NURS 6630 Week 11- Final Exam
Question 12 pts
T. K. is a 72-year-old female who has suffered many strokes in the past, likely due to
uncontrolled hypertension and hyperlipidemia. She has now been diagnosed with
vascular dementia due to memory loss and motor system slowing. What is the
recommended treatment for T. K.?
Group of answer choices
T. K. needs the drug donepezil to help with her memory loss only.
T. K. needs the drug donepezil to help with her memory loss, but also needs her
hypertension and hyperlipidemia controlled.
T. K. needs the drug donepezil to help with her memory loss, but also needs her
hypertension controlled.
T. K. needs her hypertension controlled only.
Question 22 pts
If a patient is being managed for chronic pain and is not getting better after months of
therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs,
etc.), what should be your next step in helping the patient?
I. Add a high-dose opioid if patient is not already on the maximum dose.
II. Assess for a co-morbid psychiatric condition.
III. Tell the patient you have exhausted all your options and there is nothing more
you can do.
IV. Refer the patient for a second opinion.
Group of answer choices
I and II
II and IV
III only
IV only
,T. B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He
has since had complications from the disease and is suffering from severe neuropathy.
On top of that, T. B. is struggling with his mental health and was recently told he could
be depressed but he had refused treatment at that time. Besides getting his blood sugar
under control, what medication(s) can we use that may be useful in helping T. B.?
I. Nortriptyline
II. Venlafaxine
III. Duloxetine
IV. Fluoxetine
Group of answer choices
I, II, and III
I and II
II and III
IV only
Question 52 pts
Which of the following drugs is often used in the management of opioid addiction due to
its ceiling effect?
Group of answer choices
Buprenorphine
Naloxone
Clonidine
Methadone
Question 62 pts
Disulfiram has been proven effective in the treatment of alcoholism, but recently it has
been trialed in the management of cocaine addiction. What is the mechanism of action
that likely helps produce these aversive effects?
Group of answer choices
, Inhibition on dopamine beta-hydroxylase
Inhibition on aldehyde dehydrogenase
Inhibition on alcohol dehydrogenase
Inhibition on aldehyde reductase
Question 72 pts
This medication cannot be used for more than 5 days, it is a non-steroidal, anti-
inflammatory drug, and it is often substituted for morphine due to its rapid onset and
high potency. What is this medication?
Group of answer choices
Naproxen
Ketorolac
Sulindac
Etodolac
Question 82 pts
Which of the following alcohol screening tools lack sensitivity to detect
hazardous/problem drinking?
Group of answer choices
AUDIT
AUDIT-C
SASQ
CAGE
Question 92 pts
Which of the following drugs in the treatment of Alzheimer’s Disease requires
administration with food?
Question 12 pts
T. K. is a 72-year-old female who has suffered many strokes in the past, likely due to
uncontrolled hypertension and hyperlipidemia. She has now been diagnosed with
vascular dementia due to memory loss and motor system slowing. What is the
recommended treatment for T. K.?
Group of answer choices
T. K. needs the drug donepezil to help with her memory loss only.
T. K. needs the drug donepezil to help with her memory loss, but also needs her
hypertension and hyperlipidemia controlled.
T. K. needs the drug donepezil to help with her memory loss, but also needs her
hypertension controlled.
T. K. needs her hypertension controlled only.
Question 22 pts
If a patient is being managed for chronic pain and is not getting better after months of
therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs,
etc.), what should be your next step in helping the patient?
I. Add a high-dose opioid if patient is not already on the maximum dose.
II. Assess for a co-morbid psychiatric condition.
III. Tell the patient you have exhausted all your options and there is nothing more
you can do.
IV. Refer the patient for a second opinion.
Group of answer choices
I and II
II and IV
III only
IV only
,T. B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He
has since had complications from the disease and is suffering from severe neuropathy.
On top of that, T. B. is struggling with his mental health and was recently told he could
be depressed but he had refused treatment at that time. Besides getting his blood sugar
under control, what medication(s) can we use that may be useful in helping T. B.?
I. Nortriptyline
II. Venlafaxine
III. Duloxetine
IV. Fluoxetine
Group of answer choices
I, II, and III
I and II
II and III
IV only
Question 52 pts
Which of the following drugs is often used in the management of opioid addiction due to
its ceiling effect?
Group of answer choices
Buprenorphine
Naloxone
Clonidine
Methadone
Question 62 pts
Disulfiram has been proven effective in the treatment of alcoholism, but recently it has
been trialed in the management of cocaine addiction. What is the mechanism of action
that likely helps produce these aversive effects?
Group of answer choices
, Inhibition on dopamine beta-hydroxylase
Inhibition on aldehyde dehydrogenase
Inhibition on alcohol dehydrogenase
Inhibition on aldehyde reductase
Question 72 pts
This medication cannot be used for more than 5 days, it is a non-steroidal, anti-
inflammatory drug, and it is often substituted for morphine due to its rapid onset and
high potency. What is this medication?
Group of answer choices
Naproxen
Ketorolac
Sulindac
Etodolac
Question 82 pts
Which of the following alcohol screening tools lack sensitivity to detect
hazardous/problem drinking?
Group of answer choices
AUDIT
AUDIT-C
SASQ
CAGE
Question 92 pts
Which of the following drugs in the treatment of Alzheimer’s Disease requires
administration with food?
