NR 565 Advanced Pharmacology Midterm Exam Practice
Test Bank | Week 4 Examplify Online Proctored Actual Style
Questions & Clinical Rationales
What is the first choice of pharmacological treatment for osteoporosis?
A. Biphosphonates
B. NSAIDs
C. Beta blockers
D. Allopurinol
Answer: A.
Treatment for chronic osteoarthritis includes
A. Allopurinol
B. Hydroxychloroquine
C. Surgery
D. Naproxen
Answer: D.
Which of the following is a complication of untreated gout?
A. ototoxicity
,B. fetal death
C. liver cirrhosis
D. kidney stones
Answer: D.
What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C
Answer: D.
Why must an NP be cautious when prescribing medications to the elderly population?
A. Due to their diagnosis of dementia.
B. They are high risk for polypharmacy.
C. The elderly population metabolizes medication faster.
D. Prescribe as usual. No difference in elderly patients.
Answer: B.
,There are several points of education that should be given to a patient taking acetaminophen.
Which of these statements if made by the patient taking acetaminophen is incorrect?
A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain."
Answer: B.
What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers
Answer: A.
The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
C. potential severe side effects, such as fetal harm, suicidality, or near-fatal dysrhythmias.
D. Both A and C
Answer: D.
, Patients with renal and hepatic insufficiency can experience all of the following effects from
medications except:
A. Greater peak effects
B. Longer duration of action
C. Increased risk for respiratory depression
D. Increased dosages of medications
E. Increased risk of overdose
Answer: D.
Which of the following is not a guiding principle for prescribers when considering opioid
medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treatments have been
ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.
Answer: D.
The nurse practitioner will educate their patient on which black box warning associated with
methadone?
A. Severe hyperventilation
B. Increased suicidal thoughts in youth
Test Bank | Week 4 Examplify Online Proctored Actual Style
Questions & Clinical Rationales
What is the first choice of pharmacological treatment for osteoporosis?
A. Biphosphonates
B. NSAIDs
C. Beta blockers
D. Allopurinol
Answer: A.
Treatment for chronic osteoarthritis includes
A. Allopurinol
B. Hydroxychloroquine
C. Surgery
D. Naproxen
Answer: D.
Which of the following is a complication of untreated gout?
A. ototoxicity
,B. fetal death
C. liver cirrhosis
D. kidney stones
Answer: D.
What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C
Answer: D.
Why must an NP be cautious when prescribing medications to the elderly population?
A. Due to their diagnosis of dementia.
B. They are high risk for polypharmacy.
C. The elderly population metabolizes medication faster.
D. Prescribe as usual. No difference in elderly patients.
Answer: B.
,There are several points of education that should be given to a patient taking acetaminophen.
Which of these statements if made by the patient taking acetaminophen is incorrect?
A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain."
Answer: B.
What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers
Answer: A.
The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
C. potential severe side effects, such as fetal harm, suicidality, or near-fatal dysrhythmias.
D. Both A and C
Answer: D.
, Patients with renal and hepatic insufficiency can experience all of the following effects from
medications except:
A. Greater peak effects
B. Longer duration of action
C. Increased risk for respiratory depression
D. Increased dosages of medications
E. Increased risk of overdose
Answer: D.
Which of the following is not a guiding principle for prescribers when considering opioid
medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treatments have been
ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.
Answer: D.
The nurse practitioner will educate their patient on which black box warning associated with
methadone?
A. Severe hyperventilation
B. Increased suicidal thoughts in youth
