NR 508 Week 2 Quiz, Chamberlain College
of Nursing
1. A patient who has stable angina and uses sublingual
nitroglycerin tablets is in the clinic and begins having chest pain.
The primary care NP administers a nitroglycerin tablet and
instructs the patient to lie down. The NP’s next action should be
to: (Points : 2)
obtain an electrocardiogram.
administer oxygen at 2 L/minute.
give 325 mg of chewable aspirin.
call EMS.
Question 2.2. A patient has been taking levothyroxine 100 mcg
daily for several months. The patient comes to the clinic with
complaints of insomnia and irritability. The primary care NP notes
a heart rate of 92 beats per minute. The NP should: (Points : 2)
change to liothyronine 75 mcg/day.
discontinue levothyroxine indefinitely.
orderpropylthiouracil to counter the increased thyroid
levels.
order TSH and T4 levels and decrease the dose to 75
mcg/day.
Question 3.3. A 55-year-old patient with no prior history of
hypertension has a blood pressure greater than 140/90 on three
separate occasions. The patient does not smoke, has a body mass
index of 24, and exercises regularly. The patient has no known risk
, prescribe a thiazide diuretic and an angiotensin-converting
enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin
therapy with a -blocker.
Question 4.4. A 75-year-old patient who has cardiovascular
disease reports insomnia and vomiting for several weeks. The
primary care NP orders thyroid function tests. The tests show TSH
is decreased and T4 is increased. The NP should consult with an
endocrinologist and order: (Points : 2)
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
Question 5.5. A patient with primary hypercholesterolemia is
taking an HMG-CoA reductase inhibitor. All of the patient’s
baseline LFTs were normal. At a 6-month follow-up visit, the
patient reports occasional headache. A lipid profile reveals a
decrease of 20% in the patient’s LDL cholesterol. The NP should:
(Points : 2)
order LFTs.
order CK-MM tests.
consider decreasing the dose of the medication.
reassure the patient that this side effect is common.
Question 6.6. A patient who has type 2 diabetes mellitus will begin
taking a bile acid sequestrant. Which bile acid sequestrant should
the primary care NP order? (Points : 2)
of Nursing
1. A patient who has stable angina and uses sublingual
nitroglycerin tablets is in the clinic and begins having chest pain.
The primary care NP administers a nitroglycerin tablet and
instructs the patient to lie down. The NP’s next action should be
to: (Points : 2)
obtain an electrocardiogram.
administer oxygen at 2 L/minute.
give 325 mg of chewable aspirin.
call EMS.
Question 2.2. A patient has been taking levothyroxine 100 mcg
daily for several months. The patient comes to the clinic with
complaints of insomnia and irritability. The primary care NP notes
a heart rate of 92 beats per minute. The NP should: (Points : 2)
change to liothyronine 75 mcg/day.
discontinue levothyroxine indefinitely.
orderpropylthiouracil to counter the increased thyroid
levels.
order TSH and T4 levels and decrease the dose to 75
mcg/day.
Question 3.3. A 55-year-old patient with no prior history of
hypertension has a blood pressure greater than 140/90 on three
separate occasions. The patient does not smoke, has a body mass
index of 24, and exercises regularly. The patient has no known risk
, prescribe a thiazide diuretic and an angiotensin-converting
enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin
therapy with a -blocker.
Question 4.4. A 75-year-old patient who has cardiovascular
disease reports insomnia and vomiting for several weeks. The
primary care NP orders thyroid function tests. The tests show TSH
is decreased and T4 is increased. The NP should consult with an
endocrinologist and order: (Points : 2)
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
Question 5.5. A patient with primary hypercholesterolemia is
taking an HMG-CoA reductase inhibitor. All of the patient’s
baseline LFTs were normal. At a 6-month follow-up visit, the
patient reports occasional headache. A lipid profile reveals a
decrease of 20% in the patient’s LDL cholesterol. The NP should:
(Points : 2)
order LFTs.
order CK-MM tests.
consider decreasing the dose of the medication.
reassure the patient that this side effect is common.
Question 6.6. A patient who has type 2 diabetes mellitus will begin
taking a bile acid sequestrant. Which bile acid sequestrant should
the primary care NP order? (Points : 2)
