MN553 Final Exam with Verified
Solutions
Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true
about these drugs? Question options:
A. All opiates are scheduled drugs which require a DEA license to prescribe.
B. Opiates stimulate only mu receptors for the control of pain.
C. Most of the adverse effects of opiates are related to mu receptor stimulation.
D. Naloxone is an antagonist to opiates ✔️✔️B. Opiates stimulate only mu receptors for the
control of pain.
ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during
pregnancy is best done by a specialist, which of the following drug classes is considered to be
safe, at least in the later parts of pregnancy? Question options:
A. Diuretics
B. ARBs
,C. Beta blockers
D. Nitrates ✔️✔️C. Beta blockers
Several classes of drugs have interactions with cholinergic blockers. Which of the following is
true about these interactions?Question options:
A. Drugs with a narrow therapeutic range given orally may not stay in the GI tract long enough
to produce an action.
B. Additive antimuscarinic effects may occur with antihistamines.
C. Cholinergic blockers may decrease the sedative effects of hypnotics.
D. Cholinergic blockers are contraindicated with antipsychotics. ✔️✔️A. Drugs with a narrow
therapeutic range given orally may not stay in the GI tract long enough to produce an action.
When determining drug treatment the NP prescriber should: Question options:
A. Always use evidence-based guidelines
B. Individualize the drug choice for the specific patient
,C. Rely on his or her experience when prescribing for complex patients
D. Use the newest drug on the market for the condition being treated ✔️✔️B. Individualize
the drug choice for the specific patient
Nurse practitioner prescriptive authority is regulated by: Question options:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy ✔️✔️C. The State Board of Nursing for each state
Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.
He states the aspirin helps him to "get going" each day. Lately he has had some heartburn from
the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment
for Henry? Question options:
A. Add an H2 blocker such as ranitidine to his therapy.
B. Discontinue the aspirin and switch him to Vicodin for the pain.
, C. Decrease the aspirin dose to one tablet daily.
D. Have Henry take an antacid 15 minutes before taking the aspirin each day. ✔️✔️A. Add an
H2 blocker such as ranitidine to his therapy.
Medications are typically started for angina patients when: Question options:
A. The first permanent EKG changes occur
B. The start of class I or II symptoms
C. The events trigger a trip to the emergency department
D. When troponin levels become altered ✔️✔️B. The start of class I or II symptoms
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins
because: Question options:
A. Renal excretion is similar in both classes of drugs.
B. When these drug classes are metabolized in the liver they both produce resistant enzymes.
Solutions
Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true
about these drugs? Question options:
A. All opiates are scheduled drugs which require a DEA license to prescribe.
B. Opiates stimulate only mu receptors for the control of pain.
C. Most of the adverse effects of opiates are related to mu receptor stimulation.
D. Naloxone is an antagonist to opiates ✔️✔️B. Opiates stimulate only mu receptors for the
control of pain.
ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during
pregnancy is best done by a specialist, which of the following drug classes is considered to be
safe, at least in the later parts of pregnancy? Question options:
A. Diuretics
B. ARBs
,C. Beta blockers
D. Nitrates ✔️✔️C. Beta blockers
Several classes of drugs have interactions with cholinergic blockers. Which of the following is
true about these interactions?Question options:
A. Drugs with a narrow therapeutic range given orally may not stay in the GI tract long enough
to produce an action.
B. Additive antimuscarinic effects may occur with antihistamines.
C. Cholinergic blockers may decrease the sedative effects of hypnotics.
D. Cholinergic blockers are contraindicated with antipsychotics. ✔️✔️A. Drugs with a narrow
therapeutic range given orally may not stay in the GI tract long enough to produce an action.
When determining drug treatment the NP prescriber should: Question options:
A. Always use evidence-based guidelines
B. Individualize the drug choice for the specific patient
,C. Rely on his or her experience when prescribing for complex patients
D. Use the newest drug on the market for the condition being treated ✔️✔️B. Individualize
the drug choice for the specific patient
Nurse practitioner prescriptive authority is regulated by: Question options:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy ✔️✔️C. The State Board of Nursing for each state
Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.
He states the aspirin helps him to "get going" each day. Lately he has had some heartburn from
the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment
for Henry? Question options:
A. Add an H2 blocker such as ranitidine to his therapy.
B. Discontinue the aspirin and switch him to Vicodin for the pain.
, C. Decrease the aspirin dose to one tablet daily.
D. Have Henry take an antacid 15 minutes before taking the aspirin each day. ✔️✔️A. Add an
H2 blocker such as ranitidine to his therapy.
Medications are typically started for angina patients when: Question options:
A. The first permanent EKG changes occur
B. The start of class I or II symptoms
C. The events trigger a trip to the emergency department
D. When troponin levels become altered ✔️✔️B. The start of class I or II symptoms
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins
because: Question options:
A. Renal excretion is similar in both classes of drugs.
B. When these drug classes are metabolized in the liver they both produce resistant enzymes.
