Pharmacology and Nursing Practices: Case Study Analysis, Exams of Nursing

Download Pharmacology and Nursing Practices: Case Study Analysis and more Exams Nursing in PDF only on Docsity! 1 1. Question: Bipolar disease requires for successful treatment. Student Answer: no medication but only cognitive therapy a limited amount of medication for a short period of time no intervention lifetime medication Points Received: 2.5 of 2.5 Comments: Question 2.Question: Juvenile rheumatoid arthritis is . Student Answer: autoimmune viral bacterial trauma induced Points Received: 2.5 of 2.5 Comments: Question 3.Question: An example of a Schedule IV drug is . Student Answer: Lortab Lorcet hydrocodone alprazolam Points Received: 2.5 of 2.5 Comments: Question 4.Question: Your prescription pad should include . Student Answer: your full name your credentials 2 your license and DEA number, if applicable all the above options Points Received: 2.5 of 2.5 Comments: Question 5.Question: Testing for hemophilia includes evaluation for Factor . Student Answer: V VI 5 trauma induced Points Received: 2.5 of 2.5 Comments: Question 10.Question: The SSRI withdrawal system is best characterized as . Student Answer: bothersome but not life threatening potentially life threatening most often being associated with agents that have a long half- life being associated with seizure risk Points Received: 2.5 of 2.5 Comments: Question 11.Question: The two primary sources of inflammatory bowel disease are . Student Answer: Helicobacter pylori and Crohn’s disease diverticulosis and ulcerative colitis Crohn’s disease and diverticulosis Crohn’s disease and ulcerative colitis Points Received: 2.5 of 2.5 Comments: Question 12.Question: If you have concerns that a patient has suicidal ideations, you should . Student Answer: ask the patient about possible suicidal ideations in a frank and open manner 6 ask vague and nonspecific questions about possible suicidal ideations ignore the possibility and recheck the patient in twenty-four hours ask the patient if he or she is ready to be committed Points Received: 2.5 of 2.5 Comments: Question 13.Question: An antidepressant should be taken by a patient for at least to adequately treat depressive symptoms. Student Answer: six weeks 7 six months sixty months six years Points Received: 0 of 2.5 Comments: Question 14.Question: A fifteen-year-old presents at your practice, complaining of muscle weakness with fainting spells. She has recently lost 15 lb. in three months, and her parents state that she spends a lot of time by herself. In obtaining the patient history, your priority question should be regarding the girl’s . Student Answer: immunization status sexual history diet and exercise age of menarche Points Received: 2.5 of 2.5 Comments: Question 15.Question: Which of the following is true regarding an innocent murmur? Student Answer: The murmur is low in intensity. The murmur is often holosystolic. Prompt referral to a cardiologist is indicated. The murmur is heard best at the lower-left sternal border. Points Received: 2.5 of 2.5 Comments: Question 16.Question: Still’s murmur . Student Answer: has a buzzing quality is usually heard in a patient who experiences dizziness with exercise 10 binge eating disorder depression anxiety Points Received: 2.5 of 2.5 Comments: Question 21.Question: One of the common symptoms of leukemia is . Student Answer: fever hypertension 11 leukopenia polycythemia Points Received: 2.5 of 2.5 Comments: Question 22.Question: Which drug class would be utilized for an initial episode of mania? Student Answer: Fluoxetine Lithium Valproate Paroxetine Points Received: 2.5 of 2.5 Comments: Question 23.Question: Which of the following patients is at a higher risk for a suicide attempt? Student Answer: A thirty-year-old single female A twenty-five-year-old male A sixty-five-year-old widowed female An eighty-six-year-old newly widowed male Points Received: 2.5 of 2.5 Comments: Question 24.Question: The number one psychological disorder in the United States has been identified as . Student Answer: depression anxiety schizophrenia bipolar disorder Points Received: 0 of 2.5 12 Comments: Question 25.Question: Schedule III and Schedule IV drugs are . Student Answer: refillable up to eleven times refillable up to five times not acceptable as phone-in prescriptions allowed as preprinted prescriptions Points Received: 0 of 2.5 15 Question 30.Question: The highest risk factor for type 2 diabetes mellitus is . Student Answer: genetics obesity age sex Points Received: 2.5 of 2.5 Comments: Question 31.Question: A potential side effect of an antihypertensive medication in a male would be . Student Answer: upper extremity edema acne hypertension erectile dysfunction Points Received: 2.5 of 2.5 Comments: Question 32.Question: ___________________ for a nineteen-year-old male with stage 1 hypertension. Student Answer: Full activity should be encouraged Weight lifting is contraindicated An exercise tolerance test is advisable A beta blocker should be prescribed Points Received: 2.5 of 2.5 Comments: Question 33.Question: The preferred drug for treatment of an initial episode of mania is . 