NURS 615 PHARM EXAM BANK
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
____ is prescribed to prevent swimmer's ear.
A. Ciprofloxacin otic drops (Ciloxan)
B. Isopropyl ear drops (EarSol)
C. Colistin (Coly-Mycin S Otic)
D. Gentamicin otic drops - correct answer- B
1. A patient's nutritional intake and laboratory results
reflect hypoalbuminemia. This is critical to prescribing
because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an
effect.
4. Drugs bound to albumin are readily excreted by the
kidneys. - correct answer- 1. Distribution of
drugs to target tissue may be affected.
,1. The nurse is performing a medication history on a
patient who reports using phentermine HCl (Suprenza) 15
mg/day for the past 3 months as an appetite suppressant.
The nurse will contact the patient's provider to discuss
a. changing the medication to phentermine-topiramate
(Qsymia).
b. increasing the dose to 37.5 mg/day since tolerance has
likely occurred.
c. initiating a slow taper of the phentermine.
d. stopping the drug immediately since long-term use is
not recommended. - correct answer- ANS: C
The nurse should discuss a gradual taper of the
medication with the provider. Patients using anorexiants
should not stop taking them abruptly because depression
and withdrawal symptoms may occur. Phentermine-
topiramate is recommended for short-term use only.
Patients should not use these medications longer than 12
weeks, so increasing the dose is not indicated.
REF: Page 289
,2. A patient reports having recurring headaches described
as 1 to 2 headaches per day for several weeks. The nurse
understands that these headaches are most likely
descriptive of which type of headache?
a. Cluster headache
b. Migraine headache
c. Simple headache
d. Tension headache - correct answer- ANS: A
Cluster headaches reoccur 1 to 3 times daily in a period
lasting from approximately 2 weeks to 3 months. Migraine
headaches are severe and characterized by an aura prior
to the headache. Tension headaches are related to stress.
REF: Page 285
2. Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little
if any desired action
, 4. Are converted by the liver to more active and fat-
soluble forms - correct answer- 3. Are rapidly
metabolized by the liver and may have little if any desired
action
3. The nurse is caring for a patient who has migraine
headaches. The patient reports having these headaches
more frequently. Which is an appropriate
recommendation for this patient?
a. "Avoid chocolate and caffeine."
b. "Engage in strenuous exercise."
c. "Have a glass of red wine with dinner."
d. "Take ibuprofen prophylactically." - correct
answer- ANS: A
Triggering factors for migraine headache include foods
such as chocolate, caffeine, and red wine. Intense physical
exertion can trigger migraines. Prophylactic ibuprofen is
not indicated.
REF: Page 285
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
____ is prescribed to prevent swimmer's ear.
A. Ciprofloxacin otic drops (Ciloxan)
B. Isopropyl ear drops (EarSol)
C. Colistin (Coly-Mycin S Otic)
D. Gentamicin otic drops - correct answer- B
1. A patient's nutritional intake and laboratory results
reflect hypoalbuminemia. This is critical to prescribing
because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an
effect.
4. Drugs bound to albumin are readily excreted by the
kidneys. - correct answer- 1. Distribution of
drugs to target tissue may be affected.
,1. The nurse is performing a medication history on a
patient who reports using phentermine HCl (Suprenza) 15
mg/day for the past 3 months as an appetite suppressant.
The nurse will contact the patient's provider to discuss
a. changing the medication to phentermine-topiramate
(Qsymia).
b. increasing the dose to 37.5 mg/day since tolerance has
likely occurred.
c. initiating a slow taper of the phentermine.
d. stopping the drug immediately since long-term use is
not recommended. - correct answer- ANS: C
The nurse should discuss a gradual taper of the
medication with the provider. Patients using anorexiants
should not stop taking them abruptly because depression
and withdrawal symptoms may occur. Phentermine-
topiramate is recommended for short-term use only.
Patients should not use these medications longer than 12
weeks, so increasing the dose is not indicated.
REF: Page 289
,2. A patient reports having recurring headaches described
as 1 to 2 headaches per day for several weeks. The nurse
understands that these headaches are most likely
descriptive of which type of headache?
a. Cluster headache
b. Migraine headache
c. Simple headache
d. Tension headache - correct answer- ANS: A
Cluster headaches reoccur 1 to 3 times daily in a period
lasting from approximately 2 weeks to 3 months. Migraine
headaches are severe and characterized by an aura prior
to the headache. Tension headaches are related to stress.
REF: Page 285
2. Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little
if any desired action
, 4. Are converted by the liver to more active and fat-
soluble forms - correct answer- 3. Are rapidly
metabolized by the liver and may have little if any desired
action
3. The nurse is caring for a patient who has migraine
headaches. The patient reports having these headaches
more frequently. Which is an appropriate
recommendation for this patient?
a. "Avoid chocolate and caffeine."
b. "Engage in strenuous exercise."
c. "Have a glass of red wine with dinner."
d. "Take ibuprofen prophylactically." - correct
answer- ANS: A
Triggering factors for migraine headache include foods
such as chocolate, caffeine, and red wine. Intense physical
exertion can trigger migraines. Prophylactic ibuprofen is
not indicated.
REF: Page 285
