NP UT Arlington
NURS 5334 Advanced Pharmacology for NP
UT Arlington Practice Test – 350 Questions
and Correct Verified Answers/ NURS 5334
Exam Prep 3
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal
allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
1. Urinary retention
2. Cardiac output
3. Peripheral edema
4. Skin rash
- Correct Answer :Urinary retention
First-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal
allergies because they are:
1. More effective than first-generation antihistamines
2. Less sedating than the first-generation antihistamines
3. Prescription products, therefore are covered by insurance
4. Able to be taken with central nervous system (CNS) sedatives, such as alcohol
- Correct Answer :Less sedating than the first-generation antihistamines
When recommending dimenhydrinate (Dramamine) to treat motion sickness, patients should
be instructed to:
1. Take the dimenhydrinate after they get nauseated
A+ TEST BANK 1
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
2. Drink lots of water while taking the dimenhydrinate
3. Take the dimenhydrinate 15 minutes before it is needed
4. Double the dose if one tablet is not effective
- Correct Answer :Take the dimenhydrinate 15 minutes before it is needed
Decongestants such as pseudoephedrine (Sudafed):
1. Are Schedule III drugs in all states
2. Should not be prescribed or recommended for children under 4 years of age
3. Are effective in treating the congestion children experience with the common cold
4. May cause drowsiness in patients of all ages
- Correct Answer :Should not be prescribed or recommended for children under 4 years of
age
Cough and cold medications that contain a sympathomimetic decongestant such as
phenylephrine should be used cautiously in what population:
1. Older adults
2. Hypertensive patients
3. Infants
4. All of the above
- Correct Answer :All of the above
Martin is a 60-year-old patient with hypertension. The first-line decongestant to prescribe
would be:
A+ TEST BANK 2
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
1. Oral pseudoephedrine
2. Oral phenylephrine
3. Nasal oxymetazoline
4. Nasal azelastine
- Correct Answer :Nasal oxymetazoline
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-
year-old child is:
1. Fluids and symptomatic care
2. Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
3. Guaifenesin and codeine syrup (Tussin AC)
4. Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
- Correct Answer :Fluids and symptomatic care
Factors that place a patient at risk of developing an antimicrobial-resistant organism include:
1. Age over 50 years
2. School attendance
3. Travel within the U.S.
4. Inappropriate use of antimicrobials
- Correct Answer :Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic-resistant infections due
to:
A+ TEST BANK 3
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
1. Developmental differences in pharmacokinetics of the antibiotics in children
2. The fact that children this age are more likely to be in daycare and exposed to pathogens
from other children
3. Parents of young children insisting on preventive antibiotics so they don't miss work when
their child is sick
4. Immunosuppression from the multiple vaccines they receive in the first 2 years of life –
Correct Answer :The fact that children this age are more likely to be in daycare and exposed
to pathogens from other children
Providers should use an antibiogram when prescribing. An antibiogram is:
1. The other name for the Centers for Disease Control guidelines for prescribing antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
3. The reference also known as the Pink Book, published by the Centers for Disease Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories
- Correct Answer :A chart of the local resistance patterns to antibiotics developed by
laboratories
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins
because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both produce resistant enzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms.
4. There is not an issue with cross-resistance between the penicillins and cephalosporins. –
Correct Answer :Both drug classes contain a beta-lactam ring that is vulnerable to beta-
lactamase-producing organisms.
A+ TEST BANK 4