(Answered) NURS 6521N-29, Week 7 Midterm Exam; 100 Points


COURSE  

NURS 6521 Advanced Pharmacology


Number of Questions; 1 – 101

  1. Question: Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment.  They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation?
  2. Question: Jillian is a Nurse Practitioner.  She recognizes that Nurse Practitioner prescriptive  authority Is regulated by:
  3. Question: Which of the following is a contraindication for antimuscarinic drugs?
  4. Question: Which medication class is recognized for the treatment of moderate to severe dementia?
  5. Question: An adult male comes to the clinic with complaints that he is experiencing increased difficulty 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?
  6. Question: What is associated with chronic overtreatment with levothyroxine (Synthroid)?
  7. Question: 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?
  8. Question: The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the 
  9. Question: To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should
  10. Question: Nurse Practitioner is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following?
  11. Question: 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.
  12. Question: A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately?
  13. Question: The Nurse Practitioner is preparing to Prescribe a medication regimen for her patient. He or she recognizes that criteria for choosing an effective drug for any disorder include:
  14. Question: A primary therapy for patients with mild ulcerative colitis is:
  15. Question: A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient’s safety, which of the following would be a priority nursing action?
  16. Question: Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication.  When initially prescribed the medication, she asks you about the common side effects of this type of medication.  Which choice below is correct?
  17. Question: A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient’s first dose?
  18. Question: A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by
  19. Question: 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
  20. Question: The side effects of antihistamines are mostly due to their: 
  21. Question: 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
  22. Question: What information would the Nurse Practitioner include in teaching a patient about the treatment of vitamin B12 deficiency following a total gastrectomy?
  23. Question: Which antihypertensive agent is associated with hair growth?
  24. Question: 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
  25. Question: What is a serious side effect of ibuprofen in the older adult patient?
  26. Question: Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ?
  27. Question: Advanced practice nurse prescribing of scheduled medications is affected most by:
  28. Question: Which of the following is a side effect or precaution associated with ACE inhibitors?  
  29. Question: Which of the following can block the action of heparin?
  30. Question: Which of the following serves to protect the public by ensuring the purity of a drug and its contents?
  31. Question: 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?
  32. Question: Drugs that use CYP 3A4 isoenzymes for metabolism may:
  33. Question: Successful treatment for an adult patient with Helicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen?
  34. Question: The  nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?
  35. Question: 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?
  36. Question: Which can elevate theophylline levels?
  37. Question: A patient on valproic acid may experience which of the following symptoms?

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