NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
The health care provider is considering topiramate therapy for a patient reporting chronic daily
headaches that have failed to be successfully managed on valproic acid and divalproex. What
assessment data require caution when prescribing the drug to this patient?
a. The patient has been diagnosed with fatty liver disease.
b. The patient has a history of eczema.
c. The patient has a history of congestive heart failure.
d. The patient is being treated for atrial fibrillation. - ANSWER a. The patient has been diagnosed with
fatty liver disease.
When prescribing for a new patient with anxiety and depression, the most important consideration is:
a. Advanced Practice Nurses should always refer patients with these disorders to a mental health
provider.
b. Always take depressive drugs at bedtime.
c. Always assess your patient for history of hypomania and mania.
d. SSRI's are not a drug of choice for mixed anxiety and depression disorders. - ANSWER c. Always assess
your patient for history of hypomania and mania.
Prior to starting antidepressants, patients should have laboratory testing to rule out:
a. Diabetes Mellitus.
b. Anemia.
c. Low estrogen levels.
d. Hypothyroidism. - ANSWER d. Hypothyroidism.
An advanced practice nurse is considering second-line therapy for a patient who is diagnosed with
generalized anxiety disorder (GAD). What is the recommended treatment option?
a. Cognitive-behavioral therapy (CBT).
,NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
b. Selective serotonin reuptake inhibitors (SSRIs).
c. Serotonin norepinephrine reuptake inhibitors (SNRIs).
d. Azapirones (Buspirone). - ANSWER d. Azapirones (Buspirone).
Which prescription is most appropriate for a 10-year-old child being treated for depression?
a. Fluoxetine.
b. Venlafaxine.
c. Paroxetine.
d. Escitalopram. - ANSWER a. Fluoxetine.
A patient with severe depression has been hospitalized and the advance practice nurse has ordered
amitriptyline. What common adverse effect will the advanced practice nurse monitor and assess the
patient for? (Select all that apply).
a. Stroke.
b. Fever.
c. Myocardial infarction.
d. Gynecomastia.
e. Dry mouth. - ANSWER a. Stroke.
c. Myocardial infarction.
e. Dry mouth.
A practitioner is explaining to a patient has his antidepressant acts to alleviate his symptoms of
depression. Antidepressants act by:
a. Turning off associated receptors.
b. Increasing MAO enzymes.
c. Decreasing norepinephrine in the system.
d. Inhibiting the reuptake of the neurotransmitter. - ANSWER d. Inhibiting the reuptake of the
neurotransmitter.
,NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
Why is it important to rule out bipolar disorder in a patient prescribed duloxetine?
a. Treating both conditions with drug therapy at the same time is likely to result in life-threatening drug
interactions.
b. Depression is more severe in bipolar disorder, ever when treating with antidepressants.
c. Bipolar disorder is usually mild in patients with depression, and it is not important to rule it out.
d. Antidepressant therapy without a mood stabilizer can lead to a manic switch and worsen bipolar
symptoms. - ANSWER d. Antidepressant therapy without a mood stabilizer can lead to a manic switch
and worsen bipolar symptoms.
A patient has been diagnosed with restless leg syndrome (RLS) and is being considered for medication
therapy. What medication should the healthcare provider consider as a first-line therapy for this
patient?
a. Fluoxetine.
b. Pramipexole.
c. Ferrous iron.
d. Carbidopa-levodopa. - ANSWER b. Pramipexole.
Which is the recommended order of treatment in antidepressant therapy?
a. Atypical antidepressant or TCA, SSRI, atypical antidepressant, or TCA.
b. SSRI, atypical antidepressant then TCA.
c. TCA, SSRI, atypical antidepressant, or TCA.
d. Selective serotonin reuptake inhibitor (SSRI), tricyclic antidepressant (TCA), atypical antidepressant, or
TCA - ANSWER b. SSRI, atypical antidepressant then TCA.
