Advanced Pharmacology Final -
n n n
Practice Quiz Questions Latest with Complete
n n n n n n n
Solutions
Escitalopramnmayncause nserious,npotentiallyfatalnreactionsnwhennusednwithn
.n (selectnall
n thatnapply)
{{Ans-nDuloxetine, namitriptilyne,nsertraline,nSt.nJohn'snWort
Mixingntwonserotoninnagentsncanncause nserotoninnsyndrome.
The ntherapeuticneffectsnofnimipramine ndevelopnovern .
{{Ans-n Severaln weeks
The nFDA-approvednindicationsnfornfluoxetine ninclude:n(selectnallnthatnapply)
{{Ans-nObsessive ncompulsive ndisorder,nmajorndepressive ndisorder,nbulimiannervosa
Takingnfoodnwithnbuspirone n altersnabsorption.n{{Ans-nFalse
Mayn be ntakennwithnfoodnton minimize ngastricnirritation
Venlafaxine nisnextensivelynmetabolizednonnfirstnpassnthroughnthe n .n {{Ans-nLiver
Signsnandn symptomsnof nlithiumntoxicityninclude:n(selectnallnthatnapply) n {{Ans-nSlurrednspeech,ndrowsiness
Valproate nacidnhasnFDA-approvednindicationsnfor:n(selectnallnthatnapply)
{{Ans-nAcute nmania,nsimple nandncomplex nabsence nseizures,npreventionnofnmigraine nheadaches
,Atomoxetine nselectivelyn the n presynapticnreuptake nof nnorepinephrine nresultingninna(n)
n
n attention n span.
{{Ans-n Inhibits,nimproved
Phenelzine ndoesnnotnneedntonbe ndiscontinuednseveralndaysnbeforenelectivensurgerynthatnrequiresnanesth
esia.n{{Ans-nFalse
Bupropionncannbe n usednfornsmokingncessation.n{{Ans-nTrue
Methylphenidate nisnnotneffective nfornnarcolepticnpatients.n {{Ans-nFalse
Clozapine nmayncause:n(selectnallnthatnapply) n {{Ans-nSyncope,northostaticnhypotension, ncardiacnarrest
Causesnbradycardianwhichncouldnleadntonsyncope nandncardiacn arrest
Administeringnrisperidone nwithnlevodopanisncontraindicated.n {{Ans-nTrue
Itn decreasesnthe neffectsnof nlevodopa
The n n formn ofnziprasidone nisnfrequentlynusednforncontrolnofnacutelynagitatednpatients.
{{Ans-n Intramuscularn(IM)
Anticonvulsantsnare nfrequentlynusednasnmoodnstabilizersnfornthentreatmentnofnmanianandnbipolarnspectr
umndisordersnbecause nthey:n{{Ans-nReduce nsynapticnkindling
Anpatientnwasnstartednonnfluoxetinenforndepressionn3ndaysnago.nShe nnowncomplainsnthatnitn"doesnn'tnhelp
"nandnrefusesntontake nit.nUnderstandingnthe npsychopharmacology, nthe nnurse'snbestnfirstnactionnisnto:
,{{Ans-
n Discuss n withn thenpatientnthatnthesentypes nofn medications n oftenntaken severaln weeks nbeforen seeingnthenre
sults.
Whichnof nthe nfollowingnisnancommonnside neffectnof nbothnfirst-nandnsecond-
generationnantipsychoticndrugs?n(selectnallnthatnapply)
{{Ans-nExtrapyramidalnside neffectsnsuchnasnpseudo-
parkinsonismnornacute ndystonia,nneurolepticnmalignantnsyndrome,nexcessive nsedation
Anmale npatientnwhonisntakingnthe nsecond-
generationnantipsychoticnreportsntonthennursenthatnhen hasnobservednanclearnfluidnleakingnfromnhisnrightnn
ipple nfornthe npastnmonth.nThe nnurse'snbestninitialninterventionnis:
{{Ans-nInformnthe npatientnthatnthisncouldnbe nan side neffectnof nthe nmedication
The nphysicianndiscussesnthenappropriatenessnof nprescribingnanserotonin/norepinephrine nreuptakeninhibi
torn(SNRI) nfornanpatient.nWhichnofnthe n followingnmedicationsnare ninnthisncategory?
{{Ans-n Venlafaxine nandnduloxetine
Anpatientnhasnbeennprescribednanselectivenserotoninnreuptakeninhibitorn(SSRI)nforndepression.nThe nnurse n
shouldncounselnthe npatientnaboutnwhichnofnthe nfollowingnpossible nside neffects,namongnothers?
{{Ans-nFever,nsweating,nagitation,nrapidnheartbeat
Annurse ncounselsnanpatientnwhonhasnbeennprescribednanmonoaminenoxidaseninhibitorn(MAOI) ntontreatnd
epressionntonavoidnfoodsncontainingntyramine.nWhichnofnthe nfollowingnfoodsnshouldnthe npatientnavoid?n(
selectnallnthatnapply)
{{Ans-nYogurt,ntofu,npepperoni
Anpatientnwithnsevere nkidneyndiseasenisnstartednonnlithiumnbynannewnresident.nAsnthennursenonndutynyournb
estninitialnresponse nwouldnbe nto:
{{Ans-
n Contactn the nresidentnton remindn himn thatn the n clientn hasn kidney n disease n andn lithiumn isn contraindicated
, Whichnof n the nfollowingnisngenerallyntrue nofnmedicationsnusedntontreatnanxietyndisorders?
