NUR651 Final Exam Study Questions With Complete
Solutions
A drug that requires a low pH in the stomach to be properly
absorbed is:
A.
Amoxicillin
B.
Ketoconazole
C.
Nystatin
D.
Acyclovir Correct Answers B. Ketoconazole
A health care practitioner is prescribing penicillin for an infant.
Which age-related factor should be considered when dosing
drugs for this population?
A. Tubular secretion is decreased in infants.
B. Cardiac output to the kidney is increased in infants.
C. Tubular reabsorption rates are increased in infants.
D. GFR approaches adult rates at 6 months of age. Correct
Answers A. tubular secretion is decreased in infants
A health care practitioner prescribes warfarin for a patient who
has AFib. The patient should avoid foods high in:
A.
Potassium
B.
Tyramine
C.
Vitamin C
,D.
Vitamin K Correct Answers D. Vitamin K
A patient is being treated with escitalopram (Lexapro). This
indicates that he might be suffering from:
A. Parkinson's disease
B. Schizophrenia
C. Depression
D. Anxiety Correct Answers C. Depression
A patient mutation of CYP2C19 is documented as
(*1/*17,*17/*17). What is the term for a person with this
function mutation?
A. Poor metabolizer
B. Intermediate metabolizer
C. Extensive metabolizer
D. Ultrarapid metabolizer Correct Answers D. Ultrarapid
Metabolizer
A patient on an ACE inhibitor may experience this adverse
reaction:
A.
Cough
B.
CNS depression
C.
Orthostatic hypotension
D.
GI upset Correct Answers A. Cough
,A practitioner discusses herbal use with a patient taking
medication for high blood pressure. Which supplement might
cause a reaction with the patient's medication?
A. Echinacea
B. Flaxseed
C. Omega-3s
D. Probiotics Correct Answers C. Omega 3s
A practitioner is prescribing amiodarone for a patient with
cardiac arrhythmia. Which factor affecting the duration of the
drug must a practitioner consider if an adverse interaction
occurs?
A. Efficacy
B. Half-life
C. Concentration
D. Toxic potential Correct Answers B. Half life
A practitioner prescribes a bicarbonate for a patient with severe
heartburn. The practitioner knows that what factor caused by the
drug plays a key role in its excretion?
A.
Enterohepatic recirculation
B.
Alternative active transport pathways
C.
Alkalinization of the urine
D.
Induction of P-glycoprotein Correct Answers C. Alkalinization
of the urine
, A woman who is pregnant in the first trimester and has
hyperthyroidism is best managed by a specialty team, who will
most likely treat her with:
A. Methimazole
B. Propylthiouracil (PTU)
C. L-thyroxine
D. Nothing; treatment is best delayed until after her pregnancy
ends. Correct Answers B. PTU
A. C. is a 60-year-old Caucasian woman with newly diagnosed
peptic ulcer disease, generalized anxiety disorder, and iron
deficiency anemia. She also has a long history of asthma and
depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her
anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take
prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol
(Proventil) inhaler. She takes esomeprazole (Nexium) for her
peptic ulcer disease. She drinks at least two to three cans of beer
per day.
Three months after the diagnosis of her peptic ulcer disease, A.
C. experiences severe fatigue, shortness of breath, dizziness, and
swelling/soreness in the tongue. During her physical exam, her
physician suspects that she has bacterial vaginosis a Correct
Answers B. Alprazolam
A. C. is a 60-year-old Caucasian woman with newly diagnosed
peptic ulcer disease, generalized anxiety disorder, and iron
deficiency anemia. She also has a long history of asthma and
depression. She is a strong believer in herbal medicine. She
Solutions
A drug that requires a low pH in the stomach to be properly
absorbed is:
A.
Amoxicillin
B.
Ketoconazole
C.
Nystatin
D.
Acyclovir Correct Answers B. Ketoconazole
A health care practitioner is prescribing penicillin for an infant.
Which age-related factor should be considered when dosing
drugs for this population?
A. Tubular secretion is decreased in infants.
B. Cardiac output to the kidney is increased in infants.
C. Tubular reabsorption rates are increased in infants.
D. GFR approaches adult rates at 6 months of age. Correct
Answers A. tubular secretion is decreased in infants
A health care practitioner prescribes warfarin for a patient who
has AFib. The patient should avoid foods high in:
A.
Potassium
B.
Tyramine
C.
Vitamin C
,D.
Vitamin K Correct Answers D. Vitamin K
A patient is being treated with escitalopram (Lexapro). This
indicates that he might be suffering from:
A. Parkinson's disease
B. Schizophrenia
C. Depression
D. Anxiety Correct Answers C. Depression
A patient mutation of CYP2C19 is documented as
(*1/*17,*17/*17). What is the term for a person with this
function mutation?
A. Poor metabolizer
B. Intermediate metabolizer
C. Extensive metabolizer
D. Ultrarapid metabolizer Correct Answers D. Ultrarapid
Metabolizer
A patient on an ACE inhibitor may experience this adverse
reaction:
A.
Cough
B.
CNS depression
C.
Orthostatic hypotension
D.
GI upset Correct Answers A. Cough
,A practitioner discusses herbal use with a patient taking
medication for high blood pressure. Which supplement might
cause a reaction with the patient's medication?
A. Echinacea
B. Flaxseed
C. Omega-3s
D. Probiotics Correct Answers C. Omega 3s
A practitioner is prescribing amiodarone for a patient with
cardiac arrhythmia. Which factor affecting the duration of the
drug must a practitioner consider if an adverse interaction
occurs?
A. Efficacy
B. Half-life
C. Concentration
D. Toxic potential Correct Answers B. Half life
A practitioner prescribes a bicarbonate for a patient with severe
heartburn. The practitioner knows that what factor caused by the
drug plays a key role in its excretion?
A.
Enterohepatic recirculation
B.
Alternative active transport pathways
C.
Alkalinization of the urine
D.
Induction of P-glycoprotein Correct Answers C. Alkalinization
of the urine
, A woman who is pregnant in the first trimester and has
hyperthyroidism is best managed by a specialty team, who will
most likely treat her with:
A. Methimazole
B. Propylthiouracil (PTU)
C. L-thyroxine
D. Nothing; treatment is best delayed until after her pregnancy
ends. Correct Answers B. PTU
A. C. is a 60-year-old Caucasian woman with newly diagnosed
peptic ulcer disease, generalized anxiety disorder, and iron
deficiency anemia. She also has a long history of asthma and
depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her
anemia, and alprazolam (Xanax) as needed for her anxiety.
During her asthma exacerbation, she is instructed to take
prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol
(Proventil) inhaler. She takes esomeprazole (Nexium) for her
peptic ulcer disease. She drinks at least two to three cans of beer
per day.
Three months after the diagnosis of her peptic ulcer disease, A.
C. experiences severe fatigue, shortness of breath, dizziness, and
swelling/soreness in the tongue. During her physical exam, her
physician suspects that she has bacterial vaginosis a Correct
Answers B. Alprazolam
A. C. is a 60-year-old Caucasian woman with newly diagnosed
peptic ulcer disease, generalized anxiety disorder, and iron
deficiency anemia. She also has a long history of asthma and
depression. She is a strong believer in herbal medicine. She
