WALDEN UIVERISTY, NURS 6635 MIDTERM PMHNP Newly Updated Exam
Elaborations Questions with Answers Exp[2021-2022]
A 70-year-old man who enjoys good health began taking low-dose
aspirin several months ago based on recommendations that he
read in a magazine article. During the man's most recent visit to
his care provider, routine blood work was ordered and the results
indicated an unprecedented rise in the man's serum creatinine and
blood urea nitrogen (BUN) levels. How should a nurse best
interpret these findings?
Selected
Answer: The man may be experiencing nephrotoxic
effects of aspirin
• Question 2
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She
has
a 21-year history of heavy drinking and is worried about
developing cirrhosis of the liver. The patient agrees to take
disulfiram (Antabuse). The nurse will teach the patient that the
combination of alcohol and Antabuse will cause which of the
following?
Selected
Answer: Nausea
• Question 3
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
,Selected Serum potassium
Answer: levels
• Question 4
1 out of 1 points
The APRN is prescribing a medication that is known to induce hepatic enzymes.
What effect should you anticipate?
Selected Induction increases the rate of metabolism, thereby
Answer: decreasing serum levels of drug
• Question 5
1 out of 1 points
A patient is being treated for respiratory infection. He is a recovering
alcoholic
and has impaired liver function. The nurse will instruct the patient
to be especially cautious when taking
Selected
Answer: an elixir.
• Question 6
1 out of 1 points
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will
advise the patient to
Selected
Answer: avoid prolonged exposure to sunlight.
• Question 7
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Selected
Answer: Renal function
• Question 8
1 out of 1 points
A 79-year-old patient in a long-term care facility is to receive an
intravenous
fat emulsion. Which of the following lab values would be a priority
for the nurse to assess before administration?
Selected
Answer: Triglyceride levels
• Question 9
, 1 out of 1 points
A 49-year-old woman has been diagnosed with myalgia. The physician
has recommended aspirin. The patient is concerned that the aspirin will
upset her stomach. The nurse will encourage the patient to
Selected
Answer: swallow the tablet with milk or food.
• Question 10
1 out of 1 points
A patient has a history of tonic-clonic seizures that have been successfully
treated with phenytoin (Dilantin) for several years. Phenytoin
achieves a therapeutic effect by
Selected
Answer: decreasing the influx of sodium into neurons.
• Question 11
0 out of 1 points
Following an assessment by her primary care provider, a 70-year-old
resident
of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should
prompt the nurse to withhold a scheduled dose of levothyroxine?
Selected
Answer: The resident had a fall during the night while
transferring from her bed to her bathroom
• Question 12
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with
chronic
muscle spasms and has been prescribed a new medication to treat
the spasms. She has a poorly documented allergy to eggs,
synthetic clothes, and perfumes. What is the priority action of the
nurse to ensure that prescribed medication does not experience an
allergic reaction?
Selected
Answer: Post an allergies notice on the front of the chart and
document the allergies in the appropriate area of the
patient's record
• Question 13
1 out of 1 points
Salmeterol (Serevent) inhaler for a patient
The Nurse Practitioner is prescribing
with asthma. What instructions would be correct to provide the patient?
Selected "This is a long acting medication for your asthma and should
Answer: be used once every 12 hours"
Elaborations Questions with Answers Exp[2021-2022]
A 70-year-old man who enjoys good health began taking low-dose
aspirin several months ago based on recommendations that he
read in a magazine article. During the man's most recent visit to
his care provider, routine blood work was ordered and the results
indicated an unprecedented rise in the man's serum creatinine and
blood urea nitrogen (BUN) levels. How should a nurse best
interpret these findings?
Selected
Answer: The man may be experiencing nephrotoxic
effects of aspirin
• Question 2
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She
has
a 21-year history of heavy drinking and is worried about
developing cirrhosis of the liver. The patient agrees to take
disulfiram (Antabuse). The nurse will teach the patient that the
combination of alcohol and Antabuse will cause which of the
following?
Selected
Answer: Nausea
• Question 3
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
,Selected Serum potassium
Answer: levels
• Question 4
1 out of 1 points
The APRN is prescribing a medication that is known to induce hepatic enzymes.
What effect should you anticipate?
Selected Induction increases the rate of metabolism, thereby
Answer: decreasing serum levels of drug
• Question 5
1 out of 1 points
A patient is being treated for respiratory infection. He is a recovering
alcoholic
and has impaired liver function. The nurse will instruct the patient
to be especially cautious when taking
Selected
Answer: an elixir.
• Question 6
1 out of 1 points
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will
advise the patient to
Selected
Answer: avoid prolonged exposure to sunlight.
• Question 7
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Selected
Answer: Renal function
• Question 8
1 out of 1 points
A 79-year-old patient in a long-term care facility is to receive an
intravenous
fat emulsion. Which of the following lab values would be a priority
for the nurse to assess before administration?
Selected
Answer: Triglyceride levels
• Question 9
, 1 out of 1 points
A 49-year-old woman has been diagnosed with myalgia. The physician
has recommended aspirin. The patient is concerned that the aspirin will
upset her stomach. The nurse will encourage the patient to
Selected
Answer: swallow the tablet with milk or food.
• Question 10
1 out of 1 points
A patient has a history of tonic-clonic seizures that have been successfully
treated with phenytoin (Dilantin) for several years. Phenytoin
achieves a therapeutic effect by
Selected
Answer: decreasing the influx of sodium into neurons.
• Question 11
0 out of 1 points
Following an assessment by her primary care provider, a 70-year-old
resident
of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should
prompt the nurse to withhold a scheduled dose of levothyroxine?
Selected
Answer: The resident had a fall during the night while
transferring from her bed to her bathroom
• Question 12
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with
chronic
muscle spasms and has been prescribed a new medication to treat
the spasms. She has a poorly documented allergy to eggs,
synthetic clothes, and perfumes. What is the priority action of the
nurse to ensure that prescribed medication does not experience an
allergic reaction?
Selected
Answer: Post an allergies notice on the front of the chart and
document the allergies in the appropriate area of the
patient's record
• Question 13
1 out of 1 points
Salmeterol (Serevent) inhaler for a patient
The Nurse Practitioner is prescribing
with asthma. What instructions would be correct to provide the patient?
Selected "This is a long acting medication for your asthma and should
Answer: be used once every 12 hours"
