NURS 6521 Pharmacology Midterm Test Set 1 Questions
NURS 6521 Pharmacology Midterm Test set 1, A physician has ordered subcutaneous injections of
... [Show More] morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selected Answer: C-II drug.
• Question 2 1 out of 1 points
Glargine (Lantus) is an insulin analog that essentially has no peak and is usually administered: Selected Answer: Once a day.
• Question 3 0 out of 1 points
The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who complains of almost daily indigestion and heartburn for the past year with a strong acid taste in the mouth about an hour after meals, and frequent belching and awakening at night with choking. The history is negative for chronic illnesses and alarm symptoms. A diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the patient?
Selected Answer: Ranitidine (Zantac) 150 mg bid. • Question 4 1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? Selected Answer: Nausea
• Question 5 1 out of 1 points
Typical adverse reactions to oral calcium-channel blockers include: Selected Answer: edema
• Question 6 1 out of 1 points
Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? Selected Answer: ACE Inhibitor
• Question 7 1 out of 1 points
Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin?Selected Answer: confusion
• Question 8
1 out of 1 points
/Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated
by:
Selected Answer: The state board of nursing for each state
• Question 9
1 out of 1 points
A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made
to her drug regimen. What assessment question most directly addresses the safety implications of the
patient's drug regimen?
Selected Answer: "Do you take any herbal supplements or alternative medications?"
• Question 10
0 out of 1 points
A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen
that is most appropriate for a mean replacement dosage. The patient has been started on a treatment
regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean
replacement dosage.
Selected Answer: 1.2 mcg/kg of body weight per day
• Question 11
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An
angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following
should the Nurse Practitioner assess before beginning drug therapy?
Selected Answer: Serum potassium levels
• Question 12
1 out of 1 points
A 76-year-old woman has a complex medical history that includes emphysema,
osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside
her home as a result of weakness and suffered a fracture to her femoral head.
The woman's subsequent hip-replacement surgery has been scheduled and the
care team recognizes that the use of isoflurane will be most significantly
influenced by
Selected Answer: her history of emphysema.
• Question 13
1 out of 1 points
A common side effect of metformin (Glucophage) therapy is:
Selected Answer: diarrhea• Question 14
0 out of 1 points
The side effects of antihistamines are mostly due to their:
Selected Answer: sedating effects
• Question 15
0 out of 1 points
The APRN's ability to prescribe controlled substances is regulated by:
Selected Answers: DEA
• Question 16
1 out of 1 points
Which type of antihistamines are used to inhibit the secretion of gastric acid in patients
with gastrointestinal disorders?
Selected Answer: H2
• Question 17
1 out of 1 points
The recommended range for maintaining serum theophylline levels is:
Selected Answer: 10 to 20 μg/mL.
• Question 18
1 out of 1 points
The anticoagulant drug that acts as a vitamin K antagonist is:
Selected Answer: coumadin
• Question 19
0 out of 1 points
Which of the following is a potential adverse side effect of autonomic-anticholinergic
agents?
Selected Answer: Reduced GI motility
• Question 20
0 out of 1 points
The first drugs typically used to treat the symptoms of an allergic reaction or allergic
rhinitis are:
Selected Answer: intranasal H1
• Question 21
1 out of 1 points
The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the
Selected Answer: onset of action
• Question 22
antihistamines.1 out of 1 points
Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts
of leafy green vegetables because:
Selected Answer: The high vitamin K levels will decrease the INR
• Question 23
1 out of 1 points
Some first-generation antihistamines are used:
Selected Answer: to prevent motion sickness
• Question 24
1 out of 1 points
All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics
except:
Selected Answer: Albuterol inhaler (proventil)
• Question 25
1 out of 1 points
Which of the following oral medications is the safest to use during pregnancy?
Selected Answer: Methyldopa
• Question 26
1 out of 1 points
Ginger, a 25 year old female presents at the clinic with known history of depression. She reports taking an
SSRI with only partial relief. Which of the following drugs can be used safely at any dose in conjunction
with an SSRI?
Selected Answer: None of the aboive
• Question 27
1 out of 1 points
Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated
by:
Selected Answer: The state board of nursing for each state
• Question 28
1 out of 1 points
Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ?
Selected Answer: Liver
• Question 29
0 out of 1 points
A possible side effect from the use of nifedipine (Procardia XL) is:Selected Answer: Hyperkalemia and tetany
• Question 30
1 out of 1 points
Metformin (Glucophage) acts by:
Selected
Answer:
• Question 31
1 out of 1 points
A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested,
and he begin taking. Efficacy of a drug means which of the following?
Selected Answer: How well a drug produces its desired effect
• Question 32
1 out of 1 points
The Elderly are at high risk of Adverse Drug Reactions due to:
Selected Answer: age related decrease in renal function
• Question 33
1 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to
report which of the following immediately?
Selected Answer: Intolerance to cold
• Question 34
0 out of 1 points
A patient with type 1 diabetes has been admitted to the hospital for orthopedic
surgery and the care team anticipates some disruptions to the patient's blood
glucose levels in the days following surgery. Which of the following insulin
regimens is most likely to achieve adequate glycemic control?
Selected
Answer:
Divided doses of intermediate-acting insulin every 2 hours,
around the clock
• Question 35
1 out of 1 points
A patient in need of myocardial infarction prophylaxis has been prescribed
sulfinpyrazone for gout. Which of the following will the nurse monitor the patient
most closely for?
Selected Answer: Bleeding
• Question 36
1 out of 1 points
Decreasing hepatic glucose production with minor effects on insulin sensitivity in
both liver and peripheral tissuesA female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse?
Selected Answer: "No, the drug dosage will likely stay the same." • Question 37 0 out of 1 points
Which of the following is a contraindication for antimuscarinic drugs? Selected Answer: Parkinson disease
• Question 38 0 out of 1 points
Which medication class is recognized for the treatment of moderate to severe dementia? Selected Answer: Cholinesterase inhibitors.
• Question 39 1 out of 1 points
You are seeing a 65 year old male with a long history of COPD who has recently developed hypertension. Which class of antihypertensive agents should the Nurse Practitioner avoid for this patient? Selected Answer: Beta-Blockers
• Question 40 0 out of 1 points
Advanced practice nurse prescribing of scheduled medications is affected most by: Selected Answer: DEA
• Question 41 1 out of 1 points
A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure . He presents with red, painful swelling of the great toe. In addition to treating gout, you recognize that you may need to:
Selected Answer: Change his thiazide antihypertensive medication • Question 42 1 out of 1 points
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be
Selected Answer: suppository. [Show Less]