Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer, Exams of Nursing

Download Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer and more Exams Nursing in PDF only on Docsity! Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 2 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ 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? Selec ted Answ er: Serum potassiu m levels Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 5 1 out of 1 points • Question 6 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? Selec ted Answ er: "Do you take any herbal supplements or alternative medications?" Which antihypertensive agent is associated with hair growth? Select ed Answer: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 7 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ M i noxi d il The Nurse Practitioner is preparing to Prescribe a medication regimen for her patient. He or she recognizes that criteria for choosing an effective drug for any disorder include: Selec ted Answ er: Following U.S. Drug Enforcement Administration guidelines for prescribing • Question 8 Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 9 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ 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 Selec ted Answ er: a decrease in the amount of creatinine to be filtered. 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 Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ e d em a Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially prescribed the medication, she asks you about the common side effects of this type of medication. Which choice below is correct? Selec ted Answ er: los s of tas te Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 14 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Typical adverse reactions to oral calcium- channel blockers include: Select ed Answ er: ed em a Advanced practice nurse prescribing of scheduled medications is affected most by: Select ed Answ er: Individual states laws regarding scheduled medications that can be prescribed and for how long Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 15 1 out of 1 points • Question 16 1 out of 1 points • Question 17 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered- dose inhaler (MDI) has been ordered as treatment. Which patient response would indicate to the family nurse practitioner that the patient understands how to take the medication? Selec ted Answ er: “I will take 1 puff of the medication and then wait a minute before taking the second puff.” A primary therapy for patients with mild ulcerative colitis is: Selec ted Answ er: Mesalamine (Pentasa). Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 18 1 out of 1 points • Question 21 1 out of 1 points • Question 22 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Which of the following statements best defines how a chemical becomes termed a drug? Selec ted Answ er: A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 23 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. Select ed Answ er: Tr u e A patient with a known history of benign prostatic hyperplasia (BPH) presents to the clinic 4 days after developing a cold. He tells you he began experiencing a sore throat and nasal congestion and began to take an over the counter decongestant. Today, he complains of not urinating over the last 12 hours. He also has suprapubic fullness on exam. Which of the following medications are most likely responsible for this patient's urinary retention? Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 24 0 out of 1 points • Question 25 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Selec ted Answ er: Phenyl ephrii ne What drug class will decrease the facial flushing that occurs with niacin? Select ed Answ er: Vasop resso rs The Elderly are at high risk of Adverse Drug Reactions due to: Select ed Answ er: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 29 1 out of 1 points • Question 30 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron- deficiency anemia. What instructions would the family nurse practitioner include for the parents? Selec ted Answ er: Give the medication through a straw to decrease the staining of the teeth. A patient who is a steroid-dependent asthmatic is started on a beclomethasone inhaler. Which should be part of patient education? Select ed Answer: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 31 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ R i n se the mouth well after each use 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 Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 32 0 out of 1 points • Question 33 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Selec ted Answ er: hyperkalemia. A 65-year-old male presents with a history of worsening urinary urgency, frequency, and hesitancy. He also tells you that he has to "push really hard" to urinate and that his urine dribbles a little after he is done urinating. What medication should be avoided Select ed Answ er: omep razo le Successful treatment for an adult patient Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 37 1 out of 1 points • Question 38 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ mean replacement dosage. Selec ted Answ er: 1.7 mcg/kg of body weight per day You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? Select ed Answ er: Muscle twitching, numbness, tingling, burning sensations of the limbs, and diarrhea What is a serious side effect of ibuprofen in the older adult patient? Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 39 0 out of 1 points • Question 40 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Select ed Answ er: Impairmen t of renal function Drugs that use CYP 3A4 isoenzymes for metabolism may: Select ed Answ er: Induce the metabolism of another drug A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selec ted Answer: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 41 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ C-II drug. /Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 46 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ c o uma d in 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 Bleeding Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 47 0 out of 1 points • Question 48 0 out of 1 points • Question 49 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Answer: Classes of medications typically used to treat hyperthyroid conditions include: Select ed Answ er: ACE inhibitors, anxiolytics, and antithyroid medications. Which mechanism of platelet inhibition is exhibited by aspirin? Select ed Answ er: Phosphodiestera se inhibition Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 50 1 out of 1 points • Question 51 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Which of the following serves to protect the public by ensuring the purity of a drug and its contents? Select ed Answ er: Feder al legisla tion 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? Selec ted Answ er: Coordinate bone density testing for the patient. