NSG 5240 ADVANCED PHARMACOLOGY EXAM | QUESTIONS AND
ANSWERS | VERIFIED AND ACCURATE ANSWERS GRADED A+ |
LATEST EXAM UPDATE
A patient who takes levodopa/carbidopa for Parkinson disease reports periods of
lost drug effect lasting from minutes to several hours with no relationship to the
timing of drug administration. What course of action will the provider take? -
CORRECT ANSWER - Prescribe a COMT inhibitor, such as entacapone.
A provider provides teaching for a patient with a newly diagnosed partial
complex seizure disorder who will begin therapy with an antiepileptic drug
(AED). Which statement by the patient indicates to the provider an
understanding of the teaching? - CORRECT ANSWER - "I may need to try
several drugs before finding one is effective."
Which of the following agents is used to treat Parkinson's disease by increasing
the release of dopamine from presynaptic neurons? - CORRECT ANSWER -
Amantadine
Which of the following medications is used to treat Parkinson's disease by
inhibiting the enzyme COMT (catechol-O-methyltransferase)? - CORRECT
ANSWER - Entacapone
A patient has been taking oxycodone to manage severe, chronic pain for the last
6 months but now reports that it is no longer effective. The provider will discuss
prescribing which medication for the patient? - CORRECT ANSWER -
Fentanyl transdermal patch
Which of the following is the primary mechanism of action of levodopa in the
treatment of Parkinson's disease? - CORRECT ANSWER - It replaces
dopamine in the brain.
,Which of the following is a common side effect of long-term use of levodopa in
Parkinson's disease? - CORRECT ANSWER - Dyskinesia
Which of the following drugs is used as adjunct therapy to treat muscle spasms
and spasticity? - CORRECT ANSWER - Methocarbamol
A patient who has recurrent migraine headaches is prescribed sumatriptan.
Which condition in this patient's history is of concern to the prescriber? -
CORRECT ANSWER - Coronary artery disease
A patient who has migraine headaches has been using sumatriptan with good
initial results but now reports frequent migraine recurrence 24 hours later.
Which medication will the provider order for this patient? - CORRECT
ANSWER - Naratriptan
Which of the following drugs is used to enhance the effects of levodopa by
inhibiting its peripheral breakdown? - CORRECT ANSWER - Carbidopa
A patient has been taking methadone for 5 months to overcome an opioid
addiction. The provider will monitor the patient for which electrocardiographic
change? - CORRECT ANSWER - Prolonged QT interval
Which of the following drugs is most likely to cause sedation as a side effect? -
CORRECT ANSWER - Tizanidine
The provider has prescribed a vasoconstrictor to be given in combination with a
local anesthetic. What is the expected goal for this action? (Select all that
apply.) - CORRECT ANSWER - A reduction of the risk of anesthetic toxicity
AND
A prolonging of the anesthetic effect
,A patient with a history of asthma experiences three or four migraine headaches
each month, uses sumatriptan as an abortive medication but has developed
medication-overuse headaches. When asked what can be done to prevent
migraines, the provider suggests prescribing which medication? - CORRECT
ANSWER - Topiramate
A hospitalized patient newly diagnosed with Parkinson disease is prescribed
apomorphine but develops medication-related nausea and vomiting. What drug
will the provider prescribe to manage these side effects effectively? -
CORRECT ANSWER - Trimethobenzamide
A provider has prescribed the topical anesthetic lidocaine for a patient who has
a second-degree burn on one arm. Which statement by the patient indicates
understanding of the teaching regarding this treatment? - CORRECT
ANSWER - "I will apply a thin layer of the medication to only the burned
area."
A patient reports numbness in the extremities. The assessment history notes that
the patient's hands and feet are cool and pale and that the patient has a history of
migraine headaches. The provider focuses on further assessing for what likely
cause of the symptoms? - CORRECT ANSWER - Ergotism
Which of the following anticonvulsants works by inhibiting voltage-gated
sodium channels? - CORRECT ANSWER - Carbamazepine
Which of the following agents is used in the treatment of spasticity due to spinal
cord injury or multiple sclerosis? - CORRECT ANSWER - Baclofen
When a patient with a lower back injury begins experiencing muscle spasms,
the provider orders cyclobenzaprine 10 mg three times a day. What information
will the provider include when teaching this patient about this drug? -
CORRECT ANSWER - "You may experience blurred vision, dry mouth, or
constipation."
, Which of the following anticonvulsant drugs is most commonly used for partial
seizures? - CORRECT ANSWER - Lamotrigine
An older adult patient with Alzheimer disease is prescribed a cholinesterase
inhibitor drug. When providing medication education to the care giver, the
prescriber will prioritize which possible side effects? (Select all that apply.) -
CORRECT ANSWER - Lightheadedness,
Confusion,
Slowed heart rate
Which of the following is a common side effect of anticonvulsants such as
phenytoin and carbamazepine? - CORRECT ANSWER - RASH
The spouse of a patient with Alzheimer disease asks the provider for more
information about the rivastigmine transdermal patch that is being used. After
the discussion with the provider, which statement by the spouse indicates a need
for further explanation? - CORRECT ANSWER - "We only need to change the
patch every 2 weeks."
