NR 293 FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
(COMT) inhibitors: entacapone (comtan) MOA -
correct answer- prolonged duration of action of
levodopa
reduce wearing off phenomenon
a 22 year old patient has been taking lithium for 1 year,
and the most recent lithium level is 0.9 mEq/L. Which
statement about the laboratory results is correct?
a. the lithium level is therapeutic
b. the lithium level is too low
c. the lithium level is too high
d. lithium is not usually monitored with blood levels -
correct answer- a. the lithium level is therapeutic
,a patient has a 9-year history of a seizure disorder that
has been managed well with oral phenytoin (dilantin)
therapy. He is to be NPO for surgery in the morning. What
will the nurse do about his morning dose of phenytoin?
a. give the same dose IV
b. give the morning dose with a small sip of water
c. contact the prescriber for another dosage form of the
medication
d. notify the operating room that the medication has been
withheld - correct answer- c. contact the
prescriber for another dosage form of the medication
a patient has a new order for a catechol ortho-
methyltransferase (COMT) inhibitor as part of treatment
for PD. The nurse recognizes that which of these is an
advantage of this drug class?
a. it has a shorter duration of action
b. it causes less GI distress
c. it has a slower onset than traditional PD drugs
,d. it is associated with fewer wearing off effects -
correct answer- d. it is associated with fewer
wearing off effects
a patient has a UTI. The nurse knows that which class of
drugs is especially useful for such infections?
a. macrolides
b. carbapenems
c. sulfonamides
d. tetracyclines - correct answer- c.
sulfonamides
excreted through kidneys and highly unchanged in
kidneys
a patient has been admitted to the emergency
department with a suspected overdose of a tricyclic
antidepressant. The nurse will prepare for what
immediate concern?
, a. hypertension
b. renal failure
c. cardiac dysthymia
d. GI bleeding - correct answer- c. cardiac
dysrhythmias
a patient has been given a prescription for levodopa-
carbidopa (sine met) for her newly diagnosed PD. She
asked the nurse, "why are there two drugs in this pill?"
the nurse best response reflects which fact?
a. carbidopa allows for larger doses of levodopa to be
given
b. carbidopa prevents the breakdown of levodopa in the
periphery
c. there are concerns about drug-food interactions with
levodopa therapy that do not exist with the combination
therapy
d. carbidopa is the biologic precursor of dopamine and
can penetrate into the CNS - correct answer- b.
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
(COMT) inhibitors: entacapone (comtan) MOA -
correct answer- prolonged duration of action of
levodopa
reduce wearing off phenomenon
a 22 year old patient has been taking lithium for 1 year,
and the most recent lithium level is 0.9 mEq/L. Which
statement about the laboratory results is correct?
a. the lithium level is therapeutic
b. the lithium level is too low
c. the lithium level is too high
d. lithium is not usually monitored with blood levels -
correct answer- a. the lithium level is therapeutic
,a patient has a 9-year history of a seizure disorder that
has been managed well with oral phenytoin (dilantin)
therapy. He is to be NPO for surgery in the morning. What
will the nurse do about his morning dose of phenytoin?
a. give the same dose IV
b. give the morning dose with a small sip of water
c. contact the prescriber for another dosage form of the
medication
d. notify the operating room that the medication has been
withheld - correct answer- c. contact the
prescriber for another dosage form of the medication
a patient has a new order for a catechol ortho-
methyltransferase (COMT) inhibitor as part of treatment
for PD. The nurse recognizes that which of these is an
advantage of this drug class?
a. it has a shorter duration of action
b. it causes less GI distress
c. it has a slower onset than traditional PD drugs
,d. it is associated with fewer wearing off effects -
correct answer- d. it is associated with fewer
wearing off effects
a patient has a UTI. The nurse knows that which class of
drugs is especially useful for such infections?
a. macrolides
b. carbapenems
c. sulfonamides
d. tetracyclines - correct answer- c.
sulfonamides
excreted through kidneys and highly unchanged in
kidneys
a patient has been admitted to the emergency
department with a suspected overdose of a tricyclic
antidepressant. The nurse will prepare for what
immediate concern?
, a. hypertension
b. renal failure
c. cardiac dysthymia
d. GI bleeding - correct answer- c. cardiac
dysrhythmias
a patient has been given a prescription for levodopa-
carbidopa (sine met) for her newly diagnosed PD. She
asked the nurse, "why are there two drugs in this pill?"
the nurse best response reflects which fact?
a. carbidopa allows for larger doses of levodopa to be
given
b. carbidopa prevents the breakdown of levodopa in the
periphery
c. there are concerns about drug-food interactions with
levodopa therapy that do not exist with the combination
therapy
d. carbidopa is the biologic precursor of dopamine and
can penetrate into the CNS - correct answer- b.
