A physician has ordered subcutaneous injections of morphine, a narcotic, every 4
hours as needed for pain for a motor vehicle accident victim. The nurse is aware
that there is a high abuse potential for this drug and that it is categorized as a
Selected
Answer:
C-II drug.
Question 2
1 out of 1 points
Glargine (Lantus) is an insulin analog that essentially has no peak and is usually
administered:
Selected
Answer:
Once a day.
Question 3
0 out of 1 points
The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who
complains of almost daily indigestion and heartburn for the past year with a strong acid
taste in the mouth about an hour after meals, and frequent belching and awakening at
night with choking. The history is negative for chronic illnesses and alarm symptoms. A
diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial
treatment for the patient?
Selected
Answer:
Ranitidine (Zantac) 150
mg bid.
Question 4
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has a
21-year history of heavy drinking and is worried about developing cirrhosis of the
liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the
patient that the combination of alcohol and Antabuse will cause which of the
following?
Selected
Answer:
Nausea
Question 5
1 out of 1 points
Typical adverse reactions to oral calcium-channel blockers include:
Selected
Answer:
ede
ma
Question 6
1 out of 1 points
Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been
diagnosed with hypertension. Which antihypertensive drug is the recommended choice
to treat hypertension in patients with diabetes?
Selected
Answer:
ACE
Inhibitor
Question 7
1 out of 1 points
Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner
knows they should monitor the older adult patient for which of the most common
adverse reactions of digoxin?
Selected
Answer:
confusi
on
Question 8
1 out of 1 points
/Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive
authority Is regulated by:
Selected
Answer:
The state board of nursing for
each state
Question 9
1 out of 1 points
A Nurse Practitioner is conducting an assessment of a patient who has recently had
several changes made to her drug regimen. What assessment question most directly
addresses the safety implications of the patient's drug regimen?
Selected
Answer:
"Do you take any herbal supplements or alternative
medications?"
Question 10
0 out of 1 points
A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen
that is most appropriate for a mean replacement dosage. The patient has been started on a treatment
regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean
replacement dosage.
Selected
Answer:
1.2 mcg/kg of body weight
per day
Question 11
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed
with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been
prescribed for her. Which of the following should the Nurse Practitioner assess before
beginning drug therapy?
Selected
Answer:
Serum potassium
levels
Question 12
1 out of 1 points
A 76-year-old woman has a complex medical history that includes emphysema,
osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside
her home as a result of weakness and suffered a fracture to her femoral head.
The woman's subsequent hip-replacement surgery has been scheduled and the
care team recognizes that the use of isoflurane will be most significantly
influenced by
Selected
Answer:
her history of emphysema.
Question 13
1 out of 1 points
A common side effect of metformin (Glucophage) therapy is:
Selected
Answer:
diarrh
ea
Question 14
0 out of 1 points
The side effects of antihistamines are mostly due to their:
Selected
Answer:
sedating
effects
Question 15
0 out of 1 points
The APRN's ability to prescribe controlled substances is regulated by:
Selected
Answers:
DE
A
Question 16
1 out of 1 points
Which type of antihistamines are used to inhibit the secretion of
gastric acid in patients with gastrointestinal disorders?
Selected
Answer:
H2
Question 17
1 out of 1 points
The recommended range for maintaining serum theophylline levels is:
Selected
Answer:
10 to 20 μg/mL.
Question 18
1 out of 1 points
The anticoagulant drug that acts as a vitamin K antagonist is:
Selected
Answer:
couma
din
Question 19
0 out of 1 points
Which of the following is a potential adverse side effect of autonomicanticholinergic
agents?
Selected
Answer:
Reduced GI
motility
Question 20
0 out of 1 points
The first drugs typically used to treat the symptoms of an allergic
reaction or allergic rhinitis are:
Selected
Answer:
intranasal
H1 antihistamines.
Question 21
1 out of 1 points
The point in time on the drug concentration curve that indicates the first sign of a
therapeutic effect is the
Selected
Answer:
onset of
action
Question 22
1 out of 1 points
Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid
eating large amounts of leafy green vegetables because:
Selected
Answer:
The high vitamin K levels will
decrease the INR
Question 23
1 out of 1 points
Some first-generation antihistamines are used:
Selected
Answer:
to prevent motion
sickness
Question 24
1 out of 1 points
All of the following agents are used to control the inflammatory changes seen in the
lungs of asthmatics except:
Selected
Answer:
Albuterol inhaler
(proventil)
Question 25
1 out of 1 points
Which of the following oral medications is the safest to use during pregnancy?
Selected
Answer:
Methyldo
pa
Question 26
1 out of 1 points
Ginger, a 25 year old female presents at the clinic with known history of depression.
She reports taking an SSRI with only partial relief. Which of the following drugs can
be used safely at any dose in conjunction with an SSRI?
Selected
Answer:
None of the
aboive
Question 27
1 out of 1 points
Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive
authority Is regulated by:
Selected
Answer:
The state board of nursing for
each state
Question 28
1 out of 1 points
Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ?
Selected
Answer:
Live
r
Question 29
0 out of 1 points
A possible side effect from the use of nifedipine (Procardia XL) is:
Selected
Answer:
Hyperkalemia and
tetany
Question 30
1 out of 1 points
Metformin (Glucophage) acts by:
Selected
Answer:
Decreasing hepatic glucose production with minor effects on insulin
sensitivity in both liver and peripheral tissues
Question 31
1 out of 1 points