A patient diagnosed with Alzheimer disease (AD) was started in cholinesterase inhibitor 3 months ago.
Which assessment datum best indicates that the goals of medication therapy are being met?
a. Caregiver shares that patient appears quite content to "sit in front of the television most of the day."
b. Patient has demonstrated a minimal decline in short-term memory while long-term memory remains
stable.
, NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
c. Caregiver reports that patient is experiencing less nausea than when the medication was first
prescribed.
d. Patient continued to complete daily hygiene tasks with minimal help from caregiver. - ANSWER d.
Patient continued to complete daily hygiene tasks with minimal help from caregiver.
A healthcare provider (HCP) is discussing medication therapy with a patient experiencing symptoms of
Alzheimer disease (AD). Which statement made by the HCP best demonstrates an understanding of
medication therapy options?
a. "Rivastigmine is considered the 'gold standard' when treating AD."
b. "It is most advisable to initiate the medication therapy as soon as possible."
c. "All medications have the potential to cause side effects."
d. "Not initiating medication therapy is an option you may want to consider." - ANSWER d. "Not
initiating medication therapy is an option you may want to consider."
A patient who has been on alprazolam for many years comes to the office and requests that they need a
higher dose. The patient has no new or increased triggers in their anxiety. The rationale for this request
is:
a. The patient is a drug seeker.
b. The patient is a risk for suicide or wanting to harm themselves.
c. The patient has become tolerant to the drug therefore needing more.
d. The patient needs additional counseling on lifestyle modification. - ANSWER c. The patient has
become tolerant to the drug therefore needing more.
To which client would the APN use caution in prescribing lithium to a client newly diagnosed with
bipolar disorder?
a. A 23-year old with an addition antidepressant medication.
b. A 42-year old taking a loop diuretic.
c. A 54-year old on a 4pm sodium diet.
d. A 30-year old with a urine output of 40mL/hr. - ANSWER b. A 42-year old taking a loop diuretic.
184 complete solutions graded A+.
NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
The health care provider is considering topiramate therapy for a patient reporting chronic daily
headaches that have failed to be successfully managed on valproic acid and divalproex. What
assessment data require caution when prescribing the drug to this patient?
a. The patient has been diagnosed with fatty liver disease.
b. The patient has a history of eczema.
c. The patient has a history of congestive heart failure.
d. The patient is being treated for atrial fibrillation. - ANSWER a. The patient has been diagnosed with
fatty liver disease.
When prescribing for a new patient with anxiety and depression, the most important consideration is:
a. Advanced Practice Nurses should always refer patients with these disorders to a mental health
provider.
b. Always take depressive drugs at bedtime.
c. Always assess your patient for history of hypomania and mania.
d. SSRI's are not a drug of choice for mixed anxiety and depression disorders. - ANSWER c. Always assess
your patient for history of hypomania and mania.
Prior to starting antidepressants, patients should have laboratory testing to rule out:
a. Diabetes Mellitus.
b. Anemia.
c. Low estrogen levels.
d. Hypothyroidism. - ANSWER d. Hypothyroidism.
An advanced practice nurse is considering second-line therapy for a patient who is diagnosed with
generalized anxiety disorder (GAD). What is the recommended treatment option?
a. Cognitive-behavioral therapy (CBT).
,NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
b. Selective serotonin reuptake inhibitors (SSRIs).
c. Serotonin norepinephrine reuptake inhibitors (SNRIs).
d. Azapirones (Buspirone). - ANSWER d. Azapirones (Buspirone).
Which prescription is most appropriate for a 10-year-old child being treated for depression?
a. Fluoxetine.
b. Venlafaxine.
c. Paroxetine.
d. Escitalopram. - ANSWER a. Fluoxetine.
A patient with severe depression has been hospitalized and the advance practice nurse has ordered
amitriptyline. What common adverse effect will the advanced practice nurse monitor and assess the
patient for? (Select all that apply).
a. Stroke.
b. Fever.
c. Myocardial infarction.
d. Gynecomastia.
e. Dry mouth. - ANSWER a. Stroke.
c. Myocardial infarction.
e. Dry mouth.