{{Ans-
n Justn asn withn depression, nthen mostncommon nmedications nprescribedn aren serotonin nreuptaken inhibitors n (
SSRIs) nandnselective nnorepinephrine nreuptake ninhibitorsn(SNRIs).
Fornwhichnone nofnthe n followingntypesnof ndrugsnisnthe nconsumptionnofngrapefruitnjuice ncontraindicated?
{{Ans-n Second-generationnantipsychotics
Psychopharmaceuticalnagentsnare nprescribednfornindividualsnwithnsubstancenuse ndisordersnfornallnofnthe nfollow
ingnreasonsnexcept:
{{Ans-nTonelevate nthe npatient'snmoodninnanmannerncomparable ntonthe nactionnofn the nmisusednsubstance
Anpatientnhasnbeennprescribedndisulfiram.nThe nnursenwouldnmostnappropriatelyncounselnthe npatientnabout
n whichn of n the n following?
{{Ans-nAntoxicnreactionnifnalcoholnisnconsumed
Whennanpatientnisnprescribednrisperidonenfornschizoaffectivendisorder,nthe nnurse nmustnalertnthenpatientnto
n the n potentialn fornneurolepticn malignantnsyndrome. nWhichn of nthen followingn wouldn ben accuraten informati
onntongive nthe npatient?
{{Ans-
n Neurolepticnmalignantn syndromen isnpotentially n fatal.n Itn usually n occursnduringn the nfirstn 2n weeksn aftern starti
ngnann antipsychoticndrugnornincreasingnthendosenandnisncharacterizednbynhighnfever,nmuscle nstiffness,npara
noia,nsweating,nandnlarge nchangesninnbloodnpressure.
Anclientnwithndepressionnisntakingnphenelzine.nThennursenadvisesnthenclientntonavoidnconsumingnwhichnfo
odsnwhile ntakingnthe nmedicationn{{Ans-nYogurt
Methylphenidate nisnanCNSnstimulantnandnisnthe ndrugnof nchoice nfornindividualsnwithnattention-
n deficit/hyperactivity n disordern(ADHD). n The n desired n effects n of n methylphenidate n may n be n noted n as:
{{Ans-nIncreasednattentionnspannandnconcentration
n n n
Practice Quiz Questions Latest with Complete
n n n n n n n
Solutions
Escitalopramnmayncause nserious,npotentiallyfatalnreactionsnwhennusednwithn
.n (selectnall
n thatnapply)
{{Ans-nDuloxetine, namitriptilyne,nsertraline,nSt.nJohn'snWort
Mixingntwonserotoninnagentsncanncause nserotoninnsyndrome.
The ntherapeuticneffectsnofnimipramine ndevelopnovern .
{{Ans-n Severaln weeks
The nFDA-approvednindicationsnfornfluoxetine ninclude:n(selectnallnthatnapply)
{{Ans-nObsessive ncompulsive ndisorder,nmajorndepressive ndisorder,nbulimiannervosa
Takingnfoodnwithnbuspirone n altersnabsorption.n{{Ans-nFalse
Mayn be ntakennwithnfoodnton minimize ngastricnirritation
Venlafaxine nisnextensivelynmetabolizednonnfirstnpassnthroughnthe n .n {{Ans-nLiver
Signsnandn symptomsnof nlithiumntoxicityninclude:n(selectnallnthatnapply) n {{Ans-nSlurrednspeech,ndrowsiness
Valproate nacidnhasnFDA-approvednindicationsnfor:n(selectnallnthatnapply)
{{Ans-nAcute nmania,nsimple nandncomplex nabsence nseizures,npreventionnofnmigraine nheadaches
,Atomoxetine nselectivelyn the n presynapticnreuptake nof nnorepinephrine nresultingninna(n)
n
n attention n span.
{{Ans-n Inhibits,nimproved
Phenelzine ndoesnnotnneedntonbe ndiscontinuednseveralndaysnbeforenelectivensurgerynthatnrequiresnanesth
esia.n{{Ans-nFalse
Bupropionncannbe n usednfornsmokingncessation.n{{Ans-nTrue
Methylphenidate nisnnotneffective nfornnarcolepticnpatients.n {{Ans-nFalse
Clozapine nmayncause:n(selectnallnthatnapply) n {{Ans-nSyncope,northostaticnhypotension, ncardiacnarrest
Causesnbradycardianwhichncouldnleadntonsyncope nandncardiacn arrest
Administeringnrisperidone nwithnlevodopanisncontraindicated.n {{Ans-nTrue
Itn decreasesnthe neffectsnof nlevodopa
The n n formn ofnziprasidone nisnfrequentlynusednforncontrolnofnacutelynagitatednpatients.
