sou nsg6005 Week 2 Assignment 2 Quiz latest 2017

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1. Question
:A patient’s nutritional intake and lab work reflect hypoalbuminemia. This is critical
to prescribing because:

Distribution of drugs to target tissue may be
affected

The solubility of the drug will not match the
site of absorption

There will be less free drug available to
generate an effect

Drugs bound to albumin are readily excreted by
the kidney

Question 2. Drugs
that have a significant first-pass effect:

Must be given by the enteral (oral) route only

Bypass the hepatic circulation

Are rapidly metabolized by the liver and may
have little if any desired action

Are converted by the liver to more active and
fat-soluble forms

Question 3. An
advantage of prescribing a sublingual medication is that the medication is:

Absorbed rapidly

Excreted rapidly

Metabolized minimally

Distributed equally

Question 4. Which
one of the following statements about bioavailability is true?

Bioavailability issues are especially important for drugs
with narrow therapeutic ranges or sustained release mechanisms.

All brands of a drug
have the same bioavailability.

Drugs that are
administered more than once a day have greater bioavailability than drugs given
once daily.

Combining an active drug with an inert
substance does not affect bioavailability.

Question 5. The
route of excretion of a volatile drug will likely be:

The kidneys

The lungs

The bile and feces

The skin

Question 6. The
time required for the amount of drug in the body to decrease by 50% is called:

Steady state

Half-life

Phase II metabolism

Reduced bioavailability time

Question 7. The
elderly are at high risk of ADRs due to:

Having greater muscle mass than younger adults, leading to
higher volume of distribution

The extensive studies
that have been conducted on drug safety in this age group

The blood-brain
barrier being less permeable, requiring higher doses to achieve therapeutic
effect

Age-related decrease in renal function

Question 8. Patient
education regarding prescribed medication includes:

Instructions written at the high school
reading level

Discussion of expected ADRs

How to store leftover medication such as
antibiotics

Verbal instructions always in English

Question 9. Pharmacokinetic
factors that affect prescribing include:

Therapeutic index

Minimum effective concentration

Bioavailability

Ease of titration

Question 10. Drugs
that use CYP3A4 isoenzymes for metabolism may:

Induce the metabolism of another drug

Inhibit the metabolism of another drug

Both A and B

Neither A nor B

Question 11.Nonadherence is especially common in drugs that
treat asymptomatic conditions, such as hypertension. One way to reduce the
likelihood of nonadherence to these drugs is to prescribe a drug that:

Has a short half-life so that missing one dose
has limited effect

Requires several
dosage titrations so that missed doses can be replaced with lower doses to keep
costs down

Has a tolerability
profile with less of the adverse effects that are considered “irritating,” such
as nausea and dizziness

Must be taken no more than twice a day

Question 12. A
patient may develop neutropenia from using topical Silvadene for burns.
Neutropenia is:

A cytotoxic hypersensitivity reaction

An immune complex hypersensitivity

An immediate hypersensitivity reaction

A delayed hypersensitivity reaction

Question 13. Which
of the following factors may adversely affect a patient’s adherence to a
therapeutic drug regimen?

Complexity of the drug regimen

Patient’s perception of the potential adverse
effects of the drugs

Both A and B

Neither A nor B

Question 14. The
first step in the prescribing process according to the World Health
Organization is:

Choosing the treatment

Educating the patient about the medication

Diagnosing the patient’s problem

Starting the treatment

Question 15. When
obtaining a drug history from Harold, he gives you a complete list of his
prescription medications. He denies taking any other drugs, but you find that
he occasionally takes aspirin for his arthritis flare-ups. This is an example
of:

His appropriately only telling you about his
regularly prescribed medications

His hiding information regarding his
inappropriate use of aspirin from you

A common misconception that intermittently
taken OTC medications are not an important part of his drug history

A common misuse of OTC aspirin

Question 16. Herbs
and supplements are tested for safety by the FDA.

True

False

Question 17. The
role of the nurse practitioner in the use of herbal medication is to:

Maintain competence in the prescribing of
common herbal remedies.

Recommend common OTC herbs to patients.

Educate patients and guide them to appropriate
sources of care.

Encourage patients to not use herbal therapy
due to the documented dangers.

Question 18. Warfarin
resistance may be seen in patients with VCORC1 mutation, leading to:

Toxic levels of warfarin building up

Decreased response to warfarin

Increased risk for significant drug
interactions with warfarin

Less risk of drug interactions with warfarin

Question 19. Common
OTC pain relievers such as acetaminophen or ibuprofen:

Are always safer for the patient than
prescription pain medication

Are harmful if taken in
higher-than-recommended amounts

Have minimal interaction with prescription
medications

Should never be given to children unless
recommended by their provider

Question 20. Patients
with psychiatric illnesses have adherence rates to their drug regimen between
35% and 60%. To improve adherence in this population, prescribe drugs:

With a longer half-life so that missed doses produce a
longer taper on the drug curve

In oral formulations that are more easily
taken

That do not require frequent monitoring

Combined with patient
education about the need to adhere even when symptoms are absent