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NURS 5334 Exams 1 & 2 | Advanced Pharmacology Study Questions with Correct Solutions | Latest Update

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Master NURS 5334 Advanced Pharmacology with this comprehensive study guide featuring exam questions and correct solutions for Exams 1 and 2. This latest update covers essential pharmacology topics including hypertension management in special populations (pregnancy, elderly, African Americans), COPD pharmacotherapy (LABA, LAMA, ICS based on eosinophil count), asthma stepwise treatment, diabetes medications (Metformin, sulfonylureas, GLP-1 agonists, SGLT2 inhibitors), Parkinson's disease drugs (levodopa/carbidopa, dopamine agonists, MAO-B inhibitors), Alzheimer's medications (donepezil, memantine), antidepressants (SSRIs, SNRIs, TCAs, MAOIs, bupropion), antipsychotics (haloperidol, clozapine, atypical agents), antiepileptics (phenytoin, carbamazepine, ethosuximide), benzodiazepines and barbiturates, ADHD medications (stimulants and non-stimulants), heart failure pharmacotherapy (ACEIs, ARBs, beta blockers, diuretics, SGLT2 inhibitors, ivabradine), lipid-lowering agents (statins, fibrates, PCSK9 inhibitors), gout treatment (allopurinol), rheumatoid arthritis management (methotrexate, hydroxychloroquine), osteoporosis medications (bisphosphonates, denosumab), GERD treatment algorithm, vaccines (TDap, Gardasil, Shingrix, flu), and natural supplements (feverfew, CoQ-10, glucosamine, ginkgo biloba). Perfect for advanced pharmacology nursing students preparing for exams.

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NURS 5334 EXAMS 1 & 2 – ADVANCED

PHARMACOLOGY STUDY QUESTIONS AND
CORRECT SOLUTIONS




Ace inhibitors are contraindicated in pregnancy. While treatment of heart failure
during during pregnancy is best done by a special, which of the following drug
classes are considered to be safe at least in the later parts of pregnancy?



A. Diuretics

B. ARBS

C. Beta blockers

D. Nitrates - CORRECT ANSWER>>C. Beta blockers



What are the names of two medications that are safe for pregnant women? -
CORRECT

ANSWER>>Methyldopa and Labetalol are the traditional agents of choice for
pregnant women



Why can Methyldopa and Labetalol be used in pregnant women? - CORRECT
ANSWER>>These drugs have limited effects on uteroplacental and fetal

Hemodynamics and do not adversing effect the fetus or neonate

Page 1 of 52

,Anticholinergics such as Trihexyphenidyl and Benztropine can help with
drooling in Parkinson's patients, True or False? - CORRECT ANSWER>>True



A patient with COPD comes in to the hospital for the second time for moderate
exacerbation. The eosinophils are 312. What medication should this patient be
on to manage symptoms?



A. Salmeterol

B. Formoteral + Albuterol

C. Albuterol + Budesonide

D. Salmeterol + aclidinium + Budesonide - CORRECT ANSWER>>D.
Salmeterol + aclidinium + Budesonide



If Eosinophils are greater than or equal to 300, then you should consider a
LABA+LAMA+ICS



COPD Group A - CORRECT ANSWER>>Broncodilator



COPD Group B - CORRECT ANSWER>>LABA + LAMA



COPD Group E - CORRECT ANSWER>>LABA + LAMA



Page 2 of 52

,How does an increase percentage of body at effect the plasma level of lipid
soluble drugs in an elderly individual? - CORRECT ANSWER>>The higher
the body fat percentage the more the plasma levels of lipid soluble drugs will be
reduced



A decrease in lean mass causes concentration of water soluble drugs to be
(inc/dec) in elderly patients? - CORRECT ANSWER>>Increased



For elderly patients that are malnourished (low albumin level) free drug levels
of protein binding drugs will (inc/dec)? - CORRECT ANSWER>>Increase



A child is about to get the Proquad Vaccine, which is a mix of the Varicella and
MMR vaccine. What education would you need to give to the parents? -
CORRECT ANSWER>>Deposited getting the vaccine there is still a chance
your child could get breakthrough chickenpox



What is the starting dosage of thyroid medication for a in elderly patient that is
51 with no comorbidities? - CORRECT ANSWER>>50 mcg



What is the starting dosage of thyroid medication for an elderly patient that is
68 years with no comorbidities? - CORRECT ANSWER>>25 mcg



What is the dosage range for thyroid medication for a person with CAD? -
CORRECT


Page 3 of 52

, ANSWER>>12-25 mcg



What is an attenuated vaccine? - CORRECT ANSWER>>Live Virus, but
weakened

What are three drugs that can be combined with Hydrocodone? (Pain
Management Mod 3) - CORRECT ANSWER>>Aspirin

Acetaminophen

Ibuprofen



Benzodiazepines and CNS depressants can be paired with acetaminophen-
hydrocodone,

True or False? - CORRECT ANSWER>>False, this could lead to respiratory
depression



Why would you give a patient Buprenorphine for maintenance once they
recovered from opioid abuse? - CORRECT ANSWER>>Partial opioid agonist
that activated opioid receptors but produces less degree of euphoria and
physical dependence compared to a full agonist



Why would you give a patient Naltrexone for maintenance once they recovered
from opioid abuse? - CORRECT ANSWER>>Naltrexone is a opioid antagonist
that blocks the euphoric and sedative effects of opioids.




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