CMN 574 Exam – Questions With Complete
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Terms in this set (80)
,A female patient, currently at 26 *b. Start the patient on methyldopa 250 mg po
weeks gestation, has experienced a twice daily.
slow rise of her blood pressure over
the past 2 weeks. Her urine specimen Rationale: Methyldopa has the longest record of
is negative for protein. She has safety at a starting dosage of 250 mg po bid or tid.
reduced her sodium intake and has Therapy with beta blockers or calcium channel
begun a walking program. The blockers is also acceptable. (Papadakis& McPhee,
patient's blood pressure today is 2015. P. 801.) Metoprolol is a Category C medication
155/102, which is consistent with her and 100 mg po bid is not the lowest possible
readings at home. Associated starting dose. The initiation of anti-hypertensive
symptoms include a dull headache. therapy in pregnant women is indicated if the
The nurse practitioner's best sustained blood pressure is > 150/100 or if there is
response is: evidence of end-organ damage (Papadakis
&McPhee, 2015, p. 801)
a. "Try yoga and meditation to
decrease your blood pressure."
b. Start the patient on methyldopa
250 mg po twice daily.
c. "Monitor your blood pressure at
home and call the office if you have
swelling or a pounding headache."
d. Start the patient on metoprolol
100mg po twice daily.
Resistant hypertension may be *d. All of the above
caused by which of the following?
a. NSAIDs Rationale: JNC 7 defines resistant hypertension as
b. Oral Contraceptives the inability to control blood pressure in those
c. Obesity patients who are compliant with the appropriate
d. All of the above three-drug regimen, including a diuretic. Causes of
resistant hypertension listed in table 11-11 include
nonadherence, NSAIDs, oral contraceptives, adrenal
steroids, licorice, obesity, and excessive alcohol
intake (Sutters, 2015, p.458-459).
,Cholesterol medication that works by *c. Ezetimibe (Zetia) [Cholesterol absorption
obstructing the absorption of inhibitor]
cholesterol by blocking the passage
of cholesterol across the intestinal
wall through the inhibition of a
cholesterol transporter is ? Rationale: "Ezetimibe is the lipid lower drug that
works by inhibiting the intestinal absorption of
a. Statins biliary and dietary cholesterol by blocking passage
b. Fibric Acid across the intestinal wall by inhibiting a cholesterol
c. Ezetimibe transporter. Statins block the rate-limiting enzyme in
d. Bile Acid the formation of cholesterol. Fibrates are
peroxisome proliferative-activated receptor-alpha
agonists that results in potent reductions of plasms
triglycerides and increases in HDL. Bile acids work
by binding bile acid in the intestine" (Baron, 2015).
, A 2 year girl arrives to your clinic with *b. Kawasaki disease
a history of a fever for 7 days, cervical
lymphadenopathy, edema and
desquamation of extremities, Rationale: The diagnostic criteria for Kawasaki
bilateral, non-exudative conjunctivitis, disease are fever that lasts for greater than 5 days
and polymorphous exanthema. You and at least 4 of the following other manifestations:
correctly diagnose the girl with : (1) cervical lymphadenopathy, usually unilateral and
great than or equal to 1.5 cm in diameter, (2)
a. Rheumatic fever extremity changes (redness and swelling of the
b. Kawasaki disease hands and feet with subsequent desquamation), (3)
c. Lyme disease polymorphous exanthema, (4) oral cavity or lip
d. Infective endocarditis changes, (such as strawberry tongues, fissuring and
cracking, and inflammation of the oral mucosa), and
(5) painless, bilateral, non-exudative conjunctivitis.
Rheumatic fever consists of 2 major criteria such as
carditis, erythema marginatum, Sydenham chorea, or
polyarthritis, or 1 major criteria and 1 minor criteria,
such as polyarthalgia, fever, and previous rheumatic
heart disease or fever, plus evidence to support
streptococcal infection. Infective endocarditis often
presents with weight loss, malaise, and fever. (Darst,
Collins, & Miyamoto, 2014, p. 628). Lyme disease may
develop after a tick bite, and is characterized by
erythema chronicum migrans (Ogle & Anderson,
2014, p. 1350).
