NR 565 FINAL EXAM PACK | QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADE A+ |100% PASS
A postmenopausal patient develops osteoporosis. The patient asks the nurse about medications to treat
this condition. The nurse learns that the patient has a family history of breast cancer. The nurse will
suggest discussing which medication with the provider?
a. Estrogen estradiol
b. Pamidronate [Aredia]
c. Raloxifene [Evista]
d. Teriparatide [Forteo] - ANSWER c.
A patient has severe Paget disease of the bone. The patient asks the nurse what can be done to alleviate
the pain. The nurse will suggest that the patient discuss the use of which medication with the provider?
a. Alendronate [Fosamax]
b. Calcifediol [25-Hydroxy-D3]
c. Calcitonin-salmon [Miacalcin]
d. Long-acting NSAIDs - ANSWER c.
A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider
orders denosumab [Xgeva]. What will the nurse teach this patient?
a. Denosumab may delay healing of these fractures.
b. Denosumab should be given subcutaneously every 12 months.
c. Denosumab will improve hypocalcemia.
d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ). - ANSWER a.
A patient taking risedronate IR [Actonel] for osteoporosis reports experiencing diarrhea and headaches.
What will the nurse tell this patient?
a. These are common side effects of this drug.
b. These symptoms indicate serious toxicity.
c. The patient should discuss taking risedronate DR [Atelvia] with the provider.
,d. The medication should be taken after a meal to reduce symptoms. - ANSWER a.
A 55-year-old female patient asks a nurse about calcium supplements. The nurse learns that the patient
consumes two servings of dairyproducts each day. The patient's serum calcium level is 9.5 mg/dL. The
serum vitamin D level is 18 ng/mL. The nurse will recommend adding
daily and IU of vitamin D3 each day.
a. 1200 mg of calcium once; 10,000
b. 1500 mg of calcium twice; 1000
c. 600 mg of calcium once; 10,000
d. 600 mg of calcium twice; 2000 - ANSWER c.
A patient who has developed postmenopausal osteoporosis will begin taking alendronate [Fosamax].
The nurse will teach this patient to take the drug:
a. at bedtime to minimize adverse effects.
b. for a maximum of 1 to 2 years.
c. while sitting upright with plenty of water.
d. with coffee or orange juice to increase absorption. - ANSWER c.
A patient is taking alendronate [Fosamax] to treat Paget disease. The patient asks the nurse why calcium
supplements are necessary. The nurse will tell the patient that calcium supplements are necessary to:
a. reduce the likelihood of atrial fibrillation.
b. maximize bone resorption of calcium.
c. minimize the risk of esophageal cancer.
d. prevent hyperparathyroidism. - ANSWER d.
A patient who takes teriparatide [Forteo] administers it subcutaneously with a prefilled pen injector. The
patient asks why she must use a new pen every 28 days when there are doses left in the syringe. Which
is the correct response by the nurse?
a. "Go ahead and use the remaining drug; I know it is so expensive."
b. "The drug may not be stable after 28 days."
c. "You are probably not giving the drug accurately."
,d. "You should be giving the drug more frequently. - ANSWER b.
A patient reports experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total
serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein. When questioned,
the patient reports taking vitamin D and calcium supplements. The nurse will counsel the patient to:
a. reduce the amount of vitamin D and stop taking the calcium.
b. discuss taking calcitonin-salmon [Fortical] with the provider.
c. stop both supplements and discuss the use of a diuretic with the provider.
d. stop taking vitamin D, reduce the amount of calcium, and increase the fluid intake. - ANSWER d.
A nurse is providing education to a patient who will begin taking alendronate [Fosamax]. Which
complication should the patient be instructed to report immediately?
a. Difficulty swallowing
b. Dizziness
c. Drowsiness
d. Pallor - ANSWER a.
An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of
medications the APRN is allowed to prescribe. State law does not require the APRN to practice under
physician supervision. How would the APRN's prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority - ANSWER b. Independent
Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians. - ANSWER a. more patients will have
access to health care
, Which factors could be attributed to limited prescriptive authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy - ANSWER a. inaccessibility of patient care
b. higher health care costs
Which aspects support the APRN's provision for full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability - ANSWER a.
c.
d.
Which aspects support the APRN's provision for full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards. - ANSWER a.
c.
d.
A family nurse practitioner practicing in Maine is hired at a practice across state lines in Virginia. Which
aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
CORRECT| GRADE A+ |100% PASS
A postmenopausal patient develops osteoporosis. The patient asks the nurse about medications to treat
this condition. The nurse learns that the patient has a family history of breast cancer. The nurse will
suggest discussing which medication with the provider?
a. Estrogen estradiol
b. Pamidronate [Aredia]
c. Raloxifene [Evista]
d. Teriparatide [Forteo] - ANSWER c.
A patient has severe Paget disease of the bone. The patient asks the nurse what can be done to alleviate
the pain. The nurse will suggest that the patient discuss the use of which medication with the provider?
a. Alendronate [Fosamax]
b. Calcifediol [25-Hydroxy-D3]
c. Calcitonin-salmon [Miacalcin]
d. Long-acting NSAIDs - ANSWER c.
A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider
orders denosumab [Xgeva]. What will the nurse teach this patient?
a. Denosumab may delay healing of these fractures.
b. Denosumab should be given subcutaneously every 12 months.
c. Denosumab will improve hypocalcemia.
d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ). - ANSWER a.
A patient taking risedronate IR [Actonel] for osteoporosis reports experiencing diarrhea and headaches.
What will the nurse tell this patient?
a. These are common side effects of this drug.
b. These symptoms indicate serious toxicity.
c. The patient should discuss taking risedronate DR [Atelvia] with the provider.
,d. The medication should be taken after a meal to reduce symptoms. - ANSWER a.
A 55-year-old female patient asks a nurse about calcium supplements. The nurse learns that the patient
consumes two servings of dairyproducts each day. The patient's serum calcium level is 9.5 mg/dL. The
serum vitamin D level is 18 ng/mL. The nurse will recommend adding
daily and IU of vitamin D3 each day.
a. 1200 mg of calcium once; 10,000
b. 1500 mg of calcium twice; 1000
c. 600 mg of calcium once; 10,000
d. 600 mg of calcium twice; 2000 - ANSWER c.
A patient who has developed postmenopausal osteoporosis will begin taking alendronate [Fosamax].
The nurse will teach this patient to take the drug:
a. at bedtime to minimize adverse effects.
b. for a maximum of 1 to 2 years.
c. while sitting upright with plenty of water.
d. with coffee or orange juice to increase absorption. - ANSWER c.
A patient is taking alendronate [Fosamax] to treat Paget disease. The patient asks the nurse why calcium
supplements are necessary. The nurse will tell the patient that calcium supplements are necessary to:
a. reduce the likelihood of atrial fibrillation.
b. maximize bone resorption of calcium.
c. minimize the risk of esophageal cancer.
d. prevent hyperparathyroidism. - ANSWER d.
A patient who takes teriparatide [Forteo] administers it subcutaneously with a prefilled pen injector. The
patient asks why she must use a new pen every 28 days when there are doses left in the syringe. Which
is the correct response by the nurse?
a. "Go ahead and use the remaining drug; I know it is so expensive."
b. "The drug may not be stable after 28 days."
c. "You are probably not giving the drug accurately."
,d. "You should be giving the drug more frequently. - ANSWER b.
A patient reports experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total
serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein. When questioned,
the patient reports taking vitamin D and calcium supplements. The nurse will counsel the patient to:
a. reduce the amount of vitamin D and stop taking the calcium.
b. discuss taking calcitonin-salmon [Fortical] with the provider.
c. stop both supplements and discuss the use of a diuretic with the provider.
d. stop taking vitamin D, reduce the amount of calcium, and increase the fluid intake. - ANSWER d.
A nurse is providing education to a patient who will begin taking alendronate [Fosamax]. Which
complication should the patient be instructed to report immediately?
a. Difficulty swallowing
b. Dizziness
c. Drowsiness
d. Pallor - ANSWER a.
An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of
medications the APRN is allowed to prescribe. State law does not require the APRN to practice under
physician supervision. How would the APRN's prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority - ANSWER b. Independent
Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians. - ANSWER a. more patients will have
access to health care
, Which factors could be attributed to limited prescriptive authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy - ANSWER a. inaccessibility of patient care
b. higher health care costs
Which aspects support the APRN's provision for full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability - ANSWER a.
c.
d.
Which aspects support the APRN's provision for full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards. - ANSWER a.
c.
d.
A family nurse practitioner practicing in Maine is hired at a practice across state lines in Virginia. Which
aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
