NR 508 Final Review Questions with correct answers

NR 508 Final Review Questions with correct
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answers

When prescribing an opioid analgesic such as acetaminophen and codeine
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(Tylenol #3), instructions to the patient should include:
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1. The medication may cause sedation and they should not drive.
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2. Constipation is a common side effect and they should increase fluids and
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fiber.

3. Patients should not take any other acetaminophen-containing medications
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at the same time.
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4. All of the above - CORRECT ANSWERS ✔✔All of the above
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Kirk sprained his ankle and is asking for pain medication for his mild-to-
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moderate pain. The appropriate first-line medication would be:
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1. Ibuprofen (Advil)
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2. Acetaminophen with hydrocodone (Vicodin)
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3. Oxycodone (Oxycontin)
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4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Ibuprofen (Advil)
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Kasey fractured his ankle in two places and is asking for medication for his
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pain. The appropriate first-line medication would be:
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1. Ibuprofen (Advil)
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2. Acetaminophen with hydrocodone (Vicodin)
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,3. Oxycodone (Oxycontin)
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4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Acetaminophen
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with hydrocodone (Vicodin)
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Jack, age 8, has attention deficit disorder (ADD) and is prescribed
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methylphenidate (Ritalin). He and his parents should be educated about the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



side effects of methylphenidate, which are:
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1. Slurred speech and insomnia
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2. Bradycardia and confusion
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3. Dizziness and orthostatic hypotension
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4. Insomnia and decreased appetite - CORRECT ANSWERS ✔✔Insomnia
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and decreased appetite
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Monitoring for a child on methylphenidate for attention deficit hyperactivity
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disorder (ADHD) includes: |\ |\




1. ADHD symptoms
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2. Routine height and weight checks
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3. Amount of methylphenidate being used
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4. All of the above - CORRECT ANSWERS ✔✔All of the above
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When prescribing Adderall (amphetamine and dextroamphetamine) to adults
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with ADHD the nurse practitioner will need to monitor:
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1. Blood pressure
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2. Blood glucose levels
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3. Urine ketone levels
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,4. Liver function - CORRECT ANSWERS ✔✔Blood pressure
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Ray has been diagnosed with hypertension and an angiotensin-converting
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enzyme inhibitor is determined to be needed. Prior to prescribing this drug,
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the NP should assess for:
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1. Hypokalemia
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2. Impotence
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3. Decreased renal function
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4. Inability to concentrate - CORRECT ANSWERS ✔✔Decreased renal
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function



Angiotensin-converting enzyme inhibitors are the drug of choice in treating |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



hypertension in diabetic patients because they: |\ |\ |\ |\ |\




1. Improve insulin sensitivity
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2. Improve renal hemodynamics
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3. Reduce the production of angiotensin II
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4. All of the above - CORRECT ANSWERS ✔✔All of the above
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A potentially life-threatening adverse response to angiotensin-converting
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enzyme inhibitors is angioedema. Which of the following statements is true
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about this adverse response?
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1. Swelling of the tongue or hoarseness are the most common symptoms.
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2. It appears to be related to the decrease in aldosterone production.
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3. Presence of a dry, hacky cough indicates a high risk for this adverse
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response.

, 4. Because it takes time to build up a blood level, it occurs after being on the
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drug for about 1 week. - CORRECT ANSWERS ✔✔Swelling of the tongue
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or hoarseness are the most common symptoms.
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Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. |\ |\ |\ |\ |\ |\ |\ |\ |\



Which of the following statements are true about both its usefulness in the
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disorder and the reason for its use?
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1. Stable angina because it decreases the thickening of vascular walls due to
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decreased modified release. |\ |\




2. Heart failure because it reduces remodeling of injured myocardial tissues.
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3. Both 1 and 2 are true and the reasons are correct.
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4. Both 1 and 2 are true but the reasons are wrong.
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5. Neither 1 nor 2 are true. - CORRECT ANSWERS ✔✔Both 1 and 2 are true
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and the reasons are correct.
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Despite good blood pressure control, an NP might change a patient's drug
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from an angiotensin-converting enzyme (ACE) inhibitor to an angiotensin II
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receptor blocker (ARB) because the ARB:
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1. Is stronger than the ACE inhibitor
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2. Does not produce a dry, hacky cough
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3. Has no effect on the renal system
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4. Reduces sodium and water retention - CORRECT ANSWERS ✔✔Does not
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produce a dry, hacky cough
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