NURS 6521 MIDTERM EXAM JULY 2020 Pharmacology 100/100 q&a

NURS 6521 MIDTERM EXAM JULY 2020 Pharmacology 100/100 q&a • Question 1 A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selected Answer: C-II drug. • Question 2 1 out of 1 points Glargine (Lantus) is an insulin analog that essentially has no peak and is usually administered: Selected Answer: Once a day. • Question 3 0 out of 1 points The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who complains of almost daily indigestion and heartburn for the past year with a strong acid taste in the mouth about an hour after meals, and frequent belching and awakening at night with choking. The history is negative for chronic illnesses and alarm symptoms. A diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the patient? Selected Answer: Ranitidine (Zantac) 150 mg bid. • Question 4 1 out of 1 points A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? Selected Answer: Nausea • Question 5 1 out of 1 points Typical adverse reactions to oral calcium-channel blockers include: Selected Answer: ede ma • Question 6 1 out of 1 points Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? Selected Answer: ACE Inhibitor • Question 7 1 out of 1 points Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Selected Answer: confusi on • Question 8 1 out of 1 points /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: Selected Answer: The state board of nursing for each state • Question 9 1 out of 1 points A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? Selected Answer: "Do you take any herbal supplements or alternative medications?" • Question 10 0 out of 1 points A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. The patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. Selected Answer: 1.2 mcg/kg of body weight per day • Question 11 1 out of 1 points A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? Selected Answer: Serum potassium levels • Question 12 1 out of 1 points A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by Selected Answer: her history of emphysema. • Question 13 A common side effect of metformin (Glucophage) therapy is: 1 out of 1 points Selected Answer: diarrh ea • Question 14 The side effects of antihistamines are mostly due to their: 0 out of 1 points Selected Answer: sedating effects • Question 15 The APRN's ability to prescribe controlled substances is regulated by: 0 out of 1 points Selected DE Answers: A • Question 16 1 out of 1 points Which type of antihistamines are used to inhibit the secretion of gastric acid in patients with gastrointestinal disorders? Selected H2 Answer: • Question 17 The recommended range for maintaining serum theophylline levels is: 1 out of 1 points Selected Answer: 10 to 20 μg/mL. • Question 18 1 out of 1 points The anticoagulant drug that acts as a vitamin K antagonist is: Selected Answer: couma din • Question 19 0 out of 1 points Which of the following is a potential adverse side effect of autonomic- anticholinergic agents? Selected Answer: Reduced GI motility • Question 20 0 out of 1 points The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: Selected Answer: intranasal H1 antihistamines. • Question 21 1 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Selected Answer: onset of action • Question 22 1 out of 1 points Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: Selected Answer: The high vitamin K levels will decrease the INR • Question 23 Some first-generation antihistamines are used: 1 out of 1 points Selected Answer: to prevent motion sickness • Question 24 1 out of 1 points All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics except: Selected Answer: Albuterol inhaler (proventil)