NU 641 EXAM WITH 20 QUESTIONS AND ANSWERS
All patients with hypertension benefit from diuretic therapy, but those who benefit the most are which
of the following? - -African Americans
-Based on clinical trials, what is a compelling indication for an ACE inhibitor as treatment for
hypertension? - -Renal parenchymal disease
-Clinical judgment in prescribing includes which of the following? - -Factoring in the cost to the patient
of the medication prescribed
-Disease states in addition to hypertension in which beta blockade is a compelling indication for: - -
Myocardial infarction
-Donald has been diagnosed with hyperlimpidemia. Based on his lipid profile, atorvastatin is prescribed.
Rhabdomyolysis is a rare but serious adverse response to the drug. What should Donald be told to do? -
-Report muscle weakness or tenderness and dark urine to his provider immediately.
-Drugs that use CYP 3A4 isoenzymes for metabolism may do which of the following? - -Both A and B
-If not chosen as the first drug in hypertension treatment, which drug class should be added as a second
step because it will enhance the effects of most other agents? - -Diuretics
-Nurse practitioner prescriptive authority is regulated by which of the following? - -The State Board of
Nursing for each state
-Patient education regarding prescribed medication includes which of the following? - -Discussion of
expected adverse drug reactions
-Ray has been diagnosed with hypertension and it is determined that an angiotensin converting enzyme
inhibitor (ACE) is needed. Prior to prescribong this drug what should the nurse practitioner (NP) assess
for? - -Decreased urine function
-Scopolamine patch can be used to prevent the nausea and vomiting associated with motion sickness.
What is the patient taught to do? - -Apply the transdermal disk at least for hours before the antiemetic
effect is desired
-The most recent treatment guidelines strongly recommend drug dosing primarily based on which of the
following? - -Personal cardiovascular risk
-When are statins traditionally ordered to be taken? - -At bedtime
-When comparing Angiotensin-converting-enzyme inhibitors (ACEIs) and Angiotensin II receptor blockers
(ARBs) medications, which of the following holds true? - -Both contribute to some retention of
potassium
All patients with hypertension benefit from diuretic therapy, but those who benefit the most are which
of the following? - -African Americans
-Based on clinical trials, what is a compelling indication for an ACE inhibitor as treatment for
hypertension? - -Renal parenchymal disease
-Clinical judgment in prescribing includes which of the following? - -Factoring in the cost to the patient
of the medication prescribed
-Disease states in addition to hypertension in which beta blockade is a compelling indication for: - -
Myocardial infarction
-Donald has been diagnosed with hyperlimpidemia. Based on his lipid profile, atorvastatin is prescribed.
Rhabdomyolysis is a rare but serious adverse response to the drug. What should Donald be told to do? -
-Report muscle weakness or tenderness and dark urine to his provider immediately.
-Drugs that use CYP 3A4 isoenzymes for metabolism may do which of the following? - -Both A and B
-If not chosen as the first drug in hypertension treatment, which drug class should be added as a second
step because it will enhance the effects of most other agents? - -Diuretics
-Nurse practitioner prescriptive authority is regulated by which of the following? - -The State Board of
Nursing for each state
-Patient education regarding prescribed medication includes which of the following? - -Discussion of
expected adverse drug reactions
-Ray has been diagnosed with hypertension and it is determined that an angiotensin converting enzyme
inhibitor (ACE) is needed. Prior to prescribong this drug what should the nurse practitioner (NP) assess
for? - -Decreased urine function
-Scopolamine patch can be used to prevent the nausea and vomiting associated with motion sickness.
What is the patient taught to do? - -Apply the transdermal disk at least for hours before the antiemetic
effect is desired
-The most recent treatment guidelines strongly recommend drug dosing primarily based on which of the
following? - -Personal cardiovascular risk
-When are statins traditionally ordered to be taken? - -At bedtime
-When comparing Angiotensin-converting-enzyme inhibitors (ACEIs) and Angiotensin II receptor blockers
(ARBs) medications, which of the following holds true? - -Both contribute to some retention of
potassium
