NR 508 ADVANCED PHARMACOLOGY
MID-TERM EXAM| LATEST UPDATED
SOLUTIONS
1. A patient asks a primary care NP whether over-the-counter drugs are safer than
prescription drugs. The NP should explain that over-the-counter drugs are: (Points : 2)
generally safe when label information is understood and followed.
safer because over-the-counter doses are lower than prescription doses of the same
drug.
less safe because they are not well regulated by the Food and Drug Administration
(FDA).
not extensively tested, so claims made by manufacturers cannot be substantiated.
Question 2.2. A woman who is being treated with radiotherapy for breast cancer asks her
primary care nurse practitioner (NP) about using dietary supplements to improve her chance
of recovery. The NP should tell her that: (Points : 2)
vitamin E is not harmful but has not been shown to change outcomes.
no supplements have been shown to alter outcomes or response to therapy.
folic acid and other B vitamins may improve ability to tolerate chemotherapy.
vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence.
Question 3.3. A patient with type 2 diabetes mellitus takes metformin (Glucophage) 1000 mg
twice daily and glyburide (Micronase) 12 mg daily. At an annual physical examination, the BMI
is 29 and hemoglobin A1c is 7.3%. The NP should: (Points : 2)
begin insulin therapy.
change to therapy with colesevelam (Welchol).
add a third oral antidiabetic agent to this patient’s drug regimen.
enroll the patient in a weight loss program to achieve better glycemic control.
Question 4.4. A patient comes to the clinic to discuss weight loss. The primary care NP notes
a BMI of 32 and performs a health risk assessment that reveals no obesity-related risk factors.
The NP should recommend: (Points : 2)
orlistat (Xenical).
surgical intervention.
changes in diet and exercise.
, changes in diet and exercise along with short-term phentermine.
Question 5.5. Which of the following statements is true about the prescribing practices of
physicians? (Points : 2)
Older physicians tend to prescribe more appropriate medications than younger
physicians.
Antibiotic medications remain in the top five classifications of medications prescribed.
Most physicians rely on a “therapeutic armamentarium” that consists of less than 100
drug preparations per physician.
MID-TERM EXAM| LATEST UPDATED
SOLUTIONS
1. A patient asks a primary care NP whether over-the-counter drugs are safer than
prescription drugs. The NP should explain that over-the-counter drugs are: (Points : 2)
generally safe when label information is understood and followed.
safer because over-the-counter doses are lower than prescription doses of the same
drug.
less safe because they are not well regulated by the Food and Drug Administration
(FDA).
not extensively tested, so claims made by manufacturers cannot be substantiated.
Question 2.2. A woman who is being treated with radiotherapy for breast cancer asks her
primary care nurse practitioner (NP) about using dietary supplements to improve her chance
of recovery. The NP should tell her that: (Points : 2)
vitamin E is not harmful but has not been shown to change outcomes.
no supplements have been shown to alter outcomes or response to therapy.
folic acid and other B vitamins may improve ability to tolerate chemotherapy.
vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence.
Question 3.3. A patient with type 2 diabetes mellitus takes metformin (Glucophage) 1000 mg
twice daily and glyburide (Micronase) 12 mg daily. At an annual physical examination, the BMI
is 29 and hemoglobin A1c is 7.3%. The NP should: (Points : 2)
begin insulin therapy.
change to therapy with colesevelam (Welchol).
add a third oral antidiabetic agent to this patient’s drug regimen.
enroll the patient in a weight loss program to achieve better glycemic control.
Question 4.4. A patient comes to the clinic to discuss weight loss. The primary care NP notes
a BMI of 32 and performs a health risk assessment that reveals no obesity-related risk factors.
The NP should recommend: (Points : 2)
orlistat (Xenical).
surgical intervention.
changes in diet and exercise.
, changes in diet and exercise along with short-term phentermine.
Question 5.5. Which of the following statements is true about the prescribing practices of
physicians? (Points : 2)
Older physicians tend to prescribe more appropriate medications than younger
physicians.
Antibiotic medications remain in the top five classifications of medications prescribed.
Most physicians rely on a “therapeutic armamentarium” that consists of less than 100
drug preparations per physician.