{{Ans-n Intramuscularn(IM)
Anticonvulsantsnare nfrequentlynusednasnmoodnstabilizersnfornthentreatmentnofnmanianandnbipolarnspectr
umndisordersnbecause nthey:n{{Ans-nReduce nsynapticnkindling
Anpatientnwasnstartednonnfluoxetinenforndepressionn3ndaysnago.nShe nnowncomplainsnthatnitn"doesnn'tnhelp
"nandnrefusesntontake nit.nUnderstandingnthe npsychopharmacology, nthe nnurse'snbestnfirstnactionnisnto:
,{{Ans-
n Discuss n withn thenpatientnthatnthesentypes nofn medications n oftenntaken severaln weeks nbeforen seeingnthenre
sults.
Whichnof nthe nfollowingnisnancommonnside neffectnof nbothnfirst-nandnsecond-
generationnantipsychoticndrugs?n(selectnallnthatnapply)
{{Ans-nExtrapyramidalnside neffectsnsuchnasnpseudo-
parkinsonismnornacute ndystonia,nneurolepticnmalignantnsyndrome,nexcessive nsedation
Anmale npatientnwhonisntakingnthe nsecond-
generationnantipsychoticnreportsntonthennursenthatnhen hasnobservednanclearnfluidnleakingnfromnhisnrightnn
ipple nfornthe npastnmonth.nThe nnurse'snbestninitialninterventionnis:
{{Ans-nInformnthe npatientnthatnthisncouldnbe nan side neffectnof nthe nmedication
The nphysicianndiscussesnthenappropriatenessnof nprescribingnanserotonin/norepinephrine nreuptakeninhibi
torn(SNRI) nfornanpatient.nWhichnofnthe n followingnmedicationsnare ninnthisncategory?
{{Ans-n Venlafaxine nandnduloxetine
Anpatientnhasnbeennprescribednanselectivenserotoninnreuptakeninhibitorn(SSRI)nforndepression.nThe nnurse n
shouldncounselnthe npatientnaboutnwhichnofnthe nfollowingnpossible nside neffects,namongnothers?
{{Ans-nFever,nsweating,nagitation,nrapidnheartbeat
Annurse ncounselsnanpatientnwhonhasnbeennprescribednanmonoaminenoxidaseninhibitorn(MAOI) ntontreatnd
epressionntonavoidnfoodsncontainingntyramine.nWhichnofnthe nfollowingnfoodsnshouldnthe npatientnavoid?n(
selectnallnthatnapply)
{{Ans-nYogurt,ntofu,npepperoni
Anpatientnwithnsevere nkidneyndiseasenisnstartednonnlithiumnbynannewnresident.nAsnthennursenonndutynyournb
estninitialnresponse nwouldnbe nto:
{{Ans-
n Contactn the nresidentnton remindn himn thatn the n clientn hasn kidney n disease n andn lithiumn isn contraindicated
, Whichnof n the nfollowingnisngenerallyntrue nofnmedicationsnusedntontreatnanxietyndisorders?
{{Ans-
n Justn asn withn depression, nthen mostncommon nmedications nprescribedn aren serotonin nreuptaken inhibitors n (
SSRIs) nandnselective nnorepinephrine nreuptake ninhibitorsn(SNRIs).
Fornwhichnone nofnthe n followingntypesnof ndrugsnisnthe nconsumptionnofngrapefruitnjuice ncontraindicated?
{{Ans-n Second-generationnantipsychotics
Psychopharmaceuticalnagentsnare nprescribednfornindividualsnwithnsubstancenuse ndisordersnfornallnofnthe nfollow
ingnreasonsnexcept:
{{Ans-nTonelevate nthe npatient'snmoodninnanmannerncomparable ntonthe nactionnofn the nmisusednsubstance
Anpatientnhasnbeennprescribedndisulfiram.nThe nnursenwouldnmostnappropriatelyncounselnthe npatientnabout
n whichn of n the n following?
{{Ans-nAntoxicnreactionnifnalcoholnisnconsumed
Whennanpatientnisnprescribednrisperidonenfornschizoaffectivendisorder,nthe nnurse nmustnalertnthenpatientnto
n the n potentialn fornneurolepticn malignantnsyndrome. nWhichn of nthen followingn wouldn ben accuraten informati
onntongive nthe npatient?
{{Ans-
n Neurolepticnmalignantn syndromen isnpotentially n fatal.n Itn usually n occursnduringn the nfirstn 2n weeksn aftern starti
ngnann antipsychoticndrugnornincreasingnthendosenandnisncharacterizednbynhighnfever,nmuscle nstiffness,npara
noia,nsweating,nandnlarge nchangesninnbloodnpressure.
Anclientnwithndepressionnisntakingnphenelzine.nThennursenadvisesnthenclientntonavoidnconsumingnwhichnfo
odsnwhile ntakingnthe nmedicationn{{Ans-nYogurt
Methylphenidate nisnanCNSnstimulantnandnisnthe ndrugnof nchoice nfornindividualsnwithnattention-
n deficit/hyperactivity n disordern(ADHD). n The n desired n effects n of n methylphenidate n may n be n noted n as:
{{Ans-nIncreasednattentionnspannandnconcentration
