NURS6630N Pharmacology Final Exam Week 11 With Answers (76 Solved Questions)

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CourseNURS-6630NTestWeek 11 Final ExamQuestion 10 out of 1 pointsA patient diagnosed with obsessive compulsive disorder has beentaking a high-dose SSRI and is participating in therapy twice a week.He reports an inability to carry out responsibilities due to consistentinterferences of his obsessions and compulsions. The PMHNP knowsthat the next step would be which of the following?Selected Answer: B.Decrease his SSRI and add an MAOI.Question 20 out of 1 pointsWhich statement best describes a pharmacological approach to treatingpatients for impulsive aggression?SelectedAnswer:B.Atypical antipsychotics can increase subcorticaldopaminergic stimulation.

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Question 31 out of 1 pointsThe PMHNP evaluates a patient presenting with symptoms ofdementia. Before the PMHNP considers treatment options, the patientmust be assessed for other possible causes of dementia. Which of thefollowing answers addresses both possible other causes of dementiaand a rational treatment option for Dementia?SelectedAnswer:B.Possible other causes:hypothyroidism, adrenalinsufficiency, hyperparathyroidismPossible treatment option:donepezilQuestion 41 out of 1 pointsAn 80-year-old female patient diagnosed with Stage II Alzheimer’s hasa history of irritable bowel syndrome. Which cholinergic drug may bethe best choice for treatment given the patient’s gastrointestinalproblems?Selected Answer: A.Donepezil (Aricept)Question 50 out of 1 pointsThe PMHNP is teaching parents about their child’s new prescriptionfor Ritalin. What will the PMHNP include in the teaching?Selected Answer: D.There will be continued effects into the evening.

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Question 61 out of 1 pointsThe PMHNP prescribes gabapentin (Neurontin) for a patient’s chronicpain. How does the PMHNP anticipate the drug to work?SelectedAnswer:A.It will bind to the alpha-2-delta ligand subunit ofvoltage-sensitive calcium channels.Question 71 out of 1 pointsAn opioid-naive patient is taking MS Contin (morphine sulfate) to treathis pain that is secondary to cancer. Under what circumstances wouldthe PMHNP order naloxone (Narcan) IM/SQ?SelectedAnswer:D.The patient’s vital signs are 98.4F temp, 88 pulse,104/62 blood pressure, and 8 respirations.Question 81 out of 1 pointsA patient is prescribed D-methylphenidate, 10-mg extended-releasecapsules. What should the PMHNP include when discussing the sideeffects with the patient?Selected Answer: C.The medication can affect your blood pressure.Question 91 out of 1 pointsA young patient is prescribed Vyvanse. During the follow-upappointment, which comment made by the patient makes the PMHNPthink that the dosing is being done incorrectly?

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Selected Answer: B.“I am unable to fall asleep at night.”Question 101 out of 1 pointsA patient recovering from shingles presents with tenderness andsensitivity to the upper back. He states it is bothersome to put a shirt onmost days. This patient has end stage renal disease (ESRD) and isscheduled to have hemodialysis tomorrow but states that he does notknow how he can lie in a recliner for 3 hours feeling thisuncomfortable. What will be the PMHNP’s priority?Selected Answer: C.Prescribe lidocaine 5%Question 110 out of 1 pointsA 63-year-old patient presents with the following symptoms. ThePMHNP determines which set of symptoms warrant prescribing amedication? Select the answer that is matched with an appropriatetreatment.SelectedAnswer:C.Reduced ability to find the correct word is mostproblematic, and an appropriate treatment option wouldbe memantine.Question 121 out of 1 pointsThe PMHNP is caring for a patient who openly admitted to drinking aquart of vodka daily. Prior to prescribing this patient disulfiram(Antabuse), it is important for the PMHNP to:

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SelectedAnswer:A.Evaluate the patient’s willingness to abstain fromalcoholQuestion 130 out of 1 pointsA PMHNP supervisor is discussing with a nursing student howstimulants and noradrenergic agents assist with ADHD symptoms.What is the appropriate response?SelectedAnswer:A.They both increase signal strength output dopamine(DA) and norepinephrine (NE).Question 141 out of 1 pointsThe PMHNP is assessing a female patient who has been takinglamotrigine (Lamictal) for migraine prophylaxis. After discovering thatthe patient has reached the maximum dose of this medication, thePMHNP decides to change the patient’s medication to zonisamide(Zonegran). In addition to evaluating this patient’s day-to-dayactivities, what should the PMHNP ensure that this patientunderstands?SelectedAnswer:D.This medication has unwanted side effects such assedation, lack of coordination, and drowsiness.Question 150 out of 0 pointsWhen completing this exam, did you comply with Walden University’sCode of Conduct including the expectations for academic integrity?

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Selected Answer: YesQuestion 161 out of 1 pointsThe PMHNP is teaching a patient with a sleep disorder about takingdiphenhydramine (Benadryl). The patient is concerned about the sideeffects of the drug. What can the PMHNP teach the patient about thistreatment approach?Selected Answer: B.“It can cause blurred vision.”Question 171 out of 1 pointsThe PMHNP is performing a quality assurance peer review of the chartof another PMHNP. Upon review, the PMHNP reviews the chart of anolder adult patient in long-term care facility who has chronic insomnia.The chart indicates that the patient has been receiving hypnotics on anightly basis. What does the PMHNP find problematic about thisdocumentation?SelectedAnswer:B.Hypnotics have prolonged half-lives that can cause drugaccumulation in the elderly.Question 181 out of 1 pointsA 14-year-old patient is prescribed Strattera and asks when themedicine should be taken. What does the PMHNP understandregarding the drug’s dosing profile?

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Selected Answer: B.The patient will have one or two doses a day.Question 191 out of 1 pointsThe PMHNP is assessing a patient who presents with elevated levels ofbrain amyloid as noted by positron emission tomography (PET). Whatother factors will the PMHNP consider before prescribing medicationfor this patient, and what medication would the PMHNP want to avoidgiven these other factors?Selected Answer: D.Both “A” & “B”Question 201 out of 1 pointsThe PMHNP is meeting with the parents of an 8-year-old patient whois receiving an initial prescription for D-amphetamine. The PMHNPdemonstrates appropriate prescribing practices when she prescribes thefollowing dose:Selected Answer: A.The child will be prescribed 2.5 mg.Question 211 out of 1 pointsA 9-year-old female patient presents with symptoms of both attentiondeficit hyperactivity disorder (ADHD) and oppositional defiantdisorder. In evaluating her symptoms, the PMHNP determines thatwhich of the following medications may be beneficial in augmentingstimulant medication?Selected Answer: C.Guanfacine ER (Intuniv)

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