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MN 553 Final Exam – Advanced Pharmacology

1. Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is atenolol. Beta blockers treat hypertension by:
2. Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
3. When considering which cholesterol-lowering drug to prescribe, which factor determines the type and intensity of treatment?
4. Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to:
5. The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is class:
6. An Investigational New Drug is filed with the U.S. Food and Drug Administration:
7. True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
8. A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to:
9. Several classes of drugs have interactions with cholinergic blockers. Which of the following is true about these interactions?
10. Absolute contraindications that clinicians must consider when initiating estrogen therapy include:
11. First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be:
12. Preventative therapy for cluster headaches includes:
13. Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most other selective serotonin reuptake inhibitors (SSRIs)?
14. Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having “strange” thoughts. The appropriate initial action would be:
15. The drug of choice for type 2 diabetics is metformin. Metformin:
16. Gender differences between men and women in pharmacokinetics include:
17. Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
18. ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during pregnancy is best done by a specialist, which of the following drug classes is considered to be safe, at least in the later parts of pregnancy?
19. Which of the following holds true for the pharmacokinetics of women?
20. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:
21. The most cost-effective treatment for two or three impetigo lesions on the face is:
22. Which of the following statements is true about acute pain?
23. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the:
24. While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of excessive erythrocytosis or abuse are:
25. A woman who is pregnant and has hyperthyroidism is best manage by a specialty team who will most likely treat her with:
26. Leonard is completing a 6-month regimen to treat tuberculosis (TB). Monitoring of a patient on TB therapy includes:
27. Precautions that should be take when prescribing controlled substances include:
28. Patients who are prescribe exogenous androgens need to be warned that decreased libido:
29. Which the following persons should not have a statin medication ordered?
30. When a pharmacoeconomic analysis looks at two or more treatment alternatives that are consider equal in efficacy and compares the costs of each it is referred to as:
31. Ginseng, which is …to assist with memory, may potentiate:
32. Male patients who should not be prescribe phosphodiesterase type 5 (PDE-5) inhibitors include:
33. Jamison has been prescribe citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
34. Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10-year-old child would be:
35. Which diuretic agents typically do not need potassium supplementation? mn 553 final exam
36. According to the U.S. Office of Minority Health, poor health outcomes among African Americans are attributed to:
37. Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?
38. The Best Pharmaceuticals for Children Act:
39. Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?
40. Class I recommendations for stage A heart failure include:
41. All of the following statements about the Beer’s List are true except:
42. Varenicline (Chantix) may be prescribe for tobacco cessation. Instructions to the patient who is starting varenicline include:
43. If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at home with OTC ranitidine daily, the appropriate treatment would be:
44. Laboratory values are actually different for TSH when screening for thyroid issues and when use for medication management. Which of the follow holds true
45. Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
46. The dosage of Vitamin B12 to initially treat pernicious anemia is: mn 553 final exam
47. If an adult patient with comorbidities cannot reliably take oral antibiotics to treat pneumonia, an appropriate initial treatment option would be:
48. Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
49. Patients who have a poor metabolism phenotype will have:
50. Developmental variation in renal function has what impact on prescribing for infants and children?
51. There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
52. Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:
53. Sally has been prescribe aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity for which she would need to be evaluated?
54. Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes:
55. Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for: mn 553 final exam
56. Isosorbide dinitrate is prescribe for a patient with chronic stable angina. This drug is administer twice daily, but the schedule is 7 a.m. and 2 p.m. because:
57. Elena Vasquez’s primary language is Spanish, and she speaks very limited English. Which technique would be appropriate to use in teaching her about a new drug you have just prescribed?
58. Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that:
59. IV forms of bisphosphonates are use for all the following except:
60. The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act:
61. To improve actual effectiveness of oral contraceptives women should be educate regarding:
62. The action of “gliptins” is different from other antidiabetic agents because they:
63. What is the role of calcium supplements when patients take bisphosphonates?
64. Medications are typically start for angina patients when:
65. An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
66. Alterations in drug metabolism among Asians may lead to:
67. The benefits to the patient of having an Advance Practice ….Nurse (APRN) prescriber include:
68. Pharmacoeconomics is:
69. Sophie presents to the clinic with a malodorous vaginal discharge and is confirm to have Trichomonas infection. Treatment for her would include:
70. When determining drug treatment the NP prescriber should: mn 553 final exam
71. A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?
72. Monitoring for patients who are on long-term antifungal therapy with ketoconazole includes:
73. Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
74. Which of the following is a primary benefit of the use of computerized provider order entry for patient medications?
75. The optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is:
76. Patient education regarding taking iron replacements includes:
77. When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
78. Clinical judgment in prescribing includes:
79. Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
80. Instructions for the use of nicotine gum include:
81. Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?
82. Nurse practitioner prescriptive authority is regulate by:
83. The drug of choice for treatment of early latent or tertiary syphilis is:
84. When discussing with a patient the different start methods use for oral combined contraceptives, the advantage of a Sunday start over the other start methods is:
85. Drugs that have a significant first-pass effect:
86. Sadie is a 90-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie?
87. Patients who are treated with greater than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for:
88. A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?
89. The first-line therapy for mild-persistent asthma is:
90. Conjunctivitis in a child that is accompanied by acute otitis media is treat with:
91. Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for her URI would include:
92. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the prescription. This is consider a loading dose. A loading dose:
93. Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
94. Patient education for a patient who is prescribe antibiotics for sinusitis includes:
95. The role of the NP in the use of herbal medication is to:
96. The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be:
97. Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She-usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine?
98. Goals when treating tuberculosis include:
99. Education of women who are being treat with ophthalmic antibiotics for conjunctivitis includes:
100. The reason that two MMR vaccines at least a month apart are recommend is: