NSG 6005 FINAL QUESTIONS & ANSWERS
Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia - Answer -C. MI
When a patient is on selective-serotonin reuptake inhibitors:
A. The complete blood count must be monitored every three to four months
B. Therapeutic blood levels must be monitored every six months after a steady state is
achieved.
C. Blood glucose must be monitored every three to four months.
D. There is no laboratory monitoring required. - Answer -D. There is no laboratory
monitoring required.
Patients with psychiatric illnesses have adherence rates to their drug regimen between
35% and 60%. To improve adherence in this population, prescribe drugs:
A. With a longer half-life so that missed doses produce a longer taper on the drug curve
B. In oral formulations that are more easily taken
C. That do not require frequent monitoring
D. Combined with patient education about the need to adhere even when symptoms are
absent - Answer -A. With a longer half-life so that missed doses produce a longer taper
on the drug curve
The drugs recommended by the American Academy of Pediatrics for use in children
with diabetes (depending upon type of diabetes) are:
A. Metformin and insulin
B. Sulfonylureas and insulin glargine
C. Split-mixed dose insulin and GLP-1 agonists
D.Biguanides and insulin lispro - Answer -A. Metformin and insulin
Inadequate vitamin D intake can contribute to the development of osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation - Answer -B. Increasing calcium absorption from the
intestine
,Which of the following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of daily living
B. Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs - Answer -C.
Reduction or elimination of pain with minimum adverse reactions
Anticholinergic agents, such as benztropine (Cogentin), may be given with a
phenothiazine to:
A. Reduce the chance of tardive dyskinesia.
B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression. - Answer -A. Reduce the chance of tardive dyskinesia.
Unlike most type II diabetics where obesity is a major issue, older adults with low body
weight have higher risks for morbidity and mortality. The most reliable indicator of poor
nutritional status in older adults is:
A. Weight loss in previously overweight persons
B. Involuntary loss of 10% of body weight in less than six months
C. Decline in lean body mass over a twelve-month period
D. Increase in central versus peripheral body adiposity - Answer -B. Involuntary loss of
10% of body weight in less than six months
Common mistakes practitioners make in treating anxiety disorders include:
A. Switching medications after an eight-week trial to a twelve-week trial
B. Maximizing dosing of antianxiety medications
C. Encouraging exercise and relaxation therapy before starting medication
D. Thinking a partial response to medication is acceptable - Answer -D. Thinking a
partial response to medication is acceptable
Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required
prior to prescribing warfarin.
A. True
B. False - Answer -B. False
Chemical dependency assessment is integral to the initial assessment of chronic pain.
Which of the following raises a "red flag" about potential chemical dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
, C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs - Answer -B. Multiple times
when prescriptions are lost with requests to refill
Prescribing for women during their childbearing years requires constant awareness of
the possibility of:
A. Pregnancy unless the women is on birth control
B. Risk for silent bacterial or viral infections of the genitalia
C. High risk for developmental disorders in their infants
D. Decreased risk for abuse during this time - Answer -B. Risk for silent bacterial or
viral infections of the genitalia
First-line therapy for hyperlipidemia is:
A. Statins
B. Niacin
C. Lifestyle changes
D. Bile acid-binding resins - Answer -C. Lifestyle changes
The DEA:
A. Registers manufacturers and prescribes controlled substances
B. Regulates NP prescribing at the state level
C. Sanctions providers who prescribe drugs off-label
D. Provides prescribers with a number they can use for insurance billing - Answer -A.
Registers manufacturers and prescribes controlled substances
Cecilia presents with depression associated with complaints of fatigue, sleeping all the
time, and lack of motivation. An appropriate initial antidepressant for her would be:
A. Fluoxetine (Prozac)
B. Paroxetine (Paxil)
C. Amitriptyline (Elavil)
D. Duloxetine (Cymbalta) - Answer -D. Duloxetine (Cymbalta)
Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her
obesity. A trial of phentermine is prescribed. Prescribing precautions include
understanding that:
A. Obesity is a contraindication to prescribing phentermine.
B. Anorexiants may cause tolerance and should only be prescribed for six months.
C. Patients should be monitored for postural hypotension.
D. Renal function should be monitored closely while the patient is on anorexiants. -
Answer -B. Anorexiants may cause tolerance and should only be prescribed for six
months.
Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia - Answer -C. MI
When a patient is on selective-serotonin reuptake inhibitors:
A. The complete blood count must be monitored every three to four months
B. Therapeutic blood levels must be monitored every six months after a steady state is
achieved.
C. Blood glucose must be monitored every three to four months.
D. There is no laboratory monitoring required. - Answer -D. There is no laboratory
monitoring required.
Patients with psychiatric illnesses have adherence rates to their drug regimen between
35% and 60%. To improve adherence in this population, prescribe drugs:
A. With a longer half-life so that missed doses produce a longer taper on the drug curve
B. In oral formulations that are more easily taken
C. That do not require frequent monitoring
D. Combined with patient education about the need to adhere even when symptoms are
absent - Answer -A. With a longer half-life so that missed doses produce a longer taper
on the drug curve
The drugs recommended by the American Academy of Pediatrics for use in children
with diabetes (depending upon type of diabetes) are:
A. Metformin and insulin
B. Sulfonylureas and insulin glargine
C. Split-mixed dose insulin and GLP-1 agonists
D.Biguanides and insulin lispro - Answer -A. Metformin and insulin
Inadequate vitamin D intake can contribute to the development of osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation - Answer -B. Increasing calcium absorption from the
intestine
,Which of the following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of daily living
B. Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs - Answer -C.
Reduction or elimination of pain with minimum adverse reactions
Anticholinergic agents, such as benztropine (Cogentin), may be given with a
phenothiazine to:
A. Reduce the chance of tardive dyskinesia.
B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression. - Answer -A. Reduce the chance of tardive dyskinesia.
Unlike most type II diabetics where obesity is a major issue, older adults with low body
weight have higher risks for morbidity and mortality. The most reliable indicator of poor
nutritional status in older adults is:
A. Weight loss in previously overweight persons
B. Involuntary loss of 10% of body weight in less than six months
C. Decline in lean body mass over a twelve-month period
D. Increase in central versus peripheral body adiposity - Answer -B. Involuntary loss of
10% of body weight in less than six months
Common mistakes practitioners make in treating anxiety disorders include:
A. Switching medications after an eight-week trial to a twelve-week trial
B. Maximizing dosing of antianxiety medications
C. Encouraging exercise and relaxation therapy before starting medication
D. Thinking a partial response to medication is acceptable - Answer -D. Thinking a
partial response to medication is acceptable
Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required
prior to prescribing warfarin.
A. True
B. False - Answer -B. False
Chemical dependency assessment is integral to the initial assessment of chronic pain.
Which of the following raises a "red flag" about potential chemical dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
, C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs - Answer -B. Multiple times
when prescriptions are lost with requests to refill
Prescribing for women during their childbearing years requires constant awareness of
the possibility of:
A. Pregnancy unless the women is on birth control
B. Risk for silent bacterial or viral infections of the genitalia
C. High risk for developmental disorders in their infants
D. Decreased risk for abuse during this time - Answer -B. Risk for silent bacterial or
viral infections of the genitalia
First-line therapy for hyperlipidemia is:
A. Statins
B. Niacin
C. Lifestyle changes
D. Bile acid-binding resins - Answer -C. Lifestyle changes
The DEA:
A. Registers manufacturers and prescribes controlled substances
B. Regulates NP prescribing at the state level
C. Sanctions providers who prescribe drugs off-label
D. Provides prescribers with a number they can use for insurance billing - Answer -A.
Registers manufacturers and prescribes controlled substances
Cecilia presents with depression associated with complaints of fatigue, sleeping all the
time, and lack of motivation. An appropriate initial antidepressant for her would be:
A. Fluoxetine (Prozac)
B. Paroxetine (Paxil)
C. Amitriptyline (Elavil)
D. Duloxetine (Cymbalta) - Answer -D. Duloxetine (Cymbalta)
Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her
obesity. A trial of phentermine is prescribed. Prescribing precautions include
understanding that:
A. Obesity is a contraindication to prescribing phentermine.
B. Anorexiants may cause tolerance and should only be prescribed for six months.
C. Patients should be monitored for postural hypotension.
D. Renal function should be monitored closely while the patient is on anorexiants. -
Answer -B. Anorexiants may cause tolerance and should only be prescribed for six
months.
