NR 508 Week 4 Reading Test Bank Advanced Pharmacology

Chapter 41: Medications for Attention-Deficit/Hyperactivity Disorder – Test Bank

NR 508 Week 4 Reading Test Bank Advanced Pharmacology : Multiple Choice

1. An adult patient outlines having presentiments of being unfocused all the time, does not easily compete tasks,easily loses things and consequently states that his family relations and work have been impacted. The patient has experienced these symptoms as long as they can remember, though his medical history does not have an initial documentation regarding attention-deficit/hyperactivity disorder (ADHD). Therefore, the primary care nurse practitioner ought to:
2. A child is taking methylphenidate (Ritalin) for AD/HD. The child’s parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should:
3. A primary care NP sees a child for an annual well-child check-up. The child has been taking methylphenidate for AD/HD for 3 months. The NP should discontinue the medication if which symptom is present?
4. A child is diagnosed with AD/HD after being expelled from school for disruptive behaviors. The child’s parents are reluctant to start medication because of the stigma attached. The primary care NP should suggest:
5. A child has been taking methylphenidate 5 mg at 8 AM, 12 PM, and 4 PM for 30 days after a new diagnosis of AD/HD and comes to the clinic for evaluation. The child’s mother reports that the child exhibits some nervousness and insomnia but is doing much better in school. The primary care NP should suggest:
6. A patient who has recently begun working at night reports having difficulty staying awake at work. The primary care NP should consider prescribing:
7. The parent of a 4-year-old child is concerned that the child may have AD/HD and wants to know if medications can be given. The primary care NP should tell the parent that:
8. The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants. The primary care NP should recommend:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 42: Medications for Dementia – Test Bank

Multiple Choice

1. A patient is identified as having stage 2 Alzheimer’s disease and elects to take donepezil (Aricept). The patient asks the primary care nurse practitioner (NP) how long the medication will be needed. The NP should tell the patient that donepezil must be taken:
2. A patient who has Alzheimer’s disease has been taking donepezil for 1 year. The patient’s spouse reports a worsening of symptoms. The primary care NP should consider:
3. Early-stage Alzheimer’s disease is diagnosed in a patient, and the primary care NP recommends therapy with a ChE inhibitor. The patient asks why drug treatment is necessary because most functioning is intact. The NP should explain that medication may:
4. A patient has a diagnosis of depression and Alzheimer’s disease with mild, intermittent symptoms. The primary care NP should prescribe a(n):
5. A patient who has Alzheimer’s disease begins taking donepezil (Aricept). After 3 months of treatment, the patient does not show improvement of symptoms. The primary care NP should:
6. A patient is newly diagnosed with Alzheimer’s disease stage 6 on the Global Deterioration Scale. The primary care NP should prescribe:
7. A patient has been taking donepezil (Aricept) for several months after being diagnosed with Alzheimer’s disease. The patient’s spouse brings the patient to the clinic and reports that the patient seems to be having visual hallucinations. The primary care NP should:
8. A patient who has Alzheimer’s disease is taking 10 mg of donepezil daily and reports difficulty sleeping. The primary care NP should recommend:
9. A patient who is diagnosed with Alzheimer’s disease experiences visual hallucinations. The primary care NP should initially prescribe:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 45: Antiepileptics – Test Bank

Multiple Choice

1. A patient who has partial seizures has been taking phenytoin (Dilantin). The patient has recently developed thrombocytopenia. The primary care nurse practitioner (NP) should contact the patient’s neurologist to discuss changing the patient’s medication to:
2. A patient is newly diagnosed with generalized epilepsy. The primary care NP will refer this patient to a neurologist and should expect this patient to begin taking:
3. A patient who takes carbamazepine (Tegretol) has been seizure-free for 2 years and asks the primary care NP about stopping the medication. The NP should:
4. A 12-month-old child with severe developmental delays was recently treated in an emergency department for a febrile seizure and is seen by the primary care NP for a follow-up visit. The child’s parent asks if it is necessary to continue giving the child phenobarbital. The NP should tell the parent that:
5. A patient who is taking phenytoin (Dilantin) for a newly diagnosed seizure disorder calls the primary care NP to report a rash. The NP should:
6. A patient who takes valproic acid for a seizure disorder is preparing to have surgery. The primary care NP should order:
7. A 20-kg child takes valproic acid (Depakote) for seizures and has had regular dose increases with a current dose of 250 mg twice daily. The child continues to have one to two seizures each week along with significant drowsiness that interferes with school participation. The primary care NP should contact the child’s neurologist to discuss:
8. A patient who takes carbamazepine (Tegretol) for a seizure disorder is seen by a primary care NP for a routine physical examination. A complete blood count (CBC) reveals a low white blood cell (WBC) count. The NP should:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 46: Antiparkinson Agents – Test Bank

Multiple Choice

1. A patient who has Parkinson’s disease takes levodopa and carbidopa. The patient asks the primary care nurse practitioner (NP) why two drugs are necessary. The NP should explain that both drugs are needed to:
2. A patient who has Parkinson’s disease and who takes levodopa reports that the drug effects wear off more quickly than before. The primary care NP should:
3. A patient who has Parkinson’s disease takes levodopa and carbidopa. The patient reports experiencing tremors between doses. The primary care NP should:
4. A patient who takes levodopa and carbidopa for Parkinson’s disease reports experiencing freezing episodes between doses. The primary care NP should consider using:
5. A patient who has Parkinson’s disease who takes levodopa and carbidopa reports having drooling episodes that are increasing in frequency. The primary care NP should order:
6. A patient who is diagnosed with Parkinson’s disease will begin taking levodopa and carbidopa. The patient asks the primary care NP what dietary interventions may be helpful in improving symptoms. The NP should recommend:
7. A 55-year-old patient develops Parkinson’s disease characterized by unilateral tremors only. The primary care NP will refer the patient to a neurologist and should expect initial treatment to be:
8. A 65-year-old patient is diagnosed with Parkinson’s disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with:

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NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 47: Antidepressants – Test Bank

Multiple Choice

1. A patient reports having feelings of hopelessness and anxiety for the past few months. The primary care nurse practitioner (NP) performs a history and learns that these feelings occur almost daily. The patient also reports having headaches and difficulty concentrating at work along with wanting to sleep all the time. The patient has gained 5 lb in the past 6 months. The NP should:
2. A patient reports feelings of sadness and hopelessness along with difficulty sleeping and weight loss. The primary care NP learns that the patient’s mother died 6 months earlier. The NP should:
3. A patient has been taking paroxetine (Paxil) for major depressive symptoms for 8 months. The patient tells the primary care NP that these symptoms improved after 2 months of therapy. The patient is experiencing weight gain and sexual dysfunction and wants to know if the medication can be discontinued. The NP should:
4. The primary care NP has prescribed sertraline (Zoloft) for a patient who initially reported daily symptoms of hopelessness, sadness, insomnia, and weight loss. After several months of therapy, the patient no longer feels hopeless or sad but continues to have difficulty eating and sleeping. The NP should contact the patient’s psychiatrist to discuss:
5. A patient has been taking fluoxetine (Prozac) for depression and comes to the clinic to report nausea and jitteriness. The primary care NP notes tremors and sees that the patient is confused. The patient has a heart rate of 95 beats per minute. The NP should:
6. A patient who has symptoms of depression also reports chronic pain. The primary care NP should begin therapy with:
7. An 80-year-old patient experiences prolonged sadness after the death of a spouse. The patient reports being unable to sleep or eat. The primary care NP should prescribe _____ mg _____ daily.
8. The primary care NP sees a 16-year-old patient who reports feeling hopeless and sad. The child’s parent reports increased aggression and a decline in school performance. The NP should consider prescribing:
9. A 15-year-old patient who is seeing a psychiatrist began taking an antidepressant 1 week before a clinic visit with the primary care NP. The NP should:
10. A patient has been taking fluoxetine 20 mg every morning for 5 days and calls the primary care NP to report decreased appetite, nausea, and insomnia. The NP should:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 48: Antianxiety and Insomnia Agents – Test Bank

Multiple Choice

1. A patient comes to the clinic and reports having insomnia that began within the last year. The primary care nurse practitioner (NP) learns that the patient often lies awake worrying about problems at work. The patient feels fatigued during the day and experiences frequent stomach discomfort. The NP should prescribe:
2. A patient tells the primary care NP about having difficulty giving presentations at work. The patient experiences anxiety and often feels faint or vomits. The NP should:
3. An adolescent patient comes to the clinic and reports anxiety and poor sleep that have persisted since experiencing a hurricane 8 months prior. The patient has been receiving cognitive-behavioral therapy, which has helped a little. The primary care NP should order:
4. A patient reports difficulty falling asleep and staying asleep every night and has difficulty staying awake during the commute to work every day. The NP should:
5. A patient is in the clinic with acute symptoms of anxiety. The patient is restless and has not slept in 3 days. The primary care NP observes that the patient is irritable and has moderate muscle tension. The patient’s spouse reports that similar symptoms have occurred before in varying degrees for several years. The NP should refer the patient to a psychologist and should prescribe which drug for short-term use?
6. A patient reports going to bed at 10:00 pm every night but often lays awake until midnight. The primary care NP instructs the patient to practice good sleep hygiene and to avoid caffeine in the evening. After 1 week of this regimen, the patient reports still lying awake until 11:00 PM. The NP should:
7. A patient reports difficulty returning to sleep after getting up to go to the bathroom every night. A physical examination and a sleep hygiene history are noncontributory. The primary care NP should prescribe:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 49: Antipsychotics – Test Bank

