NSG 6005 FINAL EXAM QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) To reduce mortality, all patients with angina, regardless of class, should be on:
A) Aspirin 81 to 325 mg/d
B) Nitroglycerin sublingually for chest pain
C) ACE inhibitors or ARBs
D) Digoxin -- Correct Answer ✔✔ A. Aspirin 81 to 325 mg/d
2) A sixty-six-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The nurse practitioner managing his
primary healthcare needs to understand the following regarding phenelzine and
other monoamine oxidase inhibitors (MAOIs):
A) He should not be prescribed any serotonergic drug such as
sumatriptan (Imitrex).
B) MAOIs interact with many common foods, including yogurt, sour
cream, and soy sauce.
C) Symptoms of hypertensive crisis (headache, tachycardia, sweating,
etc.) require immediate treatment.
, D) All the above options are correct. -- Correct Answer ✔✔ D. All
the above options are correct.
3) When starting a patient with hypothyroidism on thyroid replacement hormones,
patient education would include the following:
A) He or she should feel symptomatic improvement in one to two
weeks.
B) Drug-related adverse effects such as lethargy and dry skin may
occur.
C) It may take four to eight weeks to get to euthyroid symptomatically
and by lab testing.
D) Due to the short half-life of levothyroxine, its doses should not be
missed. -- Correct Answer ✔✔ C. It may take four to eight weeks
to get to euthyroid symptomatically and by lab testing.
4) The type of ADR that is the result of an unwanted but otherwise normal
pharmacological action of a drug given in the usual therapeutic doses is:
A) Type A
B) Type B
C) Type C
D) Type D -- Correct Answer ✔✔ A. Type A
5) Which of the following classes of drugs is contraindicated in heart failure?
A) Nitrates
B) Long-acting dihydropyridines
C) Calcium channel blockers
D) Alpha-beta blockers -- Correct Answer ✔✔ C. Calcium channel
blocker
, 6) An ACE inhibitor and what other class of drug may reduce proteinuria in patients
with diabetes better than either drug alone?
A) Beta blockers
B) Diuretics
C) Nondihydropyridine calcium channel blockers
D) Angiotensin II receptor blockers -- Correct Answer ✔✔ C.
Nondihydropyridine calcium channel blockers
7) The drug recommended as primary prevention of osteoporosis in women over
seventy years old is:
A) Alendronate (Fosamax)
B) Ibandronate (Boniva)
C) Calcium carbonate
D) Raloxifene (Evista) -- Correct Answer ✔✔ A. Alendronate
(Fosamax)
8) Off-Label prescribing is:
A) Regulated by the FDA
B) Illegal by NPs in all states (provinces)
C) Legal if there is scientific evidence for the use
D) Regulated by the DEA -- Correct Answer ✔✔ C. Legal if there is
scientific evidence for the use
9) Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for
seizures. She should be monitored for:
A) Increased seizure activity as this drug may auto-induce seizures
B) Altered renal function, including renal failure
C) Blood dyscrasias, which are uncommon but possible
SOLUTIONS
1) To reduce mortality, all patients with angina, regardless of class, should be on:
A) Aspirin 81 to 325 mg/d
B) Nitroglycerin sublingually for chest pain
C) ACE inhibitors or ARBs
D) Digoxin -- Correct Answer ✔✔ A. Aspirin 81 to 325 mg/d
2) A sixty-six-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The nurse practitioner managing his
primary healthcare needs to understand the following regarding phenelzine and
other monoamine oxidase inhibitors (MAOIs):
A) He should not be prescribed any serotonergic drug such as
sumatriptan (Imitrex).
B) MAOIs interact with many common foods, including yogurt, sour
cream, and soy sauce.
C) Symptoms of hypertensive crisis (headache, tachycardia, sweating,
etc.) require immediate treatment.
, D) All the above options are correct. -- Correct Answer ✔✔ D. All
the above options are correct.
3) When starting a patient with hypothyroidism on thyroid replacement hormones,
patient education would include the following:
A) He or she should feel symptomatic improvement in one to two
weeks.
B) Drug-related adverse effects such as lethargy and dry skin may
occur.
C) It may take four to eight weeks to get to euthyroid symptomatically
and by lab testing.
D) Due to the short half-life of levothyroxine, its doses should not be
missed. -- Correct Answer ✔✔ C. It may take four to eight weeks
to get to euthyroid symptomatically and by lab testing.
4) The type of ADR that is the result of an unwanted but otherwise normal
pharmacological action of a drug given in the usual therapeutic doses is:
A) Type A
B) Type B
C) Type C
D) Type D -- Correct Answer ✔✔ A. Type A
5) Which of the following classes of drugs is contraindicated in heart failure?
A) Nitrates
B) Long-acting dihydropyridines
C) Calcium channel blockers
D) Alpha-beta blockers -- Correct Answer ✔✔ C. Calcium channel
blocker
, 6) An ACE inhibitor and what other class of drug may reduce proteinuria in patients
with diabetes better than either drug alone?
A) Beta blockers
B) Diuretics
C) Nondihydropyridine calcium channel blockers
D) Angiotensin II receptor blockers -- Correct Answer ✔✔ C.
Nondihydropyridine calcium channel blockers
7) The drug recommended as primary prevention of osteoporosis in women over
seventy years old is:
A) Alendronate (Fosamax)
B) Ibandronate (Boniva)
C) Calcium carbonate
D) Raloxifene (Evista) -- Correct Answer ✔✔ A. Alendronate
(Fosamax)
8) Off-Label prescribing is:
A) Regulated by the FDA
B) Illegal by NPs in all states (provinces)
C) Legal if there is scientific evidence for the use
D) Regulated by the DEA -- Correct Answer ✔✔ C. Legal if there is
scientific evidence for the use
9) Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for
seizures. She should be monitored for:
A) Increased seizure activity as this drug may auto-induce seizures
B) Altered renal function, including renal failure
C) Blood dyscrasias, which are uncommon but possible
