User Nancy Doctura
Course NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-Advanced
Pharmacology2019 Winter Qtr 11/25-02/16-PT27
Test Exam - Week 7
Started
... [Show More] 1/12/20 6:10 PM
Submitted 1/12/20 8:10 PM
Due Date 1/13/20 1:59 AM
Status Completed
Attempt
Score
98 out of 100 points
Time
Elapsed
1 hour, 59 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results
Displayed
Submitted Answers, Incorrectly Answered Questions
Question 1
1 out of 1 points
A Nurse Practitioner explains to a patient that nitroglycerin patches should be
applied in the morning and removed in the evening. This medication schedule
reduces the potential for
Selected
Answer:
nitrate
tolerance.
Question 2
1 out of 1 points
Mr. Nguyen, age 71, will soon be discharged home from the hospital after a
successful coronary artery bypass graft (CABG). During patient education
about his drug regimen, Mr. Nguyen's nurse should prioritize teach about
Selected
Answer:
potential adverse effects of the drugs that Mr. Nguyen will
be taking.
Question 3
1 out of 1 points
The most effective therapy for a patient who is H. pylori positive with a gastric
ulcer is:
Selected
Answer:
Bismuth, Metronidazole, Omeprazole, and
Tetracycline
Question 4
1 out of 1 pointsA 60-year-old African-American man lives with a number of chronic health
problems. Genetic factors are likely to influence his etiology and/or treatment
of
Selected
Answer:
hypertension.
Question 5
1 out of 1 points
A female patient has been taking prednisone for her asthma for 1 month. The
nurse will teach her to gradually decrease her dose of prednisone to avoid
Selected
Answer:
adrenal insufficiency.
Question 6
0 out of 1 points
The APRN is treating a 56 year old male with diagnosed atrial fbrillation. He is
complaining of being light headed. His vital signs are BP 100/68 HR 144 RR
22. The best choice of medication to treat this patient is:
Selected
Answer:
3.
Cardiac glycoside such as
Digoxin
Question 7
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 8
1 out of 1 points
Which of the following will a Nurse Practitioner inform the patient is one of the
most common adverse effects of guaifenesin (Robitussin)?
Selected
Answer:
Gastrointestinal
distress
Question 9
1 out of 1 points
Which of the following is TRUE about long acting beta agonist use in asthma
patients?
Selected It can be combined with an inhaled corticosteroid to improveAnswer: asthma control
Question 10
1 out of 1 points
A patient with a variety of chronic health problems is being seen by her nurse
practitioner, who is currently reviewing the patient's medication regimen.
Which of the patient's medications should prompt the nurse to teach her to
avoid drinking grapefruit juice?
Selected
Answer:
Atorvastatin (Lipitor)
Question 11
1 out of 1 points
A Nurse Practitioner is instructing a patient who was recently diagnosed with
multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male
and the foreman for a construction company. In order to minimize one important
adverse effect of the drug, the nurse will give the patient which of the following
instructions?
Selected
Answer:
Wear appropriate clothing and sunscreen whenever he is in
direct sunlight
Question 12
1 out of 1 points
A 66-year-old woman has a complex medical history that includes poorlycontrolled 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 13
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
Selected
Answer:
Serum potassium
levels
Question 14
1 out of 1 pointsDuring a clinic visit, a patient complains of having frequent muscle cramps in
her legs. The nurse's assessment reveals that the patient has been taking
over-the-counter laxatives for the past 7 years. The nurse informed the
patient that prolonged use of laxatives
Selected
Answer:
may cause nutrient deficiencies.
Question 15
1 out of 1 points
The Nurse Practitioner is conducting a medication reconciliation of a new resident
of a long-term care facility. The Nurse Practitioner notes that the resident takes
allopurinol on a daily basis for the treatment of gout. What is the primary purpose
of this drug?
Selected
Answer:
To balance urate concentration and prevent
gout attacks
Question 16
1 out of 1 points
A woman has a long history of seasonal allergies that are typically
accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a
result of
Selected
Answer:
a CNS reflex that is initiated by receptors in the nasal
cavities.
