NSG 6001|NSG 6001 Study Guide 2018|2019 - South University

Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for: A. Hypokalemia B. Impotence C. Decreased renal function D. Inability to concentrate 2. Carbamazepine has a Black Box warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to: C. Increased risk for Stevens-Johnson syndrome in Asian patients with HLA-B*1502 allele 3. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: A. It is OK to double the dose of Vicodin if the pain is severe B. Vicodin is not habit forming C. He should not take any other acetaminophen-containing medications D.Vicodin may cause diarrhea; increase his fluid intake 4. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: A.Gout may worsen with therapy B.Febuxostat may cause severe diarrhea C.He should consume a high-calcium diet D.He will need frequent CBC monitoring 5. The drug recommended as primary prevention of osteoporosis in women over the age of 70 years: Aldendronate (fosamax) 6. Pregnant patients with asthma may safely use throughout their pregnancy. Inhaled corticosteroids (budesonide) 7. Selective estrogen receptor modifiers (SERMS) treat osteoporosis by selectively: Estrogen agonists/antagonists Increase BMD by decreasing bone turnover. similar to estrogen. Raloxifene (Evista) only one on the market 8. Josie is a 5 year old who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie? A. Prochlorperazine (Compazine) B. Meclizine (Antivert) C. Promethazine (Phenergan) D. Ondansetron (Zofran) 9. Infants with reflux are initially treated with: A) Histamine2 receptor antagonist (ranitidine) B) Proton pump inhibitor (omeprazole) C) Anti-reflux maneuvers (elevate the head of the bed) D) Prokinetic (metoclopramide) 10. The action of “gliptins” is different from other antidiabetic agents because they: A. Have a low risk for hypoglycemia B. Are not associated with weight gain C. Close ATP-dependent potassium channels in the beta cell D. Act on the incretin system to indirectly increase insulin production 11. Treatment of a patient with prescription with hypothyroidism and cardiovascular disease consists of: levothyroxine 12. Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because: A. Zolpidem should be taken just before going to bed B. Zolpidem may cause dry mouth and constipation C. Patients may need to double the dose for effectiveness D. They should stop drinking alcohol at least 30 minutes before taking zolpidem 13. Heart failure is a chronic condition that can be adequately managed in primary care. However, consultation with or referral to a cardiologist is appropriate when: A. Symptoms markedly worsen or the patient becomes hypotensive and has syncope B. There is evidence of progressive renal insufficiency or failure C. The patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic D. Any of the above 14. Which of the following describes off label prescribing? -It is regulated by the Federal Food and Drug Administration. -It is illegal for nurse practitioners to prescribe off label in all states and provinces -It is legal if there is scientific evidence for its use. -It is regulated by the Drug Enforcement Administration (DEA) It is regulated by the Federal Food and Drug Administration. 15. Ethnic differences have been found in drug: B. Hepatic metabolism 16. Despite good blood pressure control, a Nurse Practitioner (NP) might change a patient’s drug from an ACEI to an angiotensin II receptor blocker (ARB) ….why??? ·Because the ARB does not produce a dry, hacky cough 17. The elderly are at high risk of ADRs due to: D. Age-related decrease in renal function 18. Insulin preparations are divided into categories based on onset, duration, and intensity of action following subcutaneous inject. Which of the following insulin preparations has the shortest onset and duration of action? A. Insulin lispro B. Insulin glulisine C. Insulin glargine D. Insulin detemir B. Insulin glulisine 19. The FDA regulates Food and medications sold to the public 20. Precautions that should be taken when prescribing controlled substances include: B. Using tamper-proof paper for all prescriptions written for controlled drugs 21. The tricyclic antidepressants should be prescribed cautiously in patients with: A. Eczema B. Asthma C. Diabetes D. Heart disease 22. Sitagliptin has been approved for A. Monotherapy in once daily doses B. Combination therapy with Metformin both A & B 23. What chemicals promote the spread of pain locally? (P. 1452) substance P, neurokinin A, and calcitonin gene-related peptide are released from peripheral pain receptors and promote the spread of pain locally 24. Drugs that are designated Schedule II by the DEA: B. May not be refilled; a new prescription must be written 25. Patients who are prescribed olanzapine (Zyprexa) should be monitored for: A. Insomnia B. Weight gain C. Hypertension D. Galactorrhea B. Weight gain 26. Long-term use of ................................continued