Final D116 practice test
Study online at https://quizlet.com/_cmhumk
1. A patient diagnosed with chron- d. Arrange to schedule an appointment with the patient.
ic pain calls to request an oxy- Feedback: Schedule II medications are not eligible for re-
codone (Oxycontin) refill. Which fills, and prescriptions must be handwritten. It is important
action should the prescriber to verify the patient's adherence to the drug regimen and
take initially? determine the current dosage of medication and pain level;
however, this can be accomplished by scheduling an ap-
pointment and evaluating the patient in person.
2. A patient is prescribed metron- b. The patient drinks two glasses of wine every night.
idazole for bacterial vaginosis. Feedback: Patients taking metronidazole should be educat-
Which patient history finding ed not to drink alcohol to prevent a disulfiram-like reaction.
would be most concerning to It would be concerning that the patient drinks wine daily.
the provider? History of a yeast infection may indicate increased risk for
recurrence with administration of an antimicrobial. A family
history of cervical cancer is not related to administration
of metronidazole. Unemployment can indicate lack of in-
surance coverage, which may limit the patient's ability to
purchase medications; however, generic metronidazole is
one of the less expensive medications.
3. The provider prepares a patient c. Asking the patient to demonstrate how to measure and
with newly diagnosed type 1 di- administer insulin
abetes for hospital discharge. Feedback: Because insulin must be given correctly to control
Which action by the provider will symptoms and prevent an overdose, it is most important
best support the patient's abili- for the patient to know how to measure and administer it.
ty to effectively manage medica- Asking for a demonstration of technique is the best way to
tion therapy? determine whether the patient has understood the teach-
ing. The other teaching points are important as well, but they
are not as critical.
4. A patient reports that a medica- b. Ask the patient about the number and frequency of tablets
tion prescribed for recurrent mi- taken.
, Final D116 practice test
Study online at https://quizlet.com/_cmhumk
graine headaches is not work- Feedback: When evaluating the effectiveness of a drug, it is
ing. Which action is the pre- important to determine how often the patient is using the
scriber's priority when address- drug. Asking the patient to identify how many tablets are
ing the patient's concern? taken and how often helps the provider determine effective
dosages and adherence to the medication regimen. The pa-
tient has already stated that the medication is not working;
the actual level of pain may determine the degree to which it
is not working, but it does not help the provider to determine
why it is not working. The assessment process should gath-
er as much information about compliance, symptoms, and
drug effectiveness as possible before enacting a change in
treatment. Biofeedback may be an effective adjunct to treat-
ment, but it should not be recommended without complete
information about drug effectiveness.
5. The drug manual states that d. Obtaining baseline liver function studies
older adult patients are at in- Feedback: The drug manual indicates that this drug increas-
creased risk for hepatotoxicity. es risk of hepatotoxicity for elderly patients. Getting informa-
Which action is most important tion about liver function before giving the drug establishes
when prescribing this medica- baseline data that can be compared with posttreatment
tion to an 80-year-old patient? data to determine whether the drug is affecting the liver.
Taking the correct dose at the correct interval may minimize
risk, but without baseline information, the effects cannot be
determined. Drugs are not routinely contraindicated for an
increased risk of adverse effects
6. A patient with bipolar disorder is . Order periodic laboratory testing
prescribed daily lithium. Which Feedback: Therapeutic serum levels are determined through
action is most important for the periodic laboratory testing. Preadministration blood work
provider to take in order to de- may be necessary to obtain baseline status prior to initiat-
termine if the therapeutic level is ing treatment, but it will not determine therapeutic levels.
maintained? Scheduling medication administration at regular intervals
, Final D116 practice test
Study online at https://quizlet.com/_cmhumk
will help to ensure medication is absorbed and metabolized
predictably, but it will not determine therapeutic blood lev-
els. Assessing the patient for signs and symptoms of toxicity
will help to determine if the therapeutic level has been
exceeded, not maintained.
7. When prescribing lovastatin, B. Substitute grapefruit juice with orange juice.
what will a provider advise to Feedback: Grapefruit juice can inhibit the metabolism of
decrease the risk of developing certain drugs including statins like lovastatin. The juice raises
muscle toxicity? drug levels decreasing the intestinal metabolism of the drug
resulting in increased drug levels which increases the risk
for adverse effects such as muscle toxicity. Taking the drug
with an anti-inflammatory drug and avoiding exercise after
administration are not supported by science. Monitoring
AST and ALT detects liver toxicity, not muscle toxicity.
8. The provider prescribes hy- A. "You should avoid drinking alcohol while you are taking
drocodone with acetaminophen the pain medication I've ordered."
for a patient's postsurgical pain. Feedback: Combining a hepatotoxic drug with other he-
What instruction will the pre- patotoxic agents increases the risk of hepatotoxicity. When
scriber include regarding alco- even therapeutic doses of acetaminophen are taken with al-
hol intake? cohol, the acetaminophen can cause liver damage. Patients
should be cautioned not to drink alcohol; even two drinks
with acetaminophen can produce this effect. Hydrocodone
does not contribute to hepatotoxicity. Ibuprofen is not indi-
cated for postoperative pain unless the pain is mild. Limiting
alcohol intake to two servings per day still increases the risk
of hepatotoxicity.
