NURS 5334 FINAL EXAM|| ACCURATE AND FREQUENTLY
TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH
RATIONALES
If diet and lifestyle modifications with an Antacid do not help with GERD,
what is the second step in medication intervention?
Add H2 receptor blocker
If diet and lifestyle modifications with an Antacid, PLUS adding an H2
receptor blockers does not help with GERD, what is the third step in
medication intervention?
Add an Proton Pump inhibitor
What is an example of a H2 receptor blocker
Famotidine Cimetidine Nizatidine Capsules
Ranitidine
A parent is getting the combination Varicella and and MMR vaccine, what
do you need to educate the parent about?
This child can still get breakthrough chickenpox
Pyridoxine (Vitamin B6) accelerates the systemic metabolism of levodopa
thereby decreasing availability of the amino acid to the brain
parenchyma, True or False?
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True, Pyridoxine stimulates decarboxylase activity of Pyridoxine and can
decrease the amount of levodopa available to the CNS
What is the therapeutic use for Buprenorphine?
Maintenance therapy for opioid dependence. This is can stimulate opioid
receptors and decrease withdrawal symptoms. It given with a full agonist
would decrease effects
What are some examples of Proton Pump
Inhibitors? Omeprazole Esomeprazole
Rabeprazole
What is the MOA of Bethanechol?
BethaneCHOL is a muscarinic agonist and activates the Cholinergic
receptors.
What are therapeutic uses for Bethanechol? (2)
Treatment of urinary retention
Stimulate intestinal Motility in people with Ileus
Why is Levadopa and Carbidopa combined for Parkinson's Disease?
Very Little Levadopa reaches the brain due to peripheral metabolism if
given alone, Carbidopa decreases the decarboxylation in the periphery so
that more of the drug can enter the system. Caridopa allows less
Levadopa to be given
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What is the MOA of Buprenorphine?
Partial mu agonist, kappa antagonist. This produces a lesser degree of
euphoria and physical dependence
What is the therapeutic use for Naltrexone?
Naltrexone is an opioid antagonist. This is maintenance therapy for opioid
dependence and to prevent relapse.
An an opioid is taken while a patient is on Naltrexone the opioid will still
have a euphoric effect, True or False?
False, if an opioid is taken while a patient is on naltrexone, it will
prevent a euphoric effect
What is the correct way to apply Topical Glucocorticoids?
Topical Glucocorticoids should be applied in a thin film and gently rubbed
into the skin.
What is the dose of Terbinafine to give to Onchymycosis on one
fingernail? 250 mg daily for 6-12 weeks for fingernail
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What is the dose of Terbinafine to give to Onchymycosis on one
toenail? 250 mg daily for 3-6 months for toenail
What is the MOA of Denosumab?
inhibits binding of RANKL to RANK, decrease osteoclast maturation and
formation, decrease bone resorption.
How do Bisphosphonates work?
Inhibit osteoclast bone resorption
Gallium Nitrate MOA
inhibits bone resorption
What's the ending that all Bisphosphonates have?
- dronate
Name the adverse effects of Bisphosphonates? (8)
Atrial Fibrillation Atypical Femur Fractures
Esophageal Ulcers Osteonecrosis of the Jaw Ocular inflammation
Hyperparathyroidism Renal Impairment