NURS-6521N-1-Advanced Pharmacology Winter Quarter Exam | Graded A+

NURS-6521N-1-Advanced Pharmacology Winter Quarter Exam | Graded A+ In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to Selected take their medication at the Answer: prescribed times. • Question 2 1 out of 1 points A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? Selected It is unlikely to influence the patient's other medications Answer: because gabapentin does not interact with other drugs. • Question 3 1 out of 1 points Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? Selected The resident's apical heart rate is 112 beats/minute with Answer: a regular rhythm • Question 4 1 out of 1 points The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selected Cilia sweep foreign material and mucus upward toward the Answer: trachea and larynx where they can then be swallowed. • Question 5 1 out of 1 points A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the patient to take the medication Selected at Answer: bedtime . • Question 6 1 out of 1 points A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the Nurse Practitioner should encourage them to Selected consult their care provider before taking new over-theAnswer: counter medications. • Question 7 1 out of 1 points A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? Selected Taking several drugs Answer: simultaneously • Question 8 1 out of 1 points A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the Nurse Practitioner's immediate attention? Selected Increased blood Answer: glucose • Question 9 1 out of 1 points A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at bedtime and regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin? Selected Take 1 unit of regular insulin for each Answer: 10 grams of carbohydrate to be consumed 15 minutes before each meal • Question 10 1 out of 1 points Topical inhaled alpha adrenergic blocking agents or nasal vasoconstricting decongestants should not be used chronically (>5 days) because they can cause Selected rebound Answer: rhinitis/congestion • Question 11 1 out of 1 points The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? Selected Albuterol Answer: • Question 12 0 out of 1 points A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by Selected blocking adrenergic receptors and producing Answer: antisympathetic effects. • Question 13 1 out of 1 points A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? Selected Late Answer: afternoon • Question 14 0 out of 1 points A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving. All of the following are options to prescribe for the patient now EXCEPT: Selected Amoxicillin/clavulanic Answer: acid • Question 15 1 out of 1 points The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? Selected "I broke out in hives and got terribly itchy when I started a Answer: new prescription last year." • Question 16 1 out of 1 points A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? Selected The patient's protein deficit will likely increase the levels Answer: of the free drug in his blood. • Question 17 1 out of 1 points A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? Selected The parietal cells of the stomach have H2 receptors but Answer: not H1 receptors. • Question 18 1 out of 1 points A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Selected The amount of alcohol Answer: consumption • Question 19 1 out of 1 points In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a betaadrenergic blocker. What is the most likely rationale for using two medications to address the patient's hypertension? Selected Using the two drugs to treat a health problem may Answer: create a synergistic effect. • Question 20 1 out of 1 points A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? Selected "Quitting smoking will significantly increase the chance Answer: that this drug will heal your ulcer." • Question 21 1 out of 1 points The APRN should educate a diabetic patient that beta blockers may mask the signs and symptoms of Selected hypoglyce Answer: mia • Question 22 1 out of 1 points A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug? Selected The therapeutic effects and possible adverse Answer: effects • Question 23 0 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by: Selected Combined state medical / pharmacy / nursing Answer: prescribing board regulations • Question 24 1 out of 1 points The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide? Selected Give 19 units of Lantus subcutaneously prior Answer: to bedtime. • Question 25 1 out of 1 points A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low-sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient's Selected medication history. Answer: • Question 26 1 out of 1 points A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? Selected "No, the drug dosage will likely stay the same." Answer: • Question 27 0 out of 1 points A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? Selected Need for additional bronchodilation Answer: