NGR 6172 Final Exam Questions and
Answers95
A 76-year-old patient presents to the clinic as a new patient after having an observed seizure at
the Assisted Living Facility residence. The patient has a history of several falls without significant
injury. Which of the following medications would not be considered appropriate for this
patient?
A - gabapentin
B - phenobarbital
C - carbamazepine
D - phenytoin - ANSWERS-B - phenobarbital
A patient with partial seizures without secondary generalized tonic-clonic seizures is being
evaluated for adjunctive treatment. Which of the following medications would be most
appropriate for this patient?
A - phenytoin
B - valproic acid
C - gabapentin
D - phenobarbital - ANSWERS-C - gabapentin
A patient diagnosed with Alzheimer's disease begins taking donepezil. The patient's spouse calls
the clinic one morning reporting that the patient has been vomiting for several hours, is
sweating profusely, and seems more confused than normal. The provider should:
A - Instruct the spouse to give the patient only half their normal donepezil dose for the next
week
B - Instruct the spouse to call 911 immediately
C - Instruct the spouse to bring the patient to the clinic for examination
,D - Prescribe Zofran PRN for nausea and vomiting - ANSWERS-B - Instruct the spouse to call 911
immediately
A patient recently diagnosed with dementia experiences visual hallucinations. The best 1st-line
drug the primary care provider should consider prescribing is:
A - risperidone
B - donepezil
C - rivastigmine
D - olanzapine - ANSWERS-C - rivastigmine
The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an
electronic drug prescription system. The pharmacist will fill this prescription when:
A - The electronic prescription is received.
B - The patient brings a written copy of the prescription
C - A copy of the written prescription is faxed to the pharmacy
D - The pharmacist accesses the patient's electronic record to verify - ANSWERS-A - The
electronic prescription is received
Which of the following are common components found on a prescription for a Controlled
Substance? Select all that apply.
Full Name of Drug
Strength or Concentration
DEA Number
Directions for use - ANSWERS-All are correct
For each term, please provide the correct description. Please note you will only receive credit if
all terms are correctly matched with their respective description. - ANSWERS-Absorption - The
transportation of a medication from the administration site to the bloodstream
,Metabolism - The biotransformation of medications so that they can be excreted from the body
f value - The fraction of the frug that reaches the systematic circulation
Distribution - The transport of a drug in body fluids from the bloodstream to various tissues in
the body
A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-American
woman. When selecting a drug and determining the correct dose, the NP should understand
that the knowledge of how age, race, and gender may affect drug excretion is based on an
understanding of:
A - Bioavailability
B - Pharmacokinetics
C - Pharmacodynamics
D - Anatomy and physiology - ANSWERS-B - Pharmacokinetics
The primary care NP should understand that a drug is at a therapeutic level when it is:
A - At peak plasma level
B - Past 4 or 5 half-lives
C - At its steady plasma state
D - Between minimal effective concentration and toxic levels - ANSWERS-D - Between minimal
effective concentration and toxic levels
A primary care NP wishes to order a drug that will be effective immediately after administration
of the drug. Which route should the NP choose?
A- Rectal
B - Topical
C - Sublingual
D - Intramuscular - ANSWERS-C - sublingual
, When considering an inhaled corticosteroid to treat asthma in an adult, the patient asks you, as
the primary care provider, why the corticosteroid is given by inhalation instead of oral
administration. What is your best response?
A - Inhaled corticosteroids work slowly, and the action is more sustained
B - Inhaled corticosteroids have a few systemic side effects
C - Inhaled corticosteroids can use the local blood vessels to deliver the medication dose
D - Inhaled corticosteroid doses are more easily regulated - ANSWERS-B - Inhaled corticosteroids
have a few systemic side effects
A primary care NP is prescribing a drug for a patient who does not take any other medications.
The NP should realize that:
A - CYP450 enzyme reactions will not interfere with this drug's metabolism
B - Substrates such as alcohol cannot interfere with the drug when the patient is abstaining
C - Food-drug interactions are limited to those where food enhances or inhibits drug absorption
D - A thorough history of diet, alcohol use, smoking, and OTC and herbal products is required -
ANSWERS-D - A thorough history of diet, alcohol use, smoking, and OTC and herbal products is
required
Pharmacogenomics is the science of DNA analysis for the purpose of identifying gene variations
that impact medication response.
True
False - ANSWERS-True
When considering the application of pharmacokinetics and pharmacodynamics, which of the
following practical suggestions can be made for rational drug therapy? Select all that apply.
A - Use as few medications as possible
B - Use the highest effective dose
C - Start low and go slow
Answers95
A 76-year-old patient presents to the clinic as a new patient after having an observed seizure at
the Assisted Living Facility residence. The patient has a history of several falls without significant
injury. Which of the following medications would not be considered appropriate for this
patient?
A - gabapentin
B - phenobarbital
C - carbamazepine
D - phenytoin - ANSWERS-B - phenobarbital
A patient with partial seizures without secondary generalized tonic-clonic seizures is being
evaluated for adjunctive treatment. Which of the following medications would be most
appropriate for this patient?
A - phenytoin
B - valproic acid
C - gabapentin
D - phenobarbital - ANSWERS-C - gabapentin
A patient diagnosed with Alzheimer's disease begins taking donepezil. The patient's spouse calls
the clinic one morning reporting that the patient has been vomiting for several hours, is
sweating profusely, and seems more confused than normal. The provider should:
A - Instruct the spouse to give the patient only half their normal donepezil dose for the next
week
B - Instruct the spouse to call 911 immediately
C - Instruct the spouse to bring the patient to the clinic for examination
,D - Prescribe Zofran PRN for nausea and vomiting - ANSWERS-B - Instruct the spouse to call 911
immediately
A patient recently diagnosed with dementia experiences visual hallucinations. The best 1st-line
drug the primary care provider should consider prescribing is:
A - risperidone
B - donepezil
C - rivastigmine
D - olanzapine - ANSWERS-C - rivastigmine
The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an
electronic drug prescription system. The pharmacist will fill this prescription when:
A - The electronic prescription is received.
B - The patient brings a written copy of the prescription
C - A copy of the written prescription is faxed to the pharmacy
D - The pharmacist accesses the patient's electronic record to verify - ANSWERS-A - The
electronic prescription is received
Which of the following are common components found on a prescription for a Controlled
Substance? Select all that apply.
Full Name of Drug
Strength or Concentration
DEA Number
Directions for use - ANSWERS-All are correct
For each term, please provide the correct description. Please note you will only receive credit if
all terms are correctly matched with their respective description. - ANSWERS-Absorption - The
transportation of a medication from the administration site to the bloodstream
,Metabolism - The biotransformation of medications so that they can be excreted from the body
f value - The fraction of the frug that reaches the systematic circulation
Distribution - The transport of a drug in body fluids from the bloodstream to various tissues in
the body
A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-American
woman. When selecting a drug and determining the correct dose, the NP should understand
that the knowledge of how age, race, and gender may affect drug excretion is based on an
understanding of:
A - Bioavailability
B - Pharmacokinetics
C - Pharmacodynamics
D - Anatomy and physiology - ANSWERS-B - Pharmacokinetics
The primary care NP should understand that a drug is at a therapeutic level when it is:
A - At peak plasma level
B - Past 4 or 5 half-lives
C - At its steady plasma state
D - Between minimal effective concentration and toxic levels - ANSWERS-D - Between minimal
effective concentration and toxic levels
A primary care NP wishes to order a drug that will be effective immediately after administration
of the drug. Which route should the NP choose?
A- Rectal
B - Topical
C - Sublingual
D - Intramuscular - ANSWERS-C - sublingual
, When considering an inhaled corticosteroid to treat asthma in an adult, the patient asks you, as
the primary care provider, why the corticosteroid is given by inhalation instead of oral
administration. What is your best response?
A - Inhaled corticosteroids work slowly, and the action is more sustained
B - Inhaled corticosteroids have a few systemic side effects
C - Inhaled corticosteroids can use the local blood vessels to deliver the medication dose
D - Inhaled corticosteroid doses are more easily regulated - ANSWERS-B - Inhaled corticosteroids
have a few systemic side effects
A primary care NP is prescribing a drug for a patient who does not take any other medications.
The NP should realize that:
A - CYP450 enzyme reactions will not interfere with this drug's metabolism
B - Substrates such as alcohol cannot interfere with the drug when the patient is abstaining
C - Food-drug interactions are limited to those where food enhances or inhibits drug absorption
D - A thorough history of diet, alcohol use, smoking, and OTC and herbal products is required -
ANSWERS-D - A thorough history of diet, alcohol use, smoking, and OTC and herbal products is
required
Pharmacogenomics is the science of DNA analysis for the purpose of identifying gene variations
that impact medication response.
True
False - ANSWERS-True
When considering the application of pharmacokinetics and pharmacodynamics, which of the
following practical suggestions can be made for rational drug therapy? Select all that apply.
A - Use as few medications as possible
B - Use the highest effective dose
C - Start low and go slow
