Final Exam: NUR635/ NUR 635 (Latest 2023/ 2024 Update) Advanced Pharmacology Exam| Questions and Verified Answers| 100% Correct| Grade A- Grand Canyon

Final Exam: NUR635/ NUR 635 (Latest 2023/

2024 Update) Advanced Pharmacology

Exam| Questions and Verified Answers|

100% Correct| Grade A- Grand Canyon

Q: The NP opts NOT to give a beta agonist to which patient?

Answer:

History of pheochromocytoma.

Q: The NP educates which patient population regarding salmeterol's Black

Box Warning?

Answer:

African Americans

Q: The NP believes the patient needs additional education regarding long-act- ing beta agonist's

Black Box warning when the patient verbalizes?

Answer:

"I take this medication in case of an asthma attack."

Q: A 72-year-old presents to the clinic with the cc of "I can't pee". Which history does the NP

suspect may be causing this symptoms?

Answer:

Taking Benadryl for seasonal allergies. Benadryl can cause urinary retention.

Q: A patient recently diagnosed with pneumonia, is also found to have os- teoporosis, anemia,

and vitamin B12 deficiency. The NP suspects which TX is causing the patient's issues?

Answer:

Long Term PPI therapy

Q: When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local

resistance patterns?

Answer:

Antibiogram

Q: After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of

nausea, vomiting, and ABD pain. The NP focuses on which part of the SOAP note to rule out a

disulfiram reaction?

Answer:

Social history

Q: Which pt should receive fluoroquinolone therapy for CAP (community-ac- quired

pneumonia) diagnosis?

Answer:

A 44-year-old female with DM.

Q: Sulfonamides should be avoided in patients with a G6PD deficiency

(x-linked in African American) due to risk of

Answer:

hemolytic anemia

Q: A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication?

Answer:

Combination antibiotic and topical.

Q: A teenager comes to the clinic with complaint of headache. The NP sus- pects minocycline

may be causing the symptoms due to its risk of

Answer:

Pseudo- tumor cerbri (increased intracranial pressure)

Q: Which tx is appropriate for a patient with new onset of cluster headaches?-

Answer:

100% oxygen for 15-30 minutes

Q: When should the NP expect to see clinical improvement after starting antibiotic therapy for a

pneumonia patient?

Answer:

2-3 days

Q: A 4YO comes in with ear pain and on exam, the TM is erythematous, bulging, and nonmobile. Vital signs are: BP 112/62, P122, RR16, T is 102.5. The NP decides to proceed with

Answer:

Start the patient on amoxicillin or Augmentin.

Q: A 6YO is seen next, with the same symptoms as your previous 4 YO pt but with no fever,

the NP recommends which tx for this patient?

Answer:

Start the pt on lidocaine drops to help with ear pain.

Q: A pt with new diagnosed open-angle glaucoma was recently prescribed timolol. The NP

expresses concern about this medication based on which hx reported by the patient?

Answer:

Asthma.

Q: First line tx for mild acne include

Answer:

Any of the above (Benzoyl peroxide, topical retinoid, topical combination therapy)

Q: Tx for moderate acne include

Answer:

Any of the above (Benzoyl peroxide and

ABX/retinoid, oral ABX, topical combination therapy)

Q: Which oral abx does the NP choose to prescribe for the pt with moderate acne?

Answer:

Doxycycline, Minocycline, Tetracycline or Erythromycin

Q: A 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. Which

additional information does the NP need prior to deciding on a tx plan?

Answer:

Is the infection in the upper or lower urinary tract? Does the pt have

any history of predisposing factors? Does the pt have a hx of recent UTIs? Is the pt pregnant?

How long have symptoms been going on?

Q: 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. She has a

lower UTI, no predisposing factors and a history of UTA approximately 6 mo. ago. The NP

chooses which tx plan for the patient?