FREE AND STUDY GAMES ABOUT PHARM II EXAM

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FREE AND STUDY GAMES ABOUT PHARM II EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -40 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Which patient has an indication to safely receive misoprostol?

a) A patient with severe diarrhea

b) A patient with diabetic gastroparesis

c) A patient with peptic ulcers who is pregnant

d) A patient with rheumatoid arthritis who is taking NSAIDs

Answer:

d) A patient with rheumatoid arthritis who is taking NSAIDs

A patient with rheumatoid arthritis who is receiving NSAIDs may receive misoprostol to prevent the risk for NSAID-induced gastric ulcers.Question 2: A nurse is caring for a patient who takes calcium carbonate and was recently prescribed ciprofloxacin, a quinolone, for a urinary tract infection. Which teaching point would the nurse share with this patient about administration of these drugs?

Answer:

Take calcium carbonate 1 to 2 hours after ciprofloxacin.Calcium carbonate should be taken 1 to 2 hours after ciprofloxacin has been administered. Taking them together can decrease the absorption of ciprofloxacin by 50%, thereby reducing its efficacy.

Question 3: Which effect would a nurse monitor for in a patient who is receiving glipizide, a sulfonylurea, and aluminum hydroxide?

Answer:

Hypoglycemia Hypoglycemia may occur when a sulfonylurea and aluminum hydroxide are taken together. The effect of the sulfonylurea may be chemically enhanced by the antacid due to the effects of pH.Question 4: Which patients would a nurse determine cannot safely receive therapy with promethazine?

a) A 50-year-old patient with osteoarthritis

b) A 27-year-old patient with hypothyroidism

c) A 1-year-old child with profuse vomiting

d) A 31-year-old patient who

Answer:

c) A 1-year-old child with profuse vomiting

Children under the age of 2 years should not receive therapy with promethazine because of a risk for fatal respiratory depression.

d) A 31-year-old patient who is breastfeeding

Women who are breastfeeding sho

Question 5: Which patient can safely receive cimetidine?

a) An 8-year-old child with gastroesophageal disease (GERD)

b) A 51-year-old patient with type 2 diabetes

c) A 24-year-old patient who is breastfeeding

d) A 71-year-old patient with pneumonia

e) A 52-year-

Answer:

A 51-year-old patient with type 2 diabetes A patient with type 2 diabetes mellitus may safely receive cimetidine.

A 52-year-old patient with a urinary tract infection A patient with a urinary tract infection can safely receive cimetidine.

Question 6: A patient who is receiving omeprazole has been prescribed clopidogrel following stent placement. Which outcome does a nurse alert the health care provider about resulting from the drug interaction?

Answer:

Decrease in activation of clopidogrel Evidence indicates that clopidogrel's activation may be decreased when given with omeprazole. As a result, its antiplatelet effects may be reduced.Question 7: A patient who takes an antacid frequently for persistent heartburn presents with confusion and extreme muscle weakness. The patient is also having difficulty speaking. Which antacid would a nurse suspect this patient may have been receiving in excess?

Answer:

Aluminum hydroxide The patient is experiencing signs and symptoms of aluminum toxicity. This is characterized by speech problems, muscle weakness, confusion, bone pain, and seizures. Therefore the potential causative agent is aluminum hydroxide, particul Question 8: Which patients would a nurse determine require cautious use of or avoidance of esomeprazole?

a) A 70-year-old Asian patient with hypertension

b) A 73-year-old Caucasian patient with osteoporosis

c) A 29-year-old Hispanic patient who is breastfeeding

d

Answer:

a) A 70-year-old Asian patient with hypertension

Both older adults and patients of Asian descent require cautious use of esomeprazole. Patients of Asian descent are at increased risk for dementia.

b) A 73-year-old Caucasian patient with osteoporosis

Ca Question 9: Which statement by the nursing student about the mechanism of action of proton pump inhibitors (PPIs) requires further intervention?

Answer:

"PPIs work by blocking histamine2 receptors, which reduces gastric acid secretion." Histamine2 receptor blockers like ranitidine, not PPIs, work to block histamine2 receptors.

Question 10: Which medical conditions would a nurse recognize that oral esomeprazole may be used to treat?

a) Gastroesophageal reflux disease (GERD)

b) Crohn disease

c) Duodenal ulcers

d) Nonsteroidal antiinflammatory drug (NSAID)-induced ulcers

e) Zollinger-Elli

Answer:

a) Gastroesophageal reflux disease (GERD)

GERD is an approved condition for treatment with esomeprazole.

c) Duodenal ulcers

Duodenal ulcers are an approved condition for treatment with esomeprazole.

d) Nonsteroidal antiinflammatory drug (NSAID)-induce

Question 11: Which statement regarding the pharmacokinetic parameters of aprepitant is accurate?

a) The drug has an oral bioavailability of 25%.

b) Aprepitant is minimally protein bound (<5%).

c) The drug undergoes metabolism mostly by CYP3A4.

d) Excretion of apre

Answer:

c) The drug undergoes metabolism mostly by CYP3A4.

Aprepitant undergoes extensive metabolism in the liver, mostly by CYP3A4.Question 12: Which teaching point will the nurse provide a patient who is newly prescribed cimetidine for gastroesophageal reflux disease (GERD)?

Answer:

"Breast enlargement and a reduction in libido may occur with cimetidine." Antiandrogenic effects such as decreased libido and breast enlargement may occur with cimetidine.This is because cimetidine binds to androgen receptors. Discontinuation of therapy