NUR 635 FINAL EXAM 2 LATEST VERSIONS (VERSION A AND B) 2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+.pdf

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NUR 635 FINAL EXAM 2025| BRAND NEW ACTUAL E
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XAM WITH 100% VERIFIED QUESTIONS AND CORRE
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CT SOLUTIONS| GUARANTEED VALUE PACK| ACE Y
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OUR GRADES. m




The first- m


line drug choice for a previously healthy adult patient diagnosed with com
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munity-acquired pneumonia would be: m m m



1. Ciprofloxacin
2. Azithromycin
3. Amoxicillin
4. Doxycycline m-mCorrectmAnswer-2.Azithromycin




Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever
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mand lymphadenopathy. Initial evaluation and treatment includes:
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1. Reassuring her she has a viral infection and to call if she isn't better in
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4 or 5 days
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2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
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3. Rapid strep test and symptomatic care if strep test is negative
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4. Observation only, with further assessment if she worsens -
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mCorrect Answer- m


2. Ruling out a hypersensitivity reaction that may lead to multi-
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morgan failure m




Jake, a 45-year- m m


old patient with schizophrenia, was recently hospitalized for acute psycho
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sis due to medication noncompliance. He was treated with IM long-
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acting haloperidol. Besides monitoring his schizophrenia symptoms, the p
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atient should be assessed by his primary care provider:
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1. For excessive weight loss
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2. With the Abnormal Involuntary Movement Scale (AIMS) fo
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r extrapyramidal symptoms (EPS)
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3. Monthly for tolerance to the haloperidol
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4. Only by the mental health provider, as most NPs in primary care do no
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t care for mentally ill patients - Correct Answer-
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2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyra
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midal symptoms (EPS)m m




Digoxin levels need to be monitored closely when the following medication
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is started:
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1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - Correct Answer-4. Albuterol
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Harold, a 42-year- m m


old African American, has moderate persistent asthma. Which of the follo
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wing asthma medications should be used cautiously, if at all?
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A.Betamethasone, an inhaled corticosteroid B.Salmetero m m m m



l, an inhaled long-acting beta-
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agonist C.Albuterol, a short-acting beta-agonist
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D.Montelukast, a leukotriene modifier - Correct Answer-
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B.Salmeterol, an inhaled long-acting beta-agonist
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Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
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1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
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2. Used in the treatment of asthma
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3. Combined with albuterol for treatment of asthma exacerbations
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4. Combined with fluticasone for the treatment of persistent asthma -
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mCorrect Answer- m


1. Used for the treatment of chronic obstructive pulmonary disease (COP
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D)




Christy has exercise- m m


induced and mild persistent asthma and is prescribed two puffs of albuter
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ol 15 minutes before exercise and as needed for wheezing. One puff per
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day of beclomethasone (QVAR) is also prescribed. Teaching regarding he
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r inhalers includes:
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1. Use one to two puffs of albuterol per day to prevent an attack with n
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o more than eight puffs per day
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2. Beclomethasone needs to be used every day to treat her asthma m m m m m m m m m m



3. Report any systemic side effects she is experiencing, such as weigh
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t gain
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4. Use the albuterol metered-
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dose inhaler (MDI) immediately after her corticosteroid MDI to facilita
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te bronchodilation - Correct Answer-
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2. Beclomethasone needs to be used every day to treat her asthma
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When prescribing montelukast (Singulair) for asthma, patients or parents of p
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atients should be instructed:
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1. Montelukast twice a day is started when there is an asthm
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a exacerbation.
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2. Patients may experience weight gain on montelukast.
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3. Aggression, anxiety, depression, and/or suicidal thoughts may occu
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r when taking montelukast.
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4. Lethargy and hypersomnia may occur when taking montelukast.
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- Correct Answer-
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3. Aggression, anxiety, depression, and/or suicidal thoughts may o
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ccur when taking montelukast.
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When educating patients who are starting on inhaled corticosteroids, the p
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rovider should tell them that:
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1. They need to get any live vaccines before starting the medication.
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2. Inhaled corticosteroids need to be used daily during asthm
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a exacerbations to be effective.
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3. Patients should rinse their mouths out after using the inhale
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d corticosteroid to prevent thrush.
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4. They can triple the dose number of inhalations of medication during
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colds to prevent needing systemic steroids - Correct Answer-
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3. Patients should rinse their mouths out after using the inhaled cortico
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steroid to prevent thrush.
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Howard is a seventy-two-year-
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old male who occasionally takes diphenhydramine for his seasonal allergi
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es. Monitoring for this patient taking diphenhydramine would include asse
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ssing for: m



Urinary retention Cardia
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c output Peripheral ede
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ma
Skin for rash - Correct Answer-Urinary retention
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Second generation antihistamines such as loratadine (Claritin) are prescri
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bed for seasonal allergies because they are:
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