NURS-6521N Advanced Pharmacology Winter Quarter Exam | Graded A+
• Question 1
1 out of 1 points
In order to promote therapeutic drug effects,
... [Show More] the Nurse Practitioner should always encourage patients to
Selected take their medication at the Answer: prescribed times.
• Question 2
1 out of 1 points
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen?
Selected It is unlikely to influence the patient's other medications Answer: because gabapentin does not interact with other drugs.
• Question 3
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?
Selected The resident's apical heart rate is 112 beats/minute with
Answer: a regular rhythm
• Question 4
1 out of 1 points
The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?
Selected Cilia sweep foreign material and mucus upward toward the Answer: trachea and larynx where they can then be swallowed.
• Question 5
1 out of 1 points
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the patient to take the medication
Selected at
Answer: bedtime
.
• Question 6
1 out of 1 points
A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the Nurse Practitioner should encourage them to
Selected consult their care provider before taking new over-theAnswer: counter medications.
• Question 7
1 out of 1 points
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term?
Selected Taking several drugs Answer: simultaneously
• Question 8
1 out of 1 points
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the Nurse Practitioner's immediate attention?
Selected Increased blood
Answer: glucose
• Question 9
1 out of 1 points
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at bedtime and regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin?
Selected Take 1 unit of regular insulin for each
Answer: 10 grams of carbohydrate to be consumed 15 minutes before each meal
• Question 10
1 out of 1 points
Topical inhaled alpha adrenergic blocking agents or nasal vasoconstricting decongestants should not be used chronically (>5 days) because they can cause
Selected rebound
Answer: rhinitis/congestion
• Question 11
1 out of 1 points
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations?
Selected Albuterol Answer:
• Question 12
0 out of 1 points
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by
Selected blocking adrenergic receptors and producing Answer: antisympathetic effects.
• Question 13
1 out of 1 points
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?
Selected Late
Answer: afternoon
• Question 14
0 out of 1 points
A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving. All of the following are options to prescribe for the patient now EXCEPT:
Selected Amoxicillin/clavulanic
Answer: acid
• Question 15
1 out of 1 points
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?
Selected "I broke out in hives and got terribly itchy when I started a
Answer: new prescription last year." [Show Less]