6521 Midterm Exam – Advanced
Pharmacology Study Guide and Practice
Review.
processes protects the lower respiratory Cilia sweep foreign material and mucus upward toward
the system? trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed at
bedtime. lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
A Nurse Practitioner who provides care for consult their care provider before taking new over-the-
older adults is aware of the high incidence counter medications.
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
A Nurse Practitioner is teaching an older Taking several drugs simultaneously
adult patient about polypharmacy. Which of
the following statements best describe this
term?
A diabetic patient being treated for obesity Increased blood
glucose 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?
A 22 year old patient is transitioning from Take 1 unit of regular insulin for each 10 grams of
carbohydrate oral agents to insulin. He will be taking 20 to be consumed 15 minutes before each
meal
units of lantus at bedtime and regular insulin
before meals. What instructions should the
NP provide about the timing and dose of
regular insulin?
decongestants should not be used rebound rhinitis/congestion
chronically (>5 days) because they can
cause
, The parents of a 7-year-old boy who has Albuterol
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?
A 70-year-old woman with a history of atrial blocking adrenergic receptors and producing antisympathetic
fibrillation takes digoxin and verapamil to effects.
control her health problem. Verapamil
achieves a therapeutic effect by
A patient receives 25 units of NPH insulin at Late afternoon
7.AM. At what time of day should the
nurse advise the patient to be most
alert for a
potential hypoglycemic reaction?
A child with sinusitis has been on antibioticsAmoxicillin/clavulanic acid
for seven days and his symptoms are not
improving., All of the following are options
to prescribe for the patient now
EXCEPT:
The Nurse Practitioner's assessment of a "I broke out in hives and got terribly itchy when I started
a community-dwelling adult suggests that the new prescription last year."
client may have drug allergies that have
not been previously documented. What
statement by the client would confirm this?
A homeless man who is well known to care The patient's protein deficit will likely increase the levels of
the providers at the local hospital has been free drug in his blood.
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?
A patient has been prescribed a histamine-2 The parietal cells of the stomach have H2
receptors but not (H2) receptor antagonist for the treatment H1 receptors.
of GERD. Why are H2RAS more effective
than H1 receptor antagonists in the
treatment of diseases of the upper GI tract?
A 24-year-old factory worker has been The amount of alcohol consumption
prescribed guaifenesin for the first time.
Which of the following will be a priority
assessment by the nurse before the patient's
first dose?
Pharmacology Study Guide and Practice
Review.
processes protects the lower respiratory Cilia sweep foreign material and mucus upward toward
the system? trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed at
bedtime. lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
A Nurse Practitioner who provides care for consult their care provider before taking new over-the-
older adults is aware of the high incidence counter medications.
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
A Nurse Practitioner is teaching an older Taking several drugs simultaneously
adult patient about polypharmacy. Which of
the following statements best describe this
term?
A diabetic patient being treated for obesity Increased blood
glucose 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?
A 22 year old patient is transitioning from Take 1 unit of regular insulin for each 10 grams of
carbohydrate oral agents to insulin. He will be taking 20 to be consumed 15 minutes before each
meal
units of lantus at bedtime and regular insulin
before meals. What instructions should the
NP provide about the timing and dose of
regular insulin?
decongestants should not be used rebound rhinitis/congestion
chronically (>5 days) because they can
cause
, The parents of a 7-year-old boy who has Albuterol
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?
A 70-year-old woman with a history of atrial blocking adrenergic receptors and producing antisympathetic
fibrillation takes digoxin and verapamil to effects.
control her health problem. Verapamil
achieves a therapeutic effect by
A patient receives 25 units of NPH insulin at Late afternoon
7.AM. At what time of day should the
nurse advise the patient to be most
alert for a
potential hypoglycemic reaction?
A child with sinusitis has been on antibioticsAmoxicillin/clavulanic acid
for seven days and his symptoms are not
improving., All of the following are options
to prescribe for the patient now
EXCEPT:
The Nurse Practitioner's assessment of a "I broke out in hives and got terribly itchy when I started
a community-dwelling adult suggests that the new prescription last year."
client may have drug allergies that have
not been previously documented. What
statement by the client would confirm this?
A homeless man who is well known to care The patient's protein deficit will likely increase the levels of
the providers at the local hospital has been free drug in his blood.
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?
A patient has been prescribed a histamine-2 The parietal cells of the stomach have H2
receptors but not (H2) receptor antagonist for the treatment H1 receptors.
of GERD. Why are H2RAS more effective
than H1 receptor antagonists in the
treatment of diseases of the upper GI tract?
A 24-year-old factory worker has been The amount of alcohol consumption
prescribed guaifenesin for the first time.
Which of the following will be a priority
assessment by the nurse before the patient's
first dose?