Multiple Choice

1. The primary care nurse practitioner (NP) is performing a physical examination on a patient who has been taking mesoridazine (Serentil) for several weeks to treat schizophrenia. The patient is exhibiting rhythmic movements of the face and jaw. The NP should be concerned that the patient may:
2. A patient with a recent diagnosis of schizophrenia is taking thioridazine (Mellaril) to treat psychotic symptoms. The patient’s family member is concerned that the patient continues to have little interest in activities and has difficulty beginning even simple tasks. The primary care NP should contact the patient’s psychiatrist to discuss changing to:
3. A 22-year-old male patient who has dropped out of college has increasingly disorganized behavior and delusional thinking. His parents report that he lives at home and has no desire to find a job or help around the house. The primary care NP has ruled out organic causes and has referred the patient to a psychiatrist for treatment. To prepare for the referral visit, the NP should:
4. A patient who is newly diagnosed with schizophrenia is overweight and has a positive family history for type 2 diabetes mellitus. The primary care NP should consider initiating antipsychotic therapy with:
5. A patient has been taking olanzapine (Zyprexa) for 3 weeks to treat schizophrenia. The primary care NP notes that the patient has more coherent speech and improved initiative and attentiveness but continues to have delusional ideation. The NP should:
6. An elderly patient with dementia exhibits hostility and uncooperativeness. The primary care NP prescribes clozapine (Clozaril) and should counsel the family about:
7. A patient who takes 150 mg of clozapine (Clozaril) twice daily calls the primary care NP at 10:00 AM one day to report forgetting to take the 8:00 AM dose. The NP should counsel the patient to:
8. A patient comes to the clinic for a physical examination 2 weeks after a last dose of clozapine (Clozaril). The primary care NP should:
9. A patient who is overweight is diagnosed with schizophrenia. The primary care NP should consider prescribing:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 50: Substance Abuse – Test Bank

Multiple Choice

1. At an annual well-woman examination, the primary care nurse practitioner (NP) asks a patient about alcohol consumption. The woman reports she usually consumes six glasses of wine per week and occasionally will consume three or four glasses at a party. The NP smells alcohol on the woman’s breath. The woman says she is hung over today. The NP should:
2. A mother brings her a college-age son to the primary care NP and asks the NP to talk to him about alcohol use. He reports binge drinking on occasion and drinking only beer on weekends. The NP notes diaphoresis, tachycardia, and an easy startle reflex. The NP should:
3. A patient who is an alcoholic is seen in the clinic, and the primary care NP admits the patient to the hospital for acute withdrawal. The patient has elevated liver enzymes. The NP should expect the inpatient provider to prescribe:
4. A patient is brought to the clinic by a spouse because of increased somnolence and disorientation. The spouse tells the primary care NP that the patient has been taking oxycodone for postoperative pain. The NP notes a respiratory rate of 8 to 10 breaths per minute. The NP should:
5. The primary care NP is preparing to prescribe acamprosate for a patient who is an alcoholic. Before initiating treatment with this medication, the NP should:
6. The primary care NP prescribes disulfiram to a patient who has stopped drinking but continues to have cravings for alcohol. The NP must counsel the patient to:

NR 508 Week 4 Reading Test Bank Advanced Pharmacology: Chapter 72: Smoking Cessation – Test Bank  

Multiple Choice

1. A patient who smokes reports repeated attempts to quit smoking using a nicotine replacement patch. The patient says, “I always do well for a few weeks and then I just start smoking again.” The primary care nurse practitioner (NP) should prescribe:
2. An adolescent patient has recently begun smoking and reports a habit of fewer than five or six cigarettes per day. The patient does not want to quit smoking now but plans to do so after college. The primary care nurse practitioner should:
3. A primary care NP has been working with a young woman who wants to quit smoking before she begins having children. She has made several attempts to quit using nicotine replacement therapy and is feeling discouraged. She does not want to take medication at this time. The NP should:
4. A patient reports smoking two or more packs of cigarettes per day and expresses a desire to quit smoking. The primary care NP learns that the patient smokes heavily during breaks at work and during the evening but with no established schedule. The NP should recommend:
5. A patient who is using a nicotine patch for smoking cessation is in the clinic for a follow-up examination. The primary care NP notes a heart rate of 96 beats per minute and a blood pressure of 140/90 mm Hg. The patient reports feeling dizzy and complains of ringing in both ears. The NP should suspect:
6. A patient has been using a nicotine patch for several weeks and uses the 15 mg/16 hour patch. The patient reports having frequent continual cravings for cigarettes, especially on awakening in the morning. The primary care NP should:
7. A patient has been using a nicotine nasal spray for 4 months, one to two doses every hour while awake and as needed for cravings. The patient reports that the cravings have stopped and that one dose per hour is generally sufficient. The primary care NP should recommend: