NR508 Week 2 Quiz (2 Versions, Latest-2021)/ NR 508 Week 2 Quiz: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR508 We... [Show More] ek 2 Quiz (2 versions, Latest): Chamberlain College of Nursing
NR 508 Week 2 Quiz (Latest): Chamberlain College of Nursing
Question 1.1. A patient who has angina is taking nitroglycerin and long-acting nifedipine. The primary care NP notes a persistent blood pressure of 90/60 mm Hg at several follow-up visits. The patient reports lightheadedness associated with standing up. The NP should consult with the patient’s cardiologist about changing the medication to:
amlodipine (Norvasc).
isradipine (DynaCirc).
verapamil HCl (Calan).
short-acting nifedipine (Procardia).
Question 2.2. A patient who will begin using nitroglycerin for angina asks the primary care NP how the medication works to relieve pain. The NP should tell the patient that nitroglycerin acts to:
dissolve atheromatous lesions.
relax vascular smooth muscle.
prevent catecholamine release.
reduce C-reactive protein levels.
Question 3.3. A patient with Graves’ disease is taking methimazole. After 6 months of therapy, the primary care NP notes normal T3 and T4 and elevated TSH. The NP should:
order a complete blood count (CBC) with differential.
order aspartate aminotransferase, AGT, and LDH tests.
decrease the dose of the medication.
add levothyroxine to the patient’s regimen.
Question 4.4. The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of 130/85 mm Hg. The patient’s laboratory tests reveal high-density lipoprotein, 35 mg/dL; triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body mass index of 29. The patient has a positive family history for cardiovascular disease. The NP should:
prescribe a thiazide diuretic.
consider treatment with an angiotensin-converting enzyme inhibitor.
reassure the patient that these findings are normal.
counsel the patient about dietary and lifestyle changes.
Question 5.5. A 45-year-old patient who has a positive family history but no personal history of coronary artery disease is seen by the primary care NP for a physical examination. The patient has a body mass index of 27 and a blood pressure of 130/78 mm Hg. Laboratory tests reveal low-density lipoprotein, 110 mg/dL; high-density lipoprotein, 70 mg/dL; and triglycerides, 120 mg/dL. The patient does not smoke but has a sedentary lifestyle. The NP should recommend:
30 minutes of aerobic exercise daily.
taking 81 to 325 mg of aspirin daily.
beginning therapy with a statin medication.
starting a thiazide diuretic to treat hypertension.
Question 6.6. A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient’s body mass index is 24. A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order:
a -blocker.
an angiotensin-converting enzyme inhibitor.
a thiazide diuretic.
dietary and lifestyle changes.
Question 7.7. An 80-year-old male patient will begin taking an -antiadrenergic medication. The primary care NP should teach this patient to:
ask for assistance while bathing.
restrict fluids to aid with diuresis.
take the medication in the morning with food.
be aware that priapism is a common side effect.
Question 8.8. A patient who is taking nifedipine develops mild edema of both feet. The primary care NP should contact the patient’s cardiologist to discuss:
changing to amlodipine.
ordering renal function tests.
increasing the dose of nifedipine.
evaluation of left ventricular function.
Question 9.9. A primary care NP sees a 46-year-old male patient and orders a fasting lipoprotein profile that reveals LDL of 190 mg/dL, HDL of 40 mg/dL, and triglycerides of 200 mg/dL. The patient has no previous history of coronary heart disease, but the patient’s father developed coronary heart disease at age 55 years. The NP should prescribe:
atorvastatin (Lipitor).
gemfibrozil (Lopid).
cholestyramine (Questran).
lovastatin/niacin (Advicor).
Question 10.10. A patient with type 2 diabetes mellitus takes metformin (Glucophage) 1000 mg twice daily and glyburide (Micronase) 12 mg daily. At an annual physical examination, the BMI is 29 and hemoglobin A1c is 7.3%. The NP should:
begin insulin therapy.
change to therapy with colesevelam (Welchol).
add a third oral antidiabetic agent to this patient’s drug regimen.
enroll the patient in a weight loss program to achieve better glycemic control.
Question 11.11. A patient who is newly diagnosed with type 2 diabetes mellitus has not responded to changes in diet or exercise. The patient is mildly obese and has a fasting blood glucose of 130 mg/dL. The patient has normal renal function tests. The primary care NP plans to prescribe a combination product. Which of the following is indicated for this patient?
Metformin/glyburide (Glucovance)
Insulin and metformin (Glucophage)
Saxagliptin/metformin (Kombiglyze)
Metformin/pioglitazone (ACTOplus met)
Question 12.12. A patient who has type 2 diabetes mellitus takes metformin (Glucophage). The patient tells the primary care NP that he will have surgery in a few weeks. The NP should recommend:
taking the metformin dose as usual the morning of surgery.
using insulin during the perioperative and postoperative periods.
that the patient stop taking metformin several days before surgery.
adding a sulfonylurea medication until recovery from surgery is complete.
Question 13.13. The primary care NP sees a new African-American patient who has blood pressure readings of 140/90 mm Hg, 130/85 mm Hg, and 142/80 mm Hg on three separate occasions. The NP learns that the patient has a family history of hypertension. The NP should:
initiate monotherapy with a thiazide diuretic.
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
discuss dietary and lifestyle modifications with the patient.
begin combination therapy with an ARB and a calcium-channel blocker.
Question 14.14. A child who has congenital hypothyroidism takes levothyroxine 75 mcg/day. The child weighs 15 kg. The primary care NP sees the child for a 3-year-old check-up. The NP should consult with a pediatric endocrinologist to discuss:
increasing the dose to 90 mcg/day.
decreasing the dose to 30 mcg/day.
stopping the medication and checking TSH and T4 in 4 weeks.
discussing the need for lifetime replacement therapy with the child’s parents.
Question 15.15. A patient who has insulin-dependent type 2 diabetes reports having difficulty keeping blood glucose within normal limits and has had multiple episodes of both hypoglycemia and hyperglycemia. As adjunct therapy to manage this problem, the primary care NP should prescribe:
pramlintide (Symlin).
repaglinide (Prandin).
glyburide (Micronase).
metformin (Glucophage).
Question 16.16. A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour release, for a patient with chronic stable angina. The NP should teach the patient to:
change the patch four times daily.
use the patch as needed for angina pain.
use two patches daily and change them every 12 hours.
apply one patch daily in the morning and remove in 12 hours.
Question 17.17. A patient who has stable angina and uses sublingual nitroglycerin tablets is in the clinic and begins having chest pain. The primary care NP administers a nitroglycerin tablet and instructs the patient to lie down. The NP’s next action should be to:
obtain an electrocardiogram.
administer oxygen at 2 L/minute.
give 325 mg of chewable aspirin.
call EMS.
Question 18.18. A 12-year-old patient who is obese develops type 2 diabetes mellitus. The primary care NP should order:
nateglinide (Starlix).
glyburide (Micronase).
colesevelam (Welchol).
metformin (Glucophage).
Question 19.19. A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should:
counsel the patient to take the medication with food.
tell the patient that changing brands of the medication should be avoided.
instruct the patient to stop taking the medication if signs of thyrotoxicosis occur.
tell the patient that the drug may be stopped when thyroid function tests stabilize.
Question 20.20. A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 2 weeks. The patient reports continued fatigue. The primary care NP should:
order a T4 level today.
increase the dose to 100 mcg.
check the TSH level in 1 week.
reassure the patient that this will improve in several weeks.
Question 21.21. A patient who has stable angina is taking nitroglycerin and a -blocker. The patient tells the primary care NP that the cardiologist is considering adding a calcium channel blocker. The NP should anticipate that the cardiologist will prescribe:
isradipine (DynaCirc).
nicardipine (Cardene).
verapamil HCl (Calan).
nifedipine (Procardia XL).
Question 22.22. A 30-year-old white woman has a BMI of 26 and weighs 150 lb. At an annual physical examination, the patient’s fasting plasma glucose is 130 mg/dL. The patient walks 1 mile three or four times weekly. She has had two children who weighed 7 lb and 8 lb at birth. Her personal and family histories are noncontributory. The primary care NP should:
order metformin (Glucophage).
order a lipid profile, complete blood count, and liver function tests (LFTs).
order an oral glucose tolerance test.
set a weight loss goal of 10 to 15 lb.
Question 23.23. The primary care NP is preparing to prescribe isosorbide dinitrate sustained release (Dilatrate SR) for a patient who has chronic, stable angina. The NP should recommend initial dosing of:
60 mg four times daily at 6-hour intervals.
40 mg twice daily 30 minutes before meals.
60 mg on awakening and 40 mg 7 hours later.
80 mg three times daily at 8:00 AM, 1:00 PM, and 6:00 PM.
Question 24.24. A patient who has type 2 diabetes mellitus will begin taking a bile acid sequestrant. Which bile acid sequestrant should the primary care NP order?
Colesevelam (Welchol)
Colestipol (Colestid)
Cholestyramine (Questran)
Cholestyramine (Questran Light)
Question 25.25. A patient who takes nitroglycerin for stable angina pectoris develops hypertension. The primary care NP should contact the patient’s cardiologist to discuss adding:
amlodipine (Norvasc).
diltiazem (Cardizem).
verapamil HCl (Calan).
nifedipine (Procardia XL). [Show Less]
