NR 508 Week 4 Midterm Exam Possible Questions-Answers | Chamberlain College of Nursing

NR 508 Week 4 Midterm Exam Possible Questions-Answers | Chamberlain College of Nursing-1. Which of the following has been shown to prolong life in patients with chronic congestive failure in spite of having a negative inotropic effect on cardiac contractility? Carvedilol 2. Which of the following statements gives the best explanation for the use beta-blockers in congestive heart failure? Beta blockers reduce remodeling of the heart muscle by inhibiting mitogenic activity of catecholamine’s. 3. Which of the molecular mechanism of action of digoxin (Lanoxin, Cardoxin) used in the management of congestive heart failure? Inhibition of Na+/K+ATPase of the cell membrane 4. Which of the following is an aldosterone antagonist and is useful in the management of hypertensive patients with hypokalemia? (specific therapeutic application) Eplerenone 5. Which of the following agents is the most appropriate choice as a diuretic in patients with hypertension, heart failure and renal failure? (therapeutic multiple uses) Furosemide 6. Which is the atypical antidepressant known to block the reuptake of dopamine & norepinephrine (NDRI) and in known to treat depression & nicotine addiction? Bupropion (Wellbutrin / Zyban) 7. Which is the drug increase GABA activity & chloride conductance in neuronal cells thus inhibiting action potentials and is known to treat anxiety, convulsions and could cause marked sedation? Ativan-Lorazepam 8. Which of the following agents is a carbonic anhydrase inhibitor that works at the proximal convoluted tubule and is used in the treatment of ocular hypertension? Acetazolamide 9. Which class of drugs bind to 30s ribosome units and is used in the treatment of Proponibacterum ( acne), mycoplasma, chlamydae, and helicobacter infections? Tetracycline’ 10. The primary care NP see a patient several months after a myocardial infarction. The patient has been furosemide to treat heart failure.. The NP notes that the patient has edema of the hands , feet and ankles. The NP should add which drug? Chlorothiazide (Lozol) 11. MK is a 64-year-old male taking Lisinopril for HTN. One month after starting the drug he noted to have a decline in renal function. Which is true? Increased potassium levels can be seen with ACEi hyperkalemia is less commonly seen 12. A 55-year-old patient develops Parkinson's disease characterized by unilateral tumors only. The primary care NP will referrer the patient to a neurologist and should expect initial treatment to be ? pramipexole 13. Which of the following drugs is a calcium channel blocker that slows cardiac conduction directly and thus decreases heart rates and oxygen demand? Diltiazem 14. Which of the following is an approved pharmacologic agent indicated for rapid conversion of atrial arrhythmias? Prior to the approval, electrical cardioversion was the recommended choice for rapid conversion of atrial fibrillation to normal sinus rhythm? Verapamil 15. Early stage Alzheimer's disease is diagnosed in a patient and the primary care NP recommended therapy is necessary because most functioning is intact. The NP should explain that medication may? Delay progression of symptoms 16. LO a 38-year-old with a history of depression and migraine headaches. In mid July she calls your office worried because she takes fluoxetine and occasionally Sumatriptan and heard a warning was issued re : the use of the two together. What is the concern? Sumatirptan is not safe to use with SSRIs but other triptan are safe to use in combination with SSRI 17. Which of the following agents is most appropriate chose as a diuretic in patients with hypertension, heart failure and renal failure? ( therapeutic multiple uses )? Furosemide 18. Which is the antifungal drugs, useful treating fungal meningitis in AIDS patients that reduces " ergosterol synthesis" in fungal cell membranes by inhibiting 14 alpha demethylases, a fungal cytochome P450 enzyme? intraconazole