Question 17
1 out of 1 points
A patient has been prescribed a Scheduled 5 drug, an example of this drug is
Selected
Answer:
Antitussives
Question 18
1 out of 1 points
A Nurse Practitioner is providing discharge planning for a 45-year-old woman who
has a prescription for oral albuterol. The Nurse Practitioner will question the patient
about her intake of which of the following?
Selected
Answer:
Coffe
e
Question 19
1 out of 1 points
A patient has been prescribed lovastatin for a high cholesterol level. The
nurse's teaching plan will include a basic explanation of how the drug
produces its therapeutic effect. The nurse will explain that lovastatin lowers
cholesterol levels because itSelected
Answer:
inhibits cholesterol syntheses.
Question 20
1 out of 1 points
A patient with bronchial asthma is prescribed a sustained-release preparation
of theophylline. To help minimize the adverse effects of the drug, which of the
following should the nurse suggest?
Selected
Answer:
Take it on an empty stomach, 1 hour before or 2 hours
after meals
Question 21
1 out of 1 points
A Nurse Practitioner is caring for a 78-year-old patient with renal insufciency and
chronic heart failure who is receiving rapid infusions of high-dose furosemide. It
will be a priority for the Nurse Practitioner to monitor for
Selected
Answer:
ototoxicit
y.
Question 22
1 out of 1 points
A 39-year-old African-American male is 25 pounds overweight and has been
diagnosed with hypertension after three consecutive above-normal blood
pressure readings. The most likely initial drug therapy for this patient will be
Selected
Answer:
a diuretic.
Question 23
1 out of 1 points
A homeless man who is well known to care providers at the local hospital has
been admitted to the emergency department after having a seizure outside a
mall. The man is known to be a heavy alcohol user and is malnourished with
a very low body mass index. How are this patient's characteristics likely to
influence possible treatment with phenytoin?
Selected
Answer:
The patient's protein deficit will likely increase the levels of
the free drug in his blood.
Question 24
1 out of 1 points
A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to
manage his hypertension. The nurse would be sure to instruct the patient to
Selected
Answer:
understand the signs and symptoms of hypoglycemia. Question 25
1 out of 1 points
A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the
following patients would the nurse most likely administer a lower-than-normal
maintenance dose of digoxin?
Selected
Answer:
A 79-year-old male with cardiomegaly
Question 26
1 out of 1 points
A 72-year-old man is prescribed theophylline for symptomatic relief of
bronchial asthma. Which of the following findings would alert the nurse to the
need for close monitoring?
Selected
Answer:
Enlarged prostate gland
Question 27
1 out of 1 points
A patient with unstable angina pectoris who is NOT controlled with a nitrate would
likely beneft most from the addition of:
Selected
Answer:
2.
Beta
blocker
Question 28
1 out of 1 points
A 58-year-old man is admitted to the emergency department. A diagnosis of
severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
Selected
Answer:
Digoxin immune
fab
Question 29
1 out of 1 points
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 30
1 out of 1 points
An elderly postsurgical patient has developed postoperative pneumonia in the
days following abdominal surgery and is being treated with a number of
medications. Which of the following medications that the nurse will administer
has the slowest absorption?
Selected
Answer:
An oral antidepressant that the patient has been taking
daily for several years
Question 31
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 32
1 out of 1 points
A Nurse Practitioner has administered a medication to a patient with hypertension.
The prescribed drug is supposed to decrease cardiac output. A decrease in
cardiac output would most likely
Selected
Answer:
decrease the amount of circulating blood sent through
the kidneys.
Question 33
1 out of 1 points
A 76-year-old woman has a complex medical history that includes
emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the
woman fell outside her home as a result of weakness and suffered a fracture
to her femoral head. The woman's subsequent hip-replacement surgery has
been scheduled and the care team recognizes that the use of isoflurane will
be most significantly influenced by
Selected
Answer:
her history of
emphysema.
Question 34
1 out of 1 points
A patient has been prescribed a drug that can be self-administered at home.
Which of the following would be the most important information for the nurse
to relate to the patient concerning self-administration of a drug?
Selected
Answer:
The therapeutic effects and possible adverse effects Question 35
1 out of 1 points
The APRN is treating a patient with type 2 diabetes. The patient is on the
maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs
from this morning indicate a fasting blood sugar of 312 and HbA1C of 9. The
APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and
instructions should the APRN provide?
