MN553 Final Exam Quiz with Answers (97 Solved Questions)

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Your quiz has been submitted successfully.Question 14 / 4 pointsA potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors isangioedema. Which of the following statements is true about this adverse response?Question options:Swelling of the tongue or hoarseness are the most common symptoms.It appears to be related to the decrease in aldosterone production.Presence of a dry, hacky cough indicates a high risk for this adverse response.Because it takes time to build up a blood level, it occurs after being on the drug for about 1week.Question 24 / 4 pointsJamison has been prescribed citalopram (Celexa) to treat his depression. Education regardinghow quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:Question options:Appetite and concentration improve in the first 1 to 2 weeks.Sleep should improve almost immediately upon starting citalopram.Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose.His dysphoric mood will improve in 1 to 2 weeks.Question 34 / 4 pointsLarry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinolincludes:Question options:Complete blood countBlood glucoseC-reactive proteinBUN, creatinine, and creatinine clearanceQuestion 44 / 4 pointsWhen a pharmacoeconomic analysis looks at two or more treatment alternatives that areconsidered equal in efficacy and compares the costs of each it is referred to as:Question options:

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Cost-minimization analysisCost-of-illness analysisCost-effectiveness analysisCost-benefit analysisQuestion 54 / 4 pointsBeing competent in the use of information technology in clinical practice is expected inprofessional nurses. Advanced practice competence includes the ability to:Question options:Search for information using the most common search enginesServe as content experts in developing, implementing, and evaluating information SystemsWrite programs to assure the integrity of health informationUse information technology to prescribe drugsQuestion 64 / 4 pointsInstructions for the use of nicotine gum include:Question options:Chew the gum quickly to get a peak effect.The gum should be “parked” in the buccal space between chewing.Acidic drinks such as coffee help with the absorption of the nicotine.The highest abstinence rates occur if the patient chews the gum when he or she is havingcravings.Question 74 / 4 pointsA laboratory result indicates that the peak level for a drug is above the minimum toxicconcentration. This means that the:Question options:Concentration will produce therapeutic effectsConcentration will produce an adverse responseTime between doses must be shortenedDuration of action of the drug is too longQuestion 84 / 4 points

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An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:Question options:Histamine2 receptor antagonists for 4 to 8 weeksProton pump inhibitor bid for 12 weeks until healing is completeProton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 daysProton pump inhibitor bid and levofloxacin for 14 daysQuestion 94 / 4 pointsAlterations in drug metabolism among Asians may lead to:Question options:Slower metabolism of antidepressants, requiring lower dosesFaster metabolism of neuroleptics, requiring higher dosesAltered metabolism of omeprazole, requiring higher dosesSlower metabolism of alcohol, requiring higher dosesQuestion 104 / 4 pointsPatients who are prescribed exogenous androgens need to be warned that decreased libido:Question options:Is an unusual side effect of androgens and should be reported to the providerIs treated with increased doses of androgens, so the patient should let the provider know if heis having problemsMay be a sign of early prostate cancer and he should make an appointment for a prostatescreening examMay occur with androgen therapyQuestion 110 / 4 pointsA woman who is pregnant and has hyperthyroidism is best managed by a specialty team whowill most likely treat her with:Question options:MethimazolePropylthiouracil (PTU)Radioactive iodine

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Nothing, treatment is best delayed until after her pregnancy endsQuestion 124 / 4 pointsThe dosage of Vitamin B12 to initially treat pernicious anemia is:Question options:Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 monthVitamin B12 IM monthlyVitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a monthOral cobalamin 1,000 mcg dailyQuestion 134 / 4 pointsA provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breastcancer to:Question options:Ensure the patient will not have increased adverse drug reactions to the tamoxifenIdentify potential drug-drug interactions that may occur with tamoxifenReduce the likelihood of therapeutic failure with tamoxifen treatmentIdentify poor metabolizers of tamoxifenQuestion 144 / 4 pointsDisease states in addition to hypertension in which beta blockade is a compelling indication forthe use of beta blockers include:Question options:Heart failureAnginaMyocardial infarctionDyslipidemiaQuestion 154 / 4 pointsDevelopmental variation in renal function has what impact on prescribing for infants andchildren?Question options:Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months.