16 Student Answer: Fluoxetine Lithium Valproate Paroxetine Points Received: 2.5 of 2.5 Comments: Question 34.Question: Bipolar disease is often diagnosed in . Student Answer: childhood 17 the fifth or sixth decade the midpuberty period the postpuberty period to early adulthood Points Received: 2.5 of 2.5 Comments: Question 35.Question: Which of the following physical stigmata are common in newborns with Down syndrome? Student Answer: Microcephaly, large ears and mouth, and flattened philtrum Hypotonia, a large-appearing tongue and a small mouth, and an upward slant to the eyes Fair mottled skin, large hands and feet, and a broad, stocky neck A funnel or pigeon-breasted chest, Brushfield spots, and extra digits Points Received: 2.5 of 2.5 Comments: Question 36.Question: A Doctor of Nursing practice (DNP) is considered . Student Answer: a research doctorate an educational doctorate a clinical/practice doctorate a philosophical doctorate Points Received: 2.5 of 2.5 Comments: Question 37.Question: The most common malignancy in children and adolescents is 20 Fiorcet #3 is an example of Lortab is an example of All the above options are examples of Points Received: 0 of 2.5 Comments: Question 42.Question: The best practice situation is one in which the scope of practice is defined . Student Answer: by the nurse practitioner 21 by the board of nursing in regulations in a statute Points Received: 2.5 of 2.5 Comments: Question 43.Question: A Schedule I drug . Student Answer: has a low potential for abuse is readily available has a high potential for abuse may be prescribed by nurse practitioners Points Received: 2.5 of 2.5 Comments: Question 44.Question: The definition of an advanced practice nurse is determined by . Student Answer: the American Academy of Nurse Practitioners the board of nursing for each state the American College of Nurse Practitioners the American Nurses Credentialing Center Points Received: 2.5 of 2.5 Comments: Question 45.Question: A Schedule II drug . Student Answer: has currently accepted medical treatments with severe restrictions has currently accepted medical treatments with no restrictions has no medical treatments that are currently accepted 22 has not been prescribed in the United States before Points Received: 2.5 of 2.5 Comments: Question 46.Question: The presence of repetitive physical or mental rituals is known as . Student Answer: a compulsive disorder a bipolar disorder a paranoia disorder 25 Question 51.Question: The initial presentation of hemophilia is often . Student Answer: excessive bleeding after circumcision hemoptysis menorrhagia lack of early presentations Points Received: 2.5 of 2.5 Comments: Question 52.Question: is the only one of the top ten causes of death that has no preventative or curative options. Student Answer: Breast cancer Lung cancer Parkinson’s disease Alzheimer’s dementia Points Received: 2.5 of 2.5 Comments: Question 53.Question: Pauciarticular arthritis is identified by pain in . Student Answer: multiple joints a single joint none of the joints a few joints Points Received: 2.5 of 2.5 Comments: Question 54.Question: A patient who has multiple ideas regarding suicide attempts should . 26 Student Answer: be admitted for concrete suicidal ideations be committed for vague suicidal thoughts be encouraged to discuss these thoughts and triggers for these ideations be put under a twenty-four-hour guard Points Received: 0 of 2.5 Comments: Question 55.Question: An example of long-acting insulin is . Student Answer: glargine 27 lispro neutral protamine Hagedorn glulisine Points Received: 2.5 of 2.5 Comments: Question 56.Question: A seventy-year-old patient presents with visual hallucinations, episodic delirium, fluctuating cognitive abilities, and short-term memory impairment. You suspect this patient has . Student Answer: Alzheimer’s disease frontal lobe dementia Parkinson’s dementia Lewy body dementia Points Received: 2.5 of 2.5 Comments: Question 57.Question: create higher costs than all other medical problems. Student Answer: Health prevention strategies Episodic illnesses Acute illnesses Chronic illnesses Points Received: 2.5 of 2.5 Comments: Question 58.Question: Your fourteen-year-old male patient presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have . Student Answer: atrial septal defect (ASD) pulmonary valve stenosis aortic valve stenosis 30 Student Answer: frontal lobe dementia Lewy body dementia vascular dementia Alzheimer’s disease Points Received: 2.5 of 2.5 Comments: Question 63.Question: A Schedule IV drug . Student Answer: has a high physical abuse potential has a high psychological abuse potential has a low abuse potential compared to a Schedule III drug 31 may be prescribed by all nurse practitioners Points Received: 2.5 of 2.5 Comments: Question 64.Question: Parents of a fourteen-month-old male present at your clinic, concerned about their child’s history of simple febrile seizures. The child has just experienced a second febrile seizure related to a high fever that developed with an ear infection. The parents are questioning you regarding the use of antiseizure medication. Which statement would be the most appropriate? Student Answer: Short-term anticonvulsant prophylaxis with phenobarbital for preventing reoccurrence is recommended. Prolonged use of anticonvulsant prophylaxis with phenobarbital is now recommended. Diazepam may be indicated for children under twelve months who have recurrent, complex febrile seizures. Fever management with acetaminophen to keep the fever below 102 degrees Fahrenheit will prevent another seizure. Points Received: 0 of 2.5 Comments: Question 65.Question: Panic disorder symptoms include . Student Answer: hypersomnolence bradycardia tachypalpitations periods of apnea Points Received: 0 of 2.5 Comments: Question 66.Question: When prescribing medications for a patient, you must consider . 