Selected
Answer:
Give 19 units of Lantus subcutaneously prior to
bedtime.
Question 36
1 out of 1 points
A Native American man who lives a traditional lifestyle is scheduled to have
heart surgery. The tribal chief has requested that the tribe's medicine man
perform a ritual before the patient goes to surgery. The nurse's response to
this request should be
Selected
Answer:
"As long as the ritual does not interfere with the patient's
preoperative care, it will be okay."
Question 37
1 out of 1 points
A patient has been prescribed rabeprazole (Aciphex). It will be important for
the nurse to assess the patient's drug history to determine if the patient is
taking which of the following drugs?
Selected
Answer:
Digoxin
Question 38
1 out of 1 points
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive
Selected
Answer:
a higher-than-normal dose of drugs that bind to acid
glycoproteins.
Question 39
1 out of 1 points
A patient has GERD and is taking ranitidine (Zantac). She continues to have
gastric discomfort and asks whether she can take an antacid. Which of the
following is an appropriate response by the nurse?
Selected
Answer:
"Yes, but be sure to wait at least 2 hours to take the antacid
after you take the ranitidine."
Question 40
1 out of 1 pointsA Nurse Practitioner is caring for a patient who is taking digoxin and a loop
diuretic. Which of the following would be most important for the Nurse
Practitioner to monitor?
Selected
Answer:
Potassium
levels
Question 41
1 out of 1 points
A 60-year-old man has scheduled a follow-up appointment with his primary
care provider stating that the omeprazole (Prilosec) which he was recently
prescribed is ineffective. The patient states, "I take it as soon as I feel
heartburn coming on, but it doesn't seem to help at all." How should the nurse
best respond to this patient's statement?
Selected
Answer:
"Prilosec will help your heartburn but it's not designed to
provide immediate relief of specific episodes of heartburn."
Question 42
1 out of 1 points
What critical piece of information is missing from the following medication
order: Amoxicillin 250 mg every 8 hours?
Selected
Answer:
Route
Question 43
1 out of 1 points
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the
drug therapy begins, a priority action by the nurse will be to assess the
patient's
Selected
Answer:
use of alcohol.
Question 44
1 out of 1 points
A Nurse Practitioner is overseeing the care of a young man whose ulcerative
colitis is being treated with oral prednisone. Which of the following actions should
the Nurse Practitioner take in order to minimize the potential for adverse drug
effects and risks associated with prednisone treatment?
Selected
Answer:
Carefully assess the patient for
infections
Question 45
1 out of 1 pointsMr. Tan is a 69-year-old man who prides himself in maintaining an active
lifestyle and a healthy diet that includes adequate fluid intake. However, Mr.
Tan states that he has experienced occasional constipation in recent months.
What remedy should be the nurse's first suggestion?
Selected
Answer:
A bulk-forming (fiber) laxative
Question 46
1 out of 1 points
Frequent episodes of exercise-related chest pain have caused a 79-year-old
woman to use her prescribed nitroglycerin spray several times in recent
weeks. This patient's age will have what effect on her use of nitroglycerin?
Selected
Answer:
The woman will be more susceptible to hypotension than a
younger patient.
Question 47
1 out of 1 points
A 24-year-old factory worker has been prescribed guaifenesin for the first
time. Which of the following will be a priority assessment by the nurse before
the patient's first dose?
Selected
Answer:
The amount of alcohol consumption
Question 48
1 out of 1 points
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 49
1 out of 1 points
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily
use. Which of the following adverse effects should the nurse closely monitor
for in this patient?
Selected
Answer:
Oropharyngeal Candida albicans infection
Question 50
1 out of 1 pointsA patient has been prescribed an oral drug that is known to have a high firstpass 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 51
1 out of 1 points
Mr. Penny, age 67, was diagnosed with chronic angina several months ago
and has been unable to experience adequate relief of his symptoms. As a
result, his physician has prescribed ranolazine (Ranexa). Which of the
following statements is true regarding the use of ranolazine for the treatment
of this patient's angina?
