FNP 635 Midterm Review Exam Questions With Correct Solutions

FNP 635 Midterm Review Exam Questions With Correct Solutions /.Pharmacokinetics - Answer-Movement of the drug around the body /.Pharmacodynamics - Answer-How the drug effects the body /.Meds that cause Hemolytic Anemia - Answer-Order Coombs test before med admin, recheck Coombs at 6 months. /.Absolute contraindications to ACE inhibitors - Answer-bilateral renal artery stenosis, angioedema, and pregnancy /.Rapid Acting Insulins - Answer-Humalog (Lispro), Novalog (Aspart), Apidra (Glulisine) Onset 5-30 min Peak 0.5-3 hrs Duration 3-4 hrs /.Short Acting Insulins - Answer-Regular (Humulin R, Novalin R) Onset 30-60min Peak 2-4 hrs Duration 3-7hrs /.Intermediate Acting Insulins - Answer-Isophane (NPH, Humulin N) Onset 1-2 hrs Peak 4-10 hrs Duration 10-16 hrs /.Long Acting Insulins - Answer-Lantus (Glargine), Levimir (Detemir) Onset 1-2 hrs Peak NONE Duration 20-24 hrs /.Fixed Combination Insulins - Answer-70/30 (NPH/regular ratio) 50/50 (NPH/regular ratio) 75/25 (NPH/lispro) 70/30 (NPH/aspart) /.Absolutely NO ALCOHOL with: - Answer-Flagyl /.Where is TSH made? - Answer-Anterior Pituitary /.Initial dose of NPH - Answer-0.3-0.5 units/kg/day in divided doses /.Diabetics with HTN - Answer-Start with ACE inhibitor /.Slow compensation that works to control BP over time - Answer-RAAS /.Fast compensation that does not effectively control BP long term - Answer-Baroreceptor Reflex /.Releases catecholamine that stimulate beta 1 - Answer-Pheochromocytoma /.Cannot be given orally - Answer-Catecholamines /.Do NOT give epi if pt taking: - Answer-MAOI /.Tachyphylaxis Meds - Answer-Nitro & Isosorbide Must have 'off' period for them to be effective and prevent tolerance. Prescribe 'off' time during periods of relaxation (NOC). /.Elderly and Infants - Answer-Kidneys don't excrete as well, and liver doesn't metabolize as well. /.Which does the NP take into account concerning pharmacokinetics? - Answer-Bioavailability /.Which statement by the patient tells the nurse that they understand the education regarding heparin? - Answer-I need to have my platelets drawn every 2-3 days /.Which educational statement by the patient tells the nurse that the patient understands the use of warfarin? - Answer-I need to avoid foods high in vitamin K. /.Which education should the NP include when educating patients on erythropoiesis-stimulating agents (ESAs)? - Answer-You may develop tumors with this medication. /.The nurse believes the patient understands the education regarding iron supplements when the patient states: - Answer-I can take this medication on an empty stomach, with orange juice. /.The NP knows that gliptINs help diabetics because they: - Answer-Act on the INcretin systems to INdirectly INcrease INsulin production. /.The NP understands that diabetics can benefit from GLP-1 agonists because they can: - Answer-Directly bind to a receptor in the pancreatic beta cell /.A patient with chronic renal failure becomes anemic, the NP prepares the patient for: - Answer-Treatment with epoetin alfa /.The NP believes the patient has had adequate education regarding iron supplements when they verbalize - Answer-I need to have a CBC drawn in 4 weeks /.ACE inhibitors help patients with heart failure by doing all of the following except: - Answer-Increasing heart rate and preload /.Your chronic pain patient calls for a refill on their regularly prescribed hydrocodone prescription. The appropriate action of the NP would be to: - Answer-Schedule the patient for an in-person office visit. /.Which portion of the patients history should be thoroughly assessed before prescribing metronidazole for a bacterial vaginosis infection? - Answer-Social history for alcohol intake /.When prescribing lithium, the NP educates the patients that all of the following will need to be closely monitored throughout therapy except: - Answer-Liver function /.A 32-week pregnant patient comes in complaining of contractions, the NP educates the patient regarding the following: - Answer-Treatment with a beta 2 agonist /.Which medication does the NP order after the patient experiences hallucinations following atropine treatment for their bradycardia? - Answer-Physostigmine /.Which condition is appropriate for the NP to prescribe clonidine ER to an adolescent? - Answer-ADHD /.The nurse educates the patient to watch for which adverse effect when discontinuing baclofen? - Answer-Hallucinations /.Lab work shows a decrease in creatinine clearance after the patient starts taking memantine. The NP's appropriate course of action should be to: - Answer-Decrease the dosage of memantine /.The nurse believes the patients caregiver needs more education when she verbalizes which following statement regarding rivastigmine transdermal patch? - Answer-I should change the patch every 72 hours (should change it every 24hrs)