©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
NURS 6203 Advanced Pharmacology
Midterm Exam Review
Coumadin - answer✔The anticoagulant drug that acts as a vitamin K antagonist.
Ibuprofen Side Effect - answer✔Impairment of renal function in the older adult patient.
Assessment Question - answer✔"Do you take any herbal supplements or alternative
medications?"
Theophylline Levels - answer✔Concomitant treatment with cimetidine (Tagamet) can elevate
theophylline levels.
Heparin Action Blocker - answer✔Protamine sulfate can block the action of heparin.
Nifedipine Side Effects - answer✔Edema of the ankles and headaches.
Anticholinergic Agents Side Effect - answer✔Reduced GI motility.
Calcium-Channel Blockers Reactions - answer✔Typical adverse reactions include edema.
Niacin Facial Flushing - answer✔NSAIDS will decrease the facial flushing that occurs with niacin.
Antihypertensive Medication for Diabetics - answer✔Diuretics and beta blockers tend to reduce
insulin sensitivity.
Cholestyramine Mechanism - answer✔Sequestering bile salts and thus decreasing absorption
and increasing catabolism lowers blood cholesterol.
Levothyroxine Dosage - answer✔1.7 mcg/kg of body weight per day is the most appropriate
mean replacement dosage.
Topical Lidocaine Gel Risk - answer✔There is a risk of systemic absorption of the lidocaine
through the patient's traumatized skin.
Laxatives Long-term Use - answer✔Prolonged use of laxatives may cause nutrient deficiencies.
Scheduled Medications Regulation - answer✔Advanced practice nurse prescribing of scheduled
medications is affected most by individual states laws regarding scheduled medications.
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, ©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Insulin Regimen for Type 1 Diabetes - answer✔Doses of basal insulin twice daily with regular
insulin before each meal is most likely to achieve adequate glycemic control.
Drug Purity Protection - answer✔The American Pharmaceutical Association serves to protect
the public by ensuring the purity of a drug and its contents.
Hypoglycemic Episodes - answer✔Susie, a 40 year old female with Type 2 Diabetes, reports
having hypoglycemic episodes related to medication.
Victoza - answer✔Liraglutide, 1.8 mg SC daily for diabetes.
Metformin - answer✔500 mg p.o. daily, reduces hepatic glucose production.
Glyburide - answer✔5 mg p.o. twice daily, causes hypoglycemia.
Lisinopril - answer✔10 mg p.o. twice daily, an ACE inhibitor.
Anticholinergic effects - answer✔Side effects of antihistamines, cause dry mouth.
Creatinine - answer✔Normal levels indicate renal function, filtered waste.
Spironolactone - answer✔Aldactone, potassium-sparing diuretic, assess for hyperkalemia.
Autonomic drugs - answer✔Have minimal effect when given orally.
Hydrochlorothiazide - answer✔Thiazide diuretic, may need change for gout.
Graves disease - answer✔Autoimmune disorder, treated with propylthiouracil.
Agranulocytosis - answer✔Severe side effect of propylthiouracil, low white blood cells.
Theophylline - answer✔Methylxanthine, 200 mg q12h for asthma.
GERD - answer✔Gastroesophageal reflux disease, treated with omeprazole.
Omeprazole - answer✔Proton pump inhibitor, 20 mg before breakfast.
Cholinergic agonists - answer✔Increase bladder tone, enhance urinary function.
C-II drug - answer✔Controlled substance, high abuse potential, e.g., morphine.
Antimuscarinic drugs - answer✔Contraindicated in pyloric stenosis, affects gut motility.
Phenytoin - answer✔Anticonvulsant for tonic-clonic seizures, stabilizes membranes.
Acetazolamide - answer✔Carbonic anhydrase inhibitor, used for glaucoma.
Theophylline levels - answer✔Maintain serum levels between 10 to 20 μg/mL.
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ALL RIGHTS RESERVED.