32 Student Answer: the patient’s ability to tolerate the medicines the patient’s ability to understand the directions the patient’s ability to afford the prescription all the above options Points Received: 2.5 of 2.5 Comments: Question 67.Question: A Schedule V drug . 35 is one of the agencies that assist in ensuring the health and welfare of the public are all the above options Points Received: 2.5 of 2.5 Comments: Question 72.Question: The most common form of juvenile rheumatoid arthritis is . Student Answer: systemic pauciarticular osteoarticular polyarticular Points Received: 0 of 2.5 Comments: Question 73.Question: are the fastest-growing division of our population today. Student Answer: Adolescents Middle-aged people The baby boomers Older adults Points Received: 2.5 of 2.5 Comments: Question 74.Question: According to the American Academy of Nurse Practitioners, the scope of practice for a nurse practitioner includes . Student Answer: the professional role education 36 accountability and responsibility all the above options Points Received: 2.5 of 2.5 Comments: Question 75.Question: If your patient presents with a triglyceride level of 200 mg/dL and no other risk factors, what is your first instruction for treatment? Student Answer: Fenofibrate therapy Diet and exercise therapy Statin therapy 37 Metformin therapy Points Received: 2.5 of 2.5 Comments: Question 76.Question: The four “R” rules of prescribing are . Student Answer: right medicine, right time, right indication, and right patient right route, right medicine, right time, and right patient right hand, right route, right patient, and right medicine right patient, right route, right time, and right prescription Points Received: 2.5 of 2.5 Comments: Question 77.Question: If a state has two licensing boards that regulate nurse practitioners, the two boards are usually _. Student Answer: the board of nursing and the board of pharmacy the board of nursing and the board of medicine the board of nursing and the board of public safety the board of medicine and the board of pharmacy Points Received: 2.5 of 2.5 Comments: Question 78.Question: The priority of treatment of a patient with a psychiatric disorder is to . Student Answer: ensure your safety ensure the safety of others ensure a bed in the psychiatric unit ensure the safety of the patient Points Received: 2.5 of 2.5 40 Student Answer: ask vague questions, trying to gauge whether it is true ask your patient about these ideations in a frank and open manner ignore your suspicions and recheck your patient in twenty-four hours ask the person whether he or she would like to be voluntarily committed Points Received: 2.5 of 2.5 Comments: 41 Question 84.Question: A mental status examination to determine cognitive function is . Student Answer: not needed to determine the level of treatment not necessary to determine driving capabilities necessary only to determine diagnosis necessary to finalize diagnosis and initiate a treatment plan Points Received: 2.5 of 2.5 Comments: Question 85.Question: Acetylcholinesterase inhibitors may be used . Student Answer: to cure dementia to improve symptoms of dementia for a short time to improve symptoms of dementia until the patient dies to prevent dementia Points Received: 2.5 of 2.5 Comments: Question 86.Question: The insulin requirement for a type 1 diabetic is determined by . Student Answer: the HgbA1c level the quantity of ketones in the urine the quantity of glucose in the urine the fasting blood sugar average Points Received: 2.5 of 2.5 Comments: Question 87.Question: Isolated systolic hypertension is due to . 42 Student Answer: increased fluid overload stiffened vessels antihypertensive medication sleep deprivation Points Received: 0 of 2.5 Comments: Question 88.Question: Dementia usually involves loss of memory, loss of cognitive abilities, and loss of . Student Answer: personality 45 Comments: Question 93.Question: The first line of treatment for juvenile rheumatoid arthritis is . Student Answer: aspirin nonsteroidal anti-inflammatory drugs acetaminophen disease-modifying antirheumatic drugs Points Received: 2.5 of 2.5 Comments: Question 94.Question: An example of a Schedule V drug is . Student Answer: zolpidem clonazepam diazepam Lomotil Points Received: 2.5 of 2.5 Comments: Question 95.Question: An example of a Schedule II drug is . Student Answer: Marinol Dilaudid peyote MDMA Points Received: 2.5 of 2.5 Comments: Question 96.Question: Which of the following symptoms are not typical of a child with 46 attention-deficit/ hyperactivity disorder? Student Answer: The child is easily distracted. The child has difficulty playing quietly. The child doesn’t follow directions. The child frequently becomes angry and resentful. Points Received: 2.5 of 2.5 Comments: Question 97.Question: Hemophilia is recessive trait. 47 Student Answer: an X-linked a Y-linked a T-linked a U-linked Points Received: 2.5 of 2.5 Comments: Question 98.Question: The family of a sixty-five-year-old female complains that the patient is losing weight, is socially withdrawn, and makes frequent trips to the restroom during or after meals. You suspect the patient may have . Student Answer: an eating disorder hypothyroidism hyperthyroidism dementia Points Received: 0 of 2.5 Comments: Question 99.Question : Thoughts that are false but persistent are known as ideations. Student Answer: anxiety obsessive schizophrenic compulsive Points Received: 2.5 of 2.5 Comments: Question 100 Question : You note your seventy-five-year-old patient has developed a . shuffling gait and short-term memory loss and smells of urine. You suspect this patient has .