Description
D116: Advanced Pharmacology for the Advanced Practice Nurse (Objective Assessment)
Question 1
Which antihistamine is available as ophthalmic eye drops for the treatment of red, itchy eyes caused by allergic reactions?
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Ketotifen ✅
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Tetrahydrozoline
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Fluticasone
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Budesonide
Question 2
Which antihistamine is used in the treatment of gastric and duodenal ulcers?
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Cetirizine
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Fluoxetine
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Cimetidine ✅
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Diphenhydramine
Question 3
Which antibiotic is used topically in the management of periodontal disease?
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Demeclocycline
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Doxycycline ✅
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Minocycline
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Metronidazole
Question 4
A 50-year-old adult with a family history of medullary thyroid cancer seeks pharmacologic treatment for obesity. Which medication is contraindicated for this patient?
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Naltrexone/bupropion
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Phentermine
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Lorcaserin
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Liraglutide ✅
Question 5
A 30-year-old woman with hypothyroidism presents to an advanced practice registered nurse (APRN) after confirming pregnancy. She has been stable on levothyroxine for several years. How should the APRN manage her medication?
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Levothyroxine requirements usually decrease during pregnancy, so the dose should be reduced by 30%, and TSH monitored closely.
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Levothyroxine requirements typically increase during pregnancy, so the dose should be increased by about 30%, with close monitoring of TSH ✅
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Pregnancy causes erratic thyroid hormone needs, so levothyroxine should be discontinued and TSH monitored after delivery.
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Pregnancy does not affect thyroid hormone levels, so levothyroxine should be continued unchanged, with TSH monitored postpartum.
Question 6
A nurse is assessing a patient receiving liothyronine for hypothyroidism. Which finding indicates a therapeutic response to the medication?
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Decrease in body temperature
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Increase in weight
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Increase in energy levels ✅
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Decrease in appetite
Question 7
A nurse provides education to a patient with peptic ulcer disease who has been prescribed sucralfate tablets. Which instruction should be included?
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An antacid may be taken at the same time if indigestion occurs.
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Take the tablets whole without chewing.
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Take sucralfate one hour before meals ✅
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Store sucralfate in the refrigerator………………………………………………….$30
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