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 54 0 out of 1 points • Question 55 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ of the following is a known potential adverse effect of valproic acid? Selec ted Answ er: Wei ght los s Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Select ed Answ er: blur red visi on Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 56 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Which of the following can block the action of heparin? Select ed Answ er: Prota mine sulfat e Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 57 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ 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? Selec ted Answ er: How well a drug produces its desired effect To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should Selec ted Answ er: administer carbohydrates. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 61 1 out of 1 points • Question 62 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Select ed Answ er: Severe congestive heart failure The Family nurse practitioner prescribed losartan 50 mg PO daily for a hypertensive patient. This medication promotes vasodilation by: Select ed Answ er: Blocking the action of angiotensin II A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 63 1 out of 1 points • Question 64 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Selec ted Answ er: decreasing the influx of sodium into neurons. The Nurse Practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching? Select ed Answ er: “I do not need to use a spacer with my MDI.” Which of the following oral medications is the safest to use during pregnancy? Select ed Answer: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 65 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ M e thyld o pa A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 70 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Select ed Answ er: It blocks the Na- K ATPase pump. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 71 0 out of 1 points • Question 72 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ The APRN's ability to prescribe controlled substances is regulated by: Selected DE Answers: A A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? Select ed Answ er: Epiga stric distre ss Metformin (Glucophage) acts by: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 73 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Select ed Answ er: Decreasing hepatic glucose production with minor effects on insulin sensitivity in both liver and peripheral tissues The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who complains of almost daily indigestion and heartburn for the past year with a strong acid taste in the mouth about an hour after meals, and frequent belching and awakening at night with choking. The history is negative for chronic illnesses and alarm symptoms. A diagnosis of gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the patient? Selec ted Answ er: Omeprazole (Prilosec) 20 mg every morning 30 minutes before breakfast. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 78 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selec ted Answ er: use of alcohol. The family of a Parkinson’s patient brings him to the clinic because he is experiencing increasing difficulty with ambulation. The family nurse practitioner increases the patient’s dose of carbidopa (25 mg)/levodopa (100 mg) (Sinemet 25–100 mg) from three to four times daily. What is important for the family nurse practitioner to teach the family regarding the increase in the dose of this medication? Selec ted Answ er: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 79 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ O r thostatic hypotension can be problematic at higher dosing ranges. The NP knows that lithium levels should be measured while patients are on lithium therapy. The NP also recognizes that lithium has a Select ed Answ er: has a low therapeutic index and toxicity can occur at doses close to therapeutic levels • Question 80 Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ 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: Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists? Select ed Answ er: increased bladder tone Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 81 1 out of 1 points • Question 82 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ administered: Select ed Answ er: Once a day. The side effects of antihistamines are mostly due to their: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 87 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Select ed Answ er: Anticholin ergic eff ects Autonomic drugs have little effect when administered: Select ed Answ er: or all y The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Select ed Answer: Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 88 1 out of 1 points • Question 89 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ o n s et of acti on 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 Selec ted Answ er: her history of emphys ema. Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 90 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ sodium inhaler (Intal) Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 94 1 out of 1 points • Question 95 1 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ Answer: Which type of antihistamines are used to inhibit the secretion of gastric acid in patients with gastrointestinal disorders? Selected H2 Answer: A patient with a history of bronchial asthma is seen in the clinic for increased episodes of difficulty breathing. He has been taking theophylline 100 mg PO tid. He is 40 years old and obese with an 16-pack-year history of cigarette smoking and excessive intake of coffee daily. He eats a low-carbohydrate, high-protein diet. Which identified factors decrease the therapeutic effects of the Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ • Question 96 1 out of 1 points • Question 97 0 out of 1 points Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+ theophylline? Selec ted Answ er: Smoking history and diet Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? Select ed Answ er: ACE Inhibitor What is associated with chronic Nurse 6521 midterm exam 100questions & answers all answers 100% correctly verified answer latest update 2022/2023 graded a+