NURSING NSG3036 Parm Quizs week 1 (Ch 1,3,4,5,6,7)

NURSING NSG3036 Parm Quizs week 1 (Ch 1,3,4,5,6,7)
Question 1
A client asks the NP about the differences in drug effects between men and
women. What is known about the differences between the pharmacokinetics
of men and women?

Body temperature varies between men and
women. Muscle mass is greater in women.
Percentage of fat differs between genders.
Proven subjective factors exist between the genders.

Question 2
Factors in chronic conditions that contribute to nonadherence include:

The complexity of the treatment regimen
The length of time over which it must be taken
Breaks in the usual daily routine, such as vacations and weekends
All of the above

Question 3
James has hypothalamicpituitaryadrenal axis suppression from chronic
prednisone (a corticosteroid) use. He is at risk for what type of adverse drug
reaction?

Type
B
Type C
Type E
Type F

Question 4
Many disorders require multiple drugs to treat them. The more complex the
drug regimen, the less likely the patient will adhere to it. Which of the
following interventions will NOT improve adherence?

Give the patient a clear drug schedule that the provider devises to fit the characteristic of the drug.

Question 5
Offlabel prescribing is:

, Regulated by the U.S. Food and Drug
Administration Illegal by NPs in all states
(provinces)
Legal if there is scientific evidence for the use
Regulated by the Drug Enforcement Administration

Note: The FDA only regulates the use of drugs based on the manufacturer recommendations and disclosed in the labeling.
The DEA only regulates controlled substances and these are not typically used off label. The only time it is acceptable to us
a medication off label is if there is evidence to support the use. For example a common stool softener Decussate can be use
off label as a cerumen softener as an adjunct to ear lavage.



Question 6
Passive monitoring of drug effectiveness includes:

Therapeutic drug levels
Adding or subtracting medications from the treatment
regimen Ongoing provider visits
Instructing the patient to report if the drug is not effective

Question 7
Pharmaceutical promotion may affect prescribing. To address the impact of
pharmaceutical promotion, the following recommendations have been made
by the Institute of Medicine:

Conflicts of interest and financial relationships should be disclosed by those providing education.

Question 8
Pharmacologic interventions are costly. Patients for whom the cost/benefit
variable is especially important include:

Older adults and those on fixed incomes

Question 9
Rod, age 68, has hearing difficulty. Which of the following would NOT be
helpful in assuring that he understands teaching about his drug?

Stand facing him and speak slowly and clearly.
Speak in low tones or find a provider who has a lower
voice. Write down the instructions as well as speaking
them.
If he reads lips, exaggerate lips movements when pronouncing the vowel sounds.

, Question 10
Sarah developed a rash after using a topical medication. This is a type
allergic drug
reaction.

I
II


III
IV

Question 11
The benefits to the patient of having an Advanced Practice Registered Nurse
(APRN) prescriber include:

Nurses care for the patient from a holistic approach and include the patient in decision making regardin
th

Question 12
The National Standards of Culturally and Linguistically Appropriate Services
are required to be implemented in all:

Organizations that receive federal funds



Question 13
The U.S. Drug Enforcement Administration:

Registers manufacturers and prescribers of controlled substances

Question 14
The U.S. Food and Drug Administration approval is required for:

Medical devices, including artificial joints

Question 15
The U.S. Food and Drug Administration MedWatch system is activated when:

An adverse event or serious problem occurs with a medication that is not already identified on the label

Question 16
The U.S. Food and Drug Administration regulates: