Question 1
1 out of 1 point
Which of the following affects drug distribution throughout the body?
Selected Answer: Protein binding
Question 2
1 out
... [Show More] of 1 point
A Nurse Practitioner who provides care in a long-term care facility is documenting a new
resident's medication regimen on the resident's intake admission. The Nurse Practitioner is
documenting the generic, rather than proprietary, names of the resident's current drugs
because
Selected
Answer: there is a potential for confusion and miscommunication if proprietary
names are used.
Question 3
1 out of 1 point
A patient is admitted to the emergency department with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate
dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before
administering the nitroglycerin, the nurse should prioritize which of the following
assessments?
Selected Answer: Blood pressure
Question 4
1 out of 1 point
A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler.
The nurse will advise the patient that he will most likely experience which of the
following common adverse effects of the drug?
Selected Answer: Throat irritation
Question 5
1 out of 1 points
A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery
and the care team anticipates some disruptions to the patient's blood glucose levels in
the days following surgery. Which of the following insulin regimens is most likely to
achieve adequate glycemic control?
Selected
Answer:
Doses of basal insulin twice daily with regular insulin before each
meal
Question 6
0 out of 1 points
The APRN's ability to prescribe controlled substances is regulated by:
Selected Answers:
State Law
Question 7
1 out of 1 points
A patient has been prescribed an oral drug that is known to have a high first-pass effect.
Which of the following measures has the potential to increase the amount of the free
drug that is available to body cells?
Selected Answer: Administering the drug intravenously rather than orally
Question 8
1 out of 1 points
Federal legislation dictates a lengthy and rigorous process of testing for new drugs.
What is the primary purpose of this testing process?
Selected Answer: To ensure the safety of the public
Question 9
1 out of 1 points
A 66-year-old woman has a complex medical history that includes poorly-controlled
type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure
(CHF). Her care provider has recently added spironolactone (Aldactone) to the woman's
medication regimen. The nurse should consequently assess for signs and symptoms of
Selected Answer: hyperkalemia.
Question 10
1 out of 1 points
The lower respiratory system utilizes a number of different mechanisms that confer
protection and maintain homeostasis. Which of the following physiological processes
protects the lower respiratory system?
Selected
Answer:
Cilia sweep foreign material and mucus upward toward the trachea and
larynx where they can then be swallowed.
Question 11
0 out of 1 points
A 22 year old patient is transitioning from oral agents to insulin. He
will be taking 20 units of lantus at bedtime and regular insulin before
meals. What instructions should the NP provide about the timing and
dose of regular insulin?
Selected
Answer:
Take 1 unit of regular insulin for each 5 grams of
carbohydrate to be consumed 30 minutes before each
meal.
Question 12
1 out of 1 points
A Nurse Practitioner who provides care on an acute medicine unit has frequently
recommended the use of nicotine replacement gum for patients who express a
willingness to quit smoking during their admission or following their discharge. For
which of the following patients would nicotine gum be contraindicated?
Selected
Answer: A patient with a history of angina who experienced a non-ST wave
myocardial infarction
Question 13
1 out of 1 points
A Nurse Practitioner is caring for a female patient who has developed atelectasis because
of thick mucus secretions. The Nurse Practitioner is monitoring IV administration of
acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate
nursing action would be to
Selected
Answer: slow the administration of acetylcysteine and administer
diphenhydramine if ordered.
Question 14
1 out of 1 points
A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin
(DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize
the assessment of which of the following?
Selected Answer:
Electrolyte levels
Question 15
1 out of 1 points
Shirley, age 58, has been diabetic for 7 years. Her blood pressure for the last three office
visits have been 154/100, 144/94, and 144/90. What would you prescribe today during
her routine office visit?
Selected Answer:
An ACE Inhibitor
Question 16
1 out of 1 points
John is a newly diagnosed diabetic that contacts the office with complaints of
severe nausea and vomiting. What instructions should the APRN provide related to
his insulin doses?
Selected
Answer:
Monitor your blood sugar every 4 hours and take
regular insulin based on the blood sugar reading. [Show Less]