Selected
Answer:
Mr. Penny requires concurrent treatment with a beta blocker,
nitrate, or a calcium channel blocker.
Question 52
1 out of 1 points
A Nurse Practitioner is caring for a patient who has been diagnosed with
hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug
therapy is started, the nurse will assess for which of the following?
Selected
Answer:
History of taking anticoagulant
drugs
Question 53
1 out of 1 points
A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is
currently having problems with not being able to swallow large tablets or
capsules. The man also wears dentures, which makes it even more difficult
for him to swallow medication. He is in the clinic to talk to the nurse about his
problem. The nurse will instruct him to
Selected
Answer:
open the capsule and sprinkle the beads in applesauce.
Question 54
1 out of 1 points
The APRN should educate a diabetic patient that beta blockers may mask the
signs and symptoms of
Selected
Answer:
hypoglyce
mia
Question 55
1 out of 1 pointsA Nurse Practitioner is providing patient education to a 35-year-old man who has
been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy.
The Nurse Practitioner should anticipate that the drug will be administered
Selected
Answer:
transdermal
ly.
Question 56
1 out of 1 points
Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn
disease. The nurse will discuss with the patient the possibility for which of the
following adverse effects related to the new drug therapy?
Selected
Answer:
Hair loss
Question 57
1 out of 1 points
Which statement is FALSE regarding the treatment of hyperthyroidism?
Selected
Answer:
Methimazole (Tapazole) is the drug of choice for pregnant or
lactating females.
Question 58
1 out of 1 points
A Nurse Practitioner is administering drugs to a 70-year-old patient who has a
reduced plasma albumin level. When assessing the patient for therapeutic
outcomes of drug therapy, the Nurse Practitioner will also be careful to observe for
Selected
Answer:
possible drug
toxicity.
Question 59
1 out of 1 points
A 79-year-old woman with a medical history that includes osteoporosis has
recently moved to a long-term care facility. Medication reconciliation indicates
that the woman has been taking calcitonin, salmon for several years. The
nurse should recognize that the most likely route for the administration of this
drug is
Selected
Answer:
intranasal.
Question 60
1 out of 1 points
A teenage boy has undergone a diagnostic workup following several months
of persistent, bloody diarrhea that appears to lack an infectious etiology. The
boy has also experienced intermittent abdominal pain and has lost almost 15
pounds this year. Which of the following medications is most likely to treat thisboy's diagnosis?
Selected
Answer:
Mesalamin
e
Question 61
1 out of 1 points
A Nurse Practitioner is instructing a patient concerning a newly prescribed drug.
Which of the following should be included to help improve patient compliance and
safety?
Selected
Answer:
Measures to alleviate any discomfort associated with
adverse effects
Question 62
1 out of 1 points
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will advise the
patient to
Selected
Answer:
avoid prolonged exposure to sunlight.
Question 63
1 out of 1 points
The APRN would use what class of medication to manage COPD?
Selected
Answer:
Short-acting and long acting inhaled beta2
agonists
Question 64
1 out of 1 points
A patient in need of myocardial infarction prophylaxis has been prescribed
sulfinpyrazone for gout. Which of the following will the nurse monitor the
patient most closely for?
Selected
Answer:
Bleeding
Question 65
1 out of 1 points
A Nurse Practitioner receives an order to administer a critically ill patient two drugs
immediately (stat). The Nurse Practitioner begins the process by
Selected
Answer:
consulting a drug guide for
compatibility.
Question 661 out of 1 points
Following an assessment by her primary care provider, a 70-year-old resident
of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt the
nurse to withhold a scheduled dose of levothyroxine?
Selected
Answer:
The resident's apical heart rate is 112 beats/minute with a
regular rhythm
Question 67
1 out of 1 points
To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate,
the nurse will instruct the patient to take the medication
Selected
Answer:
four times a day.
Question 68
1 out of 1 points
The Nurse Practitioner is performing patient education for a woman who will soon
begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has
asked the Nurse Practitioner if there are any "bad side effects" that she should be
aware of. Which of the following statements should underlie the nurse's
response?
Selected
Answer:
Most patients tolerate statins well, with minor muscle aches
being among the most common adverse effects.
