MSN 571 Pharmacology STUDY | REAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
(Download to Get An A)
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? -
✔✔Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to
adherence to any type of medication therapy? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔"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 an
understanding of why the patient requires a variety of laboratory tests? - ✔✔"We
,need to monitor how your thyroid is functioning." "We need to monitor kidney function
while you are on this drug. This medication can cause you to lose sodium, so we need to
measure sodium levels."
When prescribing lovastatin, what will a provider advise to decrease the risk of
developing muscle toxicity? - ✔✔Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does the
provider take to decrease risk to the patient? - ✔✔Monitor the patient's plasma drug
levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms. What
process informs the provider's response to the patient's concerns? -
✔✔Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the same
amount of the same drug. Which statement informs the prescriber's response when
explaining this phenomenon to the patient? - ✔✔Inactive ingredients used in
composition can result in differing rates of dissolution, which can alter the drug's onset
of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The prescriber
confirms that the dosing is correct. Which possible cause of this situation will the
provider explore? - ✔✔Whether patient is taking a medication that binds to serum
albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4 inducing
drug is prescribed, what drug adjustment may be necessary to maintain a therapeutic
level of CYP3A4 substrate? - ✔✔Increase dosage of the CYP3A4 substrate
, The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical
pain. What instruction will the prescriber include regarding alcohol intake? - ✔✔"You
should avoid drinking alcohol while you are taking the pain medication I've ordered."
Which order for furosemide is written appropriately by the prescriber? -
✔✔Furosemide [Lasix] 20 mg PO daily
A drug can cause symptoms that resemble those of Parkinson disease. What action
should the prescriber take to minimize the potential patient risk? - ✔✔Thoroughly
educate the patient about recognizing such symptoms and the need to notify the office
immediately.
A patient who has been taking sertraline for depression was prescribed azithromycin to
treat an infection by a provider at an after-hours clinic. What action will the primary
care provider take to address the risk this combination of medication has posed for the
patient? - ✔✔Discontinue the azithromycin and write an order for an alternative
antibiotic.
A patient reports mild nausea within an hour after taking the first two doses of a newly
approved medication. Nausea is not listed among the known side effects of this drug.
What instructions will the provider give the patient? - ✔✔"Take the next dose with
food and call the office if the nausea reoccurs or if other symptoms develop."
A patient develops shortness of breath shortly after taking the initial dose of a newly
prescribed medication. The patient's heart rate is 86 beats/minute, the respiratory rate
is 24 breaths/minute, and the blood pressure is 120/70 mm Hg. The prescriber will
discontinue the drug based on the assumption the patient experienced what medication
induced effect? - ✔✔A side effect
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
QUESTIONS WITH COMPLETE SOLUTIONS
(Download to Get An A)
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? -
✔✔Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's commitment to
adherence to any type of medication therapy? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔"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 an
understanding of why the patient requires a variety of laboratory tests? - ✔✔"We
,need to monitor how your thyroid is functioning." "We need to monitor kidney function
while you are on this drug. This medication can cause you to lose sodium, so we need to
measure sodium levels."
When prescribing lovastatin, what will a provider advise to decrease the risk of
developing muscle toxicity? - ✔✔Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does the
provider take to decrease risk to the patient? - ✔✔Monitor the patient's plasma drug
levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms. What
process informs the provider's response to the patient's concerns? -
✔✔Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the same
amount of the same drug. Which statement informs the prescriber's response when
explaining this phenomenon to the patient? - ✔✔Inactive ingredients used in
composition can result in differing rates of dissolution, which can alter the drug's onset
of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The prescriber
confirms that the dosing is correct. Which possible cause of this situation will the
provider explore? - ✔✔Whether patient is taking a medication that binds to serum
albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4 inducing
drug is prescribed, what drug adjustment may be necessary to maintain a therapeutic
level of CYP3A4 substrate? - ✔✔Increase dosage of the CYP3A4 substrate
, The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical
pain. What instruction will the prescriber include regarding alcohol intake? - ✔✔"You
should avoid drinking alcohol while you are taking the pain medication I've ordered."
Which order for furosemide is written appropriately by the prescriber? -
✔✔Furosemide [Lasix] 20 mg PO daily
A drug can cause symptoms that resemble those of Parkinson disease. What action
should the prescriber take to minimize the potential patient risk? - ✔✔Thoroughly
educate the patient about recognizing such symptoms and the need to notify the office
immediately.
A patient who has been taking sertraline for depression was prescribed azithromycin to
treat an infection by a provider at an after-hours clinic. What action will the primary
care provider take to address the risk this combination of medication has posed for the
patient? - ✔✔Discontinue the azithromycin and write an order for an alternative
antibiotic.
A patient reports mild nausea within an hour after taking the first two doses of a newly
approved medication. Nausea is not listed among the known side effects of this drug.
What instructions will the provider give the patient? - ✔✔"Take the next dose with
food and call the office if the nausea reoccurs or if other symptoms develop."
A patient develops shortness of breath shortly after taking the initial dose of a newly
prescribed medication. The patient's heart rate is 86 beats/minute, the respiratory rate
is 24 breaths/minute, and the blood pressure is 120/70 mm Hg. The prescriber will
discontinue the drug based on the assumption the patient experienced what medication
induced effect? - ✔✔A side effect
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