NURS 6203 Advanced Pharmacology
Midterm Exam Review
Coumadin - answer✔The anticoagulant drug that acts as a vitamin K antagonist.
Ibuprofen Side Effect - answer✔Impairment of renal function in the older adult patient.
Assessment Question - answer✔"Do you take any herbal supplements or alternative
medications?"
Theophylline Levels - answer✔Concomitant treatment with cimetidine (Tagamet) can elevate
theophylline levels.
Heparin Action Blocker - answer✔Protamine sulfate can block the action of heparin.
Nifedipine Side Effects - answer✔Edema of the ankles and headaches.
Anticholinergic Agents Side Effect - answer✔Reduced GI motility.
Calcium-Channel Blockers Reactions - answer✔Typical adverse reactions include edema.
Niacin Facial Flushing - answer✔NSAIDS will decrease the facial flushing that occurs with niacin.
Antihypertensive Medication for Diabetics - answer✔Diuretics and beta blockers tend to reduce
insulin sensitivity.
Cholestyramine Mechanism - answer✔Sequestering bile salts and thus decreasing absorption
and increasing catabolism lowers blood cholesterol.
Levothyroxine Dosage - answer✔1.7 mcg/kg of body weight per day is the most appropriate
mean replacement dosage.
Topical Lidocaine Gel Risk - answer✔There is a risk of systemic absorption of the lidocaine
through the patient's traumatized skin.
Laxatives Long-term Use - answer✔Prolonged use of laxatives may cause nutrient deficiencies.
Scheduled Medications Regulation - answer✔Advanced practice nurse prescribing of scheduled
medications is affected most by individual states laws regarding scheduled medications.
1|Page
, ©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Insulin Regimen for Type 1 Diabetes - answer✔Doses of basal insulin twice daily with regular
insulin before each meal is most likely to achieve adequate glycemic control.
Drug Purity Protection - answer✔The American Pharmaceutical Association serves to protect
the public by ensuring the purity of a drug and its contents.
Hypoglycemic Episodes - answer✔Susie, a 40 year old female with Type 2 Diabetes, reports
having hypoglycemic episodes related to medication.
Victoza - answer✔Liraglutide, 1.8 mg SC daily for diabetes.
Metformin - answer✔500 mg p.o. daily, reduces hepatic glucose production.
Glyburide - answer✔5 mg p.o. twice daily, causes hypoglycemia.
Lisinopril - answer✔10 mg p.o. twice daily, an ACE inhibitor.
Anticholinergic effects - answer✔Side effects of antihistamines, cause dry mouth.
Creatinine - answer✔Normal levels indicate renal function, filtered waste.
Spironolactone - answer✔Aldactone, potassium-sparing diuretic, assess for hyperkalemia.
Autonomic drugs - answer✔Have minimal effect when given orally.
Hydrochlorothiazide - answer✔Thiazide diuretic, may need change for gout.
Graves disease - answer✔Autoimmune disorder, treated with propylthiouracil.
Agranulocytosis - answer✔Severe side effect of propylthiouracil, low white blood cells.
Theophylline - answer✔Methylxanthine, 200 mg q12h for asthma.
GERD - answer✔Gastroesophageal reflux disease, treated with omeprazole.
Omeprazole - answer✔Proton pump inhibitor, 20 mg before breakfast.
Cholinergic agonists - answer✔Increase bladder tone, enhance urinary function.
C-II drug - answer✔Controlled substance, high abuse potential, e.g., morphine.
Antimuscarinic drugs - answer✔Contraindicated in pyloric stenosis, affects gut motility.
Phenytoin - answer✔Anticonvulsant for tonic-clonic seizures, stabilizes membranes.
Acetazolamide - answer✔Carbonic anhydrase inhibitor, used for glaucoma.
Theophylline levels - answer✔Maintain serum levels between 10 to 20 μg/mL.
2|Page
