NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
Long-term use of PPIs may lead to:
A. Hip fractures in at-risk persons
B. Vitamin B6 deficiency
C. Liver cancer
D. All of the above
Art is a fifty five year old smoker who has been diagnosed with angina and placed on nitrates. He
complains of headaches after using his nitrate. An appropriate reply might be:
A. "This is a parasympathetic response to the vasodilating effects of the drug."
B. "Headaches are common side effects with these drugs. How severe are they?"
C. "This is associated with your smoking. Let's work on having you stop smoking."
D. "This is not related to your medication. Are you under a lot of stress?"
. In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
A. To swallow the tablet with a full glass of water
B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
C. To take one tablet every five minutes until the chest pain goes away
D. That it should "burn" when placed under the tongue or it is no longer effective
A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following
statements is true about this adverse response?
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week.
Patients who are being treated for folate deficiency require monitoring of:
A. Complete blood count every four weeks
B. Hematocrit and hemoglobin at one week and then at eight weeks
C. Reticulocyte count at one week
D. Folate levels every four weeks until the hemoglobin stabilizes
Treatments for heart failure, including drug therapy, are based on the stages developed by the
American Heart Association and the American College of Cardiology. Stage A patients are:
A. Treated with drugs for hypertension and hyperlipidemia, if they exist
B. Taught lifestyle management, including diet, exercise, and smoking cessation only
C. Treated with ACE inhibitors to directly affect the heart failure only
D. Not given any drugs in this early stage
Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for this
combination includes:
A. Hemoglobin
B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose
Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for administration is 7
a.m. and 2 p.m. because:
A. Long-acting forms have a higher risk for toxicity.
B. Orthostatic hypotension is a common adverse effect.
C. It must be taken with milk or food.
D. Nitrate tolerance can develop.
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria
for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
after meals is:
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
A. Class I
B. Class II
C. Class III
D. Class IV
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate
deficiency anemia is:
A. Oral folic acid 1 to 2 mg/day
B. Oral folic acid 1 gm/day
C. IM folate weekly for at least six months
D. Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised a
classification system for heart failure that can be used to direct treatment. Patients with symptoms and
underlying disease are classified as:
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of
beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A. Nitrates
B. Long-acting dihydropyridines
C. Calcium channel blockers
D. Alpha-beta blockers
Which of the following is true about procainamide and its dosing schedule?
A. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a
slower heart rate might worsen.
B. GI adverse effects are common, so the drug should be taken with food.
C. Adherence can be improved by using a sustained-release formulation that can be given once daily.
D. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
At which stage/classification of hypertension should drug therapy be instituted according to the JNC-
7 Report?
A. Prehypertension
B. Stage 1
C. Stage 2
D. Any stage where the blood pressure is greater than 120/80 mm Hg
Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and LDL of 125
mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for
Jose would include with a reevaluation in six months.
A. statins
B. niacin
C. sterols
D. bile acid-binding resins
Patients who have angina, regardless of class, who are also diabetic should be on:
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
A. Nitrates
B. Beta blockers
C. ACE inhibitors
D. Calcium channel blockers
If not chosen as the first drug in hypertension treatment, which drug class should be added as the
second step because it will enhance the effects of most other agents?
A. ACE inhibitors
B. Beta blockers
C. Calcium channel blockers
D. Diuretics
Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is
prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told
to:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect "hot flash" sensations during the first two weeks of therapy
1.2ND LINE TX FOR GERD: quadruple therapy - 2nd line therapy for those who fail treatment
initially is the PPI twice a day plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days
2.39. How will you choose a diuretic in the treatment of hypertension?: - Check kidney
function, thiazide diuretic need to have a GFR higher than the mid 40 mL/min range...
so you would want to check a BUN and creatinine in these patients
3.After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:: 1.
Testing for H. pylori eradication with a serum ELISA test
2. Endoscopy by a specialist
3. A proton pump inhibitor for 8 to 12 weeks until healing is complete
*All of the above*
.Angela is a 5-year-old patient 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 Angela?:
- Ondansetron (Zofran)
5.Antacid's
- S/E: constipation and diarrhea
6.Decongestants such as pseudoephedrine (Sudafed)::
- Should not be prescribed or recommended for children under 4 years of age
.Flovent:
- is an inhaled steroid
.How are upper respiratory infections treated?: -
- Supportive care ...fluids, resting
Phenylephrine can be useful for patients with symptomatic relief in adults without
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
Long-term use of PPIs may lead to:
A. Hip fractures in at-risk persons
B. Vitamin B6 deficiency
C. Liver cancer
D. All of the above
Art is a fifty five year old smoker who has been diagnosed with angina and placed on nitrates. He
complains of headaches after using his nitrate. An appropriate reply might be:
A. "This is a parasympathetic response to the vasodilating effects of the drug."
B. "Headaches are common side effects with these drugs. How severe are they?"
C. "This is associated with your smoking. Let's work on having you stop smoking."
D. "This is not related to your medication. Are you under a lot of stress?"
. In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
A. To swallow the tablet with a full glass of water
B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
C. To take one tablet every five minutes until the chest pain goes away
D. That it should "burn" when placed under the tongue or it is no longer effective
A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following
statements is true about this adverse response?
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week.
Patients who are being treated for folate deficiency require monitoring of:
A. Complete blood count every four weeks
B. Hematocrit and hemoglobin at one week and then at eight weeks
C. Reticulocyte count at one week
D. Folate levels every four weeks until the hemoglobin stabilizes
Treatments for heart failure, including drug therapy, are based on the stages developed by the
American Heart Association and the American College of Cardiology. Stage A patients are:
A. Treated with drugs for hypertension and hyperlipidemia, if they exist
B. Taught lifestyle management, including diet, exercise, and smoking cessation only
C. Treated with ACE inhibitors to directly affect the heart failure only
D. Not given any drugs in this early stage
Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for this
combination includes:
A. Hemoglobin
B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose
Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for administration is 7
a.m. and 2 p.m. because:
A. Long-acting forms have a higher risk for toxicity.
B. Orthostatic hypotension is a common adverse effect.
C. It must be taken with milk or food.
D. Nitrate tolerance can develop.
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria
for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
after meals is:
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
A. Class I
B. Class II
C. Class III
D. Class IV
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate
deficiency anemia is:
A. Oral folic acid 1 to 2 mg/day
B. Oral folic acid 1 gm/day
C. IM folate weekly for at least six months
D. Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised a
classification system for heart failure that can be used to direct treatment. Patients with symptoms and
underlying disease are classified as:
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of
beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A. Nitrates
B. Long-acting dihydropyridines
C. Calcium channel blockers
D. Alpha-beta blockers
Which of the following is true about procainamide and its dosing schedule?
A. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a
slower heart rate might worsen.
B. GI adverse effects are common, so the drug should be taken with food.
C. Adherence can be improved by using a sustained-release formulation that can be given once daily.
D. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
At which stage/classification of hypertension should drug therapy be instituted according to the JNC-
7 Report?
A. Prehypertension
B. Stage 1
C. Stage 2
D. Any stage where the blood pressure is greater than 120/80 mm Hg
Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and LDL of 125
mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for
Jose would include with a reevaluation in six months.
A. statins
B. niacin
C. sterols
D. bile acid-binding resins
Patients who have angina, regardless of class, who are also diabetic should be on:
, NURS 6005 EXAM TEXT BAN QUESTIONS WITH
CORRECT ANSWERS 2023 UPDATE A+ ASSUARED
SUCCESS
A. Nitrates
B. Beta blockers
C. ACE inhibitors
D. Calcium channel blockers
If not chosen as the first drug in hypertension treatment, which drug class should be added as the
second step because it will enhance the effects of most other agents?
A. ACE inhibitors
B. Beta blockers
C. Calcium channel blockers
D. Diuretics
Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is
prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told
to:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect "hot flash" sensations during the first two weeks of therapy
1.2ND LINE TX FOR GERD: quadruple therapy - 2nd line therapy for those who fail treatment
initially is the PPI twice a day plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days
2.39. How will you choose a diuretic in the treatment of hypertension?: - Check kidney
function, thiazide diuretic need to have a GFR higher than the mid 40 mL/min range...
so you would want to check a BUN and creatinine in these patients
3.After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:: 1.
Testing for H. pylori eradication with a serum ELISA test
2. Endoscopy by a specialist
3. A proton pump inhibitor for 8 to 12 weeks until healing is complete
*All of the above*
.Angela is a 5-year-old patient 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 Angela?:
- Ondansetron (Zofran)
5.Antacid's
- S/E: constipation and diarrhea
6.Decongestants such as pseudoephedrine (Sudafed)::
- Should not be prescribed or recommended for children under 4 years of age
.Flovent:
- is an inhaled steroid
.How are upper respiratory infections treated?: -
- Supportive care ...fluids, resting
Phenylephrine can be useful for patients with symptomatic relief in adults without
