Download FNP 571 Final Exam 2023/24- University of Texas, Arlington and more Exams Pharmacology in PDF only on Docsity!
1. All of the following statements are correct EXCEPT? 1. 1) Liraglutide (Saxendra) is a GLP-1 receptor agonist 2. 2) Injection of insulin promotes weight loss 3. 3) Contrave (Naltrexone/bupropion extended release) is a weight loss drug 4. 4) Phentermine hydrochloride (Adipex-P, Lomaira) can be prescribed for up to 12 weeks 2. Macy is a 45-year-old female with IBD and is in to see the APRN for a current exacerbation. All of the following are indicated for the treatment of IBD EXCEPT: 1. Ibuprofen 2. Prednisone 3. Ciprofloxacin 4. Infliximab 3. The NP student Jenny is with her preceptor in urgent care, a patient comes in concerned about sea sickness. Jenny reviewed prior to going in to see the patient and understands that all of the following classes of anti-nausea medications would be prescribed for a patient leaving for a 7-day cruise EXCEPT: 1. 1) Meclizine (Antivert-antihistamine) 2. 2) Dimenhydrinate (Dramamine-antihistamine) 3. 3) Chlorpromazine (Thorazine-phenothiazine) 4. 4) Scopolamine (anticholinergic) 4. Osmotics used to treat constipation include of the following EXCEPT: 1. 1) Polyethylene glycol 2. 2) Magnesium citrate 3. 3) Glycerine suppositories 4. 4) Lactulose 5. Maria is a 22-year-old female that has been newly diagnosed with PCOS. The APRN understands that, all of the following are indicated to treat an adolescent patient with PCOS EXCEPT:
- Metformin
- Depo-Provera
- Spironolactone
- Hydrochlorothiazide
6. The standard dosage of St. John’s wort for the treatment of mild depression is: 1. 1) 600 mg three times daily 2. 2) 300 mg three times daily
7. Jonathan has type 1 diabetes and plays baseball for his university. The nurse practitioner assesses a knowledge deficit about his insulin and his diagnosis. He should be taught that: 1. 1) Each brand of insulin has equivalent bioavailability 2. 2) He should increase his carbohydrate intake during times of exercise 3. 3) Alcohol can cause hypoglycemia, and in small amounts can control diabetes 4. 4) Injectable medications can be substituted with oral hypoglycemics 8. Shana is receiving her first medroxyprogesterone (Depo-Provera) injection. The Advanced Practice Nurse would monitor her for: 1. 1) Hypertension 2. 2) Depression 3. 3) Weight loss 4. 4) Cataracts 9. 72-year-old Gus has diabetes, hypertension and has now developed hyperlipidemia. As the APRN reviews diabetic medications for management, she understands that classes of diabetes medications that reduce ASCVD events include all of the following EXCEPT: 1. 1) Sodium-glucose-Co-transporter-2 inhibitor 2. 2) Dipeptidyl Peptidase-4 inhibitors 3. 3) Thiazolidinediones 4. 4) Metformin 10. A 70-year-old woman is treated with oxybutynin for her urinary frequency and urgency. The NP would explain to the patient she will probably experience:
- Genetic factors
**14. Oral iron replacement is contraindicated in which of the following disorders? Select all that apply. All choices must be correct to receive credit.
- Excessive intake of carbohydrates including alcohol may raise levels of:**
- Hematocrit (HCT)
- Low density lipoproteins (LDL)
16. The 58-year-old has had T2DM for 15 years. She is currently taking metformin, sitagliptin (Januvia), and pioglitazone (Actos). Her hemoglobin A1c has ranged from 8.5-11.1 within the past year. Her A1c today is 9.9. The APRN orders insulin glargine (Lantus) to be administered at bedtime for one week. She also advises the patient to check blood sugars fasting before breakfast and to bring the record to the next visit in 7 days, when this regimen will be reevaluated. These interventions are:
- Appropriate
- Inappropriate 17. The NP student is in their pediatric clinical rotation and has a 9- month-old male child with sickle cell disease. The student reviewed the guidelines, and understands the following immunizations/drugs are contraindicated in children with sickle cell disease?
- Meningococcal vaccine
- Pneumococcal vaccine **3) 4)
- 20.** 21. Ginseng, which is taken to assist with memory, may potentiate: 1) Digoxin 2) Propranolol 3) Insulin 4) Aricept
22. The APRN is managing a new patient with anemia, an the APRN understands that all of the following statements about anemia of chronic disease are correct EXCEPT:
- Erythropoietin (EPO) is a hormone that stimulates the proliferation of erythroid precursors in the bone marrow.
