Pharmacology Midterm Test 2020/2021

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 t ...

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 0 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: Ranitidine (Zantac) 150 mg bid.  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: ede ma  Question 6 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: confusi on  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 0 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: 1.2 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  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: diarrh ea  Question 14 0 out of 1 points The side effects of antihistamines are mostly due to their: Selected Answer: sedating effects  Question 15 0 out of 1 points The APRN's ability to prescribe controlled substances is regulated by: Selected Answers: DE A  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: couma din  Question 19