NURS651 ADV PHARM Essential Exam Pack 2025 |
Graded Quizzes and Full Answer Key
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for
recalcitrant depression. The NP managing his primary health care needs to understand the
following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs).
A. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex)
B. MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce
C. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediate
treatment
D. All of the above - D. All of the above
A 19-year-old male was started on risperidone. Monitor for risperidone includes observing for
common side effects, including:
A. Bradykinesia, akathisia, and agitation
B. Excessive weight gain
C. Hypertension
D. Potentially fatal agranulocytosis - A. Bradykinesia, akathisia, and agitation
Patients who are on chronic long-term corticosteroid therapy need education regarding:
A. Receiving all vaccination, especially the live flu vaccine
B. Reporting black tarry stools or abdominal pain
C. Eating a high carbohydrate diet with plenty of fluids
D. Small amounts of alcohol are generally tolerated - B. Reporting black tarry stools or
abdominal pain
, If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are
insufficient, pain medications are given based on the severity of pain. Drugs are given in which
order of use?
A.NSAIDS, opiated, corticosteroids
B.Low-dose opiates, salicylates, increased dose of opiates
C.Opiates, non-opiates, increased dose of non-opiates
D.Non-opiate, increased dose of non-opiate, opiate - D. Non-opiate, increased dose of
non-opiate, opiate
Carbamazepine has a Black Box Warning due to life-threatening:
A.Renal toxicity leading to renal failure
B.Hepatotoxicity, leading to liver failure
C.Dermatologic reaction, including Steven's Johnson and toxic epidermal necrolysis
D.Cardiac effects, including supraventricular tachycardia - C.Dermatologic reaction,
including Steven's Johnson and toxic epidermal necrolysis
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be
assessed for:
A. Gout
B. Iron Deficiency Anemia
C. Osteoporosis
D. Renal dysfunction - C. Osteoporosis
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with
gout. Of the following, which would be the best treatment for Henry?
A. High-dose-colchicine
B Low-dose-colchicine
Graded Quizzes and Full Answer Key
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for
recalcitrant depression. The NP managing his primary health care needs to understand the
following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs).
A. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex)
B. MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce
C. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediate
treatment
D. All of the above - D. All of the above
A 19-year-old male was started on risperidone. Monitor for risperidone includes observing for
common side effects, including:
A. Bradykinesia, akathisia, and agitation
B. Excessive weight gain
C. Hypertension
D. Potentially fatal agranulocytosis - A. Bradykinesia, akathisia, and agitation
Patients who are on chronic long-term corticosteroid therapy need education regarding:
A. Receiving all vaccination, especially the live flu vaccine
B. Reporting black tarry stools or abdominal pain
C. Eating a high carbohydrate diet with plenty of fluids
D. Small amounts of alcohol are generally tolerated - B. Reporting black tarry stools or
abdominal pain
, If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are
insufficient, pain medications are given based on the severity of pain. Drugs are given in which
order of use?
A.NSAIDS, opiated, corticosteroids
B.Low-dose opiates, salicylates, increased dose of opiates
C.Opiates, non-opiates, increased dose of non-opiates
D.Non-opiate, increased dose of non-opiate, opiate - D. Non-opiate, increased dose of
non-opiate, opiate
Carbamazepine has a Black Box Warning due to life-threatening:
A.Renal toxicity leading to renal failure
B.Hepatotoxicity, leading to liver failure
C.Dermatologic reaction, including Steven's Johnson and toxic epidermal necrolysis
D.Cardiac effects, including supraventricular tachycardia - C.Dermatologic reaction,
including Steven's Johnson and toxic epidermal necrolysis
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be
assessed for:
A. Gout
B. Iron Deficiency Anemia
C. Osteoporosis
D. Renal dysfunction - C. Osteoporosis
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with
gout. Of the following, which would be the best treatment for Henry?
A. High-dose-colchicine
B Low-dose-colchicine
