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REGIS NU641 ADV CLINICAL PHARMACOLOGY EXAM QUESTIONS WITH CORRECT ANSWERS 2024, Exams of Nursing

Angina, Coronary Artery Disease, & Migraines -Ans>>Patients that are at highest risk for abruptly stopping a beta blocker are those with

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2023/2024

Available from 07/06/2024

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REGIS NU641 ADV CLINICAL
PHARMACOLOGY EXAM
QUESTIONS WITH CORRECT
ANSWERS 2024
Angina, Coronary Artery Disease, & Migraines -Ans>>Patients that are at
highest risk for abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors -Ans>>The medication that
helps the imbalance between myocardial oxygen supply and myocardial
oxygen demand in the myocardium by increasing the myocardial oxygen
supply
improves insulin sensitivity
improves renal
hemodynamics
reduce production of angiotensin II -Ans>>Roles of Angiotensin-converting
enzyme (ACE) inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and
preload -Ans>>The pathological change that takes place in HF that is not
addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque -Ans>>Reason why
nitro glycerin tablets "do not work well" in patient with hyperlipidemia and
angina age
factoring in the cost to the patient of the medication prescribed -
Ans>>Clinical judgement in prescribing includes
decreased renal function -Ans>>Prior to prescribing an ACE inhibitor the NP
should access for
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REGIS NU641 ADV CLINICAL

PHARMACOLOGY EXAM

QUESTIONS WITH CORRECT

ANSWERS 2024

Angina, Coronary Artery Disease, & Migraines -Ans>>Patients that are at highest risk for abruptly stopping a beta blocker are those with Angiotensin-converting enzyme (ACE) inhibitors -Ans>>The medication that helps the imbalance between myocardial oxygen supply and myocardial oxygen demand in the myocardium by increasing the myocardial oxygen supply improves insulin sensitivity improves renal hemodynamics reduce production of angiotensin II -Ans>>Roles of Angiotensin-converting enzyme (ACE) inhibitors in DM patients Activation of the sympathetic nervous system that increases heart rate and preload -Ans>>The pathological change that takes place in HF that is not addressed by ACE inhibitors blunted coronary artery dilation due to calcified plaque -Ans>>Reason why nitro glycerin tablets "do not work well" in patient with hyperlipidemia and angina age factoring in the cost to the patient of the medication prescribed - Ans>>Clinical judgement in prescribing includes decreased renal function -Ans>>Prior to prescribing an ACE inhibitor the NP should access for

statins -Ans>>First-line pharmacologic therapy for hyperlipidemia Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily living -Ans>>When is consultation with or referral to a cardiologist appropriate?

Sublingual tablets -Ans>>Which formulation of nitrate may be most cost effective for the patient who rarely has the need for dosing?

Asthma -Ans>>What disease processes could be made worse by taking a nonselective beta blocker? Oral Methyldopa -Ans>>What drug is considered as treatment for hypertension in women during pregnancy? bismuth subsalicylate before each meal and at bedtime -Ans>>Treatment for possible traveler's diarrhea electrolytes, including potassium and chloride -Ans>>Elderly prescribed lactulose for chronic constipation; Monitoring with long-tern treatment would include PPI bid plus clarithromycin plus amoxicillin for 14 days -Ans>>An acceptable first-line treatment for peptic ulcer disease with positive Helicobacter pylori (H. pylori) test is: a PPI for 8 to 12 weeks until healing is complete -Ans>>After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is: Histamine 2 Receptor Antagonists -Ans>>A patient with mild GERD is started on the medication first refer the patient for endoscopy -Ans>>The next step in treatment when a patient has been on PPIs twice daily for 12 weeks and not improving is to: Add an H2 blocker such as ranitidine to his therapy or decrease his aspirin does to one tablet daily -Ans>>82-year-old man takes two aspirin every morning to treat the arthritis pain in his back. Heartburn lately from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for him?

Colchicine (Colcrys) -Ans>>What medication should not be used to prevent the progression of

gout in a patient? Regular monitoring of weight, glucose level, and vitamin D levels; do not stop abruptly; take with food to minimize GI distress -Ans>>Education for patient taking prednisone Patient who have chronic liver dysfunction/alcoholics - Ans>>Acetaminophen is NOT the drug of choice for mild to moderate pain for which patient? bulk forming -Ans>>What type of laxatives would you recommend for short- or long-term treatment of mild constipation?