NUR 651 – Final Exam Study Questions And
Answers Verified 100% Correct
What are the adverse affects of ARBS?
1. decreased taste
2. Dry cough
3. Hypokalemia
4. hypotension
5. Fatigue
6. None of the above
7. All of the above
8. Just 4 & 5 - ANSWER -8. Just 4 & 5
the adverse affects of ARBS are
GI upset, Hypotension, Fatigue, Hyperkalemia
Drug interactions =Fluconazole and ketoconazole anti-hypertensive effect
NSAIDs can renal toxicity
Forteo is indicated for _____________________ and is a human parathyroid
hormone - ANSWER -osteoporosis
The most significant risk of long-term treatment with Forteo is
1. Osteoporosis
2. Osteosarcoma
3.. Deep vein thrombosis
4.. Endometrial cancer - ANSWER -2. Osteosarcoma
Forteo has two mechanisms of action; one is to cause reabsorption of calcium and
phosphate in the renal tubules. The other is to:
A. Cause intestinal calcium absorption
B. Inhibit bone breakdown
C. Stimulate estrogen receptors in bone
D. Deregulate bone metabolism - ANSWER -A. Cause intestinal calcium
absorption
,Raloxifene (Evista) is:
A. A human parathyroid hormone
B. An androgen
C. A SERM
D. An oral contraceptive - ANSWER -C. SERM
What is the mechanism of action of Evista?
A.
It causes intestinal calcium absorption.
B.
It inhibits bone breakdown.
C.
It stimulates estrogen receptors in bone.
D.
It deregulates bone metabolism. - ANSWER -C. It stimulates estrogen receptors in
bone
What is the most significant adverse effect of Evista?
A. Vasomotor symptoms
B. Increased risk of deep vein thrombosis
C. Breast cancer
D. Increased possibility of femur fracture - ANSWER -B. Increased risk of DVT
Evista was developed after it was shown that estrogen led to increased CVD if
used after menopause. It is now recommended that estrogen use is limited to:
A. The first year after menopause starts
B. The first 5 years after menopause starts
C. The first 7 years after menopause starts
D. The first 10 years after menopause starts - ANSWER -B. The first 5 years after
menopause starts
A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer
disease, generalized anxiety disorder, and iron deficiency anemia. She also has a
long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and
,alprazolam (Xanax) as needed for her anxiety. During her asthma exacerbation, she
is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis a
- ANSWER -B. Alprazolam
A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer
disease, generalized anxiety disorder, and iron deficiency anemia. She also has a
long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and
alprazolam (Xanax) as needed for her anxiety. During her asthma exacerbation, she
is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis a
- ANSWER -B. Nexium
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
, During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -B. Nexium
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -C. Its causes flushing, nausea, and vomiting
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -B. Nexium
L. L. is a 67-year-old male who has been diagnosed with BPH. He is having
difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is
well controlled. He is taking no other medications. The doctor has recommended
medication for his BPH, but he would like to try a herbal supplement before taking
Answers Verified 100% Correct
What are the adverse affects of ARBS?
1. decreased taste
2. Dry cough
3. Hypokalemia
4. hypotension
5. Fatigue
6. None of the above
7. All of the above
8. Just 4 & 5 - ANSWER -8. Just 4 & 5
the adverse affects of ARBS are
GI upset, Hypotension, Fatigue, Hyperkalemia
Drug interactions =Fluconazole and ketoconazole anti-hypertensive effect
NSAIDs can renal toxicity
Forteo is indicated for _____________________ and is a human parathyroid
hormone - ANSWER -osteoporosis
The most significant risk of long-term treatment with Forteo is
1. Osteoporosis
2. Osteosarcoma
3.. Deep vein thrombosis
4.. Endometrial cancer - ANSWER -2. Osteosarcoma
Forteo has two mechanisms of action; one is to cause reabsorption of calcium and
phosphate in the renal tubules. The other is to:
A. Cause intestinal calcium absorption
B. Inhibit bone breakdown
C. Stimulate estrogen receptors in bone
D. Deregulate bone metabolism - ANSWER -A. Cause intestinal calcium
absorption
,Raloxifene (Evista) is:
A. A human parathyroid hormone
B. An androgen
C. A SERM
D. An oral contraceptive - ANSWER -C. SERM
What is the mechanism of action of Evista?
A.
It causes intestinal calcium absorption.
B.
It inhibits bone breakdown.
C.
It stimulates estrogen receptors in bone.
D.
It deregulates bone metabolism. - ANSWER -C. It stimulates estrogen receptors in
bone
What is the most significant adverse effect of Evista?
A. Vasomotor symptoms
B. Increased risk of deep vein thrombosis
C. Breast cancer
D. Increased possibility of femur fracture - ANSWER -B. Increased risk of DVT
Evista was developed after it was shown that estrogen led to increased CVD if
used after menopause. It is now recommended that estrogen use is limited to:
A. The first year after menopause starts
B. The first 5 years after menopause starts
C. The first 7 years after menopause starts
D. The first 10 years after menopause starts - ANSWER -B. The first 5 years after
menopause starts
A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer
disease, generalized anxiety disorder, and iron deficiency anemia. She also has a
long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and
,alprazolam (Xanax) as needed for her anxiety. During her asthma exacerbation, she
is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis a
- ANSWER -B. Alprazolam
A. C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer
disease, generalized anxiety disorder, and iron deficiency anemia. She also has a
long history of asthma and depression. She is a strong believer in herbal medicine.
She takes St. John's wort for her depression, iron pills for her anemia, and
alprazolam (Xanax) as needed for her anxiety. During her asthma exacerbation, she
is instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis a
- ANSWER -B. Nexium
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
, During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -B. Nexium
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -C. Its causes flushing, nausea, and vomiting
C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease,
generalized anxiety disorder, and iron deficiency anemia. She also has a long
history of asthma and depression. She is a strong believer in herbal medicine. She
takes St. John's wort for her depression, iron pills for her anemia, and alprazolam
(Xanax) as needed for her anxiety. During her asthma exacerbation, she is
instructed to take prednisone for at least five days. However, her asthma is
generally well controlled with the occasional use of an albuterol (Proventil)
inhaler. She takes esomeprazole (Nexium) for her peptic ulcer disease. She drinks
at least two to three cans of beer per day.
Three months after the diagnosis of her peptic ulcer disease, A. C. experiences
severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue.
During her physical exam, her physician suspects that she has bacterial vaginosis
and - ANSWER -B. Nexium
L. L. is a 67-year-old male who has been diagnosed with BPH. He is having
difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is
well controlled. He is taking no other medications. The doctor has recommended
medication for his BPH, but he would like to try a herbal supplement before taking
