NURS 617/Nurs 617 Pharmacotherapeutics Final Exam 2024 latest (100% ACCURATE SUMMER) GRAD | Exams Nursing | Docsity (2024)

Download NURS 617/Nurs 617 Pharmacotherapeutics Final Exam 2024 latest (100% ACCURATE SUMMER) GRAD and more Exams Nursing in PDF only on Docsity! NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 NURS 617/Nurs 617 Pharmacotherapeutics Final Exam 2024 latest (100% ACCURATE SUMMER) GRADED A+|COMPLETE Pharmaco*kinetics a. refers to the role of genetic variation on response to a drug. b. refers to an individual's body's therapeutic response to a drug. c. refers to how a drug moves through an individual's body. c. refers to how a drug moves through an individual's body. Pharmacodynamics a. refers to the role of genetic variation on response to a drug. b. refers to how a drug moves through an individual's body. c. refers to an individual's body's therapeutic response to a drug. c. refers to an individual's body's therapeutic response to a drug. Brainpower Read More Pharmacogenomics a. refers to an individual's body's therapeutic response to a drug. b. refers to the role of genetic variation on response to a drug. c. refers to how a drug moves through an individual's body. b. refers to the role of genetic variation on response to a drug. NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Which of the following statement(s) are true regarding the drug-response relationship? Select one or more: a. Alcohol consumption may interact with prescription medications thereby altering the intended response. b. The prescriber can eliminate all patient noncompliance factors by sufficiently educating the patient c. The ultimate response of a drug is a combination of both the therapeutic and unintended responses to a drug d. The prescriber may need to deviate from the dosage recommended by the manufacturer of the drug a. Alcohol consumption may interact with prescription medications thereby altering the intended response. c. The ultimate response of a drug is a combination of both the therapeutic and unintended responses to a drug d. The prescriber may need to deviate from the dosage recommended by the manufacturer of the drug Water-soluble drugs have good absorption through all the following routes except which one? Select one: a. Enteral b. Intravenous c. Transdermal d. Transrectal c. Transdermal Which one of the following conditions can lead to a cumulative type of adverse drug reaction? NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 HMG-CoA Reductase Inhibitors: atorvastatin (Lipitor) Cholesterol Absorption Inhibitors: ezetimibe (Zetia) The NP is evaluating a 53 y/o female with a BMI of 24 and blood pressure 110s/70s. According to JNC-8, the patient is considered to have? a. HTN requiring therapy with a ACE inhibiotor b. HTN requiring therapy with a thiazide-type diuretic c. normal BP d. HTN requiring therapy with a CCB c. normal BP When compared to person's of European ancestry, patients of African ancestry tend to have a reduced blood pressure response with monotherapy on all of the following BP drug classes except: a. CCBs b. Beta Blockers c. ARBs d. ACEIs a. CCBs Match the following term with the correct impact on the heart: Chronotropic NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Inotropic Dromotropic Answer 3: Choose Cardiac conduction Force of cardiac contraction Cardiac rate Chronotropic: Cardiac rate Inotropic: Force of cardiac contraction Dromotropic: Cardiac conduction Match the anti-hypertensive medication with the appropriate drug class: Verapamil Enalapril Olmesartan NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Amlodipine Sotalol Answer 5: Choose Beta-adrenergic receptor antagonist Dihydropyridine calcium channel blocker ACEI Angiotensin receptor antagonist Alpha blocker Nondihydropyridine calcium channel blocker Verapamil: Nondihydropyridine calcium channel blocker Enalapril: ACEI Olmesartan: Angiotensin receptor antagonist Amlodipine: Dihydropyridine calcium channel blocker Sotalol: Beta-adrenergic receptor antagonist NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 b. Rx for doxylamine succinate and pyridoxine hydrochloride c. OTC diphenhydramine d. Rx for ondansetron b. Rx for doxylamine succinate and pyridoxine hydrochloride You are seeing a patient in the clinic who is requesting medication for motion sickness to take on a cruise. Knowing the mechanism of action of these medications, what education would you offer regarding anticholingeric side effects? a. blurred vision b. potential constipation c. hiccups d. dry mouth a. blurred vision b. potential constipation d. dry mouth Match each drug with its appropriate drug class: famotidine pantoprazole calcium carbonate ranitidine NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 misoprostol esomeprazole Answer 6: Choose PPI antacid H-2 blocker cytoprotective famotidine: H-2 blocker pantoprazole: PPI calcium carbonate: antacid ranitidine: H-2 blocker misoprostol: cytoprotective esomeprazole: PPI NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 You are examining a 65y/o male with past medical history (PMH) of CAD, MI and Migraines. Which one of the following medications would be the best choice for treatment of an acute headache (abortive therapy). a. Acetaminophen (Tylenol) b. Verapamil (Calan) c. Ergotamine (Cafergot) d. Sumatriptan (Imitrex, Alsuma) a. Acetaminophen (Tylenol) Which of the following antiepileptic medications is least likely to cause a significant drug-drug interaction? a. Gabapentin (Neurontin) b. Phenytoin (Dilantin) c. Carbamazepine (Carbatrol, Tegretol) d. Clonazepam (Klonopin) a. Gabapentin (Neurontin) MAO-B inhibitors, COMT Inhibitors, Adenosine Receptor Antagonists, Dopamine Agonists and Anticholinergic drugs are used to treat Parkinson's Disease (PD). Match each drug with it's appropriate mechanism of action. Amantadine (Symmetrel) Entacapone (Comtan) Safinamide (Xadago) NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Your patient is on Lithium for the treatment of bipolar disorder. Which of the following should be monitored? a. renal function b. lithium level c. thyroid function d. valproate level a. renal function b. lithium level c. thyroid function Insulin is an anabolic hormone. Select one: True False True What test is used to measure a 3 - 4 month average of blood glucose? Select one: NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 a. hemoglobin A1c b. CBC c. serum glucose d. serum insulin a. hemoglobin A1c Match the generic name insulin with it classification of action: (rapid, short, intermediate, long) Insulin Regular U-500 Insulin Lispro Insulin Isophane (NPH) Insulin Aspart Regular Insulin Insulin Glargine Insulin Regular U-500: Short Insulin Lispro: Rapid Insulin Isophane (NPH): Intermediate Insulin Aspart: Rapid NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Regular Insulin: Short Insulin Glargine: Long Match the drug with the diagnosis it is used to treat: liothyronine dessicated thyroid levothyroxine propylthiouracil methimazole liothyronine: hypothyroidism dessicated thyroid: hypothyroidism levothyroxine: hypothyroidism propylthiouracil: hyperthyroidism methimazole: hyperthyroidism Physiologic actions of the hormone Estrogen include all of the following except: NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Acetylsalicylic acid: Salicylate Etodolac: NSAID Ibuprofen: NSAID Salsalate: Salicylate Methylprednisolone: Corticosteroid Diflunisal: Salicylate Penicillin G can be administered oral, IM and IV Select one: True False False nafcillin is the only penicillin that is metabolized by the liver NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Select one: True False True Match the term with its mechanism of action: microbiostatic microbicidal Answer: Choose a drug that requires assistance from the host to eradicate an organism drug capable of destroying an organism by itself an inherent resistance in the structure of certain bacteria microbiostatic: a drug that requires assistance from the host to eradicate an organism microbicidal: drug capable of destroying an organism by itself NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Match the bacteria with its appropriate classification: listeria clostridium staphylococcus pseudomonas pneumococcus bacteroides salmonella Answer: Choose gram positive aerobe gram negative anaerobes gram negative aerobe gram positive anaerobe NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 A narcotic causing respiratory depression is an example of a ____ adverse reaction Toxic ____ ____ are an important class of drugs for persons with heart failure ACE Inhibitors Always begin with a ____ before prescribing Diagnosis Only oral anticoagulant given for mechanical heart valve Warfarin Bradycardia is a physiologic response associated with drugs that are beta-1 adrenergic receptor Antagonist Milrinone is an antagonist that improves the uptake of intracellular calcium, this increases the force of ___ ___ Myocardial Contraction A decreased response to a drug given repeatedly over time is called _____ NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 Tolerance Nitrates ____ myocardial oxygen demand Decrease ____ inhibit HMG Co-A reductase enzyme that is responsible for the hepatic synthesis of cholesterol from acetate Statins Antiepileptic used to treat petit mal seizures Ethosuximide Anticholinergic agent used to treat COPD Tiotropium Beta 2 agonist that can potentiate cardiac arrhythmia Albuterol Drug used alone as initial monotherapy for bradykinesia Amantidine NURS 617 - Pharmacotherapeutics for Advanced Nursing Practice 2024 What does aprepitant block Substance-P Cocaine directly affects the brain's release of? Dopamine Beta 2 agonist that cannot be used alone to treat acute asthmatic bronchospasm Aclidinium The drug selegiline blocks the metabolism of? Levodopa Benzodiazepines has the potential for ____ dependence Psychological Blocks COX enzymes NSAID's Penicillin that causes a rash Amoxicillin