6521 Advanced Pharmacology Midterm Exam

 6521 Advanced Pharmacology Midterm Exam  

Question 1

A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following?

Question 2

A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive

Question 3

A patient on valproic acid may experience which of the following symptoms?

Question 4

A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that

Question 5

You are caring for a patient with CHF and the attending physician has just started the patient on Digoxin 5 days ago. All of these are signs of Digoxin toxicity except:

Question 6

What is a serious side effect of ibuprofen in the older adult patient?

Question 7

Some asthmatics have aspirin sensitivity. This is known as:        

Question 8

Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)?

Question 9

Absorption of medications is a variable process that is dependent upon all of the following except

Question 10

Which of the following patients is most likely to benefit from the administration of an adrenergic agonist?

Question 11

A patient is recovering from an acute episode of thrombophlebitis and is being treated with warfarin (Coumadin) 5 mg PO daily. In reviewing medication information, the Nurse Practitioner would include what information in their teaching?

Question 12

Shirley, age 58, has been diabetic for 7 years. Her blood pressure for the last three office visits have been 154/100, 144/94, and 144/90. What would you prescribe today during her routine office visit?

Question 13

A Nurse Practitioner is caring for a female patient who has developed atelectasis because of thick mucus secretions. The Nurse Practitioner is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient’s face is flushed. The appropriate nursing action would be to

Question 14

Which of the following oral medications is the safest to use during pregnancy?

Question 15

All are considered the most common antibiotics used to treat H.pylori except:

Question 16

The effect of two different drugs is greater than one individual drug is known as

Question 17

To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication

Question 18

Clonidine is a central alpha agonist used in the treatment of hypertension. However, it has a number of off-label uses including treatment for all of the following except 

Question 19

A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid

Question 20

All the following medications can be used to treat Nonalcoholic Fatty Liver Disease (NAFLD) except:

More 6521 Advanced Pharmacology Midterm Exam Questions

Question 21

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:

Question 22

When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug classifications that would tend to reduce insulin sensitivity are:

Question 23

A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Today her pressure is 145/93. You will:

Question 24

NP is a 66-year-old male that is on Omeprazole for GERD and Clopidogrel for TIA prophylaxis. The pharmacist calls to tell you the Omeprazole should be switched due to a drug-drug interaction. What is the safest PPI alternative to change NP to?

Question 25

You have a patient who complains of 3 months of frequent diarrhea (~40-50% of bowel movements). What is the best medication to start with to help control diarrhea?

Question 26

Sam, a 28 yr old male presents to the office for a wellness check.  He has a known history of a psychotic disorder.  Which of the following antipsychotic drugs has the highest rate of extrapyramidal effects?

Question 27

The  Family nurse practitioner prescribed losartan 50 mg PO daily for a hypertensive patient. This medication promotes vasodilation by:

Question 28

The following factor(s) may reduce drug bioavailability.

• Gastric acid changes
• First pass effect
• Absence of GI flora
• Digestive enzymes

Question 29

A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient goes to surgery. The nurse’s response to this request should be

Question 30

Which laxative can be used to treat opioid-induced constipation:

Question 31

What is the primary mechanism of action of the Class III Antiarrhythmic medications such as Amiodarone?

Question 32

A Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following?

Question 33

Which of the following is a potential adverse side effect of autonomic-anticholinergic agents? 

Question 34

Some first generation antihistamines are used: 

Question 35

Which of the following is the strongest statin and dosage combination for the treatment of hyperlipidemia?

Question 36

Non-dihydropyridine calcium channel blockers include:

• Amlodipine
• Nifedipine
• Diltiazem
• Verapamil

Question 37

You have a 31-year-old female rheumatoid arthritis patient who is recently pregnant. Which rheumatoid arthritis medication is contraindicated in pregnancy?

Question 38

Once a patient is started on a medication for thyroid replacement, what is the typical amount of time to wait to repeat lab tests?

Question 39

Metformin (Glucophage) acts by:

Question 40

Which of the following is a not a risk associated with the use of Proton Pump Inhibitors:

More 6521 Advanced Pharmacology Midterm Exam Questions

Question 41

A 42-year-old male with asthma has been using beta agonists for years. He has no developed arrhythmias. His PCP has started him on a higher dose of Atenolol. What would you expect to happen?

Question 42

When adding Spironolactone to a patient’s regimen, the side effect to be most careful of is:

Question 43

What of the following has the potential to cause a drug interaction of serotonin syndrome?

Question 44

In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient’s hypertension?

Question 45

Which statement is FALSE regarding the treatment of hyperthyroidism?

