ADVANCED PHARMACOLOGY FINAL EXAM 2024 [GRADED A+] WELL VERIFIED QUESTIONS AND DETAILED ANSWERS LATEST 2024/2025
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Course
Advanced pharmacology
Institution
Advanced Pharmacology
ADVANCED PHARMACOLOGY FINAL
EXAM 2024 [GRADED A+] WELL VERIFIED
QUESTIONS AND DETAILED ANSWERS
LATEST 2024/2025
What information would the nurse practitioner include in teaching a patient about
the treatment of vitamin B12 deficiency following a total gastrectomy? -
ANSWER-The patient w...
ADVANCED PHARMACOLOGY FINAL
EXAM 2024 [GRADED A+] WELL VERIFIED
QUESTIONS AND DETAILED ANSWERS
LATEST 2024/2025
What information would the nurse practitioner include in teaching a patient about
the treatment of vitamin B12 deficiency following a total gastrectomy? -
ANSWER-The patient will receive monthly cyanocobalamin injections for life
after being given daily weekly injections for the first month
A 47-year-old woman has been diagnosed with open angle glaucoma. Pilocarpine
drops are prescribed. The nurse's assessment reveals that the patient has worn soft
contact lenses for 15 years. The nurse will instruct the patient to
A) apply the contact lenses and wait 5 minutes before applying the drops.
B) remove the contact lenses before applying the drops.
C) apply the drops directly on the contact lenses.
D) stop wearing the contact lenses during the pilocarpine therapy - ANSWER-B
remove the contact lenses before applying the drops.
A nurse who provides care on an acute medicine unit has frequently recommended
the use of nicotine replacement gum for patients who express a willingness to quit
smoking during their admission or following their discharge. For which of the
following patients would nicotine gum be contraindicated?
A) A patient who received treatment for kidney failure due to an overdose of
acetaminophen
,B) A patient whose pulmonary embolism was treated with a heparin infusion
C) A patient with a history of angina who experienced a non-ST wave myocardial
infarction
D) A patient whose stage III pressure ulcer required intravenous antibiotics and a
vacuum dressing - ANSWER-C) A patient with a history of angina who
experienced a non-ST wave myocardial infarction
It is contraindicated in patients with life threatening arrhythmias or worsening
angina pectoris. It was also found that nicotine gum aggravates regional
myocardial hypoperfusion in patients with known coronary artery disease.
A patient calls the clinic and reports that he is having chest pain. The patient states
that "I'm scared that I am going to die and I've been pacing up and down my
driveway." After calming the patient, the initial instruction by the nurse would be
to__
A) ask the patient to call 911 and wait outside for the ambulance to arrive.
B) ask the patient to place a nitroglycerin tablet under his tongue immediately.
C) have the patient take his pulse for 1 minute.
D) have the patient go into his house and sit or lie down - ANSWER-D) have the
patient go into his house and sit or lie down
The initial instruction by the nurse would be for the patient to go inside the house
and sit or lie down before taking nitroglycerin medicine to prevent dizziness or
fainting. If the person has nitroglycerin drugs in his house, the nurse should then
inform him to put the tablet under his tongue and that he can take another tablet in
5 minutes and an additional one in 10 minutes if the pain has not reduced.
However, if the pain still persists after the third tablet, the patient should call 911
because he may be experiencing a myocardial infarction.
Constipation is a major problem in patients with amyotrophic lateral sclerosis
(ALS). The nurse will educate the patient and family to__
,A) choose a laxative at the local drug store.
B) use prune juice only.
C) consult their physician before purchasing a laxative.
D) walk at least 500 yards a day - ANSWER-C) consult their physician before
purchasing a laxative.
Constipation is a common problem in patients with amyotrophic lateral sclerosis
(ALS). The nurse will educate the patient and family on the best ways to manage
and prevent constipation. One of the main recommendations is to consult their
physician before purchasing a laxative as some may not be suitable for the patient's
condition.
A nurse has been assigned to care for a 52-year-old attorney who has hypertension
and peptic ulcer disease. Before administering his medications, the nurse must
complete an initial assessment. Core patient variables will be obtained from which
of the following? (Select all that apply.)
A) The patient's interview
B) The patient's medical history
C) The patient's medical record
D) The patient's physical examination
E) The patient's health insurer - ANSWER-A) The patient's interview
A 59-year-old woman has long-standing diagnoses of type 1 diabetes and
hypertension and has recently been diagnosed with glaucoma. Her ophthalmologist
has prescribed pilocarpine (Akarpine), which will achieve its intended therapeutic
effect by which of the following means?
A) By blocking receptors of acetylcholine
, B) By increasing synthesis of acetylcholine
C) By directly stimulating cholinergic receptors
D) By stimulating nicotinic N receptors - ANSWER-C) By directly stimulating
cholinergic receptors
Pilocarpine is a muscarinic receptor agonist which acts on the cholinergic receptor
thereby stimulating contraction of iris sphincter muscle in the eyes in order to
produce miosis thereby relieving pupillary block and opening anterior chamber
angle.
A patient on valproic acid may experience which of the following symptoms? -
ANSWER-nausea, vomiting, stomach pain, diarrhea; dizziness, drowsiness,
weakness; headache; tremors, problems with walking or coordination; blurred
vision, double vision; hair loss; or changes in appetite, weight gain.
The nurse practitioner is following up on a patient who is experiencing acute
asthma problems. albuterol (Proventil) by metered-dose inhaler (MDI) has been
ordered as treatment. which patient response would indicate to the family nurse
practitioner that the patient understands how to take the medication? - ANSWER-
"I will take 1 puff of the medication and then wait a minute before taking the
second puff"
Which effect does the nurse practitioner expect may occur when using cholinergic
agonists? - ANSWER-Effects include slowed heart rate and decreased myocardial
contractility, vasodilation, bronchoconstriction and increased bronchial mucus
secretion, increased GI activity and secretions, increased bladder tone, relaxation
of GI and bladder sphincters, and pupil constriction.
The NP knowns that lithium levels should be measured while patients are on
lithium therapy. The NP also recognizes that lithium has a - ANSWER-low
therapeutic index and toxicity can occur at doses close to therapeutic levels
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