NURS651 ADV PHARM Exam 3 (52 QUESTIONS AND
ANSWERS)
NURS651 ADV PHARM
Exam 3 (52
QUESTIONS AND
ANSWERS)
A 66-year-old male was prescribed phenelzine
(Nardil) while in an acute psychiatric unit for
recalcitrant depression. The NP managing his
primary health care needs to understand the
following regarding phenelzine and other
monoamine oxidase inhibitors (MAOIs).
A. He should not be prescribed any serotonergic
drug such as sumatriptan (Imitrex)
B. MAOIs interact with many common foods,
including yogurt, sour cream, and soy sauce
C. Symptoms of hypertensive crisis (headache,
tachycardia, sweating) require immediate
treatment
D. All of the above - answer D. All of the above
,A 19-year-old male was started on risperidone.
Monitor for risperidone includes observing for
common side effects, including:
A. Bradykinesia, akathisia, and agitation
B. Excessive weight gain
C. Hypertension
D. Potentially fatal agranulocytosis - answer A.
Bradykinesia, akathisia, and agitation
Patients who are on chronic long-term
corticosteroid therapy need education regarding:
A. Receiving all vaccination, especially the live flu
vaccine
B. Reporting black tarry stools or abdominal pain
C. Eating a high carbohydrate diet with plenty of
fluids
D. Small amounts of alcohol are generally tolerated
- answer B. Reporting black tarry stools or
abdominal pain
If interventions to resolve the cause of pain (e.g.,
rest, ice, compression, and elevation) are
insufficient, pain medications are given based on
, the severity of pain. Drugs are given in which order
of use?
A.NSAIDS, opiated, corticosteroids
B.Low-dose opiates, salicylates, increased dose of
opiates
C.Opiates, non-opiates, increased dose of non-
opiates
D.Non-opiate, increased dose of non-opiate, opiate
- answer D. Non-opiate, increased dose of non-
opiate, opiate
Carbamazepine has a Black Box Warning due to
life-threatening:
A.Renal toxicity leading to renal failure
B.Hepatotoxicity, leading to liver failure
C.Dermatologic reaction, including Steven's
Johnson and toxic epidermal necrolysis
D.Cardiac effects, including supraventricular
tachycardia - answer C.Dermatologic reaction,
including Steven's Johnson and toxic epidermal
necrolysis
Sallie has been taking 10 mg per day of prednisone
for the past 6 months. She should be assessed for:
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