NURS 5334 Pharm Final Exam
, A 32 year old male is starting paroxetine for depression. He is complaining of not being
able to obtain an erection. What can the NP do to help.
A. Change SSRIs
B. Decrease the dose of paroxetine
C. Add bupropion
D. Add another SSRI
A six year old is being treated with ethosuximide. She should be monitored for:
A. Increased seizure activity; this drug can induce seizures
B. Renal dysfunction
C. Blood dyscrasias which are uncommon but possible
D. Hepatoxicity
Sandy is taking lamotrigine for seizures and wants an rx for OCPs which can interact
with lamotrigine and cause:
A. Contraceptive failure
B. Weight gain
C. Reduced lamotrigine levels, requiring an increase in the dose of lamotrigine.
D. Increase in estrogen metabolism requiring higher estrogen containing OCPs
The tricyclic antidepressants should be prescribed cautiously in patients with:
A. CAD
,B. Eczema
C. Asthma
D. Diabetes - ANSWER- A. CAD
What "onset of action symptoms" should be reviewed with patients who have been
newly prescribed an SSRI?
A. They will have insomnia for a week.
B. They can feel a bit of nausea, but this resolves in about 1 week.
C. They will have a huge increase in appetite
D. They will not dream. - ANSWER- B. They can feel a bit of nausea, but this resolves
in about 1 week
Why do many medications lack pediatric dosing information in their drug labeling?
A. Most medications are not used in pediatric patients.
B. There is a lack of evidence-based literature on the safe and effective use of
medications in children.
C. The FDA does not allow pediatric dosing information in product labeling.
D. Only products available as oral liquid formulations are required to contain pediatric
dosing information in their labeling.
Why are Neonates at greater risk for toxicity with highly protein-bound drugs?
A. Protein binding is decreased in neonates increasing the amount of free drug
available.
B. The protein-bound drugs are not eliminated effectively in neonates.
C. Neonates are unable to metabolize these highly protein-bound drugs.
D. Protein binding is increased in neonates, making measurement of serum levels of the
drug inaccurate.
At what age are adult levels of renal function achieved? •
A. 6 months
, B. 12 months
C. 24 months
D. 3 years old
What is the list that identifies drugs with a high likelihood of causing adverse effects in
the elderly?
A. No use list
B. Beers list
C. Pharmacists list
D. Adverse drug list
In pediatric patients gastric acidity does not reach adult values for
2 Years
The principles underlying complication to drug therapy in the elderly include___, ____ ,
____, and __
- altered pharmcokinetics, multiple and severe illnesses,
multiple-drug therapy, and poor adherence.
Altered absorption of drugs in the elderly may result in____ drug response -
Delay
The four major factors that can alter drug distribution in the elderly include _, _, _, and
_?
increased body fat, decreased percentage of lean body mass, decreased total body
water, and reduced concentration of serum albumin.
The most important cause of adverse drug reactions in the elderly is
drug accumulation secondary to reduced renal excretion.
In the elderly, the proper index of renal function is_
creatinine clearance or GFR
, A 32 year old male is starting paroxetine for depression. He is complaining of not being
able to obtain an erection. What can the NP do to help.
A. Change SSRIs
B. Decrease the dose of paroxetine
C. Add bupropion
D. Add another SSRI
A six year old is being treated with ethosuximide. She should be monitored for:
A. Increased seizure activity; this drug can induce seizures
B. Renal dysfunction
C. Blood dyscrasias which are uncommon but possible
D. Hepatoxicity
Sandy is taking lamotrigine for seizures and wants an rx for OCPs which can interact
with lamotrigine and cause:
A. Contraceptive failure
B. Weight gain
C. Reduced lamotrigine levels, requiring an increase in the dose of lamotrigine.
D. Increase in estrogen metabolism requiring higher estrogen containing OCPs
The tricyclic antidepressants should be prescribed cautiously in patients with:
A. CAD
,B. Eczema
C. Asthma
D. Diabetes - ANSWER- A. CAD
What "onset of action symptoms" should be reviewed with patients who have been
newly prescribed an SSRI?
A. They will have insomnia for a week.
B. They can feel a bit of nausea, but this resolves in about 1 week.
C. They will have a huge increase in appetite
D. They will not dream. - ANSWER- B. They can feel a bit of nausea, but this resolves
in about 1 week
Why do many medications lack pediatric dosing information in their drug labeling?
A. Most medications are not used in pediatric patients.
B. There is a lack of evidence-based literature on the safe and effective use of
medications in children.
C. The FDA does not allow pediatric dosing information in product labeling.
D. Only products available as oral liquid formulations are required to contain pediatric
dosing information in their labeling.
Why are Neonates at greater risk for toxicity with highly protein-bound drugs?
A. Protein binding is decreased in neonates increasing the amount of free drug
available.
B. The protein-bound drugs are not eliminated effectively in neonates.
C. Neonates are unable to metabolize these highly protein-bound drugs.
D. Protein binding is increased in neonates, making measurement of serum levels of the
drug inaccurate.
At what age are adult levels of renal function achieved? •
A. 6 months
, B. 12 months
C. 24 months
D. 3 years old
What is the list that identifies drugs with a high likelihood of causing adverse effects in
the elderly?
A. No use list
B. Beers list
C. Pharmacists list
D. Adverse drug list
In pediatric patients gastric acidity does not reach adult values for
2 Years
The principles underlying complication to drug therapy in the elderly include___, ____ ,
____, and __
- altered pharmcokinetics, multiple and severe illnesses,
multiple-drug therapy, and poor adherence.
Altered absorption of drugs in the elderly may result in____ drug response -
Delay
The four major factors that can alter drug distribution in the elderly include _, _, _, and
_?
increased body fat, decreased percentage of lean body mass, decreased total body
water, and reduced concentration of serum albumin.
The most important cause of adverse drug reactions in the elderly is
drug accumulation secondary to reduced renal excretion.
In the elderly, the proper index of renal function is_
creatinine clearance or GFR
