NUR 635 ADVANCED PHARMACOLOGY FINAL EXAM ALL QUESTIONS AND CORRECT ANSWERS LATEST UPDATE THISR YEAR

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NUR 635 ADVANCED PHARMACOLOGY FINAL EXAM
ALL QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THISR YEAR




QUESTION: When educating patients who are starting on inhaled corticosteroids, the provider

should tell them that:


1. They need to get any live vaccines before starting the medication.


2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.


3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent

thrush.


4. They can triple the dose number of inhalations of medication during colds to prevent needing

systemic steroids - ANSWER-3. Patients should rinse their mouths out after using the inhaled

corticosteroid to prevent thrush.




QUESTION: Howard is a seventy-two-year-old male who occasionally takes diphenhydramine

for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include

assessing for:



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Urinary retention


Cardiac output


Peripheral edema


Skin for rash - ANSWER-Urinary retention




QUESTION: Second generation antihistamines such as loratadine (Claritin) are prescribed for

seasonal allergies because they are:


A.More effective than first generation antihistamines


B.Less sedating than the first generation antihistamines


C.Prescription products, therefore are covered by insurance


D.Able to be taken with CNS sedatives, such as alcohol - ANSWER-B.Less sedating than the first

generation antihistamines




QUESTION: 4. Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S.

Food and Drug


Administration due to the:


1. Risk of life-threatening dermatological reactions



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2. Increased incidence of cardiac events when LTBAs are used


3. Increased risk of asthma-related deaths when LTBAs are used


4. Risk for life-threatening alterations in electrolytes - ANSWER-3. Increased risk of asthma-

related deaths when LTBAs are used




QUESTION: Prior to developing a plan for the treatment of asthma, the patient's asthma should

be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma

is classified as asthma symptoms that occur:


1. Daily


2. Daily and limit physical activity


3. Less than twice a week


4. More than twice a week and less than once a day - ANSWER-4. More than twice a week and

less than once a day




QUESTION: Education for patients who use an inhaled beta-agonist and an inhaled

corticosteroid includes:


1. Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.




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2. Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.


3. Increase fluid intake to 3 liters per day.


4. Avoid use of aspirin or ibuprofen while using inhaled medications - ANSWER-2. Use the

inhaled beta-agonist first, followed by the inhaled corticosteroid.




Q; The first-line drug choice for a previously healthy adult patient diagnosed with community-

acquired pneumonia would be:


1.Ciprofloxacin


2.Azithromycin


3.Amoxicillin


4.Doxycycline - ANSWER-2.Azithromycin




QUESTION: Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and

lymphadenopathy. Initial evaluation and treatment includes:


1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days


2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure


3. Rapid strep test and symptomatic care if strep test is negative



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