nursing 6005pharmacology 2020 finalnsg6005 final questions and answersversion 2
2020 2021
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NURSING 6005pharmacology 2020 final
1 1)Incorporating IT into a patient encounter takes skill and tact. During the encounter, the
provider can make the patient more comfortable with the IT the providers using by: :
A Turning the screen around so the patient can see material being
recorded B Not placing the computer screen between the provider and
the patient C Both A and B
2Nurse practitioner prescriptive authority is regulated by:
1 The National Council of State Boards of Nursing
.
2 The U.S. Drug Enforcement Administration
.
3 The State Board of Nursing for each state
.
4 The State Board of Pharmacy
.
3. Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
4Pharmacoeconomics is:
1. The study of the part of the U.S. economy devoted to drug use
2. The study of the impact of prescription drug costs on the overall economy
3. The analysis of the costs and consequences of any health-care-related treatment or service
4. The analysis of the clinical efficacy of the drug
5 Prescribing less-expensive generic drugs or drugs off the $4 retail pharmacy lists:
1. Increases the complexity of the Pharmacoeconomics of prescribing for the
individual patient
2. Increases compliance by reducing the financial burden of drug costs to the patient
3. Is not sound prescribing practice due to the inferiority of the generic products
4. Will increase the overall cost of drugs to the system due to the ease
of overprescribing less-expensive drugs
6Np prescribes and off label drug , np understands prescribing off label drug means ?
,NURSING 6005pharmacology 2020 final
5. Off-label prescribing is:
1. Regulated by the U.S. Food and Drug Administration
2. Illegal by NPs in all states (provinces)
3. Legal if there is scientific evidence for the use
4. Regulated by the Drug Enforcement Administration
7Cultural factors that must be taken into account when prescribing include(s):
1. Who the decision maker is in the family regarding health-care decisions
2. The patient’s view of health and illness
3. Attitudes regarding the use of drugs to treat illness
4. All of the above
8 Amber is a 10 year old child who comes to clinic with a 4-day history of cough,
low- grade fever, and rhinorrhea. When she blows her nose or coughs the mucous is
greenish-yellow. The appropriate antibiotic to prescribe would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None
9John is allergic to sulfa antibiotic he most likely will have a cross sensitivity to ?
1. Loop diuretics
2. Sulfonylureas
3. Thiazide diuretics
4. All of the above
10Ethnic differences have been found in drug:
1. Absorption
2. Hepatic metabolism
3. Filtration at the glomerulus
4. Passive tubular reabsorption
11 The U.S. Food and Drug Administration regulates:
1. Prescribing of drugs by MDs and NPs
2. The official labeling for all prescription and over-the-counter drugs
3. Off-label recommendations for prescribing
4. Pharmaceutical educational offerings
,NURSING 6005pharmacology 2020 final
.12 The point in time on the drug concentration curve that indicates the first sign of
a therapeutic effect is the:
1. Minimum adverse effect level
2. Peak of action
3. Onset of action
4. Therapeutic range
13The time required for the amount of drug in the body to decrease by 50% is called:
1. Steady state
2. Half-life
3. Phase II metabolism
14. The np instructs the patient not to crush a time release capsule what is the primary
result could possible lead to The major reason for not crushing a sustained-release capsule is
that, if crushed, the coated beads of the drugs could possibly result in:
1. Disintegration
2. Toxicity
3. Malabsorption
4. Deterioration
.
15 Ray has been diagnosed with hypertension and an angiotensin-converting
enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP
should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate
16Ace inhibitors are the drug of choice in treating diabetics hypertension because they ?
• Improve insulin secretion
• Improve renal secretion of potassium
• Reduce the production angiotensin 2
• B and c
17vaWhen prescribing this type of calcium channel blockers the nurse PR actioner will
instruct the patient on the possible adverse effects of ?
• Edema of the hands and feet
17bWhich of the following adverse effects may occur due to a dihydropyridine-type calcium
channel blocker?
1. Bradycardia
2. Hepatic impairment
, NURSING 6005pharmacology 2020 final
3. Increased contractility
4. Edema of the hands and feet
18 a Harrold a 42-year-old African American has moderate to persistent asthma the
nurse PRactioner would avoid using which of the following medication?
18b Harold, a 42-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should be used cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier
19 Sam is a 72 year old male that takes diphenhydramine for seasonal allergies the
NP would instruct the patient to monitor for which of the following
19b . Howard is a 72-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would
include assessing for:
1. Urinary retention
2. Cardiac output
3. Peripheral edema
4. Skin rash
20The apn understands which medications should be prescribed for COPD exacerbations ?
Patients with a COPD exacerbation may require:
1. Doubling of inhaled corticosteroid dose
2. Systemic corticosteroid burst
3. Continuous inhaled beta-2-agonists
4. Leukotriene therapy
21 There is often cross-sensitivity and cross-resistance between penicillin’s and
cephalosporins because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both produce resistant
enzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to beta-
lactamase- producing organisms.
4. There is not an issue with cross-resistance between the penicillin’s
and cephalosporins.
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