- Erythrocytes are macrocytic in anemia of chronic disease
- Celiac disease
- Autoimmune atrophic gastritis
- Helicobacter pylori infection
- Inflammatory Bowel Disease
- Chronic blood loss is a cause of anemia of chronic disease 23. Duloxetine is indicated for all of the following EXCEPT:
- Panic disorder
- Depression
- Chronic pain
- Bipolar disorder 24. The FNP is caring for a 24-year-old female who now presents with pneumonia. She is breastfeeding her baby son, who is five months old. Which of the following resources would be appropriate for the FNP to consult for information about prescribing an antibiotic to a lactating female? Select all that apply. All choices must be correct to receive credit.
- None of the above
- Paroxetine
- Estradiol PO to prevent ASCVD 3) Estrogen vaginal cream
- Replens vaginal gel
32. Theophylline can be toxic when serum theophylline concentrations are >20 mcg/mL. Which of the following side effects can occur at levels >20 mcg/mL?
- Diarrhea 2) Insomnia 3) Headache 4) Seizures 33. Jean is a lovely 82-year-old female who takes omeprazole (Prilosec) for her chronic GERD. The Advanced Practice Nurse instructs the patient that chronic long-term omeprazole use places her at increased risk for:
- Osteoporosis
- Metaplastic anemia
- Hypertension
- Hypotension 34. Phenylephrine should NOT be administered to a patient with a history of:
- Diabetes Mellitus
- Allergic rhinitis
35. What is the number one goal of treatment of viral upper respiratory illnesses? 1. 1) Eradication of bacterial sources 2. 2) Suppression of cyclooxygenase 3. 3) Obtaining a sputum culture 4. 4) Symptom improvement 36. A passenger on the cruise ship presents to the NP on the ship with symptoms of diarrhea and nausea. The NP has seen 8 other passengers with similar symptoms. Food poisoning was ruled out, the NP determined the cause was norovirus. All of the following treatments were prescribed EXCEPT:
- Consumption of 2 cups of live-culture yogurt every day until the diarrhea is resolved.
- Note:
37. The APRN is ordering a MDI of albuterol. A spacer to use with the MDI should be ordered for which of the following patients? Select all that apply. All choices must be correct to receive credit.
- None of the above 38. Which of the following cough suppressants directly acts to anesthetize the respiratory passages, as opposed to suppression of the medullary cough center in the brain?
- Brompheniramine 2) Codeine
- Ipratropium
- Benzonatate 39. Which of the following statements about TCAs are true? Select all that apply. All choices must be correct to receive credit.
- None of the above. 40. Which of the following medications is used as an antipyretic in patients with viral upper respiratory illnesses?
- Codeine
- Dextromethorphan 3) Indomethacin
- Acetaminophen 41. NO SPECIFIC TREATMENT FOR NOROVIRUS, JUST FLUID LOSS REPLACEMENT
- A 2-day-old infant
- A 74-year-old female with mycoplasma pneumonia
- Montelukast
- Roflumilast
- Triamcinolone
45. The NP student is completing a case study on asthma, and understands that all of the following statements are correct EXCEPT: 1. 1) It is unproven that weather changes are a trigger for asthma 2. 2) Spirometry (PFTs) provide an objective measure of airflow limitation 3. 3) Symptoms of COPD include progressive dyspnea, cough, and sputum production 4. 4) Some asthmatics demonstrate no symptoms unless they become ill with a URI 46. Determine the classification of Tessalon Perles: 1. 1) Schedule I 2. 2) Schedule II 3. 3) Schedule III 4. 4) Schedule IV 5. 5) Schedule V 6. 6) None of the above 47. Which class of medication does NOT directly or indirectly reduce inflammation in patients with asthma? 1. 1) Beta-2 agonists 2. 2) Inhaled corticosteroids 3. 3) Roflumilast 4. 4) Leukotriene receptor antagonists 48. The nurse is giving patient education on Metformin, and understands that, all of the following statements about metformin are correct EXCEPT: 1. 1) Weight gain is an adverse effect. 2. 2) When used as monotherapy, there is no hypoglycemia. 3. 3) GI adverse effects can be minimized by ordering the XR formulation. 4. 4) Renal insufficiency is a contraindication. 49. Ben is a seventy-one-year-old male who occasionally takes diphenhydramine for his seasonal allergies. The Nurse Practitioner would instruct the patient to monitor for which of the following:
- Urinary retention
- Increased perspiration
- Peripheral edema
- Cyanosis 50. Patients taking clopidogrel should avoid which of the following to prevent a nutrient-drug interaction?
- Ginseng
- Ginkgo biloba
- Grapefruit juice
- Fish oil capsules
