with caution? - CORRECT ANS >>hx drug abuse, glaucoma, pregnant, HTN,
hyperthyroidism
Phentermine/topiramate adverse effects - CORRECT ANS >>insomnia, nervousness,
anxiety, depression, blurred vision
,NR 566, Advanced Pharmacology for Care of the Family
Which of the following would be a contraindication to prescribing
phentermine/topiramate? Select all that apply. - CORRECT ANS >>A) Glaucoma
B) Hypothyroidism
C) Hypertension
D) Hyperthyroidism
E) Vitamin D Deficiency
F) A, B, E
- CORRECT ANS >> A, C,D
Orlistat is a lipase inhibitor that acts on the _________ and reduces absorption of fat by
30%. - CORRECT ANS >>GI tract
Take multivitamin ___hours before/after to supplement fat-soluble vitamins that may not
be absorbed well when taking Orlistat. - CORRECT ANS >>2
Orlistat is OTC as 60 mg TID with meals. Not approved in children <____. - CORRECT
ANS >>12
Orlistat results in the least amount of weight loss of all. How much? - CORRECT ANS
>>2-3% body weight (7 lbs in year)
Orlistat adverse effects - CORRECT ANS >>Fecal incontinence, oily rectal leakage,
flatus, abdominal cramps. liver damage (light-colored stools, dark urine, fatigue,
jaundice, anorexia)
When is Orlistat contraindicated? - CORRECT ANS >>In those with malabsorption
syndrome or cholestasis
What vitamin deficiency are we concerned about when taking Orlistat...especially if the
patient is on coumadin? - CORRECT ANS >>Monitor Coumadin as Vitamin K deficiency
may occur and intensify effect of Coumadin.
A patient with a BMI of 27 would be considered: - CORRECT ANS >>overweight
Lorcaserin adverse effects - CORRECT ANS >>headache, URI, back pain,
hypoglycemia (in DM), blood dyscrasias, cognitive impairment, psychiatric disorders,
priapism, pulmonary hypertension, and valvular heart disease
Lorcaserin MOA - CORRECT ANS >>Reduces waist circumference, fasting glucose,
insulin, total cholesterol, LDL, triglycerides
When is Lorcaserin contraindicated? - CORRECT ANS >>CrCl <30
-Not approved in children
, NR 566, Advanced Pharmacology for Care of the Family
Lorcaserin drug interactions - CORRECT ANS >>-MAOI inhibitors, SSRIs, SNRIs, St.
Johns wart, and triptans
-Increased risk for serotonin syndrome
Naltrexone and Bupropion black box warning - CORRECT ANS >>increased risk for
suicidal ideation and suicide attempts in children, adolescents, and young adults
Do not take Naltrexone and Bupropion within ___weeks of taking a _____. - CORRECT
ANS >>-two
-MAOI
Due to Naltrexone and Bupropion antagonist effects, it can reduce effects of what? -
CORRECT ANS >>opioids
Naltrexone and Bupropion contraindications - CORRECT ANS >>HTN, seizure
disorders, eating disorders, alcohol or drug withdrawal
Liraglutide MOA - CORRECT ANS >>-promotes weight loss by slowing gastric
emptying
-increases satiety
-Not approved children.
When taking Liraglutide, it is not unusual for baseline HR to increase ______bpm -
CORRECT ANS >>10-20
-monitor for tachycardia
When taking Liraglutide, monitor for ________ in patients with diabetes - CORRECT
ANS >>hypoglycemia
Baseline labs for Liraglutide - CORRECT ANS >>lipids, CMP, HgA1C q 6 months,
triglycerides
Liraglutide black box warning - CORRECT ANS >>associated with a risk for thyroid C-
cell tumors based on studies in rodents
-Contraindicated in people with multiple endocrine neoplasia syndrome type 2 (MEN 2)
or personal/family history of medullary thyroid carcinoma
Those trying to LOSE weight should exercise at least ____ min/week or more -
CORRECT ANS >>150
What BMI is bariatric surgery considered? - CORRECT ANS >>35 or more
Common procedures:
-Gastric Bypass Surgery (Roux-en-Y procedure)
-Laparoscopic implantation of an adjustable gastric band