A practitioner is explaining to a patient has his antidepressant acts to alleviate his symptoms of
depression. Antidepressants act by:
a. Turning off associated receptors.
b. Increasing MAO enzymes.
c. Decreasing norepinephrine in the system.
d. Inhibiting the reuptake of the neurotransmitter. - ANSWER d. Inhibiting the reuptake of the
neurotransmitter.
,NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
Why is it important to rule out bipolar disorder in a patient prescribed duloxetine?
a. Treating both conditions with drug therapy at the same time is likely to result in life-threatening drug
interactions.
b. Depression is more severe in bipolar disorder, ever when treating with antidepressants.
c. Bipolar disorder is usually mild in patients with depression, and it is not important to rule it out.
d. Antidepressant therapy without a mood stabilizer can lead to a manic switch and worsen bipolar
symptoms. - ANSWER d. Antidepressant therapy without a mood stabilizer can lead to a manic switch
and worsen bipolar symptoms.
A patient has been diagnosed with restless leg syndrome (RLS) and is being considered for medication
therapy. What medication should the healthcare provider consider as a first-line therapy for this
patient?
a. Fluoxetine.
b. Pramipexole.
c. Ferrous iron.
d. Carbidopa-levodopa. - ANSWER b. Pramipexole.
Which is the recommended order of treatment in antidepressant therapy?
a. Atypical antidepressant or TCA, SSRI, atypical antidepressant, or TCA.
b. SSRI, atypical antidepressant then TCA.
c. TCA, SSRI, atypical antidepressant, or TCA.
d. Selective serotonin reuptake inhibitor (SSRI), tricyclic antidepressant (TCA), atypical antidepressant, or
TCA - ANSWER b. SSRI, atypical antidepressant then TCA.
A patient diagnosed with Alzheimer disease (AD) was started in cholinesterase inhibitor 3 months ago.
Which assessment datum best indicates that the goals of medication therapy are being met?
a. Caregiver shares that patient appears quite content to "sit in front of the television most of the day."
b. Patient has demonstrated a minimal decline in short-term memory while long-term memory remains
stable.
, NUR 615 Advanced Pharmacology I Final
184 complete solutions graded A+.
c. Caregiver reports that patient is experiencing less nausea than when the medication was first
prescribed.
d. Patient continued to complete daily hygiene tasks with minimal help from caregiver. - ANSWER d.
Patient continued to complete daily hygiene tasks with minimal help from caregiver.
A healthcare provider (HCP) is discussing medication therapy with a patient experiencing symptoms of
Alzheimer disease (AD). Which statement made by the HCP best demonstrates an understanding of
medication therapy options?
a. "Rivastigmine is considered the 'gold standard' when treating AD."
b. "It is most advisable to initiate the medication therapy as soon as possible."
c. "All medications have the potential to cause side effects."
d. "Not initiating medication therapy is an option you may want to consider." - ANSWER d. "Not
initiating medication therapy is an option you may want to consider."
A patient who has been on alprazolam for many years comes to the office and requests that they need a
higher dose. The patient has no new or increased triggers in their anxiety. The rationale for this request
is:
a. The patient is a drug seeker.
b. The patient is a risk for suicide or wanting to harm themselves.
c. The patient has become tolerant to the drug therefore needing more.
d. The patient needs additional counseling on lifestyle modification. - ANSWER c. The patient has
become tolerant to the drug therefore needing more.
To which client would the APN use caution in prescribing lithium to a client newly diagnosed with
bipolar disorder?
a. A 23-year old with an addition antidepressant medication.
b. A 42-year old taking a loop diuretic.
c. A 54-year old on a 4pm sodium diet.
d. A 30-year old with a urine output of 40mL/hr. - ANSWER b. A 42-year old taking a loop diuretic.