Question 46

Topical inhaled alpha adrenergic blocking agents or nasal vasoconstricting decongestants should not be used chronically (>5 days) because they can cause

Question 47

Advanced practice nurse prescribing of scheduled medications is affected most by:

Question 48

A possible side effect from the use of nifedipine (Procardia XL) is: 

Question 49

The mechanism of action of Simvastatin is:

Question 50

The Nurse Practitioner is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the Nurse Practitioner if there are any “bad side effects” that she should be aware of. Which of the following statements should underlie the nurse’s response?

Question 51

A 22-year-old male college senior has lived with a diagnosis of Crohn’s disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn’s disease?

Question 52

A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness of the patient’s drug therapy?

Question 53

A patient asks you what the mechanism of action is of Tizanidine. You tell them:

Question 54

Which are the following antiviral agents are used to treat influenza:

Question 55

What is associated with chronic overtreatment with levothyroxine (Synthroid)?

Question 56

You are treating a 56-year-old female for diabetes. Her recent labs show a SrCr of 1.5, GFR of 46 and serum glucose of 288. Based on these numbers, the medication you would want to stop is:

Question 57

Which medication class is recognized for the treatment of moderate to severe dementia?

Question 58

The side effects of antihistamines are mostly due to their: 

Question 59

A Nurse Practitioner is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention?

Question 60

Which of the following are risk factors for hypertension?

More 6521 Advanced Pharmacology Midterm Exam Questions

Question 61

A Nurse Practitioner working for a drug company is involved in phase III drug evaluation studies. Which of the following might the Nurse Practitioner be responsible for during this stage of drug development?

Question 62

A 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?

Question 63

Which of the following medications could worsen dementia in an Alzheimer patient?

Question 64

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?

Question 65

Which of the following laxatives is available in both a tablet and suppository dosage form:

Question 66

A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient?

Question 67

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?

Question 68

Which of the following medications does not have a transdermal formulation?

Question 69

You are treating a patient for C. Diff and are discharging them on a course of Metronidazole. The main counseling point you need to address is:

Question 70

A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs?

Question 71

Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient’s cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by

Question 72

BP is a 72-year-old male with hyperlipidemia, GERD, A fib and epilepsy. His current meds are Atorvastatin, Eliquis, Phenytoin and Protonix. He is being seen for not “feeling good” for the past week. Blood tests reveal most of his meds are at toxic plasma levels. He states that over the past 2 weeks he has taken extra OTC heart burn medication. Which medication did BP most likely use?

Question 73

Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists?

Question 74

A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient’s characteristics likely to influence possible treatment with phenytoin?

Question 75

A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely benefit most from the addition of:

Question 76

A Nurse Practitioner is instructing a patient concerning a newly prescribed drug. Which of the following should be included to help improve patient compliance and safety?

Question 77

Which type of antihistamines are used to inhibit the secretion of gastric acid in patients with gastrointestinal disorders? 

Question 78

Which antihypertensive has been shown to have mild uricosuric effects in gout patients?

Question 79

The American Geriatric Society provides the Beers Criteria to aid providers in knowing

Question 80

A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation?

Question 81

A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?

Question 82

Bioavailability is best described as:

Question 83

Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient’s angina?

Question 84

The pharmacokinetic processes include all the following except:

Question 85

A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration?

Question 86

A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse?

Question 87

Tylenol with codeine is what controlled substance schedule?

Question 88

Which of the following can block the action of heparin?

Question 89

An elderly patient with a history of congestive heart failure has been admitted to hospital with failure to thrive and admission blood work reveals a hemoglobin level of 6.9 g/dL. The care team has consequently administered two units of packed red blood cells, but auscultation of the client’s lungs now reveals diffuse crackles. Administration of what drug is likely to resolve the patient’s pulmonary edema?

Question 90

You are on rounds and the nurse lets you know that after the patient’s last asthma medication dose they because tachycardic and nervous. The likely medication that caused this was:

Question 91

A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy’s diagnosis?

Question 92

How does cholestyramine lowers blood cholesterol?

Question 93

A Nurse Practitioner who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)

Question 94

The most effective therapy for a patient  who is H. pylori positive with a gastric ulcer is:

Question 95

A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately?

Question 96

A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells?

Question 97

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?

Question 98

A Nurse Practitioner receives an order to administer a critically ill patient two drugs immediately (stat). The Nurse Practitioner begins the process by

Question 99

Typical adverse reactions to oral calcium-channel blockers include: 

Question 100

Which statement about a partial drug agonist is correct?

Our team of expert nursing writers at Nursing Assignment Service can provide you with 6521 Advanced Pharmacology Midterm Exam answers, place your order here.