NURS-6521 ,Advanced Pharmacology.2020 Summer Qtr 06/01-08/23-PT27 Test Exam - Week

• Question 8 1 out of 1 points The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? Selected Answer: Give the medication through a straw to decrease the staining of the teeth. • Question 9 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 Answer: "No, the drug dosage will likely stay the same." • Question 10 0 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer: potassium level. • Question 11 1 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Selected Answer: onset of action • Question 12 0 out of 1 points Metformin (Glucophage) acts by: Selected Answer: Enhancing insulin secretion • Question 13 1 out of 1 points Some first-generation antihistamines are used: Selected Answer: to prevent motion sickness • Question 14 1 out of 1 points A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? Selected Answer: How well a drug produces its desired effect • Question 15 0 out of 1 points Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. dailo Which medication most likely is contributing to her hypoglycemic episodes Selected Answer: Metformin • Question 16 0 out of 1 points Autonomic drugs have little effect when administered: Selected Answer: intramuscularly • Question 17 0 out of 1 points A patient on valproic acid may experience which of the following symptoms? Selected Answer: Constipation • Question 18 1 out of 1 points Which of the following is a side effect or precaution associated with ACE inhibitors? Selected Answer: Angioedema • Question 19 0 out of 1 points Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Selected Answer: blurred vision • Question 20 1 out of 1 points The recommended range for maintaining serum theophylline levels is: Selected Answer: 10 to 20 μg/mL. • Question 21 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer: may cause nutrient deficiencies. • Question 22 1 out of 1 points A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip- replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by Selected Answer: her history of emphysema. • Question 23 1 out of 1 points The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered-dose inhaler (MDI) has been ordered as treatment. Which patient response would indicate to the family nurse practitioner that the patient understands how to take the medication? Selected Answer: “I will take 1 puff of the medication and then wait a minute before taking the second puff.” • Question 24 1 out of 1 points The anticoagulant drug that acts as a vitamin K antagonist is: Selected Answer: coumadin • Question 25 0 out of 1 points A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? Selected Answer: Vertigo • Question 26 0 out of 1 points A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware that Selected Answer: pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site. • Question 27 0 out of 1 points Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially prescribed the medication, she asks you about the common side effects of this type of medication. Which choice below is correct? Selected Answer: weight loss • Question 28 1 out of 1 points The Elderly are at high risk of Adverse Drug Reactions due to: Selected Answer: age related decrease in renal function • Question 29 0 out of 1 points Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? Selected Answer: Beta Blocker • Question 30 1 out of 1 points Which of the following statements best defines how a chemical becomes termed a drug? Selected Answer: A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug. • Question 31 0 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by: Selected Answer: FDA • Question 32 0 out of 1 points An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently diagnosed with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient? Selected Answer: Start beclomethasone (Beclovent) inhaler 2 puffs 3 to 4 times daily • Question 33 0 out of 1 points Which of the following statements accurately describes digoxin? Selected Answer: It is widely used to augment cardiac output. • Question 34 1 out of 1 points Typical adverse reactions to oral calcium-channel blockers include: Selected Answer: edema • Question 35 0 out of 1 points Ms. Simpson has a known history of asthma. She is on Theophylline daily. The NP contemplates giving her an antibiotic for her respiratory infection. The NP knows that which choice below could elevate theophylline levels? Selected Answer: Mucinex • Question 36 0 out of 1 points A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selected Answer: C-I drug. • Question 37 0 out of 1 points A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure . He presents with red, painful swelling of the great toe. In addition to treating gout, you recognize that you may need to: Selected Answer: Increase his HCTZ • Question 38 0 out of 1 points Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists? Selected Answer: dry mouth • Question 39 1 out of 1 points Which of the following is a potential adverse side effect of autonomic-anticholinergic agents? Selected Answer: Increased symptoms of benign prostatic hypertrophy • Question 40 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 Answer: The amount of alcohol consumption • Question 41 1 out of 1 points A possible side effect from the use of nifedipine (Procardia XL) is: Selected Answer: Edema of the ankles and headaches • Question 42 1 out of 1 points A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by Selected Answer: decreasing the influx of sodium into neurons. • Question 43 1 out of 1 points /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: Selected Answer: The state board of nursing for each state • Question 44 1 out of 1 points Successful treatment for an adult patient with Helicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen? Selected Answer: Clarithromycin, amoxicillin, and omeprazole (Prilosec). • Question 45 0 out of 1 points The Nurse Practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching? Selected Answer: “I need to use my peak flow meter to self-monitor how I am doing.” • Question 46 1 out of 1 points A common side effect of metformin (Glucophage) therapy is: Selected Answer: diarrhea • Question 47 1 out of 1 points Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ? Selected Answer: Liver • Question 48 1 out of 1 points Which of the following oral medications is the safest to use during pregnancy? Selected Answer: Methyldopa • Question 49 1 out of 1 points A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selected Answer: Oropharyngeal Candida albicans infection • Question 50 1 out of 1 points 60-year-old male presents to your office with a history of seizure disorder. The patient states that he has been taking valproic acid. Which of the following is a known potential adverse effect of valproic acid? Selected Answer: Pancreatitis • Question 51 1 out of 1 points A patient who is a steroid-dependent asthmatic is started on a beclomethasone inhaler. Which should be part of patient education? Selected Answer: Rinse the mouth well after each use • Question 52 1 out of 1 points A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. The patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. Selected Answer: 1.7 mcg/kg of body weight per day • Question 53 1 out of 1 points Which of the following is a contraindication for antimuscarinic drugs? Selected Answer: pyloric stenosis • Question 54 0 out of 1 points Which medication class is recognized for the treatment of moderate to severe dementia? Selected Answer: Cholinesterase inhibitors. • Question 55 0 out of 1 points Which mechanism of platelet inhibition is exhibited by aspirin? Selected Answer: Adenosine diphosphate (ADP) antagonism • Question 56 1 out of 1 points When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug classifications that would tend to reduce insulin sensitivity are: Selected Answer: Diuretics and beta blockers. • Question 57 0 out of 1 points You are seeing a 65 year old male with a long history of COPD who has recently developed hypertension. Which class of antihypertensive agents should the Nurse Practitioner avoid for this patient? Selected Answer: ACE inhibitors • Question 58 1 out of 1 points A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? Selected Answer: "Do you take any herbal supplements or alternative medications?"