Question 69
1 out of 1 points
Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a
diagnosis of moderate Alzheimer disease. Mr. Lacuna's physician recently
prescribed oral rivastigmine, but he was unable to tolerate the drug due to its
gastrointestinal effects. As a result, he has been ordered the transdermal
patch form of the medication. When administering this form of rivastigmine,
the nurse should
Selected
Answer:
apply the patch to Mr. Lacuna's back to reduce the chance
that he will remove it.
Question 70
1 out of 1 points
To minimize the risk of adverse effects of glucagon when given to an
unconscious diabetic patient, as the patient regains consciousness, the nurse
should
Selected
Answer:
administer carbohydrates. Question 71
1 out of 1 points
A 47-year-old woman has been diagnosed with open-angle glaucoma.
Pilocarpine drops are prescribed. The nurse's assessment reveals that the
patient has worn soft contact lenses for 15 years. The nurse will instruct the
patient to
Selected
Answer:
remove the contact lenses before applying the
drops.
Question 72
1 out of 1 points
Several months of treatment with a statin accompanied by lifestyle
modifications have failed to appreciably improve a patient's cholesterol levels.
Consequently, the patient has been prescribed cholestyramine. The nurse
should recognize that this drugs achieves its therapeutic effect by
Selected
Answer:
oxidizing cholesterol to bile acids.
Question 73
1 out of 1 points
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 74
1 out of 1 points
A 77-year-old patient has a long-standing history of hypertension, a health
problem that is being treated with metoprolol and a thiazide diuretic. Before
administering the 8 AM dose of these medications, what assessments should
the nurse perform and document? (Select all that apply.)
Selected
Answers:
Heart rate
Blood pressure
Question 75
1 out of 1 points
A female patient with a diagnosis of type 1 diabetes mellitus has been
experiencing increasing neuropathic pain in recent months, a symptom that
has not responded appreciably to conventional analgesics. The patient's care
provider has begun treatment with gabapentin (Neurontin). How is the
addition of this drug likely to influence the management of the patient's
existing drug regimen?Selected
Answer:
It is unlikely to influence the patient's other medications
because gabapentin does not interact with other drugs.
Question 76
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 77
1 out of 1 points
A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on
omeprazole (Prilosec) therapy for heartburn for some time. Regarding the
patient's safety, which of the following would be a priority nursing action?
Selected
Answer:
Coordinate bone density testing for the
patient.
Question 78
1 out of 1 points
Mrs. Houston is a 78-year-old woman who resides in an assisted living
facility. Her doctor prescribed digoxin at her last visit to the clinic and she has
approached the nurse who makes regular visits to the assisted-living facility
about this new drug. What teaching point should the nurse emphasize to Mrs.
Houston?
Selected
Answer:
The importance of having required laboratory work
performed on time
Question 79
1 out of 1 points
In light of her recent high blood pressure readings, a patient has been started
on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic
blocker. What is the most likely rationale for using two medications to address
the patient's hypertension?
Selected
Answer:
Using the two drugs to treat a health problem may create a
synergistic effect.
Question 80
1 out of 1 points
A 70-year-old woman has a complex medical and a current drug regimen that
includes calcium and vitamin D supplements for osteoporosis, metformin
(Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, andmetoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman
is requesting dextromethorphan for the treatment of a recurrent cough. What
component of her drug regimen contraindicates the use of
dextromethorphan?
Selected
Answer:
Phenelzine
(Nardil)
Question 81
1 out of 1 points
A 68-year-old man complains of a chronic, nonproductive cough. He states
that he has to have relief, that he has been coughing every 2 to 3 minutes,
and he is worn out. Dextromethorphan is prescribed for him. Before he leaves
the clinic he asks how long it will take for the medicine to work. The nurse will
advise him that he should experience therapeutic effects in
Selected
Answer:
15 to 30 minutes.
Question 82
1 out of 1 points
Which of the following statements best defines how a chemical becomes
termed a drug?
Selected
Answer:
A chemical must have a proven therapeutic value or efficacy
without severe toxicity or damaging properties to become a
drug.
Question 83
1 out of 1 points
It is determined that a patient, who is in a hepatic coma, needs a laxative.
Lactulose is prescribed. Which of the following should the nurse monitor to
assess the efficacy of the lactulose therapy?
Selected
Answer:
Blood ammonia levels
Question 84
1 out of 1 points
The parents of a 7-year-old boy who has just been diagnosed with allergic
asthma are being taught about their son's medication regimen by the nurse.
The nurse is currently teaching the parent's about the appropriate use of a
"rescue drug" for acute exacerbations of their son's asthma. What drug
should the nurse suggests the parents to use in these situations?
Selected
Answer:
Albuterol
Question 851 out of 1 points
An expected outcome for a patient who has just taken sublingual nitroglycerin
should be
Selected
Answer:
increased heart rate and decreased blood pressure.
Question 86
1 out of 1 points
A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug?
Selected
Answer:
"Determine if the drug is going to make you drowsy before
you drive."
Question 87
1 out of 1 points
A patient who takes aluminum hydroxide with magnesium hydroxide
(Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen
regularly in the clinic. The nurse should assess which of the following?
Selected
Answer:
Serum phosphate level
Question 88
1 out of 1 points
A 77-year-old man's chronic heart failure is being treated with a regimen of
quinapril (Accupril) and furosemide (Lasix). Which of the following
assessment findings would suggest that the loop diuretic is contributing to a
therapeutic effect?
Selected
Answer:
The man's chest sounds are clear and his ankle edema is
lessened.
Question 89
1 out of 1 points
A Nurse Practitioner is discussing with a patient the efcacy of a drug that his
physician has suggested, and he begin taking. Efcacy of a drug means which of
the following?
Selected
Answer:
How well a drug produces its
desired effect
Question 90
1 out of 1 pointsA 29-year-old female patient has been prescribed orlistat (Xenical) for morbid
obesity. The nurse is providing patient education concerning the drug. An
important instruction to the patient would be to
Selected
Answer:
omit the dose if the meal does not contain
fat.
Question 91
1 out of 1 points
Advanced practice nurse prescribing of scheduled medications is affected most
by:
Selected
Answer:
Individual states laws regarding scheduled medications that
can be prescribed and for how long
Question 92
1 out of 1 points
A Nurse Practitioner who provides care in a busy clinic is aware of the high
incidence and prevalence of hyperlipidemia and the consequent need for
antihyperlipidemics in many patients. Treatment of high cholesterol using statins
would be contraindicated in which of the following patients?
Selected
Answer:
An obese male client who is a heavy alcohol user and who
has cirrhosis of the liver
Question 93
1 out of 1 points
A Nurse Practitioner is caring for a 73-year-old man who is receiving drug therapy.
He is beginning to exhibit signs of decline in his renal system, yet his current
serum creatinine level is normal. The Nurse Practitioner will base the patient's
plan of care on the understanding that there is
Selected
Answer:
a decrease in the amount of creatinine to
be fltered.
Question 94
1 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
10 grams of carbohydrate to be consumed 15 minutes before
each meal
Question 951 out of 1 points
You are seeing a 55 year old patient recently diagnosed with a bleeding ulcer.
What should be the initial treatment choice for this patient?
Selected
Answer:
A Proton Pump
Inhibitor
Question 96
1 out of 1 points
A 79-year-old patient in a long-term care facility is to receive an intravenous
fat emulsion. Which of the following lab values would be a priority for the
nurse to assess before administration?
Selected
Answer:
Triglyceride levels
Question 97
1 out of 1 points
A patient is bothered with nighttime episodes of bronchoconstriction related to
asthma. Which of the following medications can be administered to decrease the
nighttime episodes and prevent asthma attacks?
Selected
Answer:
Leukotriene
modifers
Question 98
1 out of 1 points
A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset her
stomach. The nurse will encourage the patient to
Selected
Answer:
swallow the tablet with milk or food.
Question 99
0 out of 1 points
A 62 year old male who had a myocardial infarction one year ago is being seen
for hypertension. Which medication has the best evidence in mortality reduction?
Selected
Answer:
Beta
blocker
Question 100
1 out of 1 points
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic
effect bySelected
Answer:
inhibiting the movement of calcium ions across the cardiac
muscle cell membrane.
Question 101
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected
Answer:
Ye
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