PMHNP Psychopharm Exam 13 2024
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage
patients to - take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded appreciably
to conventional analgesics. The patient's care provider has begun treatment with gabapentin
(Neurontin). How is the addition of this drug likely to influence the management of the
patient's existing drug regimen? - It is unlikely to influence the patient's other medications
because gabapentin does not interact with other drugs.
of the following assessment findings should an assisted living facility has begun taking daily
oral Following an assessment by her primary care provider, a 70-year-old resident of doses of
levothyroxine. Which prompt the nurse to withhold a scheduled dose of levothyroxine? - The
resident's apical heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system? - Cilia sweep foreign material and mucus
upward toward the trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the
patient to take the medication - at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug
interactions in this population. When educating a group of seniors about the prevention of
drug interactions, the Nurse Practitioner should encourage them to - consult their care
provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the
following statements best describe this term? - Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having
adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2
weeks as adjunct therapy. Which of the following adverse effects would need the Nurse
Practitioner's immediate attention? - Increased blood glucose
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of
lantus at bedtime and regular insulin before meals. What instructions should the NP provide
about the timing and dose of regular insulin? - Take 1 unit of regular insulin for each 10
grams of carbohydrate to be consumed 15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause - rebound
rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being
taught about their son's medication regimen by the nurse. The nurse is currently teaching the
parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's
asthma. What drug should the nurse suggests the parents to use in these situations? -
Albuterol
, A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to
control her health problem. Verapamil achieves a therapeutic effect by - blocking adrenergic
receptors and producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction? - Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: -
Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client
may have drug allergies that have not been previously documented. What statement by the
client would confirm this? - "I broke out in hives and got terribly itchy when I started a new
prescription last year."
A homeless man who is well known to care providers at the local hospital has been admitted
to the emergency department after having a seizure outside a mall. The man is known to be a
heavy alcohol user and is malnourished with a very low body mass index. How are this
patient's characteristics likely to influence possible treatment with phenytoin? - The patient's
protein deficit will likely increase the levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of
GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of
diseases of the upper GI tract? - The parietal cells of the stomach have H2 receptors but not
H1 receptors.
A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the
following will be a priority assessment by the nurse before the patient's first dose? - The
amount of alcohol consumption
In light of her recent high blood pressure readings, a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most
likely rationale for using two medications to address the patient's hypertension? - Using the
two drugs to treat a health problem may create a synergistic effect.
A woman with numerous chronic health problems has been diagnosed with a benign gastric
ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points
should the nurse provide to this patient? - "Quitting smoking will significantly increase the
chance that this drug will heal your ulcer."
The APRN should educate a diabetic patient that beta blockers may mask the signs and
symptoms of - hypoglycemia
A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? - The therapeutic effects and possible adverse
effects
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage
patients to - take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded appreciably
to conventional analgesics. The patient's care provider has begun treatment with gabapentin
(Neurontin). How is the addition of this drug likely to influence the management of the
patient's existing drug regimen? - It is unlikely to influence the patient's other medications
because gabapentin does not interact with other drugs.
of the following assessment findings should an assisted living facility has begun taking daily
oral Following an assessment by her primary care provider, a 70-year-old resident of doses of
levothyroxine. Which prompt the nurse to withhold a scheduled dose of levothyroxine? - The
resident's apical heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system? - Cilia sweep foreign material and mucus
upward toward the trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the
patient to take the medication - at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug
interactions in this population. When educating a group of seniors about the prevention of
drug interactions, the Nurse Practitioner should encourage them to - consult their care
provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the
following statements best describe this term? - Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having
adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2
weeks as adjunct therapy. Which of the following adverse effects would need the Nurse
Practitioner's immediate attention? - Increased blood glucose
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of
lantus at bedtime and regular insulin before meals. What instructions should the NP provide
about the timing and dose of regular insulin? - Take 1 unit of regular insulin for each 10
grams of carbohydrate to be consumed 15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause - rebound
rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being
taught about their son's medication regimen by the nurse. The nurse is currently teaching the
parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's
asthma. What drug should the nurse suggests the parents to use in these situations? -
Albuterol
, A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to
control her health problem. Verapamil achieves a therapeutic effect by - blocking adrenergic
receptors and producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction? - Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: -
Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client
may have drug allergies that have not been previously documented. What statement by the
client would confirm this? - "I broke out in hives and got terribly itchy when I started a new
prescription last year."
A homeless man who is well known to care providers at the local hospital has been admitted
to the emergency department after having a seizure outside a mall. The man is known to be a
heavy alcohol user and is malnourished with a very low body mass index. How are this
patient's characteristics likely to influence possible treatment with phenytoin? - The patient's
protein deficit will likely increase the levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of
GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of
diseases of the upper GI tract? - The parietal cells of the stomach have H2 receptors but not
H1 receptors.
A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the
following will be a priority assessment by the nurse before the patient's first dose? - The
amount of alcohol consumption
In light of her recent high blood pressure readings, a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most
likely rationale for using two medications to address the patient's hypertension? - Using the
two drugs to treat a health problem may create a synergistic effect.
A woman with numerous chronic health problems has been diagnosed with a benign gastric
ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points
should the nurse provide to this patient? - "Quitting smoking will significantly increase the
chance that this drug will heal your ulcer."
The APRN should educate a diabetic patient that beta blockers may mask the signs and
symptoms of - hypoglycemia
A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? - The therapeutic effects and possible adverse
effects
