NURS 6521N 2020 Midterm pharm
Midterm Pharm
Question 1
1 out of 1 points
The anticoagulant drug that acts as a vitamin K antagonist
... [Show More] is:
Selected Answer:
coumadin
Question 2
1 out of 1 points
What is a serious side effect of ibuprofen in the older adult patient?
Selected Answer:
Impairment of renal function
Question 3
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 4
1 out of 1 points
Which can elevate theophylline levels?
Selected Answer: Concomitant treatment with cimetidine (Tagamet)..Midterm Pharm
Question 5
1 out of 1 points
Which of the following can block the action of heparin?
Selected Answer:
Protamine sulfate
Question 6
1 out of 1 points
A possible side effect from the use of nifedipine (Procardia XL) is:
Selected Answer:
Edema of the ankles and headaches
Question 7
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 8
1 out of 1 points
Typical adverse reactions to oral calcium-channel blockers include:Midterm Pharm
Selected Answer:
edema
Question 9
1 out of 1 points
What drug class will decrease the facial flushing that occurs with niacin?
Selected Answer:
NSAIDS
Question 10
1 out of 1 points
When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug
classifcations that would tend to reduce insulin sensitivity are:
Selected Answer:
Diuretics and beta
blockers.
Question 11
1 out of 1 points
How does cholestyramine lowers blood cholesterol?
Selected
Answer: Sequestering bile salts and thus decreasing absorption and increasing
catabolism
Question 12
1 out of 1 pointsMidterm Pharm
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:
1.7 mcg/kg of body weight per day
Question 13
1 out of 1 points
A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a
recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns
in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be
aware that
Selected
Answer: there is a risk of systemic absorption of the lidocaine through the patient's
traumatized skin
Question 14
1 out of 1 points
During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's
assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The
nurse informed the patient that prolonged use of laxatives
Selected Answer: may cause nutrient deficiencies.
Question 15
1 out of 1 points
Advanced practice nurse prescribing of scheduled medications is affected most by:
Selected
Answer:
Individual states laws regarding scheduled medications that can be
prescribed and for how longMidterm Pharm
Question 16
1 out of 1 points
You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As
the NP, you will instruct the patient to call the clinic if which symptoms are experienced?
Selected
Answer: Muscle twitching, numbness, tingling, burning sensations of the limbs,
and diarrhea.
Question 17
0 out of 1 points
The APRN's ability to prescribe controlled substances is regulated by:
Selected Answers:
NOT - All of the above OR DEA
Question 18
1 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: Doses of basal insulin twice daily with regular insulin before each meal
Question 19
0 out of 1 points
Which of the following serves to protect the public by ensuring the purity of a drug and its contents?
Selected Answer: American Pharmaceutical Association
Question 20
1 out of 1 pointsMidterm Pharm
Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been
having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows:
Victoza (liraglutide) 1.8 mg SC daily
Metformin 500mg p.o. Twice a Day
Glyburide 5 mg p.o. Twice a day
Lisinopril 10mg p.o. daily
Which medication most likely is contributing to her hypoglycemic episodes
Selected Answer:
Glyburide
Question 21
0 out of 1 points
A 65-year-old male presents with a history of worsening urinary urgency, frequency, and
hesitancy. He also tells you that he has to "push really hard" to urinate and that his urine
dribbles a little after he is done urinating. What medication should be avoided
Selected Answer:
NOT – paroxetine OR omeprazole
Question 22
1 out of 1 points
The side effects of antihistamines are mostly due to their:
Selected Answer:
Anticholinergic effects
Question 23
1 out of 1 pointsMidterm Pharm
A Nurse Practitioner is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit
signs of decline in his renal system, yet his current serum creatinine level is normal. The Nurse Practitioner
will base the patient's plan of care on the understanding that there is
Selected Answer:
a decrease in the amount of creatinine to be
filtered.
Question 24
1 out of 1 points
A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal
failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently
added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently
assess for signs and symptoms of
Selected Answer: hyperkalemia.
Question 25
1 out of 1 points
Autonomic drugs have little effect when administered:
Selected Answer:
orally
Question 26
0 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 27
1 out of 1 pointsMidterm Pharm
A 39 y/o female is diagnosed with Graves disease. She also has a small goiter =. Her symptoms are not
deemed to be severe and propylthiouracil is prescribed. Whare is the most serious potential adverse effect of
this medication?
Selected Answer:
Agranulocytosis
Question 28
0 out of 1 points
An adult male comes to the clinic with complaints that he is experiencing increased difculty
breathing over the past few days. He has a history of asthma and coronary artery disease. He
was recently diagnosed with hypertension. Examination reveals no jugular vein distention and
no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally,
and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32
breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil)
inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and
propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient?
Selected Answer:
Begin theophylline (Theo-24; methylxanthine) 200 mg
q12h PO.
Question 29
1 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:
Omeprazole (Prilosec) 20 mg every morning 30 minutes before
breakfast.
Question 30
1 out of 1 pointsMidterm Pharm
Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists?
Selected Answer:
increased bladder tone
Question 31
1 out of 1 points
A physician has ordered subcutaneous injections of 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 32 [Show Less]