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Test#3 Pharmacology Test Bank Exam Questions and Answers |100% Pass

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Test#3 Pharmacology Test Bank Exam Questions and Answers |100% Pass A patient tells a nurse practitioner (NP) that several coworkers have upper respiratory infections and asks about the best way to avoid getting sick. The NP should recommend which of the following? - Answer-Frequent hand washin...

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  • October 6, 2024
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EmillyCharlotte
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FIRST PUBLISH SEPTEMBER 2024




Test#3 Pharmacology Test Bank Exam
Questions and Answers |100% Pass

A patient tells a nurse practitioner (NP) that several coworkers have upper respiratory infections and asks

about the best way to avoid getting sick. The NP should recommend which of the following? -

Answer✔✔-Frequent hand washing


A patient comes to the clinic with a 3-day history of fever and a severe cough that interferes with sleep.

The patient asks the NP about using a cough suppressant to help with sleep. The NP should: -

Answer✔✔-Obtain hx


An NP prescribes azelastine for a patient who has allergic rhinitis. The NP will teach the patient that this

drug: - Answer✔✔-Cause bitter aftertaste


A parent asks an NP which over-the-counter medication would be best to give to a 5-year-old child who

has a viral respiratory illness with nasal congestion and a cough. The NP should recommend which of the

following? - Answer✔✔-Increased fluids with a teaspoon of honey


A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's

annual well-child checkup, the NP should carefully review this child's: - Answer✔✔-height and weight.


An NP sees a patient who reports persistent seasonal symptoms of rhinorrhea, sneezing, and nasal

itching every spring unrelieved with diphenhydramine (Benadryl). The NP should prescribe: -

Answer✔✔-triamcinolone (Nasacort AQ).



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A 70-year-old patient asks an NP about using diphenhydramine (Benadryl) to control intermittent allergic

symptoms that include runny nose and sneezing. The NP should counsel this patient to: - Answer✔✔-

take the lowest recommended dose initially.


A patient asks an NP about using an oral over-the-counter decongestant medication for nasal congestion

associated with a viral upper respiratory illness. The NP learns that this patient uses loratadine (Claritin),

a β-adrenergic blocker, and an intranasal corticosteroid. The NP would be concerned about which

adverse effects? - Answer✔✔-Tremor, restlessness, and insomnia


A primary care nurse practitioner (NP) is evaluating a patient with asthma who reports having wheezing

and coughing 1 or 2 days each week and awakening from sleep three or four times each month with

asthma symptoms. The patient's forced expiratory volume in 1 second (FEV1) is 80% of the predicted

value. The patient's current medication regimen is an albuterol metered-dose inhaler, 2 puffs every 4

hours as needed. The NP should prescribe: - Answer✔✔-a low-dose inhaled corticosteroid (ICS), 2 puffs

bid.


A primary care NP sees an adolescent patient for a hospitalization follow-up after an asthma

exacerbation. The patient reports having daily symptoms with nighttime awakening 4 or 5 nights per

week and misses school several days each month. The patient currently uses a salmeterol/fluticasone

LABA twice daily and albuterol as needed. The patient requires a refill of the albuterol prescription once

a month. The patient does not have any known allergies. The NP should: - Answer✔✔-order a high-dose

ICS plus a LABA twice daily.


A 50-year-old patient who recently quit smoking reports a frequent morning cough productive of yellow

sputum. A chest x-ray is clear, and the patient's FEV1 is 80% of predicted. Pulse oximetry reveals an



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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


oxygen saturation of 97%. The primary care NP auscultates clear breath sounds. The NP should: -

Answer✔✔-prescribe an albuterol metered-dose-inhaler, 2 puffs every 4 hours as needed.


A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient

reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient also uses a

short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen

saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is 55% of predicted. The NP

should prescribe a(n): - Answer✔✔-combination ICS/LABA inhaler.


A primary care NP sees a child with asthma to evaluate the child's response to the prescribed therapy.

The child uses an ICS twice daily and an albuterol metered-dose inhaler as needed. The child's symptoms

are well controlled. The NP notes slowing of the child's linear growth on a standardized growth chart.

The NP should change this child's medication regimen to a: - Answer✔✔-SABA as needed plus a

leukotriene modifier once daily.


A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after

beginning therapy with a SABA as needed for dyspnea. The patient reports occasional mild exertional

dyspnea but is able to sleep well. The patient's FEV1 in the clinic is 85% of predicted, and oxygen

saturation is 96%. The primary care NP should recommend: - Answer✔✔-influenza and pneumococcal

vaccines


A 70-year-old patient who has COPD takes theophylline daily and uses a SABA for exacerbation of

symptoms. The patient reports using the SABA three or four times each week when short of breath. The

patient reports feeling jittery and nauseated and having trouble sleeping. The primary care NP should: -

Answer✔✔-obtain a serum theophylline level.



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A 75-year-old patient requires frequent use of corticosteroids to control COPD exacerbations. To monitor

adverse drug effects in this patient, the primary care NP should: - Answer✔✔-order a bone density

study.


A patient with asthma is given an asthma action plan and returns to the clinic in 2 weeks to follow up on

symptoms. Which statement by the patient indicates a need for further teaching? - Answer✔✔-"I use

the ICS as needed when I am wheezing."


Digoxin levels need to be monitored closely when the following medication is started: - Answer✔✔-

albuterol


Patients with pheochromocytoma should avoid which of the following classes of drugs due to the

possibility of developing hypertensive crisis? - Answer✔✔-beta-2-agonists


Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma

medications should be used cautiously, if at all? - Answer✔✔-Salmeterol, an inhaled long-acting beta-

agonist


Long-acting beta-agonists (LTBAs) received a Black Box warning from the U.S. Food and Drug

Administration due to the: - Answer✔✔-Increased risk of asthma-related deaths when LTBAs are used


The bronchodilator of choice for patients taking propranolol is: - Answer✔✔-Ipratropium


James is a 52-year-old overweight smoker taking theophylline for his persistent asthma. He tells his

provider he is going to start the Atkin's diet for weight loss. The appropriate response would be: -

Answer✔✔-Schedule him for regular serum theophylline levels during his diet due to increased excretion

of theophylline



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