NURS 617 Pharm (Exam 1) Summer 2024-Jean Genzale Latest Update 2024-2025 Actual Exam 250 Questions and 100% Verified Correct Answers Guaranteed A+ Approved by the Professor
- A 42 y / o woman is diagnosed with bacteremia in the ED . The NP empirically starts
antibiotics and want the first dose of Vancomycin to be given prior to admission to the floor . The hospital has a vancomycin nomogram for 15 mg / kg initial dosing ( rounded to the nearest 250 mg ) , followed by pharmacy dosing / pharmacokinetic service . If the patient weighs 154 pounds , what dose of vancomycin would the patient receive in the ED ? Please give your answer as a whole number without units . - CORRECT
ANSWER: 1000
- In regard to pharmacodynamics , " affinity " can be defined as : CHOOSE ONE
ANSWER
a . The measure of how tightly a drug binds to plasma proteins b . The amount of time that a measurable drug effect persists c . The degree of attraction between a drug and its receptor
d . The measure of a drug's bioavailability - CORRECT ANSWER: c . The degree of
attraction between a drug and its receptor
- Antagonist drugs prevent the actions of the body's endogenous biomediators on their
receptors by which mechanism ? CHOOSE ONE ANSWER a . Preventing agonist drugs from binding to antagonist drug b . Binding to the receptor and activating it c . Preventing occupancy of the receptor d . Mimicking the actions of the body's endogenous biomediators - CORRECT
ANSWER: c . Preventing occupancy of the receptor
- / 4
- Which of the following medications can be used for the treatment of depression ,
insomnia , and migraines ?a . SSRIs b . MAOIS c . TCAs
d . SNRIS - CORRECT ANSWER: c . TCAs
- Which of the following is an example of a graded drug response ? CHOOSE ONE
ANSWER
a . Blood pressure b . Death c . Rash
d . Sleep - CORRECT ANSWER: a . Blood pressure
A child who presents with a diagnosis of chlamydial pneumonia should be prescribed which of the following antimicrobials a . High dose amoxicillin ( Amoxil) b . Amoxicillin + clavulanate (augmentin )
- Ceftriaxone ( rocephin )
d . Macrolide - CORRECT ANSWER: d . Macrolide
A combination of hydralazine and isorbide dinitrate has been shown to be beneficial in heart failure patients who are
- African American
- > 65 years old
b . Unable to tolerate an ACE inhibitor
d . NYHA class II - CORRECT ANSWER: a. African American
A common adverse drug reaction from ACE inhibitors prescribed in the setting of heart failure is 2 / 4
a . Reflex tachycardia b Exacerbation of lower extremity edema c . Hyperkalemia d . Elevation of serum glucose in diabetics . - CORRECT ANSWER: c . Hyperkalemia
A disadvantage of the antihistamine diphenhydramine ( Benadryl ) is a . May cause bradycardia b . Only available by the oral route c . May cause urinary retention in men with prostate problems
d . Commonly causes diarrhea - CORRECT ANSWER: c . May cause urinary retention
in men with prostate problems
A disadvantage to the use of nicotinic acid ( niacin ) for hyperlipidemia is a . It will decrease the absorption of other oral drugs given simultaneously b . It is associated with constipation c . It commonly produces flushing in the face and neck area d . It may cause a life - threatening myopathy - CORRECT ANSWER: c . It commonly produces flushing in the face and neck area
A drug's therapeutic index can be defined as a . The drug dosage that produces 100 % of the therapeutic effect b . The ratio of the average lethal dose of the drug compared to the average effective therapeutic dose of the drug c . A measurement of a drugs safety and toxicity
d . The time course of a drugs action - CORRECT ANSWER: b . The ratio of the
average lethal dose of the drug compared to the average effective therapeutic dose of the drug c . A measurement of a drugs safety and toxicity
- / 4
A middle - aged executive who experienced insomnia with 2 different SSRIs . Which alternative therapy could relieve insomnia and depression ?a . MAOI b . SNRI c . TCA
d . Benzodiazepine - CORRECT ANSWER: c . TCA
A new drug seeking FDA approval has been studied in pregnant rats , rabbits , and mice and causes birth defects in these fetal animals . There are , however , no studies of this drug in pregnant women . To which pregnancy risk category does this drug belong ?a . A b . B c . C
d . D - CORRECT ANSWER: c. C
A patient presenting to the ER in status epilepticus without IV access can be treated with a . Fosphenytoin ( cerebyx ) b . Carbamazepine ( tegretol ) c . Lamotrigine ( Lamictal )
d . Phenytoin ( Dilantin ) - CORRECT ANSWER: LOOK UP
A patient who took an osmotic laxative on a daily basis could develop this as a consequence a . An impaction b . Dehydration
- Hyperglycemia
d . Hyperkalemia - CORRECT ANSWER: b . Dehydration
A patient with phenytoin may exhibit drug toxicity when concurrently taking
- / 4