NUR 635 Midterm Exam
What does the NP take into account concerning pharmacokinetics? - answer
Bioavailability
What statement by the patient tells the RN they understand the education regarding
heparin? - answerI need to have my labs drawn in 2-3 days for thrombocytopenia which
can occur on day 4 of therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per week during the next 1
to 2 weeks, once a week for the next 1-2 months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the patient understands the
use of warfarin? - answerAvoid foods high in Vitamin-K
What education should the NP include when educating patients on erythropoiesis-
stimulating agents? - answerThey may cause tumors.
The patient understands education regarding iron supplements when the patient states:
- answertake on an empty stomach with orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: - answerGliptins act on the
incretin system to increase insulin production indirectly
Diabetics can benefit from GLP-1 agonists because they: - answerDecrease gastric
absorption by directly binding to a receptor in pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic. The NP prepares
the patient for: - answerTreatment with epoetin alfa
The NP believes the patient has adequate education regarding iron supplements when
they verbalize: - answerI need to have a CBC drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of the following EXCEPT: -
answerIncreasing HR and preload
ACE Inhibitors help patients with HF by:
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal failure
, A chronic pain patient calls for refills on regularly prescribed hydrocodone prescription.
The appropriate action of the NP would be to: - answerSchedule the patient for an in-
person office visit
What portion of the patient's history should be thoroughly assessed before prescribing
Metronidazole (Flagyl) for a bacterial vaginosis: - answerSocial history of ETOH intake.
**Worst hangover of your life!
When being prescribed Lithium, the NP educates the patient that all of the following will
need to be closely monitored throughout therapy except: - answerLiver function. **While
on lithium therapy, Renal and Thyroid function and Sodium levels need to be monitored!
You have a 32-week pregnant patient come in complaining of contractions. The NP
educates the patient on the following: - answerTreatment with a beta-2 agonist
(Terbutaline?)
The patient experiences hallucinations following atropine treatment for bradycardia. The
NP will prescribe: - answerPhysostigmine (reversal agent that is used to treat
antimuscarinic toxicity and reversible cholinergic medication)
What condition would be appropriate for you to prescribe clonidine ER to an
adolescent? - answerAttention Deficit Hyperactivity Disorder (ADHD)
When discontinuing baclofen, what adverse effects do you watch for? -
answerHallucinations
Lab work shows a decrease in creatinine clearance after the patient starts taking
Memantine. The NP's appropriate course of action should be to: - answerlower the dose
of memantine. "renal dosing"
The patient's caregiver needs more education when she verbalizes which of the
following statements regarding rivastigmine transdermal patches: - answerI need to
change the patches every 72 hours (**Rivastigmine patches are changed daily, not
every 72 hours**)
After giving a patient a First generation Antipsychotic (FSA), the patient develops which
adverse reaction that the NP must treat: - answerTardive Dyskinesia Treat with??
Tardive dyskinesia- twisting, writhing, worm-like movements of tongue and face
US FDA approved valbenazine (Ingrezza) for the treatment, deutetrabenazine
(Austedo) approved as well. Both are VMAT2 inhibitors, VMAT 2 recycles dopamine
and returns to presynaptic vesicles.
A patient is preparing for a cortisone injection but is diabetic. What insulin would you
choose to work the quickest to lower blood sugar? - answerA rapid acting insulin:
Lispro, Aspart, Glulisine
What does the NP take into account concerning pharmacokinetics? - answer
Bioavailability
What statement by the patient tells the RN they understand the education regarding
heparin? - answerI need to have my labs drawn in 2-3 days for thrombocytopenia which
can occur on day 4 of therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per week during the next 1
to 2 weeks, once a week for the next 1-2 months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the patient understands the
use of warfarin? - answerAvoid foods high in Vitamin-K
What education should the NP include when educating patients on erythropoiesis-
stimulating agents? - answerThey may cause tumors.
The patient understands education regarding iron supplements when the patient states:
- answertake on an empty stomach with orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: - answerGliptins act on the
incretin system to increase insulin production indirectly
Diabetics can benefit from GLP-1 agonists because they: - answerDecrease gastric
absorption by directly binding to a receptor in pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic. The NP prepares
the patient for: - answerTreatment with epoetin alfa
The NP believes the patient has adequate education regarding iron supplements when
they verbalize: - answerI need to have a CBC drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of the following EXCEPT: -
answerIncreasing HR and preload
ACE Inhibitors help patients with HF by:
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal failure
, A chronic pain patient calls for refills on regularly prescribed hydrocodone prescription.
The appropriate action of the NP would be to: - answerSchedule the patient for an in-
person office visit
What portion of the patient's history should be thoroughly assessed before prescribing
Metronidazole (Flagyl) for a bacterial vaginosis: - answerSocial history of ETOH intake.
**Worst hangover of your life!
When being prescribed Lithium, the NP educates the patient that all of the following will
need to be closely monitored throughout therapy except: - answerLiver function. **While
on lithium therapy, Renal and Thyroid function and Sodium levels need to be monitored!
You have a 32-week pregnant patient come in complaining of contractions. The NP
educates the patient on the following: - answerTreatment with a beta-2 agonist
(Terbutaline?)
The patient experiences hallucinations following atropine treatment for bradycardia. The
NP will prescribe: - answerPhysostigmine (reversal agent that is used to treat
antimuscarinic toxicity and reversible cholinergic medication)
What condition would be appropriate for you to prescribe clonidine ER to an
adolescent? - answerAttention Deficit Hyperactivity Disorder (ADHD)
When discontinuing baclofen, what adverse effects do you watch for? -
answerHallucinations
Lab work shows a decrease in creatinine clearance after the patient starts taking
Memantine. The NP's appropriate course of action should be to: - answerlower the dose
of memantine. "renal dosing"
The patient's caregiver needs more education when she verbalizes which of the
following statements regarding rivastigmine transdermal patches: - answerI need to
change the patches every 72 hours (**Rivastigmine patches are changed daily, not
every 72 hours**)
After giving a patient a First generation Antipsychotic (FSA), the patient develops which
adverse reaction that the NP must treat: - answerTardive Dyskinesia Treat with??
Tardive dyskinesia- twisting, writhing, worm-like movements of tongue and face
US FDA approved valbenazine (Ingrezza) for the treatment, deutetrabenazine
(Austedo) approved as well. Both are VMAT2 inhibitors, VMAT 2 recycles dopamine
and returns to presynaptic vesicles.
A patient is preparing for a cortisone injection but is diabetic. What insulin would you
choose to work the quickest to lower blood sugar? - answerA rapid acting insulin:
Lispro, Aspart, Glulisine
