NU 578 Exam 3| Actual Questions and Answers
Latest Updated (Graded A+)-USA
1. In the treatment of allergic rhinitis, which of the following should be limited to no more than
5 consecutive days? Topical vasoconstrictors because of RISK OF REBOUND CONGESTION,
pg. 242
2. The patient must be informed of possible damage to the lungs when prescribed oral therapy
with which of the following drugs: Amiodarone, pg. 101
3. Although aspirin is often combined with P2Y12 adenosine diphosphate receptor
antagonists, its use with these agents may: INCREASE THE RISK OF GI BLEEDS, both
combined suppress platelet aggregation.
4. CCB that are dihydropyridines: are often combined with a BB to suppress reflex tachycardia.
5. Which of the following statements is true: pg. 246
True: Dextromethorphan has not been shown to be effective in suppressing cough
associated with the common cold.
False: Antihistamines reduce itching, sneezing, and congestion (does not reduce
congestion), oral sympathomimetics can cause rebound congestion (only topical),
Guaifenesin acts by promoting a more vigorous cough (productive cough).
6. A patient has inadvertently overdosed on warfarin. To reverse the bleeding caused by this
drug, the patient will be treated with: Vitamin K, aka antidote PHYTONADIONE, pg. 154
7. With most of the ACEI that are approved for heart failure: starting doses are lower than
they are for the patient taking them for hypertension. Pg. 75
8. Of the following, the patient who is a candidate for Dronedarone would be: pg. 102
Yes: patient with paroxysmal a fib, depressed, and on a TCA.
Contraindicated in: The patient prescribed Clarithromycin for a sinus infection and who
has atrial flutter, pregnant patient with permanent a fib, and a patient on verapamil with
persistent a-fib.
9. When comparing ACEI to ARBS, the NP knows that: ANSWER IN 2nd EDITION
Both ACE/ARBs may cause renal failure in a patient with bilateral renal stenosis.
ACE inhibitors cause hyperkalemia and decrease responses to digoxin, ARBS are
recommended if ACE drugs are not tolerated, both are contraindicated in pregnancy, both
cause angioedema.
10. A patient receiving heparin therapy has a platelet count of 20,000/mm3. Appropriate
therapy would include: DISCONTINUE Heparin and start anticoagulant therapy with
Argatroban, pg. 151, ANTIDOTE FOR HIT---PROTAMINE SULFATE
11. Which of the following is true regarding antitussives: pg. 244
True: Dextromethorphan can cause CNS effects, including EUPHORIA if taken in high doses.
False: 1) Benzonatate capsules can be sucked like a lozenge (they need to be swallowed,
otherwise they will cause laryngospasm/bronchospasm/circulatory collapse), 2) codeine is
safe in children, 3) diphenhydramine is non-sedating option to treating cough due to the
common cold.
Latest Updated (Graded A+)-USA
1. In the treatment of allergic rhinitis, which of the following should be limited to no more than
5 consecutive days? Topical vasoconstrictors because of RISK OF REBOUND CONGESTION,
pg. 242
2. The patient must be informed of possible damage to the lungs when prescribed oral therapy
with which of the following drugs: Amiodarone, pg. 101
3. Although aspirin is often combined with P2Y12 adenosine diphosphate receptor
antagonists, its use with these agents may: INCREASE THE RISK OF GI BLEEDS, both
combined suppress platelet aggregation.
4. CCB that are dihydropyridines: are often combined with a BB to suppress reflex tachycardia.
5. Which of the following statements is true: pg. 246
True: Dextromethorphan has not been shown to be effective in suppressing cough
associated with the common cold.
False: Antihistamines reduce itching, sneezing, and congestion (does not reduce
congestion), oral sympathomimetics can cause rebound congestion (only topical),
Guaifenesin acts by promoting a more vigorous cough (productive cough).
6. A patient has inadvertently overdosed on warfarin. To reverse the bleeding caused by this
drug, the patient will be treated with: Vitamin K, aka antidote PHYTONADIONE, pg. 154
7. With most of the ACEI that are approved for heart failure: starting doses are lower than
they are for the patient taking them for hypertension. Pg. 75
8. Of the following, the patient who is a candidate for Dronedarone would be: pg. 102
Yes: patient with paroxysmal a fib, depressed, and on a TCA.
Contraindicated in: The patient prescribed Clarithromycin for a sinus infection and who
has atrial flutter, pregnant patient with permanent a fib, and a patient on verapamil with
persistent a-fib.
9. When comparing ACEI to ARBS, the NP knows that: ANSWER IN 2nd EDITION
Both ACE/ARBs may cause renal failure in a patient with bilateral renal stenosis.
ACE inhibitors cause hyperkalemia and decrease responses to digoxin, ARBS are
recommended if ACE drugs are not tolerated, both are contraindicated in pregnancy, both
cause angioedema.
10. A patient receiving heparin therapy has a platelet count of 20,000/mm3. Appropriate
therapy would include: DISCONTINUE Heparin and start anticoagulant therapy with
Argatroban, pg. 151, ANTIDOTE FOR HIT---PROTAMINE SULFATE
11. Which of the following is true regarding antitussives: pg. 244
True: Dextromethorphan can cause CNS effects, including EUPHORIA if taken in high doses.
False: 1) Benzonatate capsules can be sucked like a lozenge (they need to be swallowed,
otherwise they will cause laryngospasm/bronchospasm/circulatory collapse), 2) codeine is
safe in children, 3) diphenhydramine is non-sedating option to treating cough due to the
common cold.
