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NSG 6005 MIDTERM EXAM (2 VERSIONS) / NSG6005 MIDTERM EXAM (NEWEST, 2021): SOUTH UNIVERSITY |100% VERIFIED AND CORRECT ANSWERS|
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NSG 6005 MIDTERM EXAM (2 VERSIONS) / NSG6005 MIDTERM EXAM (NEWEST, 2021): SOUTH UNIVERSITY |100% VERIFIED AND CORRECT ANSWERS| NSG 6005 MIDTERM Version-1 1. The first-line treatment for cough related to a upper respiratory infection in a five-year-old is: A. Fluids and symptomatic care B. ...

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  • nsg 6005 midterm exam 2 versions nsg6005 midterm exam newest
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Voorbeeld van de inhoud

NSG 6005 Midterm Exam
Version-1

1) A patient’s nutritional intake and lab work reflect hypoalbuminemia. This is critical to

prescribing because: Distribution of drugs to target tissue may be affected.

2) Drugs that have a significant first-pass effect: Are rapidly metabolized by the liver and

may have little if any desired action.

3) The route of excretion of a volatile drug will likely be: The lungs

4) The point in time on the drug concentration curve that indicates the first sign of a

therapeutic effect is the: Onset of action

5) Factors that affect gastric drug absorption include: Lipid solubility of the drug

6) Which one of the following statements about bioavailability is true? Bioavailability

issues are especially important for drugs with narrow therapeutic ranges or sustained

release mechanisms.

7) Steady state is: When the amount of drug in the body remains constant.

8) The time required for the amount of drug in the body to decrease by 50% is called: Half-

life

9) An advantage of prescribing a sublingual medication is that the medication is: Absorbed

rapidly

10) Drugs that use CYP3A4 isoenzymes for metabolism may: Both A and B(Induce the

metabolism of another drug; inhibit the metabolism of another drug)

11) A nurse practitioner would prescribe the liquid form of ibuprofen for a six-year-old

because: A six-year-old may have problems swallowing a pill

,12) The first step in the prescribing process according to the World Health Organization is:

Diagnosing the patient’s problem

13) Patient education regarding prescribed medication includes: Discussion of expected

ADRs

14) Pharmacokinetic factors that affect prescribing include: Bioavailability

15) Infants and young children are at higher risk of ADRs due to: Lack of safety and efficacy

studies in the pediatric population.

16) Infants and young children are at higher risk of ADRs due to: Lack of safety and efficacy

studies in the pediatric population.

17) The elderly are at high risk of ADRs due to: Age-related decrease in renal-function

18) The type of ADR that is the result of an unwanted but otherwise normal pharmacological

action of a drug given in the usual therapeutic doses is: Type A

19) A patient may develop neutropenia from using topical Silvadene for burns. Neutropenia

is: A cytoxic hypersensitivity reaction

20) The angiotensin converting enzyme (ACE) inhibitor Lisinopril is a known teratogen.

Teratogens cause Type __ ADR. D

21) A twenty-four-year-old male received multiple fractures in a motor vehicle accident that

required significant amounts of opioid medication to treat his pain. He is at risk for Type

__ ADR when he no longer requires the opioids. E

22) Which of the following factors may adversely affect a patient’s adherence to a

therapeutic drug regimen? Both A and B

23) 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: Has a tolerability profile with less of the adverse effects that are

considered “irritating,” such as nausea and dizziness

24) Patients with psychiatric illnesses have adherence rates to their drug regimen between

35% and 60%. To improve adherence in this population, prescribe drugs: With a longer

half-life so that missed doses produce a longer taper on the drug curve

25) Genetic polymorphisms account for differences in metabolism, including: All of the

above (Poor metabolizers (PMs) that lack a working enzyme; Intermediate metabolizers

(IMs) that have on working, wild-type allele and one mutant allele; Extensive

metabolizers (EMs), with two normally functioning alleles)

26) Warfarin resistance may be seen in patients with VCORC1 mutation, leading to:

Decreased response to warfarin

27) Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required

prior to prescribing warfarin. False

28) Carbamazepine has a black box warning recommending testing for the HLA-B*1502

allele in patients with Asian ancestry prior to starting therapy due to: Increased risk for

Stevens-Johnson syndrome in Asian patients with HLAB*1502 allele

29) Herbs and supplements are tested for safety by the FDA. False

30) Carbamazepine has a black box warning recommending testing for the HLA-B*1502

allele in patients with Asian ancestry prior to starting therapy due to: Increased risk for

Stevens-Johnson syndrome in Asian patients with HLAB*1502 allele

31) Common OTC pain relievers such as acetaminophen or ibuprofen: Educate patients and

guide them to appropriate sources of care.

, 32) Common OTC pain relievers such as acetaminophen or ibuprofen: Are harmful if taken

in higher-than-recommended amounts

33) When obtaining a drug history from Harold, he gives you a complete list of his

prescription medications. He denies taking any other drugs, but you find that he

occasionally takes aspirin for his arthritis flare-ups. This is an example of: A common

misconception that intermittently taken OTC medications are not an important part of his

drug history

34) Patients with pheochromocytoma should avoid which of the following classes of drugs

due to the possibility of developing hypertensive crisis? Beta 2 agonist

35) Harold, a forty-two-year-old African American, has moderate persistent asthma. Which

of the following asthma medications should he use cautiously, if at all? Salmeterol, an

inhaled long-acting beta-agonist

36) Long-acting beta-agonists received a black box warning from the US Food and Drug

Administration due to the: Increased risk of asthma-related deaths when long-acting

beta-agonists are used

37) Tiotropium bromide (Spiriva) is an inhaled anticholinergic: Used for the treatment of

COPD

38) Christy has exercise and mild persistent asthma and is prescribed two puffs of albuterol

fifteen minutes before exercise and as needed for wheezing. One puff per day of

beclomethasone (Qvar) is also prescribed. Teaching regarding her inhalers includes

which one of the following?Used in the treatment of asthma

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