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Higher doses of water soluble drugs may need to be prescribed because of increased renalexcretion.Renal excretion rates have no impact on prescribing.Parents need to be instructed on whether drugs are renally excreted or not.Question 164 / 4 pointsAllison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily andNovolog before meals. She usually walks for 40 minutes each evening as part of her exerciseregimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What isimportant for her to do with this change in routine?Question options:Delay eating the midday meal until after the swimming class.Increase the morning dose of NPH insulin on days of the swimming class.Adjust the morning insulin injection so that the peak occurs while swimming.Check glucose level before, during, and after swimming.Question 174 / 4 pointsSophie presents to the clinic with a malodorous vaginal discharge and is confirmed to haveTrichomonas infection. Treatment for her would include:Question options:Metronidazole 2 grams PO x 1 doseTopical intravaginal metronidazole daily x 7 daysIntravaginal clindamycin daily x 7 daysAzithromycin 2 grams PO x 1 doseQuestion 184 / 4 pointsTrue contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccineinclude:Question options:Fever up to 104oF (40.5oC) after previous DTaP vaccineFamily history of seizures after DTaP vaccineAdolescent pregnancyAnaphylactic reaction with a previous dose

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Question 194 / 4 pointsPatients who have a poor metabolism phenotype will have:Question options:Slowed metabolism of a prodrug into an active drug, leading to accumulation of ProdrugAccumulation of inactive metabolites of drugsA need for increased dosages of medicationsIncreased elimination of an active drugQuestion 204 / 4 pointsThe role of the NP in the use of herbal medication is to:Question options:Maintain competence in the prescribing of common herbal remediesRecommend common over-the-counter herbs to patientsEducate patients and guide them to appropriate sources of careEncourage patients to not use herbal therapy due to the documented dangersQuestion 214 / 4 pointsVicky, 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 migrainesand states one dose usually works to abort her migraine. What is the best care for her?Question options:Switch her to sumatriptan (Imitrex) to treat her migraines.Assess how often she is using Fiorinal and refill her medication.Switch her to a beta blocker such as propranolol to prevent her migraine.Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital formigraines.Question 224 / 4 pointsGinseng, which is taken to assist with memory, may potentiate:Question options:AriceptInsulin

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DigoxinPropranololQuestion 234 / 4 pointsThe most cost-effective treatment for two or three impetigo lesions on the face is:Question options:Mupirocin ointmentRetapamulin (Altabax) ointmentTopical clindamycin solutionOral amoxicillin/clavulanate (Augmentin)Question 244 / 4 pointsThe reason that two MMR vaccines at least a month apart are recommended is:Question options:The second dose of MMR “boosts” the immunity built from the first dose.Two vaccines 1 month apart is the standard dosing for all live virus vaccines.If the two MMR vaccine doses are given too close together there is a greater likelihood ofsevere localized reaction to the vaccine.Only 95% of patients are fully immunized for measles after the first vaccine, with 99% havingimmunity after two doses of MMR.Question 254 / 4 pointsThe first-line therapy for mild-persistent asthma is:Question options:High-dose montelukastTheophyllineLow-dose inhaled corticosteroidsLong-acting beta-2-agonistsQuestion 264 / 4 pointsThe benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriberinclude:Question options:

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Nurses know more about Pharmacology than other prescribers because they take it both intheir basic nursing program and in their APRN program.Nurses care for the patient from a holistic approach and include the patient in decision makingregarding their care.APRNs are less likely to prescribe narcotics and other controlled substances.APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs tohave a physician supervising their practice.Question 274 / 4 pointsWhich the following persons should not have a statin medication ordered?Question options:Someone with 3 first- or second-degree family members with history of muscle issues whenstarted on statinsSomeone with high lipids, but low BMIPremenopausal woman with recent history of hysterectomyPrediabetic male with known metabolic syndromeQuestion 284 / 4 pointsAzithromycin dosing requires that the first day’s dosage be twice those of the other 4 days ofthe prescription. This is considered a loading dose. A loading dose:Question options:Rapidly achieves drug levels in the therapeutic rangeRequires four- to five-half-lives to attainIs influenced by renal functionIs directly related to the drug circulating to the target tissuesQuestion 294 / 4 pointsAn Investigational New Drug is filed with the U.S. Food and Drug Administration:Question options:When the manufacturer has completed phase III trialsWhen a new drug is discoveredPrior to animal testing of any new drug entity

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