NU641 2021 September Week 2 Quiz Latest

NU641 Advanced Clinical Pharmacology

Week 2 Quiz

Question 1Nurse practitioner prescriptive authority is regulated by which of the following?

Select one:

 a.The National Council of State Boards of Nursing

 b.The U.S. Drug Enforcement Administration

 c.The State Board of Nursing for each state

 d.The State Board of Pharmacy

Question 2Clinical judgment in prescribing includes which of the following?

Select one:

 a.Factoring in the cost to the patient of the medication prescribed

 b.Always prescribing the newest medication available for the disease process

 c.Handing out drug samples to poor patients

 d.Prescribing all generic medications to cut costs

Question 3Drugs that use CYP 3A4 isoenzymes for metabolism may do which of the following?

Select one:

 a.Induce the metabolism of another drug

 b.Inhibit the metabolism of another drug

 c.Both a and b

 d.Neither a nor b

Question 4When determining drug treatment for a patient, the Nurse Practitioner should do which of the following?

Select one:

 a.Always use evidence-based guidelines.

 b.Individualize the drug choice for the specific patient.

 c.Rely on his or her experience when prescribing for complex patients.

 d.Use the newest drug on the market for the condition being treated.

Question 5Patient education regarding prescribed medication includes which of the following?

Select one:

 a.Instructions written at the high school reading level

 b.Discussion of expected adverse drug reactions

 c.How to store leftover medication such as antibiotics

 d.Verbal instructions that are always in English

Question 6Which of these drugs is considered as a treatment for hypertension in women during pregnancy?

Select one:

 a.Atenolol

 b.Methyldopa

 c.Guanfacine

 d.None of the above

Question 7Which of these hypertension drugs has also been approved for the treatment of attention deficit hyperactivity disorder (ADHD)?

Select one:

 a.Guanabenz

 b.Labetalol

 c.Norvasc

 d.Doxazosin

Question 8Scopolamine patch can be used to prevent the nausea and vomiting associated with motion sickness. What is the patient taught to do?

Select one:

 a.Apply the transdermal disk at least four hours before the antiemetic effect is desired.

 b.Swallow the tablet one hour before traveling when motion sickness is possible.

 c.Place the tablet under the tongue and allow it to dissolve.

 d.Change the transdermal disk every four to eight hours for maximal effect.

Question 9Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting enzyme inhibitor (ACE) is needed. Prior to prescribing this drug, what should the nurse practitioner (NP) assess for?

Select one:

 a.Hypokalemia

 b.Impotence

 c.Decreased renal function

 d.Inability to concentrate

Question 10Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. What should Donald be told to do?

Select one:

 a.Become a vegetarian because this disorder is associated with eating red meat.

 b.Stop taking the drug if abdominal cramps and diarrhea develop.

 c.Report muscle weakness or tenderness and dark urine to his provider immediately.

 d.Expect “hot flash” sensations during the first two weeks of therapy.

Question 11When comparing Angiotensin-converting-enzyme inhibitors (ACEIs) and Angiotensin II receptor blockers (ARBs) medications, which of the following holds true?

Select one:

 a.Both produce a dry, irritating cough.

 b.Both contribute to some retention of potassium.

 c.ARBs have a stronger impact on hypertension control than ACE medications.

 d.ARBs have stronger diabetes mellitus renal protection properties than ACE inhibitor medications.

Question 12The most recent treatment guidelines strongly recommend drug dosing primarily based on which of the following?

Select one:

 a.Family history

 b.Personal cardiovascular risk

 c.Specific lipid levels

 d.Twenty-year risk of cardiovascular event

Question 13When are statins traditionally ordered to be taken?

Select one:

 a.At bedtime

 b.At noon

 c.At breakfast

 d.With the evening meal

Question 14When starting a patient on a statin, education would include which of the following?

Select one:

 a.If they stop the medication, their lipid levels will return to pretreatment levels.

 b.Medication is a supplement to diet therapy and exercise.

 c.If they have any muscle aches or pain, they should contact their provider.

 d.All of the above

Question 15All patients with hypertension benefit from diuretic therapy, but those who benefit the most are which of the following?

Select one:

 a.Those with orthostatic hypertension

 b.African Americans

 c.Those with stable angina

 d.Diabetics

Question 16Which diuretic agents typically do not need potassium supplementation?

Select one:

 a.Loop diuretics

 b.Thiazide diuretics

 c.Aldosterone inhibitors

 d.They all need supplementation.

Question 17If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?

Select one:

 a.ACE inhibitors

 b.Beta blockers

 c.Calcium channel blockers

 d.Diuretics

Question 18Which of the following disease processes could be made worse by taking a nonselective beta blocker?

Select one:

 a.Asthma

 b.Diabetes

 c.Both might worsen

 d.Beta blockade does not affect these disorders.

Question 19

Disease states in addition to hypertension in which beta blockade is a compelling indication for:

Select one:

 a.Diabetes

 b.Angina

 c.Myocardial infarction

 d.Dyslipidemia

Question 20Based on clinical trials, what is a compelling indication for an ACE inhibitor as treatment for hypertension?

Select one:

 a.Pregnancy

 b.Renal parenchymal disease

 c.Stable angina

 d.Dyslipidemia