9. A drug can cause symptoms that A. Thoroughly educate the patient about recognizing such
resemble those of Parkinson dis- symptoms and the need to notify the office immediately.
ease. What action should the Feedback: Some drugs can cause iatrogenic conditions,
Study online at https://quizlet.com/_cmhumk
1. A patient diagnosed with chron- d. Arrange to schedule an appointment with the patient.
ic pain calls to request an oxy- Feedback: Schedule II medications are not eligible for re-
codone (Oxycontin) refill. Which fills, and prescriptions must be handwritten. It is important
action should the prescriber to verify the patient's adherence to the drug regimen and
take initially? determine the current dosage of medication and pain level;
however, this can be accomplished by scheduling an ap-
pointment and evaluating the patient in person.
2. A patient is prescribed metron- b. The patient drinks two glasses of wine every night.
idazole for bacterial vaginosis. Feedback: Patients taking metronidazole should be educat-
Which patient history finding ed not to drink alcohol to prevent a disulfiram-like reaction.
would be most concerning to It would be concerning that the patient drinks wine daily.
the provider? History of a yeast infection may indicate increased risk for
recurrence with administration of an antimicrobial. A family
history of cervical cancer is not related to administration
of metronidazole. Unemployment can indicate lack of in-
surance coverage, which may limit the patient's ability to
purchase medications; however, generic metronidazole is
one of the less expensive medications.
3. The provider prepares a patient c. Asking the patient to demonstrate how to measure and
with newly diagnosed type 1 di- administer insulin
abetes for hospital discharge. Feedback: Because insulin must be given correctly to control
Which action by the provider will symptoms and prevent an overdose, it is most important
best support the patient's abili- for the patient to know how to measure and administer it.
ty to effectively manage medica- Asking for a demonstration of technique is the best way to
tion therapy? determine whether the patient has understood the teach-
ing. The other teaching points are important as well, but they
are not as critical.
4. A patient reports that a medica- b. Ask the patient about the number and frequency of tablets
tion prescribed for recurrent mi- taken.
, Final D116 practice test
Study online at https://quizlet.com/_cmhumk
graine headaches is not work- Feedback: When evaluating the effectiveness of a drug, it is
ing. Which action is the pre- important to determine how often the patient is using the
scriber's priority when address- drug. Asking the patient to identify how many tablets are
ing the patient's concern? taken and how often helps the provider determine effective
dosages and adherence to the medication regimen. The pa-
tient has already stated that the medication is not working;
the actual level of pain may determine the degree to which it
is not working, but it does not help the provider to determine
why it is not working. The assessment process should gath-
er as much information about compliance, symptoms, and
drug effectiveness as possible before enacting a change in
treatment. Biofeedback may be an effective adjunct to treat-
ment, but it should not be recommended without complete
information about drug effectiveness.
5. The drug manual states that d. Obtaining baseline liver function studies
older adult patients are at in- Feedback: The drug manual indicates that this drug increas-
creased risk for hepatotoxicity. es risk of hepatotoxicity for elderly patients. Getting informa-
Which action is most important tion about liver function before giving the drug establishes
when prescribing this medica- baseline data that can be compared with posttreatment
tion to an 80-year-old patient? data to determine whether the drug is affecting the liver.
Taking the correct dose at the correct interval may minimize
risk, but without baseline information, the effects cannot be
determined. Drugs are not routinely contraindicated for an
increased risk of adverse effects
6. A patient with bipolar disorder is . Order periodic laboratory testing
prescribed daily lithium. Which Feedback: Therapeutic serum levels are determined through
action is most important for the periodic laboratory testing. Preadministration blood work
provider to take in order to de- may be necessary to obtain baseline status prior to initiat-
termine if the therapeutic level is ing treatment, but it will not determine therapeutic levels.
maintained? Scheduling medication administration at regular intervals
, Final D116 practice test
Study online at https://quizlet.com/_cmhumk
will help to ensure medication is absorbed and metabolized
predictably, but it will not determine therapeutic blood lev-
els. Assessing the patient for signs and symptoms of toxicity
will help to determine if the therapeutic level has been
exceeded, not maintained.
7. When prescribing lovastatin, B. Substitute grapefruit juice with orange juice.
what will a provider advise to Feedback: Grapefruit juice can inhibit the metabolism of
decrease the risk of developing certain drugs including statins like lovastatin. The juice raises
muscle toxicity? drug levels decreasing the intestinal metabolism of the drug
resulting in increased drug levels which increases the risk
for adverse effects such as muscle toxicity. Taking the drug
with an anti-inflammatory drug and avoiding exercise after
administration are not supported by science. Monitoring
AST and ALT detects liver toxicity, not muscle toxicity.
8. The provider prescribes hy- A. "You should avoid drinking alcohol while you are taking
drocodone with acetaminophen the pain medication I've ordered."
for a patient's postsurgical pain. Feedback: Combining a hepatotoxic drug with other he-
What instruction will the pre- patotoxic agents increases the risk of hepatotoxicity. When
scriber include regarding alco- even therapeutic doses of acetaminophen are taken with al-
hol intake? cohol, the acetaminophen can cause liver damage. Patients
should be cautioned not to drink alcohol; even two drinks
with acetaminophen can produce this effect. Hydrocodone
does not contribute to hepatotoxicity. Ibuprofen is not indi-
cated for postoperative pain unless the pain is mild. Limiting
alcohol intake to two servings per day still increases the risk
of hepatotoxicity.
9. A drug can cause symptoms that A. Thoroughly educate the patient about recognizing such
resemble those of Parkinson dis- symptoms and the need to notify the office immediately.
ease. What action should the Feedback: Some drugs can cause iatrogenic conditions,
