NSG 6005 FINAL EXAM AND STUDY GUIDE LATEST 2024/2025 ALL 100 QUESTIONS (VERIFIED ANSWERS)

NSG 6005 FINAL EXAM Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine to: A. Reduce the chance of tardive dyskinesia. B. Potentiate the effects of the drug. C. Reduce the tolerance that tends to occur. D. Increase CNS depression. - CORRECT ANSWER-A. Reduce the chance of tardive dyskinesia. Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality. The most reliable indicator of poor nutritional status in older adults is: A. Weight loss in previously overweight persons B. Involuntary loss of 10% of body weight in less than six months C. Decline in lean body mass over a twelve-month period D. Increase in central versus peripheral body adiposity - CORRECT ANSWER-B. Involuntary loss of 10% of body weight in less than six months Common mistakes practitioners make in treating anxiety disorders include: A. Switching medications after an eight-week trial to a twelve-week trial B. Maximizing dosing of antianxiety medications C. Encouraging exercise and relaxation therapy before starting medication D. Thinking a partial response to medication is acceptable - CORRECT ANSWER-D. Thinking a partial response to medication is acceptable Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required prior to prescribing warfarin. A. True B. False - CORRECT ANSWER-B. False Patients who have angina, regardless of class, who are also diabetic should be on: A. Nitrates B. Beta blockers C. ACE inhibitors D. Calcium channel blockers - CORRECT ANSWER-C. ACE inhibitors Alterations in drug metabolism among Asians may lead to: A. Slower metabolism of antidepressants, requiring lower doses B. Faster metabolism of neuroleptics, requiring higher doses C. Altered metabolism of omeprazole, requiring higher doses D. Slower metabolism of alcohol, requiring higher doses - CORRECT ANSWER-A. Slower metabolism of antidepressants, requiring lower doses Age is a factor in different responses to pain. Which of the following age-related statements about pain is not true? A. Preterm and newborn infants do not yet have functional pain pathways. B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child. C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness. D. Decreases in pain tolerance are evident in older adults. - CORRECT ANSWER-A. Preterm and newborn infants do not yet have functional pain pathways. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of __________. A. serum glucose B. stool culture C. folate levels D. vitamin B12 - CORRECT ANSWER-A. serum glucose An appropriate drug for the treatment of depression with anxiety would be: A. Alprazolam (Xanax) B. Escitalopram (Lexapro) C. Buspirone (Buspar) D. Amitriptyline (Elavil) - CORRECT ANSWER-B. Escitalopram (Lexapro) Dwayne was recently started on carbamazepine to treat seizures. He comes to see you, and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels is: A. Dwayne hasn't been taking his carbamazepine because it causes insomnia. B. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance. C. Dwayne was not originally prescribed the correct amount of carbamazepine. D. Carbamazepine is probably not the right antiseizure medication for Dwayne. - CORRECT ANSWER-B. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.