Once you graduate from an NP program, in order to prescribe you'll need: -
CORRECT ANSWER - -Advanced nurse prescriber license
-DEA #
What is the purpose of a DEA #? - CORRECT ANSWER - Needed to
prescribed scheduled drugs
Rules for prescribing Schedule II drugs: - CORRECT ANSWER - -Written
script needed
-1 month supply only
-No refills
ANSWERS | VERIFIED AND ACCURATE ANSWERS GRADED A+ |
LATEST EXAM UPDATE
A patient who takes levodopa/carbidopa for Parkinson disease reports periods of
lost drug effect lasting from minutes to several hours with no relationship to the
timing of drug administration. What course of action will the provider take? -
CORRECT ANSWER - Prescribe a COMT inhibitor, such as entacapone.
A provider provides teaching for a patient with a newly diagnosed partial
complex seizure disorder who will begin therapy with an antiepileptic drug
(AED). Which statement by the patient indicates to the provider an
understanding of the teaching? - CORRECT ANSWER - "I may need to try
several drugs before finding one is effective."
Which of the following agents is used to treat Parkinson's disease by increasing
the release of dopamine from presynaptic neurons? - CORRECT ANSWER -
Amantadine
Which of the following medications is used to treat Parkinson's disease by
inhibiting the enzyme COMT (catechol-O-methyltransferase)? - CORRECT
ANSWER - Entacapone
A patient has been taking oxycodone to manage severe, chronic pain for the last
6 months but now reports that it is no longer effective. The provider will discuss
prescribing which medication for the patient? - CORRECT ANSWER -
Fentanyl transdermal patch
Which of the following is the primary mechanism of action of levodopa in the
treatment of Parkinson's disease? - CORRECT ANSWER - It replaces
dopamine in the brain.
,Which of the following is a common side effect of long-term use of levodopa in
Parkinson's disease? - CORRECT ANSWER - Dyskinesia
Which of the following drugs is used as adjunct therapy to treat muscle spasms
and spasticity? - CORRECT ANSWER - Methocarbamol
A patient who has recurrent migraine headaches is prescribed sumatriptan.
Which condition in this patient's history is of concern to the prescriber? -
CORRECT ANSWER - Coronary artery disease
A patient who has migraine headaches has been using sumatriptan with good
initial results but now reports frequent migraine recurrence 24 hours later.
Which medication will the provider order for this patient? - CORRECT
ANSWER - Naratriptan
Which of the following drugs is used to enhance the effects of levodopa by
inhibiting its peripheral breakdown? - CORRECT ANSWER - Carbidopa
A patient has been taking methadone for 5 months to overcome an opioid
addiction. The provider will monitor the patient for which electrocardiographic
change? - CORRECT ANSWER - Prolonged QT interval
Which of the following drugs is most likely to cause sedation as a side effect? -
CORRECT ANSWER - Tizanidine
The provider has prescribed a vasoconstrictor to be given in combination with a
local anesthetic. What is the expected goal for this action? (Select all that
apply.) - CORRECT ANSWER - A reduction of the risk of anesthetic toxicity
AND
A prolonging of the anesthetic effect
,A patient with a history of asthma experiences three or four migraine headaches
each month, uses sumatriptan as an abortive medication but has developed
medication-overuse headaches. When asked what can be done to prevent
migraines, the provider suggests prescribing which medication? - CORRECT
ANSWER - Topiramate
A hospitalized patient newly diagnosed with Parkinson disease is prescribed
apomorphine but develops medication-related nausea and vomiting. What drug
will the provider prescribe to manage these side effects effectively? -
CORRECT ANSWER - Trimethobenzamide
A provider has prescribed the topical anesthetic lidocaine for a patient who has
a second-degree burn on one arm. Which statement by the patient indicates
understanding of the teaching regarding this treatment? - CORRECT
ANSWER - "I will apply a thin layer of the medication to only the burned
area."
A patient reports numbness in the extremities. The assessment history notes that
the patient's hands and feet are cool and pale and that the patient has a history of
migraine headaches. The provider focuses on further assessing for what likely
cause of the symptoms? - CORRECT ANSWER - Ergotism
Which of the following anticonvulsants works by inhibiting voltage-gated
sodium channels? - CORRECT ANSWER - Carbamazepine
Which of the following agents is used in the treatment of spasticity due to spinal
cord injury or multiple sclerosis? - CORRECT ANSWER - Baclofen
When a patient with a lower back injury begins experiencing muscle spasms,
the provider orders cyclobenzaprine 10 mg three times a day. What information
will the provider include when teaching this patient about this drug? -
CORRECT ANSWER - "You may experience blurred vision, dry mouth, or
constipation."
, Which of the following anticonvulsant drugs is most commonly used for partial
seizures? - CORRECT ANSWER - Lamotrigine
An older adult patient with Alzheimer disease is prescribed a cholinesterase
inhibitor drug. When providing medication education to the care giver, the
prescriber will prioritize which possible side effects? (Select all that apply.) -
CORRECT ANSWER - Lightheadedness,
Confusion,
Slowed heart rate
Which of the following is a common side effect of anticonvulsants such as
phenytoin and carbamazepine? - CORRECT ANSWER - RASH
The spouse of a patient with Alzheimer disease asks the provider for more
information about the rivastigmine transdermal patch that is being used. After
the discussion with the provider, which statement by the spouse indicates a need
for further explanation? - CORRECT ANSWER - "We only need to change the
patch every 2 weeks."
Once you graduate from an NP program, in order to prescribe you'll need: -
CORRECT ANSWER - -Advanced nurse prescriber license
-DEA #
What is the purpose of a DEA #? - CORRECT ANSWER - Needed to
prescribed scheduled drugs
Rules for prescribing Schedule II drugs: - CORRECT ANSWER - -Written
script needed
-1 month supply only
-No refills
