MN 553 FINAL EXAM ACTUAL EXAM WITH CORRECT
DETAILED ANSWERS (100% CORRECT) BRAND NEW!!
Prescriptive authority - ANSWER: Regulated by State Board of nursing for each state
Prescribing - ANSWER: -Using tamper-proof paper for all prescriptions written for
controlled
drugs
- Factoring in the cost to the patient of the medication prescribed
- Individualize the drug choice for the specific patient
First Pass effect - ANSWER: Are rapidly metabolized by the liver and may have little if
any desired action
Loading dose - ANSWER: Rapidly achieves drug levels in the therapeutic range
Peak drug level - ANSWER: Above minimum toxic concentration thus causing an
adverse response
Investigating new drugs - ANSWER: Filed with U.S. Food and Drug Administration,
Prior to human testing of any new drug entity
Being an Interpreter - ANSWER: Use a professional interpreter or reliable staff
member who can act as an interpreter for new drug
Nonadherence - ANSWER: -Most common nonadherence due to asymptomatic
conditions
-Reduce likelihood has a tolerability profile with fewer of the adverse effects that are
considering "irritating," such as nausea and dizziness
Poor health outcomes in vulnerable populations - ANSWER: Poor outcomes in
African Americans attributed to discrimination, cultural barriers, and lack of access to
health care
Tamoxifen (breast cancer) - ANSWER: Testing CYP2D6 variants prior to reduce
likelihood of therapeutic failure with tamoxifen treatment
Ginseng - ANSWER: Taken to assist with memory may potentiate: insulin
Pharmacoeconomics - ANSWER: -The analysis of the costs and consequences of any
health-care-related treatment or service
-Analysis: looks at two or more treatment alternatives and compares cost= cost-
minimization analysis
Tetracycline - ANSWER: Instruct patient not to take antacids while on these
medications (decreases absorption)
, Beta blockers (HTN use) - ANSWER: -Reducing vascular smooth muscle tone
-Disease states plus hypertension: MI
Gabapentin - ANSWER: Assess for suicidal ideation
Angioedema - ANSWER: Adverse response for ace inhibitors=angioedema. Swelling
of the tongue or hoarseness are the most common
Salmeterol - ANSWER: Cautious administration for moderate persistent asthma with
a 42- year-old African American (inhaled long-acting beta-agonist)
Diphenhydramine - ANSWER: Urinary retention
Aspirin toxicity - ANSWER: Tinnitus
Iron replacements - ANSWER: Iron is best taken on an empty stomach with juice
MMR - ANSWER: One month apart due to only 95% of patients are fully immunized
for measles after the first vaccine, with 99% having immunity after two doses of
MMR
Chronic PPI - ANSWER: Require monitoring for iron deficiency anemia, vitamin b12
and calcium deficiency
Constipation - ANSWER: 10 year old constipation medication: Bisacodyl (Dulcolax)
suppository
Gliptins - ANSWER: Different than antidiabetic agents: act on the incretin system to
indirectly increase insulin production
Ringworm treatment - ANSWER: 1 st line therapy for ringworm or athlete's foot: OTC
topical azole (clotrimazole, miconazole)
PCN and Cephalosporins - ANSWER: Cross sensitivity and cross-resistance because
both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase
producing organisms
Long term antifungals - ANSWER: Monitor for ketoconazole: AST, ALT, alkaline
phosphatase, and bilirubin
Allopurinol - ANSWER: Monitor BUN, creatinine, and creatinine clearance
Conjunctivitis and Otis media - ANSWER: Treated with high-dose oral amoxicillin
Vit B12 - ANSWER: Pernicious anemia treatment: Vitamin b12 1,000 mcg IM daily x1
week
DETAILED ANSWERS (100% CORRECT) BRAND NEW!!
Prescriptive authority - ANSWER: Regulated by State Board of nursing for each state
Prescribing - ANSWER: -Using tamper-proof paper for all prescriptions written for
controlled
drugs
- Factoring in the cost to the patient of the medication prescribed
- Individualize the drug choice for the specific patient
First Pass effect - ANSWER: Are rapidly metabolized by the liver and may have little if
any desired action
Loading dose - ANSWER: Rapidly achieves drug levels in the therapeutic range
Peak drug level - ANSWER: Above minimum toxic concentration thus causing an
adverse response
Investigating new drugs - ANSWER: Filed with U.S. Food and Drug Administration,
Prior to human testing of any new drug entity
Being an Interpreter - ANSWER: Use a professional interpreter or reliable staff
member who can act as an interpreter for new drug
Nonadherence - ANSWER: -Most common nonadherence due to asymptomatic
conditions
-Reduce likelihood has a tolerability profile with fewer of the adverse effects that are
considering "irritating," such as nausea and dizziness
Poor health outcomes in vulnerable populations - ANSWER: Poor outcomes in
African Americans attributed to discrimination, cultural barriers, and lack of access to
health care
Tamoxifen (breast cancer) - ANSWER: Testing CYP2D6 variants prior to reduce
likelihood of therapeutic failure with tamoxifen treatment
Ginseng - ANSWER: Taken to assist with memory may potentiate: insulin
Pharmacoeconomics - ANSWER: -The analysis of the costs and consequences of any
health-care-related treatment or service
-Analysis: looks at two or more treatment alternatives and compares cost= cost-
minimization analysis
Tetracycline - ANSWER: Instruct patient not to take antacids while on these
medications (decreases absorption)
, Beta blockers (HTN use) - ANSWER: -Reducing vascular smooth muscle tone
-Disease states plus hypertension: MI
Gabapentin - ANSWER: Assess for suicidal ideation
Angioedema - ANSWER: Adverse response for ace inhibitors=angioedema. Swelling
of the tongue or hoarseness are the most common
Salmeterol - ANSWER: Cautious administration for moderate persistent asthma with
a 42- year-old African American (inhaled long-acting beta-agonist)
Diphenhydramine - ANSWER: Urinary retention
Aspirin toxicity - ANSWER: Tinnitus
Iron replacements - ANSWER: Iron is best taken on an empty stomach with juice
MMR - ANSWER: One month apart due to only 95% of patients are fully immunized
for measles after the first vaccine, with 99% having immunity after two doses of
MMR
Chronic PPI - ANSWER: Require monitoring for iron deficiency anemia, vitamin b12
and calcium deficiency
Constipation - ANSWER: 10 year old constipation medication: Bisacodyl (Dulcolax)
suppository
Gliptins - ANSWER: Different than antidiabetic agents: act on the incretin system to
indirectly increase insulin production
Ringworm treatment - ANSWER: 1 st line therapy for ringworm or athlete's foot: OTC
topical azole (clotrimazole, miconazole)
PCN and Cephalosporins - ANSWER: Cross sensitivity and cross-resistance because
both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase
producing organisms
Long term antifungals - ANSWER: Monitor for ketoconazole: AST, ALT, alkaline
phosphatase, and bilirubin
Allopurinol - ANSWER: Monitor BUN, creatinine, and creatinine clearance
Conjunctivitis and Otis media - ANSWER: Treated with high-dose oral amoxicillin
Vit B12 - ANSWER: Pernicious anemia treatment: Vitamin b12 1,000 mcg IM daily x1
week
