NUR635 FINAL EXAM PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS NEW MODIFIED
GRADED A+
Christy has exercise-induced and mild persistent asthma and is prescribed two
puffs of albuterol 15 minutes before exercise and as needed for wheezing. One
puff per day of beclomethasone (QVAR) is also prescribed. Teaching regarding
her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation --CORRECT ANSWER--2.
Beclomethasone needs to be used every day to treat her asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when
taking montelukast.
Page 1 of 53
,4. Lethargy and hypersomnia may occur when taking montelukast. --
CORRECT ANSWER--3. Aggression, anxiety, depression, and/or suicidal
thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the
provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to
be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to
prevent thrush.
4. They can triple the dose number of inhalations of medication during colds to
prevent needing systemic steroids --CORRECT ANSWER--3. Patients should
rinse their mouths out after using the inhaled corticosteroid to prevent thrush.
Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient taking
diphenhydramine would include assessing for:
Urinary retention
Cardiac output
Peripheral edema
Skin for rash --CORRECT ANSWER--Urinary retention
Page 2 of 53
,Second generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol --CORRECT
ANSWER--B.Less sedating than the first generation antihistamines
The first-line drug choice for a previously healthy adult patient diagnosed with
community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline --CORRECT ANSWER--2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5
days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
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 --CORRECT
ANSWER--2. Ruling out a hypersensitivity reaction that may lead to multi-
organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for
acute psychosis due to medication noncompliance. He was treated with IM
long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the
patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care
for mentally ill patients --CORRECT ANSWER--2. With the Abnormal
Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is
started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol --CORRECT ANSWER--4. Albuterol
Page 4 of 53
WITH VERIFIED SOLUTIONS NEW MODIFIED
GRADED A+
Christy has exercise-induced and mild persistent asthma and is prescribed two
puffs of albuterol 15 minutes before exercise and as needed for wheezing. One
puff per day of beclomethasone (QVAR) is also prescribed. Teaching regarding
her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation --CORRECT ANSWER--2.
Beclomethasone needs to be used every day to treat her asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when
taking montelukast.
Page 1 of 53
,4. Lethargy and hypersomnia may occur when taking montelukast. --
CORRECT ANSWER--3. Aggression, anxiety, depression, and/or suicidal
thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the
provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to
be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to
prevent thrush.
4. They can triple the dose number of inhalations of medication during colds to
prevent needing systemic steroids --CORRECT ANSWER--3. Patients should
rinse their mouths out after using the inhaled corticosteroid to prevent thrush.
Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient taking
diphenhydramine would include assessing for:
Urinary retention
Cardiac output
Peripheral edema
Skin for rash --CORRECT ANSWER--Urinary retention
Page 2 of 53
,Second generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol --CORRECT
ANSWER--B.Less sedating than the first generation antihistamines
The first-line drug choice for a previously healthy adult patient diagnosed with
community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline --CORRECT ANSWER--2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5
days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
Page 3 of 53
, 4. Observation only, with further assessment if she worsens --CORRECT
ANSWER--2. Ruling out a hypersensitivity reaction that may lead to multi-
organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for
acute psychosis due to medication noncompliance. He was treated with IM
long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the
patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care
for mentally ill patients --CORRECT ANSWER--2. With the Abnormal
Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is
started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol --CORRECT ANSWER--4. Albuterol
Page 4 of 53
