MVU NUR 661 FINAL EXAM UPDATE QUESTIONS AND VERIFIED ANSWERS| A GRADE

MVU NUR 661 FINAL EXAM UPDATE QUESTIONS
AND VERIFIED ANSWERS| A GRADE
 Course
 NUR 661

Questions and Answers

1. Question: Which class of medications is commonly prescribed for hypertension and
works by blocking the angiotensin II receptor?
o A) Beta-blockers
o B) ACE inhibitors
o C) Angiotensin II receptor antagonists
o D) Calcium channel blockers
Answer: C) Angiotensin II receptor antagonists
Rationale: Angiotensin II receptor antagonists (ARBs) block the action of
angiotensin II, leading to vasodilation and reduced blood pressure.
2. Question: A patient is prescribed warfarin. Which laboratory test is most critical to
monitor for this medication?
o A) PT/INR
o B) aPTT
o C) CBC
o D) LFTs
Answer: A) PT/INR
Rationale: Warfarin's anticoagulant effects are monitored using the PT/INR
test, which measures the time it takes for blood to clot.
3. Question: What is the primary mechanism of action for metformin?
o A) Increases insulin secretion
o B) Decreases hepatic glucose production
o C) Enhances peripheral insulin sensitivity
o D) Inhibits glucose absorption in the intestines
Answer: B) Decreases hepatic glucose production
Rationale: Metformin primarily works by decreasing glucose production in
the liver and improving insulin sensitivity.
4. Question: A patient presents with symptoms of anxiety. Which medication class is
typically first-line treatment for generalized anxiety disorder?
o A) SSRIs
o B) Benzodiazepines
o C) Antipsychotics
o D) MAOIs
Answer: A) SSRIs
Rationale: Selective serotonin reuptake inhibitors (SSRIs) are the first-line
treatment for generalized anxiety disorder due to their efficacy and favorable
side effect profile.
5. Question: Which of the following side effects is commonly associated with the use of
statins?
o A) Hypertension
o B) Muscle pain
o C) Weight gain

, o D) Insomnia
Answer: B) Muscle pain
Rationale: Statins can cause myopathy and muscle pain as a side effect, which
can lead to more serious conditions like rhabdomyolysis.
6. Question: A patient with asthma is prescribed a short-acting beta-agonist. What is the
primary purpose of this medication?
o A) Long-term control of asthma
o B) Relief of acute bronchospasm
o C) Prevention of exercise-induced asthma
o D) Reduction of airway inflammation
Answer: B) Relief of acute bronchospasm
Rationale: Short-acting beta-agonists provide quick relief from acute
bronchospasm in asthma patients.
7. Question: What is the main action of ACE inhibitors in treating heart failure?
o A) Decrease heart rate
o B) Decrease fluid retention
o C) Increase cardiac contractility
o D) Vasodilation
Answer: D) Vasodilation
Rationale: ACE inhibitors promote vasodilation, reducing afterload and
improving cardiac output in heart failure.
8. Question: Which medication is contraindicated in patients with a history of
anaphylaxis to penicillin?
o A) Cephalosporins
o B) Macrolides
o C) Tetracyclines
o D) Aminoglycosides
Answer: A) Cephalosporins
Rationale: Cephalosporins have a similar structure to penicillin, and cross-
reactivity can occur in allergic patients.
9. Question: In managing chronic pain, which medication is considered a first-line
option?
o A) Oxycodone
o B) Ibuprofen
o C) Tramadol
o D) Methadone
Answer: B) Ibuprofen
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are
often first-line treatments for chronic pain due to their anti-inflammatory
effects.
10. Question: A patient is taking lithium for bipolar disorder. Which lab test is essential
for monitoring lithium levels?
o A) Serum creatinine
o B) Serum electrolytes
o C) TSH
o D) Serum lithium level
Answer: D) Serum lithium level
Rationale: Monitoring serum lithium levels is crucial to avoid toxicity and
ensure therapeutic effectiveness.

, 11. Question: Which of the following is a common side effect of beta-blockers?
o A) Diarrhea
o B) Bradycardia
o C) Hyperglycemia
o D) Weight loss
Answer: B) Bradycardia
Rationale: Beta-blockers can cause bradycardia due to their action on the
heart's beta-adrenergic receptors.
12. Question: In a patient receiving digoxin, which symptom would most likely indicate
digoxin toxicity?
o A) Nausea and vomiting
o B) Increased appetite
o C) Hypertension
o D) Weight gain
Answer: A) Nausea and vomiting
Rationale: Nausea and vomiting are common signs of digoxin toxicity, along
with other symptoms like vision changes and bradycardia.
13. Question: What is the primary therapeutic goal of using anticoagulants like heparin?
o A) Dissolving existing clots
o B) Preventing the formation of new clots
o C) Decreasing blood pressure
o D) Reducing cholesterol levels
Answer: B) Preventing the formation of new clots
Rationale: Anticoagulants like heparin prevent new clot formation and inhibit
the growth of existing clots.
14. Question: A patient is prescribed atorvastatin. What is a significant consideration
regarding this medication?
o A) Take it with food
o B) Avoid grapefruit juice
o C) Requires regular liver function tests
o D) Can cause drowsiness
Answer: B) Avoid grapefruit juice
Rationale: Grapefruit juice can increase atorvastatin levels, increasing the risk
of side effects, including muscle damage.
15. Question: Which medication is used as a rescue inhaler for acute asthma attacks?
o A) Salmeterol
o B) Fluticasone
o C) Albuterol
o D) Montelukast
Answer: C) Albuterol
Rationale: Albuterol is a short-acting beta-agonist used for quick relief of
acute asthma symptoms.
16. Question: A patient with chronic kidney disease is started on a medication that has
significant renal excretion. What should the nurse monitor for?
o A) Hyperkalemia
o B) Hypotension
o C) Allergic reactions
o D) Increased energy levels
Answer: A) Hyperkalemia