Pharm Final MN553
If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be:
Question options:
Prokinetic (metoclopramide) for 4 to 8 weeks
Proton pump inhibitor (omeprazole) for 12 weeks
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for 2 weeks Correct Answer: Proton pump inhibitor (omeprazole) for
12 weeks
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 Correct Answer: Serve as content experts in developing,
implementing, and evaluating information Systems
The first-line therapy for mild-persistent asthma is:
Question options:
High-dose montelukast
Theophylline
Low-dose inhaled corticosteroids
Long-acting beta-2-agonists Correct Answer: Low-dose inhaled corticosteroids
Drugs that have a significant first-pass effect:
Question options:
Must be given by the enteral (oral) route only
,Bypass the hepatic circulation
Are rapidly metabolized by the liver and may have little if any desired action
Are converted by the liver to more active and fat-soluble forms Correct Answer: Are rapidly
metabolized by the liver and may have little if any desired action
Pharmacoeconomics is:
Question options:
The study of the part of the U.S. economy devoted to drug use
The study of the impact of prescription drug costs on the overall economy
The analysis of the costs and consequences of any health-care-related treatment or service
The analysis of the clinical efficacy of the drug Correct Answer: The analysis of the costs and
consequences of any health-care-related treatment or service
Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is
atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production Correct Answer: Reducing vascular smooth muscle tone
Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption
sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted Correct Answer: Higher
proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Precautions that should be taken when prescribing controlled substances include:
Question options:
, Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed Correct Answer: Using tamper-
proof paper for all prescriptions written for controlled drugs
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies.
Monitoring for this patient taking diphenhydramine would include assessing for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash Correct Answer: Urinary retention
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 Correct Answer: BUN, creatinine, and creatinine clearance
Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
Avoid use of aspirin or ibuprofen while using inhaled medications. Correct Answer: Use the inhaled
beta-agonist first, followed by the inhaled corticosteroid.
The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be:
Question options:
Prokinetic (metoclopramide) for 4 to 8 weeks
Proton pump inhibitor (omeprazole) for 12 weeks
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for 2 weeks Correct Answer: Proton pump inhibitor (omeprazole) for
12 weeks
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 Correct Answer: Serve as content experts in developing,
implementing, and evaluating information Systems
The first-line therapy for mild-persistent asthma is:
Question options:
High-dose montelukast
Theophylline
Low-dose inhaled corticosteroids
Long-acting beta-2-agonists Correct Answer: Low-dose inhaled corticosteroids
Drugs that have a significant first-pass effect:
Question options:
Must be given by the enteral (oral) route only
,Bypass the hepatic circulation
Are rapidly metabolized by the liver and may have little if any desired action
Are converted by the liver to more active and fat-soluble forms Correct Answer: Are rapidly
metabolized by the liver and may have little if any desired action
Pharmacoeconomics is:
Question options:
The study of the part of the U.S. economy devoted to drug use
The study of the impact of prescription drug costs on the overall economy
The analysis of the costs and consequences of any health-care-related treatment or service
The analysis of the clinical efficacy of the drug Correct Answer: The analysis of the costs and
consequences of any health-care-related treatment or service
Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is
atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production Correct Answer: Reducing vascular smooth muscle tone
Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption
sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted Correct Answer: Higher
proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Precautions that should be taken when prescribing controlled substances include:
Question options:
, Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed Correct Answer: Using tamper-
proof paper for all prescriptions written for controlled drugs
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies.
Monitoring for this patient taking diphenhydramine would include assessing for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash Correct Answer: Urinary retention
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 Correct Answer: BUN, creatinine, and creatinine clearance
Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
Avoid use of aspirin or ibuprofen while using inhaled medications. Correct Answer: Use the inhaled
beta-agonist first, followed by the inhaled corticosteroid.
The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
