2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed, Exams of Nursing

Download 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed and more Exams Nursing in PDF only on Docsity! • 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 • 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 • Question 3 1 out of 1 points The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: • Question 4 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Select ed Answe r: nitrate tolerance . Select ed Answe r: potential adverse effects of the drugs that Mr. Nguyen will be taking. Select ed Answe r: Bismuth, Metronidazole, Omeprazole, and Tetracycline 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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 • Question 6 0 out of 1 points The APRN is treating a 56 year old male with diagnosed atrial fibrillation. 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: • 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? 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success A 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 Select ed Answe r: hypertension. Select ed Answe r: adrenal insufficiency. Select ed Answe r: 3. Cardiac glycoside such as Digoxin 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 12 1 out of 1 points • Question 13 1 out of 1 points • Question 14 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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 Select ed Answe r: hyperkalemia. 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? Select ed Answe r: Serum potassium levels 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 15 1 out of 1 points • 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 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success During 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 Select ed Answe r: may cause nutrient deficiencies. 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? Select ed Answe r: To balance urate concentration and prevent gout attacks Select ed Answer: 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 17 1 out of 1 points A patient has been prescribed a Scheduled 5 drug, an example of this drug is Selected 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? • Question 19 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success a CNS reflex that is initiated by receptors in the nasal cavities. Answer: Select ed Answe r: Co ffe e 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 it 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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? • 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? • Question 27 1 out of 1 points A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely benefit most from the addition of: 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Select ed Answe r: A 79-year-old male with cardiomegaly Select ed Answe r: Enlarged prostate gland Select ed Answe r: 2. Beta bloc ker 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 28 1 out of 1 points • Question 29 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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? Select ed Answe r: Digoxin immune fab 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? Select ed Answe r: Blood pressure 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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? • 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 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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? Select ed Answe r: An oral antidepressant that the patient has been taking daily for several years Select ed Answe r: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. Select ed Answe r: decrease the amount of circulating blood sent through the kidneys. 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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 • 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? • Question 35 1 out of 1 points • Question 40 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Select ed Answe r: Digoxin Select ed Answe r: a higher-than-normal dose of drugs that bind to acid glycoproteins. Select ed Answe r: "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 41 1 out of 1 points • 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? 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success A 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? Select ed Answe r: Potas sium levels 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? Select ed Answe r: "Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn." Select ed Answe r: Route 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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 • Question 44 1 out of 1 points • Question 45 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Select ed Answe r: use of alcohol. 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? Select ed Answe r: Carefully assess the patient for infections 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 51 1 out of 1 points • 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? 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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? Select ed Answe r: Administering the drug intravenously rather than orally 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? Select ed Answe r: Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. Select ed Answe r: History of taking anticoagulant drugs 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 53 1 out of 1 points • Question 54 1 out of 1 points The APRN should educate a diabetic patient that beta blockers may mask the signs and symptoms of • Question 55 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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 Select ed Answe r: open the capsule and sprinkle the beads in applesauce. Select ed Answe r: hypog lyce mia 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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? • Question 57 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success A 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 Select ed Answe r: transder mal ly. Select ed Answe r: Hair loss Which statement is FALSE regarding the treatment of hyperthyroidism? Select ed Answe r: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females. 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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? • 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 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success S h ort-acting and long acting inhaled beta2 agonists Select ed Answe r: Bleeding Select ed Answe r: consulting a drug guide for compatibility. • Question 66 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • 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 • Question 68 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 1 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? Select ed Answe r: The resident's apical heart rate is 112 beats/minute with a regular rhythm Select ed Answe r: four times a day. 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? Select ed Answe r: 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 69 1 out of 1 points • 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 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Most pati ents tolerate statins well, with minor muscle aches being among the most common adverse effects. 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 Select ed Answe r: apply the patch to Mr. Lacuna's back to reduce the chance that he will remove it. Select ed Answe r: administer carbohydrates. 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 76 1 out of 1 points • 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? • Question 78 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success Select ed Answe r: It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. 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? Select ed Answe r: A patient with a history of angina who experienced a non-ST wave myocardial infarction Select ed Answe r: Coordinate bone density testing for the patient. Mrs. Houston is a 78-year-old woman who resides in an 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 79 1 out of 1 points • 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, and 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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? Select ed Answe r: The importance of having required laboratory work performed on time 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? Select ed Answe r: Using the two drugs to treat a health problem may create a synergistic effect. 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 81 1 out of 1 points • Question 82 1 out of 1 points Which of the following statements best defines how a chemical becomes termed a drug? 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success metoprolol (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? Select ed Answe r: Phenelzi ne (Nardil) 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 Select ed Answe r: 15 to 30 minutes. Select ed Answe r: A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug. 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 89 1 out of 1 points A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? • Question 90 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? Select ed Answe r: The man's chest sounds are clear and his ankle edema is lessened. Select ed Answe r: How well a drug produces its desired effect 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 91 1 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by: • Question 92 1 out of 1 points 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success A 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 Select ed Answe r: omit the dose if the meal does not contain fat. Select ed Answe r: Individual states laws regarding scheduled medications that can be prescribed and for how long 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? Select ed Answe r: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success • Question 93 1 out of 1 points • 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? 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success 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 Select ed Answe r: a decrease in the amount of creatinine to be filtered. Select ed Answe r: Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes before each meal • Question 95 2022/2023 update!!! NURS 6521 MIDTERM EXAM Questions and Answers Best Rated A+ Guaranteed Success