NSG 6005 WEEK 3 KNOWLEDGE CHECK QUIZ 2 ANSWERS (Graded A+) LATEST UPDATE

NSG 6005 WEEK 3 KNOWLEDGE CHECK QUIZ 2 ANSWERS 1. Question : Which of the following classes of drugs is contraindicated in heart failure? Student Answer: Nitrates Long-acting dihydropyridines Calcium channel blockers Alpha-beta blockers Points Received: 2.5 of 2.5 Comments: Question 2. Question : Which of the following is true about procainamide and its dosing schedule? Student Answer: It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen. GI adverse effects are common, so the drug should be taken with food. Adherence can be improved by using a sustained-release formulation that can be given once daily. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level. Points Received: 2.5 of 2.5 Comments: Question 3. Question : Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and LDL of 125 mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for Jose would include ____ with a reevaluation in six months. Student Answer: statins niacin sterols bile acid-binding resins Points Received: 2.5 of 2.5 Comments: Question 4. Question : Which of the following disease processes could be made worse by taking a nonselective beta blocker? Student Answer: Asthma might worsen. Diabetes might worsen. Both might worsen. Beta blockade does not affect these disorders. Points Received: 2.5 of 2.5 Comments: Question 5. Question : The treatment for vitamin B12 deficiency is: Student Answer: 1,000 mcg daily of oral cobalamin 2 gm/day of oral cobalamin 100 mcg/day vitamin B12 IM 500 mcg/dose nasal cyanocobalamin two sprays once a week Points Received: 2.5 of 2.5 Comments: Question 6. Question : Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they: Student Answer: Increase renin secretion. Decrease the production of aldosterone. Deplete body sodium and reduce fluid volume. Decrease blood viscosity. Points Received: 2.5 of 2.5 Comments: Question 7. Question : Jamie is a thirty-four-year-old pregnant woman with familial hyperlipidemia and elevated LDL levels. What is the appropriate treatment for a pregnant woman? Student Answer: A statin Niacin A fibric acid derivative Bile acid-binding resins Points Received: 2.5 of 2.5 Comments: Question 8. Question : The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is: Student Answer: Class I Class II Class III Class IV Points Received: 2.5 of 2.5 Comments: Question 9. Question : Patients who are being treated for folate deficiency require monitoring of: Student Answer: Complete blood count every four weeks Hematocrit and hemoglobin at one week and then at eight weeks Reticulocyte count at one week Folate levels every four weeks until the hemoglobin stabilizes Points Received: 2.5 of 2.5 Comments: Question 10. Question : An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone? Student Answer: Beta blockers Diuretics Nondihydropyridine calcium channel blockers Angiotensin II receptor blockers Points Received: 2.5 of 2.5 Comments: Question 11. Question : First-line therapy for hyperlipidemia is: Student Answer: Statins Niacin Lifestyle changes Bile acid-binding resins Points Received: 2.5 of 2.5 Comments: Question 12. Question : In teaching about the use of sublingual nitroglycerine, the patient should be instructed: Student Answer: To swallow the tablet with a full glass of water To place one tablet under the tongue if chest pain occurs and allow it to dissolve To take one tablet every five minutes until the chest pain goes away That it should “burn” when placed under the tongue or it is no longer effective Points Received: 2.5 of 2.5 Comments: Question 13. Question : Patients who have angina, regardless of class, who are also diabetic should be on: Student Answer: Nitrates Beta blockers ACE inhibitors Calcium channel blockers Points Received: 2.5 of 2.5 Comments: Question 14. Question : Beta blockers treat hypertension because they: Student Answer: Reduce peripheral resistance. Vasoconstrict coronary arteries. Reduce norepinephrine. Reduce angiotensin II production. Points Received: 2.5 of 2.5 Comments: Question 15. Question : Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for administration is 7 a.m. and 2 p.m. because: Student Answer: Long-acting forms have a higher risk for toxicity. Orthostatic hypotension is a common adverse effect. It must be taken with milk or food. Nitrate tolerance can develop. Points Received: 2.5 of 2.5 Comments: Question 16. Question : Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker? Student Answer: Bradycardia Hepatic impairment Increased contractility Edema of the hands and feet Points Received: 2.5 of 2.5 Comments: Question 17. Question : Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to: Student Answer: Become a vegetarian since this disorder is associated with eating red meat Stop taking the drug if abdominal cramps and diarrhea develop Report muscle weakness or tenderness and dark urine to his provider immediately Expect “hot flash” sensations during the first two weeks of therapy Points Received: 2.5 of 2.5 Comments: Question 18. Question : To reduce mortality, all patients with angina, regardless of class, should be on: Student Answer: Aspirin 81 to 325 mg/d Nitroglycerin sublingually for chest pain ACE inhibitors or ARBs Digoxin Points Received: 2.5 of 2.5 Comments: Question 19. Question : Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for this combination includes: Student Answer: Hemoglobin Serum potassium Blood urea nitrogen Serum glucose Points Received: 2.5 of 2.5 Comments: Question 20. Question : Treatments for heart failure, including drug therapy, are based on the stages developed by the American Heart Association and the American College of Cardiology. Stage A patients are: Student Answer: Treated with drugs for hypertension and hyperlipidemia, if they exist Taught lifestyle management, including diet, exercise, and smoking cessation only Treated with ACE inhibitors to directly affect the heart failure only Not given any drugs in this early stage Points Received: 2.5 of 2.5 Comments: