NUR651 Final Exam Study
A drug that requires a low pH in the stomach to be properly absorbed is:
A.
Amoxicillin
B.
Ketoconazole
C.
Nystatin
D.
Acyclovir - ANS -B. Ketoconazole
\A health care practitioner is prescribing penicillin for an infant. Which age-related factor should be considered when
dosing drugs for this population?
A. Tubular secretion is decreased in infants.
B. Cardiac output to the kidney is increased in infants.
C. Tubular reabsorption rates are increased in infants.
D. GFR approaches adult rates at 6 months of age. - ANS -A. tubular secretion is decreased in infants
\A health care practitioner prescribes warfarin for a patient who has AFib. The patient should avoid foods high in:
A.
Potassium
B.
Tyramine
C.
Vitamin C
D.
Vitamin K - ANS -D. Vitamin K
\A patient is being treated with escitalopram (Lexapro). This indicates that he might be suffering from:
,A. Parkinson's disease
B. Schizophrenia
C. Depression
D. Anxiety - ANS -C. Depression
\A patient mutation of CYP2C19 is documented as (*1/*17,*17/*17). What is the term for a person with this function
mutation?
A. Poor metabolizer
B. Intermediate metabolizer
C. Extensive metabolizer
D. Ultrarapid metabolizer - ANS -D. Ultrarapid Metabolizer
\A patient on an ACE inhibitor may experience this adverse reaction:
A.
Cough
B.
CNS depression
C.
Orthostatic hypotension
D.
GI upset - ANS -A. Cough
\A practitioner discusses herbal use with a patient taking medication for high blood pressure. Which supplement might
cause a reaction with the patient's medication?
A. Echinacea
B. Flaxseed
C. Omega-3s
D. Probiotics - ANS -C. Omega 3s
\A practitioner is prescribing amiodarone for a patient with cardiac arrhythmia. Which factor affecting the duration of the
drug must a practitioner consider if an adverse interaction occurs?
A. Efficacy
B. Half-life
,C. Concentration
D. Toxic potential - ANS -B. Half life
\A practitioner prescribes a bicarbonate for a patient with severe heartburn. The practitioner knows that what factor
caused by the drug plays a key role in its excretion?
A.
Enterohepatic recirculation
B.
Alternative active transport pathways
C.
Alkalinization of the urine
D.
Induction of P-glycoprotein - ANS -C. Alkalinization of the urine
\A woman who is pregnant in the first trimester and has hyperthyroidism is best managed by a specialty team, who will
most likely treat her with:
A. Methimazole
B. Propylthiouracil (PTU)
C. L-thyroxine
D. Nothing; treatment is best delayed until after her pregnancy ends. - ANS -B. PTU
\A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease, generalized anxiety disorder, and
iron deficiency anemia. She also has a long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil) inhaler. She takes esomeprazole (Nexium) for
her peptic ulcer disease. She drinks at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences severe fatigue, shortness of breath,
dizziness, and swelling/soreness in the tongue. During her physical exam, her physician suspects that she has bacterial
vaginosis a - ANS -B. Alprazolam
\A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease, generalized anxiety disorder, and
iron deficiency anemia. She also has a long history of asthma and depression. She is a strong believer in herbal medicine.
, She takes St. John's wort for her depression, iron pills for her anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil) inhaler. She takes esomeprazole (Nexium) for
her peptic ulcer disease. She drinks at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences severe fatigue, shortness of breath,
dizziness, and swelling/soreness in the tongue. During her physical exam, her physician suspects that she has bacterial
vaginosis a - ANS -B. Nexium
\Alcohol consumption and smoking are liver enzyme inducers or inhibitors? - ANS -inducers:
This can metabolize the drug more quickly resulting in a less therapeutic outcome
\An oncologist is calculating a dosage of an antineoplastic drug for a child. What is the best basis for an accurate dosage
for this patient?
A. Weight
B. Concurrent drug therapy
C. BSA
D. Stage of development - ANS -C. BSA
\Angiotensin converting enzyme (ACE) inhibitors produce a more profound decrease in blood pressure than the
angiotensin receptor antagonists because they:
A.
Inhibit aldosterone release
B.
Inhibit kininase II
C.
Decrease concentration of angiotensin II
D.
Decrease peripheral vascular resistance - ANS -B. Inhibit Kininase II
\Beta blockers act on the kidneys to:
A.
Increase chloride secretion
B.
A drug that requires a low pH in the stomach to be properly absorbed is:
A.
Amoxicillin
B.
Ketoconazole
C.
Nystatin
D.
Acyclovir - ANS -B. Ketoconazole
\A health care practitioner is prescribing penicillin for an infant. Which age-related factor should be considered when
dosing drugs for this population?
A. Tubular secretion is decreased in infants.
B. Cardiac output to the kidney is increased in infants.
C. Tubular reabsorption rates are increased in infants.
D. GFR approaches adult rates at 6 months of age. - ANS -A. tubular secretion is decreased in infants
\A health care practitioner prescribes warfarin for a patient who has AFib. The patient should avoid foods high in:
A.
Potassium
B.
Tyramine
C.
Vitamin C
D.
Vitamin K - ANS -D. Vitamin K
\A patient is being treated with escitalopram (Lexapro). This indicates that he might be suffering from:
,A. Parkinson's disease
B. Schizophrenia
C. Depression
D. Anxiety - ANS -C. Depression
\A patient mutation of CYP2C19 is documented as (*1/*17,*17/*17). What is the term for a person with this function
mutation?
A. Poor metabolizer
B. Intermediate metabolizer
C. Extensive metabolizer
D. Ultrarapid metabolizer - ANS -D. Ultrarapid Metabolizer
\A patient on an ACE inhibitor may experience this adverse reaction:
A.
Cough
B.
CNS depression
C.
Orthostatic hypotension
D.
GI upset - ANS -A. Cough
\A practitioner discusses herbal use with a patient taking medication for high blood pressure. Which supplement might
cause a reaction with the patient's medication?
A. Echinacea
B. Flaxseed
C. Omega-3s
D. Probiotics - ANS -C. Omega 3s
\A practitioner is prescribing amiodarone for a patient with cardiac arrhythmia. Which factor affecting the duration of the
drug must a practitioner consider if an adverse interaction occurs?
A. Efficacy
B. Half-life
,C. Concentration
D. Toxic potential - ANS -B. Half life
\A practitioner prescribes a bicarbonate for a patient with severe heartburn. The practitioner knows that what factor
caused by the drug plays a key role in its excretion?
A.
Enterohepatic recirculation
B.
Alternative active transport pathways
C.
Alkalinization of the urine
D.
Induction of P-glycoprotein - ANS -C. Alkalinization of the urine
\A woman who is pregnant in the first trimester and has hyperthyroidism is best managed by a specialty team, who will
most likely treat her with:
A. Methimazole
B. Propylthiouracil (PTU)
C. L-thyroxine
D. Nothing; treatment is best delayed until after her pregnancy ends. - ANS -B. PTU
\A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease, generalized anxiety disorder, and
iron deficiency anemia. She also has a long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil) inhaler. She takes esomeprazole (Nexium) for
her peptic ulcer disease. She drinks at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences severe fatigue, shortness of breath,
dizziness, and swelling/soreness in the tongue. During her physical exam, her physician suspects that she has bacterial
vaginosis a - ANS -B. Alprazolam
\A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease, generalized anxiety disorder, and
iron deficiency anemia. She also has a long history of asthma and depression. She is a strong believer in herbal medicine.
, She takes St. John's wort for her depression, iron pills for her anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil) inhaler. She takes esomeprazole (Nexium) for
her peptic ulcer disease. She drinks at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences severe fatigue, shortness of breath,
dizziness, and swelling/soreness in the tongue. During her physical exam, her physician suspects that she has bacterial
vaginosis a - ANS -B. Nexium
\Alcohol consumption and smoking are liver enzyme inducers or inhibitors? - ANS -inducers:
This can metabolize the drug more quickly resulting in a less therapeutic outcome
\An oncologist is calculating a dosage of an antineoplastic drug for a child. What is the best basis for an accurate dosage
for this patient?
A. Weight
B. Concurrent drug therapy
C. BSA
D. Stage of development - ANS -C. BSA
\Angiotensin converting enzyme (ACE) inhibitors produce a more profound decrease in blood pressure than the
angiotensin receptor antagonists because they:
A.
Inhibit aldosterone release
B.
Inhibit kininase II
C.
Decrease concentration of angiotensin II
D.
Decrease peripheral vascular resistance - ANS -B. Inhibit Kininase II
\Beta blockers act on the kidneys to:
A.
Increase chloride secretion
B.
