NURS 6521N MIDTERM EXAM WITH ANSWERS (100/100 POINTS)
• Question 1
A patient with bronchial asthma is prescribed a sustained-release preparation of
theophylline. To help minimize the adverse effects of the drug, which of the followingshould
the nurse suggest?
Selected Take it on an empty stomach, 1 hour before or 2 hours after meals
Answer:
• Question 2
• 1 out of 1 points
A Nurse Practitioner is providing care for a 71-year-old woman who was
sponsoredto emigrate from Mexico to the United States 6 months ago.
Earlier this week, the woman slipped while getting off a bus and fractured
her hip. How should the woman's nurse best exemplify cultural competence
in the care of this patient?
Selected Consider dimensions of the woman's cultural background
Answer: whenplanning care.
• Question 3
1 out of 1 points
A diabetic patient being treated for obesity tells the Nurse Practitioner that he
is having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverseeffects would need the Nurse Practitioner's immediate attention?
Selected Increased
Answer: bloodglucose
• Question 4
1 out of 1 points
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on
geneticmake-up. This area of study is called
Selected pharmacogeno
Answer: m ics.
• Question 5
1 out of 1 points
,An older adult who lives in a long-term care facility has recently begun taking
losartan (Cozaar) for the treatment of hypertension. The nurse who provides care
for this resident should recognize that this change in the resident's
, medication regimen make create a risk for
Selected falls.
Answer:
• Question 6
1 out of 1 points
A 39-year-old African-American male is 25 pounds overweight and has been
diagnosed with hypertension after three consecutive above-normal blood
pressure readings. The most likely initial drug therapy for this patient will be
Selected a diuretic.
Answer:
• Question 7
1 out of 1 points
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. Hehas an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
Selected Administer a tablet under his tongue and repeat the action in 5and
Answer: 10 minutes if the pain has not subsided
• Question 8
1 out of 1 points
A Nurse Practitioner working for a drug company is involved in phase III drug
evaluation studies. Which of the following might the Nurse Practitioner be
responsible for during this stage of drug development?
Selected Administering investigational drugs to
Answer: patients
• Question 9
1 out of 1 points
After a recent history of shortness of breath that has become increasingly severe, a
woman has been prescribed ipratropium by MDI while she undergoesa diagnostic
workup. What patient teaching should the nurse provide to this patient?
Selected "Make sure that you take this at the scheduled times, regardlessof
Answer: whether you feel short of breath."
• Question 10
, 1 out of 1 points
Which of the following patients is most likely to benefit from the administration ofan
adrenergic agonist?
Selected A man who is in cardiogenic shock following a myocardial
Answer: infarction
• Question 11
1 out of 1 points
A 73-year-old woman has scheduled an appointment with her nurse practitionerto
discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and performs
cleansing enemas several times weekly. How should the nurse best respond to this
patient's statements?
Selected "Taking too many laxatives can make your bowels dependent onthem,
Answer: making you more susceptible to constipation."
• Question 12
1 out of 1 points
A Nurse Practitioner who provides care in a busy clinic is aware of the high
incidence and prevalence of hyperlipidemia and the consequent need for
antihyperlipidemicsin many patients. Treatment of high cholesterol using
statins would be contraindicated in which of the following patients?
Selected An obese male client who is a heavy alcohol user and
Answer: who hascirrhosis of the liver
• Question 13
1 out of 1 points
During a clinic visit, a patient complains of having frequent muscle cramps in herlegs.
The nurse's assessment reveals that the patient has been taking over-the-counter
laxatives for the past 7 years. The nurse informed the patient that prolonged use of
laxatives
Selected may cause nutrient deficiencies.
Answer:
• Question 14
• 1 out of 1 points
• Question 1
A patient with bronchial asthma is prescribed a sustained-release preparation of
theophylline. To help minimize the adverse effects of the drug, which of the followingshould
the nurse suggest?
Selected Take it on an empty stomach, 1 hour before or 2 hours after meals
Answer:
• Question 2
• 1 out of 1 points
A Nurse Practitioner is providing care for a 71-year-old woman who was
sponsoredto emigrate from Mexico to the United States 6 months ago.
Earlier this week, the woman slipped while getting off a bus and fractured
her hip. How should the woman's nurse best exemplify cultural competence
in the care of this patient?
Selected Consider dimensions of the woman's cultural background
Answer: whenplanning care.
• Question 3
1 out of 1 points
A diabetic patient being treated for obesity tells the Nurse Practitioner that he
is having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverseeffects would need the Nurse Practitioner's immediate attention?
Selected Increased
Answer: bloodglucose
• Question 4
1 out of 1 points
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on
geneticmake-up. This area of study is called
Selected pharmacogeno
Answer: m ics.
• Question 5
1 out of 1 points
,An older adult who lives in a long-term care facility has recently begun taking
losartan (Cozaar) for the treatment of hypertension. The nurse who provides care
for this resident should recognize that this change in the resident's
, medication regimen make create a risk for
Selected falls.
Answer:
• Question 6
1 out of 1 points
A 39-year-old African-American male is 25 pounds overweight and has been
diagnosed with hypertension after three consecutive above-normal blood
pressure readings. The most likely initial drug therapy for this patient will be
Selected a diuretic.
Answer:
• Question 7
1 out of 1 points
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. Hehas an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
Selected Administer a tablet under his tongue and repeat the action in 5and
Answer: 10 minutes if the pain has not subsided
• Question 8
1 out of 1 points
A Nurse Practitioner working for a drug company is involved in phase III drug
evaluation studies. Which of the following might the Nurse Practitioner be
responsible for during this stage of drug development?
Selected Administering investigational drugs to
Answer: patients
• Question 9
1 out of 1 points
After a recent history of shortness of breath that has become increasingly severe, a
woman has been prescribed ipratropium by MDI while she undergoesa diagnostic
workup. What patient teaching should the nurse provide to this patient?
Selected "Make sure that you take this at the scheduled times, regardlessof
Answer: whether you feel short of breath."
• Question 10
, 1 out of 1 points
Which of the following patients is most likely to benefit from the administration ofan
adrenergic agonist?
Selected A man who is in cardiogenic shock following a myocardial
Answer: infarction
• Question 11
1 out of 1 points
A 73-year-old woman has scheduled an appointment with her nurse practitionerto
discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and performs
cleansing enemas several times weekly. How should the nurse best respond to this
patient's statements?
Selected "Taking too many laxatives can make your bowels dependent onthem,
Answer: making you more susceptible to constipation."
• Question 12
1 out of 1 points
A Nurse Practitioner who provides care in a busy clinic is aware of the high
incidence and prevalence of hyperlipidemia and the consequent need for
antihyperlipidemicsin many patients. Treatment of high cholesterol using
statins would be contraindicated in which of the following patients?
Selected An obese male client who is a heavy alcohol user and
Answer: who hascirrhosis of the liver
• Question 13
1 out of 1 points
During a clinic visit, a patient complains of having frequent muscle cramps in herlegs.
The nurse's assessment reveals that the patient has been taking over-the-counter
laxatives for the past 7 years. The nurse informed the patient that prolonged use of
laxatives
Selected may cause nutrient deficiencies.
Answer:
• Question 14
• 1 out of 1 points
