NURS 6521C Midterm Exam – NURS 6521D – NURS 6521N Midterm Exam 2 – Advanced PharmacologyDue Date 1/13/20
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92 out of 100 points
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Instructions Please answer each question below and click Submit when you have
com...
Due Date 1/13/20
Status Completed
Attempt 92 out of 100 points
Score
Time 2 hours, 0 minute out of 2 hours
Elapsed
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results Submitted Answers, Incorrectly Answered Questions
Displayed
Question 1
1 out of 1 points
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to
Selected Answer: take their medication at the prescribed times.
Question 2
1 out of 1 points
A female patient with a diagnosis of type 1 diabetes mellitus has been
experiencing increasing neuropathic pain in recent months, a symptom that has
not responded appreciably to conventional analgesics. The patient's care provider
has begun treatment with gabapentin (Neurontin). How is the addition of this drug
likely to influence the management of the patient's existing drug regimen?
Selected It is unlikely to influence the patient's other medications because
Answer: gabapentin does not interact with other drugs.
Question 3
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-old resident of
an assisted living facility has begun taking daily oral doses of levothyroxine. Which
of the following assessment findings should prompt the nurse to withhold a
scheduled dose of levothyroxine?
Selected The resident's apical heart rate is 112 beats/minute with a
Answer: regular rhythm
Question 4
1 out of 1 points
The lower respiratory system utilizes a number of different mechanisms that
confer protection and maintain homeostasis. Which of the following physiological
processes protects the lower respiratory system?
, Selected Cilia sweep foreign material and mucus upward toward the
Answer: trachea and larynx where they can then be swallowed.
Question 5
1 out of 1 points
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
Selected Answer: at bedtime.
Question 6
1 out of 1 points
A Nurse Practitioner who provides care for older adults is aware of the high
incidence of drug interactions in this population. When educating a group of
seniors about the prevention of drug interactions, the Nurse Practitioner should
encourage them to
Selected consult their care provider before taking new over-the-counter
Answer: medications.
Question 7
1 out of 1 points
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which
of the following statements best describe this term?
Selected Answer: Taking several drugs simultaneously
Question 8
1 out of 1 points
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is
having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the Nurse Practitioner's immediate attention?
Selected Answer: Increased blood glucose
Question 9
1 out of 1 points
A 22 year old patient is transitioning from oral agents to insulin. He will be taking
20 units of lantus at bedtime and regular insulin before meals. What instructions
should the NP provide about the timing and dose of regular insulin?
Selected Take 1 unit of regular insulin for each 10 grams of carbohydrate to
Answer: be consumed 15 minutes before each meal
Question 10
1 out of 1 points
Topical inhaled alpha adrenergic blocking agents or nasal vasoconstricting
decongestants should not be used chronically (>5 days) because they can cause
, Selected Answer: rebound rhinitis/congestion
Question 11
1 out of 1 points
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?
Selected Answer: Albuterol
Question 12
0 out of 1 points
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect
by
Selected blocking adrenergic receptors and producing antisympathetic
Answer: effects.
Question 13
1 out of 1 points
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the
nurse advise the patient to be most alert for a potential hypoglycemic reaction?
Selected Answer: Late afternoon
Question 14
0 out of 1 points
A child with sinusitis has been on antibiotics for seven days and his symptoms are
not improving. All of the following are options to prescribe for the patient now
EXCEPT:
Selected Answer: Amoxicillin/clavulanic acid
Question 15
1 out of 1 points
The Nurse Practitioner's assessment of a community-dwelling adult suggests that
the client may have drug allergies that have not been previously documented.
What statement by the client would confirm this?
Selected "I broke out in hives and got terribly itchy when I started a new
Answer: prescription last year."
Question 16
1 out of 1 points
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