MN553 Final Exam+Answers.
Your quiz has been submitted
successfully. Question 1 points
A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is
angioedema. Which of the following statements is true about this adverse response?
Question options:
Swelling of the tongue or hoarseness are the most common
symptoms. It appears to be related to the decrease in aldosterone
production.
Presence of a dry, hacky cough indicates a high risk for this adverse response.
Because it takes time to build up a blood level, it occurs after being on the drug for about 1
week.
Question 2 points
Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding
how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Question options:
Appetite and concentration improve in the first 1 to 2 weeks.
Sleep should improve almost immediately upon starting citalopram.
Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose.
His dysphoric mood will improve in 1 to 2 weeks.
Question 3 points
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol
includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine
clearance Question 4 points
When a pharmacoeconomic analysis looks at two or more treatment alternatives that are
considered equal in efficacy and compares the costs of each it is referred to as:
Question options:
,MN553 Final Exam+Answers.
Cost-minimization analysis
Cost-of-illness analysis
Cost-effectiveness analysis
Cost-benefit analysis
Question 5 points
Being competent in the use of information technology in clinical practice is expected in
professional nurses. Advanced practice competence includes the ability to:
Question options:
Search for information using the most common search engines
Serve as content experts in developing, implementing, and evaluating information Systems
Write programs to assure the integrity of health information
Use information technology to prescribe
drugs Question 6 points
Instructions for the use of nicotine gum include:
Question options:
Chew the gum quickly to get a peak effect.
The gum should be “parked” in the buccal space between chewing.
Acidic drinks such as coffee help with the absorption of the nicotine.
The highest abstinence rates occur if the patient chews the gum when he or she is having
cravings.
Question 7 points
A laboratory result indicates that the peak level for a drug is above the minimum toxic
concentration. This means that the:
Question options:
Concentration will produce therapeutic effects
Concentration will produce an adverse response
Time between doses must be shortened
Duration of action of the drug is too
long Question 8 points
,MN553 Final Exam+Answers.
An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
Question options:
Histamine2 receptor antagonists for 4 to 8 weeks
Proton pump inhibitor bid for 12 weeks until healing is complete
Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
Proton pump inhibitor bid and levofloxacin for 14 days
Question 9 points
Alterations in drug metabolism among Asians may lead to:
Question options:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher
doses Question 10 points
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
Question options:
Is an unusual side effect of androgens and should be reported to the provider
Is treated with increased doses of androgens, so the patient should let the provider know if he
is having problems
May be a sign of early prostate cancer and he should make an appointment for a prostate
screening exam
May occur with androgen
therapy Question 11 points
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who
will most likely treat her with:
Question options:
Methimazole
Propylthiouracil (PTU)
Radioactive iodine
, MN553 Final Exam+Answers.
Nothing, treatment is best delayed until after her pregnancy
ends Question 12 points
The dosage of Vitamin B12 to initially treat pernicious anemia is:
Question options:
Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month
Vitamin B12 IM monthly
Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month
Oral cobalamin 1,000 mcg daily
Question 13 points
A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast
cancer to:
Question options:
Ensure the patient will not have increased adverse drug reactions to the tamoxifen
Identify potential drug-drug interactions that may occur with tamoxifen
Reduce the likelihood of therapeutic failure with tamoxifen treatment
Identify poor metabolizers of
tamoxifen Question 14 4/4
points
Disease states in addition to hypertension in which beta blockade is a compelling indication for
the use of beta blockers include:
Question options:
Heart failure
Angina
Myocardial infarction
Dyslipidemia
Question 15 points
Developmental variation in renal function has what impact on prescribing for infants and
children?
Question options:
Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months.
Your quiz has been submitted
successfully. Question 1 points
A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is
angioedema. Which of the following statements is true about this adverse response?
Question options:
Swelling of the tongue or hoarseness are the most common
symptoms. It appears to be related to the decrease in aldosterone
production.
Presence of a dry, hacky cough indicates a high risk for this adverse response.
Because it takes time to build up a blood level, it occurs after being on the drug for about 1
week.
Question 2 points
Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding
how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Question options:
Appetite and concentration improve in the first 1 to 2 weeks.
Sleep should improve almost immediately upon starting citalopram.
Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose.
His dysphoric mood will improve in 1 to 2 weeks.
Question 3 points
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol
includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine
clearance Question 4 points
When a pharmacoeconomic analysis looks at two or more treatment alternatives that are
considered equal in efficacy and compares the costs of each it is referred to as:
Question options:
,MN553 Final Exam+Answers.
Cost-minimization analysis
Cost-of-illness analysis
Cost-effectiveness analysis
Cost-benefit analysis
Question 5 points
Being competent in the use of information technology in clinical practice is expected in
professional nurses. Advanced practice competence includes the ability to:
Question options:
Search for information using the most common search engines
Serve as content experts in developing, implementing, and evaluating information Systems
Write programs to assure the integrity of health information
Use information technology to prescribe
drugs Question 6 points
Instructions for the use of nicotine gum include:
Question options:
Chew the gum quickly to get a peak effect.
The gum should be “parked” in the buccal space between chewing.
Acidic drinks such as coffee help with the absorption of the nicotine.
The highest abstinence rates occur if the patient chews the gum when he or she is having
cravings.
Question 7 points
A laboratory result indicates that the peak level for a drug is above the minimum toxic
concentration. This means that the:
Question options:
Concentration will produce therapeutic effects
Concentration will produce an adverse response
Time between doses must be shortened
Duration of action of the drug is too
long Question 8 points
,MN553 Final Exam+Answers.
An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
Question options:
Histamine2 receptor antagonists for 4 to 8 weeks
Proton pump inhibitor bid for 12 weeks until healing is complete
Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
Proton pump inhibitor bid and levofloxacin for 14 days
Question 9 points
Alterations in drug metabolism among Asians may lead to:
Question options:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher
doses Question 10 points
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
Question options:
Is an unusual side effect of androgens and should be reported to the provider
Is treated with increased doses of androgens, so the patient should let the provider know if he
is having problems
May be a sign of early prostate cancer and he should make an appointment for a prostate
screening exam
May occur with androgen
therapy Question 11 points
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who
will most likely treat her with:
Question options:
Methimazole
Propylthiouracil (PTU)
Radioactive iodine
, MN553 Final Exam+Answers.
Nothing, treatment is best delayed until after her pregnancy
ends Question 12 points
The dosage of Vitamin B12 to initially treat pernicious anemia is:
Question options:
Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month
Vitamin B12 IM monthly
Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month
Oral cobalamin 1,000 mcg daily
Question 13 points
A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast
cancer to:
Question options:
Ensure the patient will not have increased adverse drug reactions to the tamoxifen
Identify potential drug-drug interactions that may occur with tamoxifen
Reduce the likelihood of therapeutic failure with tamoxifen treatment
Identify poor metabolizers of
tamoxifen Question 14 4/4
points
Disease states in addition to hypertension in which beta blockade is a compelling indication for
the use of beta blockers include:
Question options:
Heart failure
Angina
Myocardial infarction
Dyslipidemia
Question 15 points
Developmental variation in renal function has what impact on prescribing for infants and
children?
Question options:
Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months.
