Exam 2026 | Complete Questions and
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Singer Michael Jackson allegedly abused alprazolam and propofol, an
anesthetic. Which inference applies? ---------CORRECT ANSWER------------
-----Potentially lethal sedation and CNS depression would be expected
with this drug combination
Monoamine oxidase inhibitors (MAOIs) can cause numbness, prickling,
or tingling feelings, which are called: ---------CORRECT ANSWER------------
-----Paresthesias
The waiting time between stopping a monoamine oxidase inhibitor
(MAOI) and starting a selective serotonin reuptake inhibitor (SSRI) is
which of the following? ---------CORRECT ANSWER-----------------At least
two weeks
,An acutely manic patient is started on divalproex. The experienced
nurse understands valproate acid can be measured: ---------CORRECT
ANSWER-----------------Through a serum blood level
Mr. Jones, a client of yours is on a regimen of warfarin (Coumadin)
because of a venous thrombosis (blood clot) which developed following
his orthopedic surgery. Which of the following blood tests will he likely
need as he is monitored during his treatment? ---------CORRECT
ANSWER-----------------Prothrombin time/INR
Anticoagulants are used to ---------CORRECT ANSWER-----------------
Prevent the formation of blood clots
Thrombolytic drugs are used to ---------CORRECT ANSWER-----------------
Lyse a thrombus
The most important food for a patient taking anticoagulants to avoid is
---------CORRECT ANSWER-----------------Garlic
,Fibrinolysis is the result of ---------CORRECT ANSWER-----------------
Plasmin digesting the fibrin strands of clots
How does clopidogrel prolong bleeding time? ---------CORRECT
ANSWER-----------------Alters the plasma membrane of platelets
Following an acute myocardial infarction, your patient is receiving
alteplase (Activase), a thrombolytic drug. Which of the following
adverse effects could be attributed to this drug administration? ---------
CORRECT ANSWER-----------------Nosebleeds
A patient taking Warfarin for atrial fibrillation is being checked for a
therapeutic level of the drug in his system. His INR is expected to be: ---
------CORRECT ANSWER-----------------Between 2-3
Laboratory studies related to heparin therapy include ---------CORRECT
ANSWER-----------------aPtt
Low molecular weight heparin ---------CORRECT ANSWER-----------------
Has a longer duration of action and is more stable than heparin
, What is the anticipated effect of drug distribution on volume in elderly
patients who have increased body fat? ---------CORRECT ANSWER---------
--------Increased volume of distribution for highly lipophilic drugs
One of the most important pharmacokinetic changes associated with
aging is related to renal elimination of drugs. After age 30, what
happens in the kidneys? ---------CORRECT ANSWER-----------------
Creatinine clearance decreases
Why do serum creatinine levels often remain within normal limits as we
age despite a decrease in GFR? ---------CORRECT ANSWER-----------------
Elderly generally have less muscle mass and are generally less physically
active than younger adults.
Which of the following drugs may be toxic in elderly patients because
serum albumin levels decrease with age? ---------CORRECT ANSWER------
-----------Warfarin