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (80)
,A female patient, currently at 26 *b. Start the patient on methyldopa 250 mg po
weeks gestation, has experienced a twice daily.
slow rise of her blood pressure over
the past 2 weeks. Her urine specimen Rationale: Methyldopa has the longest record of
is negative for protein. She has safety at a starting dosage of 250 mg po bid or tid.
reduced her sodium intake and has Therapy with beta blockers or calcium channel
begun a walking program. The blockers is also acceptable. (Papadakis& McPhee,
patient's blood pressure today is 2015. P. 801.) Metoprolol is a Category C medication
155/102, which is consistent with her and 100 mg po bid is not the lowest possible
readings at home. Associated starting dose. The initiation of anti-hypertensive
symptoms include a dull headache. therapy in pregnant women is indicated if the
The nurse practitioner's best sustained blood pressure is > 150/100 or if there is
response is: evidence of end-organ damage (Papadakis
&McPhee, 2015, p. 801)
a. "Try yoga and meditation to
decrease your blood pressure."
b. Start the patient on methyldopa
250 mg po twice daily.
c. "Monitor your blood pressure at
home and call the office if you have
swelling or a pounding headache."
d. Start the patient on metoprolol
100mg po twice daily.
Resistant hypertension may be *d. All of the above
caused by which of the following?
a. NSAIDs Rationale: JNC 7 defines resistant hypertension as
b. Oral Contraceptives the inability to control blood pressure in those
c. Obesity patients who are compliant with the appropriate
d. All of the above three-drug regimen, including a diuretic. Causes of
resistant hypertension listed in table 11-11 include
nonadherence, NSAIDs, oral contraceptives, adrenal
steroids, licorice, obesity, and excessive alcohol
intake (Sutters, 2015, p.458-459).
,Cholesterol medication that works by *c. Ezetimibe (Zetia) [Cholesterol absorption
obstructing the absorption of inhibitor]
cholesterol by blocking the passage
of cholesterol across the intestinal
wall through the inhibition of a
cholesterol transporter is ? Rationale: "Ezetimibe is the lipid lower drug that
works by inhibiting the intestinal absorption of
a. Statins biliary and dietary cholesterol by blocking passage
b. Fibric Acid across the intestinal wall by inhibiting a cholesterol
c. Ezetimibe transporter. Statins block the rate-limiting enzyme in
d. Bile Acid the formation of cholesterol. Fibrates are
peroxisome proliferative-activated receptor-alpha
agonists that results in potent reductions of plasms
triglycerides and increases in HDL. Bile acids work
by binding bile acid in the intestine" (Baron, 2015).
, A 2 year girl arrives to your clinic with *b. Kawasaki disease
a history of a fever for 7 days, cervical
lymphadenopathy, edema and
desquamation of extremities, Rationale: The diagnostic criteria for Kawasaki
bilateral, non-exudative conjunctivitis, disease are fever that lasts for greater than 5 days
and polymorphous exanthema. You and at least 4 of the following other manifestations:
correctly diagnose the girl with : (1) cervical lymphadenopathy, usually unilateral and
great than or equal to 1.5 cm in diameter, (2)
a. Rheumatic fever extremity changes (redness and swelling of the
b. Kawasaki disease hands and feet with subsequent desquamation), (3)
c. Lyme disease polymorphous exanthema, (4) oral cavity or lip
d. Infective endocarditis changes, (such as strawberry tongues, fissuring and
cracking, and inflammation of the oral mucosa), and
(5) painless, bilateral, non-exudative conjunctivitis.
Rheumatic fever consists of 2 major criteria such as
carditis, erythema marginatum, Sydenham chorea, or
polyarthritis, or 1 major criteria and 1 minor criteria,
such as polyarthalgia, fever, and previous rheumatic
heart disease or fever, plus evidence to support
streptococcal infection. Infective endocarditis often
presents with weight loss, malaise, and fever. (Darst,
Collins, & Miyamoto, 2014, p. 628). Lyme disease may
develop after a tick bite, and is characterized by
erythema chronicum migrans (Ogle & Anderson,
2014, p. 1350).
