WALDEN UNIVERSITY - NURS 6521

PHARMACOLOGY MIDTERM EXAM 2021

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 Question 1

 1 out of 1 points

A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours

as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a

high abuse potential for this drug and that it is categorized as a

Selected Answer: C-II drug.

 Question 2

1 out of 1 points

Glargine (Lantus) is an insulin analog that essentially has no peak and is usually

administered:

Selected Answer: Once a day.

 Question 3

1 out of 1 points

The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who

complains of almost daily indigestion and heartburn for the past year with a strong acid

taste in the mouth about an hour after meals, and frequent belching and awakening at

night with choking. The history is negative for chronic illnesses and alarm symptoms. A

diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial

treatment for the patient?

Selected Answer: Omeprazole (Prilosec) 20 mg every morning 30 minutes before

breakfast.

 Question 4

1 out of 1 points

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year

history of heavy drinking and is worried about developing cirrhosis of the liver. The

patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the

combination of alcohol and Antabuse will cause which of the following?

Selected Answer: Nausea

 Question 5

1 out of 1 points

Typical adverse reactions to oral calcium-channel blockers include:

Selected Answer: edema

 Question 6

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1 out of 1 points

Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been

diagnosed with hypertension. Which antihypertensive drug is the recommended choice to

treat hypertension in patients with diabetes?

Selected Answer: ACE Inhibitor

 Question 7

1 out of 1 points

Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner

knows they should monitor the older adult patient for which of the most common

adverse reactions of digoxin?

Selected Answer: confusion

 Question 8

1 out of 1 points

/Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive

authority Is regulated by:

Selected Answer: The state board of nursing for each state

 Question 9

1 out of 1 points

A Nurse Practitioner is conducting an assessment of a patient who has recently had

several changes made to her drug regimen. What assessment question most directly

addresses the safety implications of the patient's drug regimen?

Selected

Answer:

"Do you take any herbal supplements or alternative

medications?"

 Question 10

1 out of 1 points

A patient has been started on a treatment regimen that includes levothyroxine. Select the

dosage regimen that is most appropriate for a mean replacement dosage. The patient has

been started on a treatment regimen that includes levothyroxine. Select the dosage

regimen that is most appropriate for a mean replacement dosage.

Selected Answer: 1.7 mcg/kg of body weight per day

 Question 11

1 out of 1 points

A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with

hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been

prescribed for her. Which of the following should the Nurse Practitioner assess before

beginning drug therapy?

Selected Answer: Serum potassium levels

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 Question 12

1 out of 1 points

A 76-year-old woman has a complex medical history that includes emphysema,

osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her

home as a result of weakness and suffered a fracture to her femoral head. The woman's

subsequent hip-replacement surgery has been scheduled and the care team recognizes

that the use of isoflurane will be most significantly influenced by

Selected Answer: Her history of emphysema.

 Question 13

1 out of 1 points

A common side effect of metformin (Glucophage) therapy is:

Selected Answer: Diarrhea

 Question 14

0 out of 1 points

The side effects of antihistamines are mostly due to their:

Selected Answer: Anticholinergic

effects

 Question 15

0 out of 1 points

The APRN's ability to prescribe controlled substances is regulated by:

Selected

Answers:

DEA

 Question 16

1 out of 1 points

Which type of antihistamines are used to inhibit the secretion of gastric acid in patients

with gastrointestinal disorders?

Selected Answer: H2

 Question 17

1 out of 1 points

The recommended range for maintaining serum theophylline levels is:

Selected Answer: 10 to 20 μg/mL.

 Question 18

1 out of 1 points

The anticoagulant drug that acts as a vitamin K antagonist is:

Selected Answer: coumadin

 Question 19

0 out of 1 points

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