NUR 635 : MIDTERM EXAM QUESTIONS WITH CORRECT
ANSWERS
1) What should you avoid while taking the antibiotic metronidazole (Flagyl) to avoid
adverse effects? -- Answer ✔✔ Alcohol
2) What medication class can be used to treat BPH? -- Answer ✔✔ Alpha blockers
3) Why would we recommend for a patient to take an aspirin daily? -- Answer ✔✔
Stroke, MI, PE prevention
4) What is a big side effect of too much aspirin? -- Answer ✔✔ Bleeding
5) What should you monitor closely for an anemic patient getting epoetin? --
Answer ✔✔ Blood pressure (HTN)
6) What is the black box warning for epoietis-stimulating agents (ESAs) -- Answer
✔✔ They can cause tumors
,7) If a patient is diagnosed with angina, what medications should they take? --
Answer ✔✔ aspirin, statins, nitro
8) If you have someone who wants to self-donate, what would we prescribe to them
to stimulate red blood cells? -- Answer ✔✔ Epoetin WITH iron
9) If prescribing iron, what labs do we want to get and how long out should we get
them? -- Answer ✔✔ Reticulocyte count within 1 week
TIBC, H&H, ferritin - 4 weeks
10) What education should we provide to someone needing iron replacement? --
Answer ✔✔ Take on an empty stomach with orange juice (vit. C helps with
absorption) and it can cause GI upset
11) In a patient with pernicious anemia receiving Vit B12, what should we monitor? --
Answer ✔✔ Potassium (hypokalemia can occur within first two days)
12) How long does it take NPH to take effect? -- Answer ✔✔ 60-90 minutes
13) What is the biggest side effect to monitor for when treating diabetics with insulin
or oral agents? -- Answer ✔✔ Hypoglycemia (tachycardia, diaphoresis)
14) Why can beta blockers and alcohol not be taken together? -- Answer ✔✔ Masks
signs of hypoglycemia
15) If we are switching a patient from NPH to glargine, what do we need to do with
the glargine dosing? -- Answer ✔✔ Decrease by 20% to prevent hypoglycemia
16) What to monitor when starting metformin? -- Answer ✔✔ Renal function tests
, 17) Why are gliptins different from other anti-diabetic medications? -- Answer ✔✔
They act on the incretin system (indirectly increasing insulin production)
18) How do GLP-1 agonists work? -- Answer ✔✔ Directly bind to receptors in
pancreas
19) What are the NYHA stage classifications for HF? -- Answer ✔✔ Stage 1
Stage 2 - angina with exertion
Stage 3 - severe symptoms w/minimal or no activity
Stage 4 - symptoms at rest - need intervention
20) What is the biggest lifestyle change needed for an angina patient? -- Answer ✔✔
weight loss (diet/exercise)
21) What are the two reasons patients go into heart failure? -- Answer ✔✔ MI &
myocardial ischemia
22) What can you not take with flagyl? -- Answer ✔✔ Alcohol
23) If giving any medication that can cause hepatotoxicity, what should you monitor
for labs? -- Answer ✔✔ LFTs
24) Why do PAs/NPs have prescription authority? -- Answer ✔✔ more access to
care
25) When is it most dangerous for a pregnant woman to consume teratogenics? --
Answer ✔✔ 1st trimester
ANSWERS
1) What should you avoid while taking the antibiotic metronidazole (Flagyl) to avoid
adverse effects? -- Answer ✔✔ Alcohol
2) What medication class can be used to treat BPH? -- Answer ✔✔ Alpha blockers
3) Why would we recommend for a patient to take an aspirin daily? -- Answer ✔✔
Stroke, MI, PE prevention
4) What is a big side effect of too much aspirin? -- Answer ✔✔ Bleeding
5) What should you monitor closely for an anemic patient getting epoetin? --
Answer ✔✔ Blood pressure (HTN)
6) What is the black box warning for epoietis-stimulating agents (ESAs) -- Answer
✔✔ They can cause tumors
,7) If a patient is diagnosed with angina, what medications should they take? --
Answer ✔✔ aspirin, statins, nitro
8) If you have someone who wants to self-donate, what would we prescribe to them
to stimulate red blood cells? -- Answer ✔✔ Epoetin WITH iron
9) If prescribing iron, what labs do we want to get and how long out should we get
them? -- Answer ✔✔ Reticulocyte count within 1 week
TIBC, H&H, ferritin - 4 weeks
10) What education should we provide to someone needing iron replacement? --
Answer ✔✔ Take on an empty stomach with orange juice (vit. C helps with
absorption) and it can cause GI upset
11) In a patient with pernicious anemia receiving Vit B12, what should we monitor? --
Answer ✔✔ Potassium (hypokalemia can occur within first two days)
12) How long does it take NPH to take effect? -- Answer ✔✔ 60-90 minutes
13) What is the biggest side effect to monitor for when treating diabetics with insulin
or oral agents? -- Answer ✔✔ Hypoglycemia (tachycardia, diaphoresis)
14) Why can beta blockers and alcohol not be taken together? -- Answer ✔✔ Masks
signs of hypoglycemia
15) If we are switching a patient from NPH to glargine, what do we need to do with
the glargine dosing? -- Answer ✔✔ Decrease by 20% to prevent hypoglycemia
16) What to monitor when starting metformin? -- Answer ✔✔ Renal function tests
, 17) Why are gliptins different from other anti-diabetic medications? -- Answer ✔✔
They act on the incretin system (indirectly increasing insulin production)
18) How do GLP-1 agonists work? -- Answer ✔✔ Directly bind to receptors in
pancreas
19) What are the NYHA stage classifications for HF? -- Answer ✔✔ Stage 1
Stage 2 - angina with exertion
Stage 3 - severe symptoms w/minimal or no activity
Stage 4 - symptoms at rest - need intervention
20) What is the biggest lifestyle change needed for an angina patient? -- Answer ✔✔
weight loss (diet/exercise)
21) What are the two reasons patients go into heart failure? -- Answer ✔✔ MI &
myocardial ischemia
22) What can you not take with flagyl? -- Answer ✔✔ Alcohol
23) If giving any medication that can cause hepatotoxicity, what should you monitor
for labs? -- Answer ✔✔ LFTs
24) Why do PAs/NPs have prescription authority? -- Answer ✔✔ more access to
care
25) When is it most dangerous for a pregnant woman to consume teratogenics? --
Answer ✔✔ 1st trimester
