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NSG 6005 Week 1,2,3,5 Pharmacology Quiz Actual Exam 2024 Q & A (Graded A+ )
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NSG 6005 Week 1,2,3,5 Pharmacology Quiz Actual Exam 2024 Q & A (Graded A+ )
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SUBSCRIBE NSG 6005 Week 1,2,3,5 Pharmacology Quiz 1. The major reason for not crushing a sustained release capsule is that, if crushed, the coated beads of the drugs could possibly result in: o Disintegration o Toxicity o Malabsorption o Deterioration: Answer o Toxicity 2. Drugs that have a significant first pass effect: o Must be given by enteral (oral) route only o Bypass the hepatic circulation o Are rapidly metabolized by the liver and may have little if any desired action o Are converted by the liver to more active in fat-soluble forms: Answer o Are rapidly metabolized by the liver and may have little if any desired action 3. When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare-ups. This is an example of: o His appropriately only telling you about his regularly prescribed medications o His hiding information regarding his inappropriate use of aspirin from you o His common misconception that intermittently taking OTC medications are not an important part of his drug history o A common misuse of OTC aspirin: Answer o His common misconception that intermittently taking OTC medications are not an important part of his drug history 4. Drugs that use CYP3A4 isoenzymes for metabolism may: o Induce the metabolism of another drug o Inhibit the metabolism of another drug SUBSCRIBE o Both A and B o Neither A nor B: Answer o Both A and B 5. A twenty four year old male received multiple fractures in a motor vehicle accident that required significant amounts of opioid medication to treat his pain. He is at risk for Type ADR when he no longer requires the opioids. o A o C o E o G: Answer o E 6. Infants and young children are at higher risk of ADRs due to: o Immature renal function in schoolage children o Lack of safety and efficacy studies in the pediatric population o Children's skin being thicker than adults, requiring higher dosages of topical medication o Infant boys having a higher proportion of muscle mass, leading to a higher volume of distribution: Answer o Lack of safety and efficacy studies in the pediatric population 7. The type of ADR that is the result of an unwanted but otherwise normal pharmacological action of a drug given in the usual therapeutic dose is: o Type A o Type B o Type C o Type D: Answer o Type A 8. A nurse practitioner would prescribe the liquid form of ibuprofen for a six-year -old because: SUBSCRIBE o Drugs given in liquid form are less irritating to the stomach. o A six-year -old may have problems swallowing a pill. o Liquid forms of medication eliminate the concern for first-pass effect. o Liquid ibuprofen does not have to be dosed as often as tablet form.: Answer o A six-year -old may have problems swallowing a pill. 9. The role of the nurse practitioner in the use of herbal medication is to: o Maintain competence in the prescribing of common herbal remedies. o Recommend common OTC herbs to patients. o Educate patients and guide them to appropriate sources of care. o Encourage patients to not use herbal therapy due to the documented dangers.: Answer o Educate patients and guide them to appropriate sources of care. 10. Genetic polymorphisms account for differences in metabolism, including: o Poor metabolizers (PMs) that lack a working enzyme o Intermediate metabolizers (IMs) that have one working, wild-type allele and one mutant allele o Extensive metabolizers (EMs), with two normally functioning alleles o All of the above: Answer o All of the above 11. The elderly are at high risk of ADRs due to: o Having greater muscle mass than younger adults, leading to higher volume of distribution o The extensive studies that have been conducted on drug safety in this age group o The blood -brain barrier being less permeable, requiring higher doses to achieve therapeutic effect o Age-related decrease in renal function: Answer o Age-related decrease in renal function 12. Which of the following factors may adversely affect a patient's adherence to a SUBSCRIBE therapeutic drug regimen? o Complexity of the drug regimen o Patient's perception of the potential adverse effects of the drugs o Both A and B o Neither A nor B: Answer o Both A and B 13. The first step in the prescribing process according to the World Health Organization is: o Choosing the treatment o Educating the patient about the medication o Diagnosing the patient's problem o Starting the treatment: Answer o Diagnosing the patient's problem 14. Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and 60%. To improve adherence in this population, prescribe drugs: o With a longer half-life so that missed doses produce a longer taper on the drug curve o In oral formulations that are more easily taken o That do not require frequent monitoring o Combined with patient education about the need to adhere even when symptoms are absent: Answer o With a longer half-life so that missed doses produce a longer taper on the drug curve 15. An advantage of prescribing a sublingual medication is that the medication is: o Absorbed rapidly o Excreted rapidly o Metabolized minimally o Distributed equally: Answer o Absorbed rapidlyThe benefits of buying summaries with Stuvia:
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