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2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY$18.99
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2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY
2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY
2024 NURS 676, ADVANCED PHARMACOLOGY
FINAL EXAM (SPRING QTR) WITH 100%
CORRECT ANSWERS WITH RATIONALE AND
GRADED A+ (SUCCESS GUARANTEE):WEST
COAST UNIVERSITY
1. A 19-year-old female is a nasal Staph aureus carrier and is
placed on 5 days of rifampin for treatment. Her only other
medication is combined oral contraceptives. What education
should she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral
contraceptive by at least an hour.
2. Both medications are best tolerated if taken on an empty
stomach.
3. She should use a back-up method of birth control such as
condoms for the rest of the current pill pack.
4. If she gets nauseated with the medications she should call the
office for an antiemetic prescription. ANS: 3. She should
use a back-up method of birth control such as condoms for the
rest of the current pill pack.
2. A 19-year-old male was started on risperidone.
Monitoring for risperidone include observing for common
side effects, including:
1. Bradykinesia (slow mvmt), akathisia (restlessness), and
agitation
2. Excessive weight gain
3. Hypertension
3. A 22-year-old woman receives a prescription for oral
contraceptives. Education for this patient includes:
1. Counseling regarding decreasing or not smoking while taking
oral contraceptives
2. Advising a monthly pregnancy test for the first 3 months she
is taking the contraceptive
3. Advising that she may miss two pills in a row and not be
concerned about pregnancy
4. Recommending that her next follow-up visit is in 1 year for a
refill and annual exam ANS: 1. Counseling regarding
decreasing or not smoking while taking oral contraceptives
4. 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):
1. He should not be prescribed any serotonergic drug such as
sumatriptan (Imitrex)
2. MAOIs interact with many common foods, including yogurt,
sour cream, and soysauce
3. Symptoms of hypertensive crisis (headache, tachycardia,
sweating) require immediate treatment
4. All of the above ANS: 4. All of the above
5. A challenge faced with antiretroviral therapy (ART) is
ANS: -Drug-resistant mutations of HIV
,6. A contraindication to the use of combined contraceptives
is:
A. Adolescence (not approved for this age)
B. A history of clotting disorder
C. Recent pregnancy
D. Overweight ANS: B. A history of clotting disorder
7. A patient presents with a complaint of dark stools and
epigastric pain described as gnawing and burning. Which of
the medications is the most likely cause?
1. Acetaminophen
2. Estradiol
3. Donepezil
4. Bethanechol ANS: 4. Bethanechol
8. A patient with anxiety and depression may respond to:
1. Duloxetine (Cymbalta)
2. Fluoxetine (Prozac)
3. Oxazepam (Serax)
4. Buspirone (Buspar) and an SSRI combined ANS: 4.
Buspirone (Buspar) and an SSRI combined
9. A test of cure is recommended after treating chlamydia in
which patient population? ANS: Pregnant patients
10. A treatment plan for management of chronic pain should
include:
1. Negotiation with the patient to set personal goals for pain
management
2. Discussion of ways to improve sleep and stress
3. An exercise program to improve function and fitness
, 4. All of the above ANS: 4. All of the above
11. A woman who is pregnant and has hyperthyroidism is
best managed by a specialty team who will most likely treat
her with:
1. Methimazole
2. Propylthiouracil (PTU)
3. Radioactive iodine
4. Nothing, treatment is best delayed until after her pregnancy
ends ANS: 2. Propylthiouracil (PTU)
12. A woman who is pregnant tells the nurse she has not had
any vaccines but wants to begin so she can protect her
unborn child. Which vaccine(s) may be administered to this
patient?
a. Gardasil vaccine
b. Trivalent influenza vaccine
c. MMR vaccine
d. Varivax vaccine ANS: b. Trivalent influenza vaccine
Rationale: The influenza vaccine is recommended for pregnant
women and should be given. Gardasil is given to young women
who are not yet sexually active. The MMR is contraindicated
because rubella can cause serious teratogenic effects. Varivax is
contraindicated during pregnancy.
13. Abrupt withdrawal of beta blockers can be life
threatening. Patients at highest risk for serious consequences
of rapid withdrawal are those with:
1. Angina
2. Coronary artery disease
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