NR 508 midterm exam questions with answers

NR 508 midterm exam questions with answers
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before prescribing phentermine a through drug history should be taken
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including for the use of sertonergic agents such as selective serotonin re
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uptake inhibitors (SSRI's) and St Johns wart due to - CORRECT ANSWERS
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✔✔risk of Serotonin syndrome |\ |\ |\




A primary care NP sees a patient who is being treated for heart failure with
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digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having
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nausea. The NP notes a heart rate of 60 beats per minute and a blood
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pressure of 100/60 mm Hg. The NP should: - CORRECT ANSWERS
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✔✔obtain a digoxin level before pt takes another dose
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drug cost of therapy include - CORRECT ANSWERS ✔✔pain an suffering
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due to inadequate drug therapy
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A patient is in the clinic complaining of nausea and vomiting that has lasted
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2 to 3 days. The patient has dry oral mucous membranes, a blood pressure
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of 90/56 mm Hg, a pulse of 96 beats per minute, and a temperature of 38.8°
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C. The primary care NP notes a capillary refill of greater than 3 seconds. The
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NP should: - CORRECT ANSWERS ✔✔admit for IV re-hydration
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A primary care NP is performing a pre-visit health history on a new patient.
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The patient reports taking vitamins every day. The NP should: - CORRECT
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ANSWERS ✔✔ask Pt to bring all vitamin bottles to clinic apointment
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,A woman has severe IBS and takes hyoscyamine sulfate (Levsin),
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simethicone (Phazyme), and a TCA. She reports having continued severe
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diarrhea. The primary care NP should: - CORRECT ANSWERS ✔✔refer to a
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gastroenterology for endoscopy
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A patient is given a diagnosis of peptic ulcer disease. A laboratory test
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confirms the presence of Helicobacter pylori. The primary care NP orders a
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proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and
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amoxicillin. After 14 days of treatment, H. pyloriis still present. The NP
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should order: - CORRECT ANSWERS ✔✔a PPI, amoxocillin, and
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metronidazole for 14 days |\ |\ |\




The primary care NP sees a new patient who has diabetes and hypertension
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and has been taking a thiazide diuretic for 6 months. The patient's blood
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pressure at the beginning of treatment was 150/95 mm Hg. The blood
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pressure today is 138/85 mm Hg. The NP should: - CORRECT ANSWERS
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✔✔add an angiotensin-converting enzyme inhibitor
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abrupt withdrawal of beta blockers can be life threatening. Patient at highest
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risk for consequences of rapid withdrawal are those with - CORRECT
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ANSWERS ✔✔angina and coronary artery disease |\ |\ |\ |\ |\




Carbamazepine has a black box warning due to life-threatening - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔dermatological reaction, including stevens johnson and toxic
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epidermal necrolysis |\




Richard is 70 years old and has a history of cardiac dysrhythmias. He has
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been prescribed nadolol. You do his annual laboratory work and find a CrCl
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, of 25 ml/min. What action should you take related to his nadolol? -
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CORRECT ANSWERS ✔✔decrease the dosage by 75%
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for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment -
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CORRECT ANSWERS ✔✔Your patient is being prescribed phenytoin for
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seizures. monitoring includes assessing
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A patient developed a rash after using a topical medication. This is a type
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_____ allergic drug reaction - CORRECT ANSWERS ✔✔IV
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A 50-year-old woman with a family history of CHD is experiencing
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occasional hot flashes and is having periods every 3 to 4 months. She asks
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the primary care NP about HT to relieve her symptoms. The NP should: -
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CORRECT ANSWERS ✔✔plan to use estrogen-progesterone therapy when
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menopause begins. |\




A laboratory result indicates that the peak level for a drug is above the
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minimum toxic concentration. This means that the - CORRECT ANSWERS
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✔✔concentration will produce an adverse response |\ |\ |\ |\ |\




Long term monitoring of patients who are taking carbamazepine includes -
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CORRECT ANSWERS ✔✔complete blood count every 3-4 months
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Bethanechol (Urecholine) - CORRECT ANSWERS ✔✔increases detrusor
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muscle tone to empty the bladder
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