Pharmacology MSN 571 practice question With Verified
Answers Graded A+
A provider recommends genetic testing of a patient before prescribing a medication.
What response should the provider give when asked by the patient about the purpose of
genetic testing? - Answer "Such testing will tell us how quickly your body is
likely to metabolize, or process, the drug."
A patient is prescribed digoxin. Which screening will the provider order to monitor for
potential adverse effects from this drug? - Answer Serum electrolytes
A provider considers prescribing tamoxifen for a woman with breast cancer. Upon
reviewing results of genetic testing, the prescriber notes that the patient has variations
in the CYP2Dy allele resulting in a deficiency of the CYP2D6 isoenzymes. What action
will this deficiency warrant in the prescribing of tamoxifen, a CYP2D6 substrate? -
Answer The tamoxifen will not be prescribed.
A patient has taken a narcotic analgesic for chronic pain for several months. At a follow-
up appointment, the provider notes that the patient has been taking more than the
prescribed dosage. The patient has normal vital signs, is awake and alert, and reports
mild pain. What does the provider suspect is responsible for the patient's response? -
Answer This patient has developed pharmacodynamic tolerance, which has
increased the minimal effective concentration (MEC) needed for analgesic effect
Which patient ethnic ancestry creates a risk factor that may result in minimal beneficial
response to tamoxifen therapy? - Answer French
Before initiating cetuximab therapy, the provider will order epidermal growth factor
receptor (EGFR) testing for the patient having which condition? - Answer Colorectal
cancer
,A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill.
Which action should the prescriber take initially? - Answer Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The patient
reports feeling jittery sometimes when taking the medication, and does not feel that the
medication is always effective. Which action will the provider take to best minimize
patient risks and maximize medication effectiveness? - Answer Auscultate the
patient's lung sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning to the provider? - Answer The patient drinks two
glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital
discharge. Which action by the provider will best support the patient's ability to
effectively manage medication therapy? - Answer Asking the patient to
demonstrate how to measure and administer insulin
A patient reports that a medication prescribed for recurrent migraine headaches is not
working. Which action is the prescriber's priority when addressing the patient's concern?
- Answer Ask the patient about the number and frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for hepatotoxicity.
Which action is most important when prescribing this medication to an 80-year-old
patient? - Answer Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most important
for the provider to take in order to determine if the therapeutic level is maintained? -
Answer Order periodic laboratory testing.
, Which factor best supports an increase for full prescriptive authority for both advanced
practice registered nurses (APRNs) and physician assistants (PAs)? - Answer More
patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset
of a pruritic, dull red, maculopapular rash on the chest and neck. Which action is most
important for the provider to take to minimize this patient's risk for injury? - Answer
Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to
adherence to any type of medication therapy? - Answer Providing medication
education that the patient can easily understand
Which patient statement suggests to the provider that the patient's nonadherence with
their medication plan is related to dissatisfaction with the therapy? - Answer "I've
been taking this medication for well over a week and I lost only a half a pound."
How can the prescriber's regular collaboration with a pharmacist improve positive
outcomes for patients? - Answer Pharmacists have additional information on
drug interactions. The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of effective
medication education? - Answer "This medication needs to be stored in the
refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with
dinner." "You need to take the medication as we discussed until all the tablets are
gone." "Call the office immediately if you begin experiencing any itching,
headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder asks
why blood tests are required on a regular basis. Which provider responses demonstrate
Answers Graded A+
A provider recommends genetic testing of a patient before prescribing a medication.
What response should the provider give when asked by the patient about the purpose of
genetic testing? - Answer "Such testing will tell us how quickly your body is
likely to metabolize, or process, the drug."
A patient is prescribed digoxin. Which screening will the provider order to monitor for
potential adverse effects from this drug? - Answer Serum electrolytes
A provider considers prescribing tamoxifen for a woman with breast cancer. Upon
reviewing results of genetic testing, the prescriber notes that the patient has variations
in the CYP2Dy allele resulting in a deficiency of the CYP2D6 isoenzymes. What action
will this deficiency warrant in the prescribing of tamoxifen, a CYP2D6 substrate? -
Answer The tamoxifen will not be prescribed.
A patient has taken a narcotic analgesic for chronic pain for several months. At a follow-
up appointment, the provider notes that the patient has been taking more than the
prescribed dosage. The patient has normal vital signs, is awake and alert, and reports
mild pain. What does the provider suspect is responsible for the patient's response? -
Answer This patient has developed pharmacodynamic tolerance, which has
increased the minimal effective concentration (MEC) needed for analgesic effect
Which patient ethnic ancestry creates a risk factor that may result in minimal beneficial
response to tamoxifen therapy? - Answer French
Before initiating cetuximab therapy, the provider will order epidermal growth factor
receptor (EGFR) testing for the patient having which condition? - Answer Colorectal
cancer
,A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill.
Which action should the prescriber take initially? - Answer Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The patient
reports feeling jittery sometimes when taking the medication, and does not feel that the
medication is always effective. Which action will the provider take to best minimize
patient risks and maximize medication effectiveness? - Answer Auscultate the
patient's lung sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning to the provider? - Answer The patient drinks two
glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital
discharge. Which action by the provider will best support the patient's ability to
effectively manage medication therapy? - Answer Asking the patient to
demonstrate how to measure and administer insulin
A patient reports that a medication prescribed for recurrent migraine headaches is not
working. Which action is the prescriber's priority when addressing the patient's concern?
- Answer Ask the patient about the number and frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for hepatotoxicity.
Which action is most important when prescribing this medication to an 80-year-old
patient? - Answer Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most important
for the provider to take in order to determine if the therapeutic level is maintained? -
Answer Order periodic laboratory testing.
, Which factor best supports an increase for full prescriptive authority for both advanced
practice registered nurses (APRNs) and physician assistants (PAs)? - Answer More
patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset
of a pruritic, dull red, maculopapular rash on the chest and neck. Which action is most
important for the provider to take to minimize this patient's risk for injury? - Answer
Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to
adherence to any type of medication therapy? - Answer Providing medication
education that the patient can easily understand
Which patient statement suggests to the provider that the patient's nonadherence with
their medication plan is related to dissatisfaction with the therapy? - Answer "I've
been taking this medication for well over a week and I lost only a half a pound."
How can the prescriber's regular collaboration with a pharmacist improve positive
outcomes for patients? - Answer Pharmacists have additional information on
drug interactions. The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of effective
medication education? - Answer "This medication needs to be stored in the
refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with
dinner." "You need to take the medication as we discussed until all the tablets are
gone." "Call the office immediately if you begin experiencing any itching,
headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder asks
why blood tests are required on a regular basis. Which provider responses demonstrate
