Nurs 615 exam 1 Questions With Complete Solutions
__________ is / are prescribed to prevent swimmer's ear.
1. Ciprofloxacin otic drops (Ciloxan)
2. Isopropyl ear drops (EarSol)
3. Colistin (Coly-Mycin S Otic)
4. Gentamicin otic drops Correct Answer 2. Isopropyl ear
drops (EarSol)
A 24-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 a _____ adverse
drug reaction when he no longer requires the opioids.
1. Rapid
2. First-dose
3. Late
4. Delayed Correct Answer 3. Late
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data Correct Answer 2. Drug-resistant
mutations of HIV
A child that may warrant "watchful waiting" instead of
prescribing an antibiotic for acute otitis media includes patients
who:
,1. Are low risk with temperature of less than 39oC or 102.2oF
2. Have reliable parents with transportation
3. Are older than age 2 years
4. All of the above Correct Answer 4. All of the above
A client asks the NP about the differences in drug effects
between men and women.
What is known about the differences between the
pharmacokinetics of men and women?
1. Body temperature varies between men and women.
2. Muscle mass is greater in women.
3. Percentage of fat differs between genders.
4. Proven subjective factors exist between the genders. Correct
Answer 3. Percentage of fat differs between genders.
A comprehensive assessment of a patient should be holistic
when trying to determine competence in drug administration.
Which of the following factors would the NP omit from this
type of assessment?
1. Financial status
2. Mobility
3. Social support
4. Sexual practices Correct Answer 4. Sexual practices
A laboratory result indicates that the peak level for a drug is
above the minimum toxic concentration. This means that the:
,1. Concentration will produce therapeutic effects
2. Concentration will produce an adverse response
3. Time between doses must be shortened
4. Duration of action of the drug is too long Correct Answer
2. Concentration will produce an adverse response
A patient may develop neutropenia from using topical Silvadene
for burns. Neutropenia is a(n):
1. Cytotoxic hypersensitivity reaction
2. Immune complex hypersensitivity
3. Immediate hypersensitivity reaction
4. Delayed hypersensitivity reaction Correct Answer 1.
Cytotoxic hypersensitivity reaction
A patient presents with a complaint of dark stools and epigastric
pain described as gnawing and burning. Which of the
medications is the most likely cause?
1. Acetaminophen
2. Estradiol
3. Donepezil
4. Bethanechol Correct Answer 4. Bethanechol
A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This
is critical to prescribing because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
, 3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys.
Correct Answer 1. Distribution of drugs to target tissue may be
affected.
A stepwise approach to the pharmacologic management of
asthma:
1. Begins with determining the severity of asthma and assessing
asthma control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach
to the care of asthmatic patients
4. Provides a framework for the management of severe
asthmatics, but is not as helpful when patients have intermittent
asthma Correct Answer 1. Begins with determining the
severity of asthma and assessing asthma control
Abrupt withdrawal of beta blockers can be life threatening.
Patients at highest risk for serious consequences of rapid
withdrawal are those with:
1. Angina
2. Coronary artery disease
3. Both 1 and 2
4. Neither 1 nor 2 Correct Answer 3. Both 1 and 2
According to the National Standards of Culturally and
Linguistically Appropriate
Services, an interpreter for health care:
__________ is / are prescribed to prevent swimmer's ear.
1. Ciprofloxacin otic drops (Ciloxan)
2. Isopropyl ear drops (EarSol)
3. Colistin (Coly-Mycin S Otic)
4. Gentamicin otic drops Correct Answer 2. Isopropyl ear
drops (EarSol)
A 24-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 a _____ adverse
drug reaction when he no longer requires the opioids.
1. Rapid
2. First-dose
3. Late
4. Delayed Correct Answer 3. Late
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data Correct Answer 2. Drug-resistant
mutations of HIV
A child that may warrant "watchful waiting" instead of
prescribing an antibiotic for acute otitis media includes patients
who:
,1. Are low risk with temperature of less than 39oC or 102.2oF
2. Have reliable parents with transportation
3. Are older than age 2 years
4. All of the above Correct Answer 4. All of the above
A client asks the NP about the differences in drug effects
between men and women.
What is known about the differences between the
pharmacokinetics of men and women?
1. Body temperature varies between men and women.
2. Muscle mass is greater in women.
3. Percentage of fat differs between genders.
4. Proven subjective factors exist between the genders. Correct
Answer 3. Percentage of fat differs between genders.
A comprehensive assessment of a patient should be holistic
when trying to determine competence in drug administration.
Which of the following factors would the NP omit from this
type of assessment?
1. Financial status
2. Mobility
3. Social support
4. Sexual practices Correct Answer 4. Sexual practices
A laboratory result indicates that the peak level for a drug is
above the minimum toxic concentration. This means that the:
,1. Concentration will produce therapeutic effects
2. Concentration will produce an adverse response
3. Time between doses must be shortened
4. Duration of action of the drug is too long Correct Answer
2. Concentration will produce an adverse response
A patient may develop neutropenia from using topical Silvadene
for burns. Neutropenia is a(n):
1. Cytotoxic hypersensitivity reaction
2. Immune complex hypersensitivity
3. Immediate hypersensitivity reaction
4. Delayed hypersensitivity reaction Correct Answer 1.
Cytotoxic hypersensitivity reaction
A patient presents with a complaint of dark stools and epigastric
pain described as gnawing and burning. Which of the
medications is the most likely cause?
1. Acetaminophen
2. Estradiol
3. Donepezil
4. Bethanechol Correct Answer 4. Bethanechol
A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This
is critical to prescribing because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
, 3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys.
Correct Answer 1. Distribution of drugs to target tissue may be
affected.
A stepwise approach to the pharmacologic management of
asthma:
1. Begins with determining the severity of asthma and assessing
asthma control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach
to the care of asthmatic patients
4. Provides a framework for the management of severe
asthmatics, but is not as helpful when patients have intermittent
asthma Correct Answer 1. Begins with determining the
severity of asthma and assessing asthma control
Abrupt withdrawal of beta blockers can be life threatening.
Patients at highest risk for serious consequences of rapid
withdrawal are those with:
1. Angina
2. Coronary artery disease
3. Both 1 and 2
4. Neither 1 nor 2 Correct Answer 3. Both 1 and 2
According to the National Standards of Culturally and
Linguistically Appropriate
Services, an interpreter for health care:
