6521 MIDTERM EXAM QUESTIONS &
VERIFIED CORRECT ANSWERS
RATED 100% CORRECT
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to - CORRECT ANSWER take their medication at the prescribed
times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded
appreciably to conventional analgesics. The patient's care provider has begun treatment
with gabapentin (Neurontin). How is the addition of this drug likely to influence the
management of the patient's existing drug regimen? - CORRECT ANSWER It is
unlikely to influence the patient's other medications because gabapentin does not
interact with other drugs.
of the following assessment findings should an assisted living facility has begun taking
daily oral Following an assessment by her primary care provider, a 70-year-old resident
of doses of levothyroxine. Which prompt the nurse to withhold a scheduled dose of
levothyroxine? - CORRECT ANSWER The resident's apical heart rate is 112
beats/minute with a regular rhythm
processes protects the lower respiratory system? - CORRECT ANSWER Cilia sweep
foreign material and mucus upward toward the trachea and larynx where they can then
be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct
the patient to take the medication - CORRECT ANSWER at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the
prevention of drug interactions, the Nurse Practitioner should encourage them to -
CORRECT ANSWER consult their care provider before taking new over-the-counter
medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of
the following statements best describe this term? - CORRECT ANSWER Taking
several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having
adverse effects from his drug therapy. The patient has been taking dextroamphetamine
, for 2 weeks as adjunct therapy. Which of the following adverse effects would need the
Nurse Practitioner's immediate attention? - CORRECT ANSWER Increased blood
glucose
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20
units of lantus at bedtime and regular insulin before meals. What instructions should the
NP provide about the timing and dose of regular insulin? - CORRECT ANSWER Take
1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes
before each meal
decongestants should not be used chronically (>5 days) because they can cause -
CORRECT ANSWER rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are
being taught about their son's medication regimen by the nurse. The nurse is currently
teaching the parent's about the appropriate use of a "rescue drug" for acute
exacerbations of their son's asthma. What drug should the nurse suggests the parents
to use in these situations? - CORRECT ANSWER Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to
control her health problem. Verapamil achieves a therapeutic effect by - CORRECT
ANSWER blocking adrenergic receptors and producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction? - CORRECT
ANSWER Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: -
CORRECT ANSWER Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the
client may have drug allergies that have not been previously documented. What
statement by the client would confirm this? - CORRECT ANSWER "I broke out in hives
and got terribly itchy when I started a new prescription last year."
A homeless man who is well known to care providers at the local hospital has been
admitted to the emergency department after having a seizure outside a mall. The man is
known to be a heavy alcohol user and is malnourished with a very low body mass index.
How are this patient's characteristics likely to influence possible treatment with
phenytoin? - CORRECT ANSWER The patient's protein deficit will likely increase the
levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment
of GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment
VERIFIED CORRECT ANSWERS
RATED 100% CORRECT
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to - CORRECT ANSWER take their medication at the prescribed
times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded
appreciably to conventional analgesics. The patient's care provider has begun treatment
with gabapentin (Neurontin). How is the addition of this drug likely to influence the
management of the patient's existing drug regimen? - CORRECT ANSWER It is
unlikely to influence the patient's other medications because gabapentin does not
interact with other drugs.
of the following assessment findings should an assisted living facility has begun taking
daily oral Following an assessment by her primary care provider, a 70-year-old resident
of doses of levothyroxine. Which prompt the nurse to withhold a scheduled dose of
levothyroxine? - CORRECT ANSWER The resident's apical heart rate is 112
beats/minute with a regular rhythm
processes protects the lower respiratory system? - CORRECT ANSWER Cilia sweep
foreign material and mucus upward toward the trachea and larynx where they can then
be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct
the patient to take the medication - CORRECT ANSWER at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the
prevention of drug interactions, the Nurse Practitioner should encourage them to -
CORRECT ANSWER consult their care provider before taking new over-the-counter
medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of
the following statements best describe this term? - CORRECT ANSWER Taking
several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having
adverse effects from his drug therapy. The patient has been taking dextroamphetamine
, for 2 weeks as adjunct therapy. Which of the following adverse effects would need the
Nurse Practitioner's immediate attention? - CORRECT ANSWER Increased blood
glucose
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20
units of lantus at bedtime and regular insulin before meals. What instructions should the
NP provide about the timing and dose of regular insulin? - CORRECT ANSWER Take
1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes
before each meal
decongestants should not be used chronically (>5 days) because they can cause -
CORRECT ANSWER rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are
being taught about their son's medication regimen by the nurse. The nurse is currently
teaching the parent's about the appropriate use of a "rescue drug" for acute
exacerbations of their son's asthma. What drug should the nurse suggests the parents
to use in these situations? - CORRECT ANSWER Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to
control her health problem. Verapamil achieves a therapeutic effect by - CORRECT
ANSWER blocking adrenergic receptors and producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction? - CORRECT
ANSWER Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: -
CORRECT ANSWER Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the
client may have drug allergies that have not been previously documented. What
statement by the client would confirm this? - CORRECT ANSWER "I broke out in hives
and got terribly itchy when I started a new prescription last year."
A homeless man who is well known to care providers at the local hospital has been
admitted to the emergency department after having a seizure outside a mall. The man is
known to be a heavy alcohol user and is malnourished with a very low body mass index.
How are this patient's characteristics likely to influence possible treatment with
phenytoin? - CORRECT ANSWER The patient's protein deficit will likely increase the
levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment
of GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment
