NUR 635 FINAL EXAM COMPLETE QUESTIONS WITH 100% CORRECT
ANSWERS
\.The first-line drug choice for a previously healthy adult patient
diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - ANSWERS-2.Azithromycin
\.Zainab is taking lamotrigine (Lamictal) and presents to the clinic with
fever and lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in
4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWERS-
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
,\.Jake, a 45-year-old patient with schizophrenia, was recently
hospitalized for acute psychosis due to medication noncompliance. He
was treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary
care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do
not care for mentally ill patients - ANSWERS-2. With the Abnormal
Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
\.Digoxin levels need to be monitored closely when the following
medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - ANSWERS-4. Albuterol
\.Harold, a 42-year-old African American, has moderate persistent
asthma. Which of the following asthma medications should be used
cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
,B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWERS-B.Salmeterol, an
inhaled long-acting beta-agonist
\.Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease
(COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma -
ANSWERS-1. Used for the treatment of chronic obstructive pulmonary
disease (COPD)
\.Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with
no more than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight
gain
, 4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation - ANSWERS-2.
Beclomethasone needs to be used every day to treat her asthma
\.When prescribing montelukast (Singulair) for asthma, patients or
parents of patients should be instructed:
1. Montelukast twice a day is started when there is an asthma
exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. -
ANSWERS-3. Aggression, anxiety, depression, and/or suicidal thoughts
may occur when taking montelukast.
\.When educating patients who are starting on inhaled corticosteroids,
the provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma
exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
4. They can triple the dose number of inhalations of medication during
colds to prevent needing systemic steroids - ANSWERS-3. Patients
ANSWERS
\.The first-line drug choice for a previously healthy adult patient
diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - ANSWERS-2.Azithromycin
\.Zainab is taking lamotrigine (Lamictal) and presents to the clinic with
fever and lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in
4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWERS-
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
,\.Jake, a 45-year-old patient with schizophrenia, was recently
hospitalized for acute psychosis due to medication noncompliance. He
was treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary
care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do
not care for mentally ill patients - ANSWERS-2. With the Abnormal
Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
\.Digoxin levels need to be monitored closely when the following
medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - ANSWERS-4. Albuterol
\.Harold, a 42-year-old African American, has moderate persistent
asthma. Which of the following asthma medications should be used
cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
,B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWERS-B.Salmeterol, an
inhaled long-acting beta-agonist
\.Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease
(COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma -
ANSWERS-1. Used for the treatment of chronic obstructive pulmonary
disease (COPD)
\.Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with
no more than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight
gain
, 4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation - ANSWERS-2.
Beclomethasone needs to be used every day to treat her asthma
\.When prescribing montelukast (Singulair) for asthma, patients or
parents of patients should be instructed:
1. Montelukast twice a day is started when there is an asthma
exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. -
ANSWERS-3. Aggression, anxiety, depression, and/or suicidal thoughts
may occur when taking montelukast.
\.When educating patients who are starting on inhaled corticosteroids,
the provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma
exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
4. They can triple the dose number of inhalations of medication during
colds to prevent needing systemic steroids - ANSWERS-3. Patients
