NUR 635 Advanced Pharmacology
Final Exam Questions with Complete
Answers
A provider is reviewing elderly patient's chart, which is of greatest concern in
renewing prescription for highly bound protein drugs? - ANSWER-Low serum
albumin
An older patient is entering the immediate postoperative period after total hip
replacement, son asks for Demerol, what action will the provider take to address
pain? - ANSWER-Prescribe morphine and discuss rationale with pt's son
A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist, beside
eval for pt's resp distress which side effect watch out for? - ANSWER-Tachycardia
A provider review's pt's chart before prescribing bethanechol which pre-existing
condition is of caution? - ANSWER-Asthma
A young patient with low back injury has muscle spasms, cyclobenzaprine, which
teaching? - ANSWER-Blurred vision, dry mouth, constipation
A pt taking anti-epileptic drug reports no change in seizure activity? - ANSWER-
Write an order for serum drug levels
A pregnant pt in her 3rd trimester asks the nurse if she can take aspirin for
headaches? - ANSWER-Aspirin causes premature closure of ductus arteriosus, don't
take
A pt is given new diagnosis of RA, basis for methotrexate? - ANSWER-Starting early
can delay joint degeneration
Your pt experiences acute gouty episode despite taking NSAIDs, plan for
probenecid, acute episode can cause? - ANSWER-Probenecid will be delayed until
acute episode subsides
A pt has had 3 gout flareups in past year what do you prescribe? - ANSWER-A uric
lowering drug
A pt with severe Paget's disease of the bone asks provider what can be done to
alleviate pain? - ANSWER-calcitonin salmon
Alendronate is prescribed for a post menopausal women. What education would you
give to the patient? - ANSWER-Take with plenty of water and remain upright for 30
minutes
, You have an older adult pt with opioid after ORIF which med do u prescribe to
prevent constipation? - ANSWER-Docusate
The tricyclic antidepressants should be prescribed in caution for? - ANSWER-In pt's
with heart disease
Suzanne is started on paroxetine (paxil) an SSRI for depression, info regarding
antidepressant includes? - ANSWER-SSRIs may take 2-6 weeks for max effect
An appropriate first line drug to try for mild-moderate generalized anxiety disorder? -
ANSWER-Buspirone
Prior to starting antidepressants pt's should have labs to rule out? - ANSWER-
Hypothyroidism
An appropriate drug for treatment of depression with anxiety? - ANSWER-
Escitalopram (lexapro)
Your pt has been on Lexapro for a year willing to be tapered off SSRI, initial dosage
adjustment? - ANSWER-Reduce by 50% for 3 to 4 days
Why is the consistency of taking paroxetine and not running out of medication than
with other SSRIs? - ANSWER-Has a shorter half-life and shorter withdrawal window
when not tapered
Chantix may be prescribed for tobacco cessation, education includes? - ANSWER-
Neuropsychiatric symptoms may occur
A pt being treated with warfarin develops hyperuricemia? - ANSWER-Discuss
reducing warfarin dose with the patient
A pt. with history of chronic alcohol use admitted with diagnosis of cirrhosis,
ammonia is elevated, what med? - ANSWER-Lactulose
A pt with severe alcohol use disorder ataxia, double vision, nystagmus, which
vitamin? - ANSWER-IV thiamine
Long acting beta agonist received black box warning due to? - ANSWER-Increased
risk of asthma related deaths when LABAs are used
Prior to developing plan for treatment of asthma, according to guidelines, in adults -
ANSWER-Mild to Moderate is more than twice a week and not more than once a day
Education for pt's who used inhaled beta agonist and inhaled corticosteroid, which
order to use? - ANSWER-Beta agonist first and then corticosteroid
A step-wise approach to pharmacological management of asthma? - ANSWER-
Begins determining severity of asthma and assessing asthma control
Final Exam Questions with Complete
Answers
A provider is reviewing elderly patient's chart, which is of greatest concern in
renewing prescription for highly bound protein drugs? - ANSWER-Low serum
albumin
An older patient is entering the immediate postoperative period after total hip
replacement, son asks for Demerol, what action will the provider take to address
pain? - ANSWER-Prescribe morphine and discuss rationale with pt's son
A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist, beside
eval for pt's resp distress which side effect watch out for? - ANSWER-Tachycardia
A provider review's pt's chart before prescribing bethanechol which pre-existing
condition is of caution? - ANSWER-Asthma
A young patient with low back injury has muscle spasms, cyclobenzaprine, which
teaching? - ANSWER-Blurred vision, dry mouth, constipation
A pt taking anti-epileptic drug reports no change in seizure activity? - ANSWER-
Write an order for serum drug levels
A pregnant pt in her 3rd trimester asks the nurse if she can take aspirin for
headaches? - ANSWER-Aspirin causes premature closure of ductus arteriosus, don't
take
A pt is given new diagnosis of RA, basis for methotrexate? - ANSWER-Starting early
can delay joint degeneration
Your pt experiences acute gouty episode despite taking NSAIDs, plan for
probenecid, acute episode can cause? - ANSWER-Probenecid will be delayed until
acute episode subsides
A pt has had 3 gout flareups in past year what do you prescribe? - ANSWER-A uric
lowering drug
A pt with severe Paget's disease of the bone asks provider what can be done to
alleviate pain? - ANSWER-calcitonin salmon
Alendronate is prescribed for a post menopausal women. What education would you
give to the patient? - ANSWER-Take with plenty of water and remain upright for 30
minutes
, You have an older adult pt with opioid after ORIF which med do u prescribe to
prevent constipation? - ANSWER-Docusate
The tricyclic antidepressants should be prescribed in caution for? - ANSWER-In pt's
with heart disease
Suzanne is started on paroxetine (paxil) an SSRI for depression, info regarding
antidepressant includes? - ANSWER-SSRIs may take 2-6 weeks for max effect
An appropriate first line drug to try for mild-moderate generalized anxiety disorder? -
ANSWER-Buspirone
Prior to starting antidepressants pt's should have labs to rule out? - ANSWER-
Hypothyroidism
An appropriate drug for treatment of depression with anxiety? - ANSWER-
Escitalopram (lexapro)
Your pt has been on Lexapro for a year willing to be tapered off SSRI, initial dosage
adjustment? - ANSWER-Reduce by 50% for 3 to 4 days
Why is the consistency of taking paroxetine and not running out of medication than
with other SSRIs? - ANSWER-Has a shorter half-life and shorter withdrawal window
when not tapered
Chantix may be prescribed for tobacco cessation, education includes? - ANSWER-
Neuropsychiatric symptoms may occur
A pt being treated with warfarin develops hyperuricemia? - ANSWER-Discuss
reducing warfarin dose with the patient
A pt. with history of chronic alcohol use admitted with diagnosis of cirrhosis,
ammonia is elevated, what med? - ANSWER-Lactulose
A pt with severe alcohol use disorder ataxia, double vision, nystagmus, which
vitamin? - ANSWER-IV thiamine
Long acting beta agonist received black box warning due to? - ANSWER-Increased
risk of asthma related deaths when LABAs are used
Prior to developing plan for treatment of asthma, according to guidelines, in adults -
ANSWER-Mild to Moderate is more than twice a week and not more than once a day
Education for pt's who used inhaled beta agonist and inhaled corticosteroid, which
order to use? - ANSWER-Beta agonist first and then corticosteroid
A step-wise approach to pharmacological management of asthma? - ANSWER-
Begins determining severity of asthma and assessing asthma control
