1
NSG6005 FINAL EXAM / NSG 6005 FINAL EXAM (VERSION-2, NEW, 2020
/2021): SOUTH UNIVERSITY (CORRECT Q & A)SATISFACTION
GUARANTEED
1.
A 67-year-old patient with hypertension, type 2 diabetes, and chronic kidney
disease returns for medication management. The patient has persistent
albuminuria despite lifestyle modification and is currently taking an
antihypertensive regimen. The provider wants to select therapy that provides
blood-pressure control while also reducing intraglomerular pressure and slowing
progression of diabetic kidney disease. Which medication class would be most
appropriate?
A. ACE inhibitor
B. Thiazide diuretic
C. Alpha-1 blocker
D. Nondihydropyridine calcium-channel blocker
Answer: A
2.
A 58-year-old patient with hypertension is started on an ACE inhibitor. Several
weeks later, the patient calls reporting swelling of the lips and tongue
accompanied by difficulty swallowing and a sensation of throat tightness. The
patient has no history of food allergy and has not started any other medications.
Which adverse reaction should the advanced practice nurse recognize as requiring
immediate intervention?
A. Orthostatic hypotension
B. Angioedema
C. Mild hyperkalemia
D. ACE-inhibitor-associated cough
Answer: B
,2
3.
A 54-year-old patient with hypertension develops a persistent dry, nonproductive
cough after several weeks of treatment with an ACE inhibitor. Blood pressure is
controlled, renal function is stable, and the patient wants an alternative
medication because the cough interferes with sleep. Which medication class
would generally be an appropriate alternative?
A. Loop diuretic
B. Alpha agonist
C. Angiotensin II receptor blocker
D. Nitrate
Answer: C
4.
A 72-year-old patient with hypertension and heart failure is taking an ACE
inhibitor and a potassium-sparing diuretic. During follow-up, laboratory testing
reveals an elevated serum potassium concentration. Which medication-related
concern should the nurse prioritize?
A. Thiazide-induced hypoglycemia
B. Calcium-channel-blocker toxicity
C. Nitrate withdrawal
D. Increased risk of clinically significant hyperkalemia from the medication
combination
Answer: D
5.
A 63-year-old patient with hypertension and chronic kidney disease is prescribed
an antihypertensive medication that decreases angiotensin II-mediated
vasoconstriction and aldosterone secretion. The patient asks why serum
potassium and renal function must be monitored after starting treatment. Which
medication is most consistent with this description?
,3
A. Losartan
B. Amlodipine
C. Hydrochlorothiazide
D. Metoprolol
Answer: A
6.
A patient with hypertension is prescribed hydrochlorothiazide. During follow-up,
the patient reports muscle weakness and palpitations. Laboratory results show a
decreased serum potassium concentration. Which medication-related effect
should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia associated with renal potassium loss
C. Severe bradycardia
D. Hypercalcemia caused by ACE inhibition
Answer: B
7.
A 70-year-old patient with hypertension and chronic kidney disease is prescribed a
medication that blocks aldosterone receptors. The patient is taking several other
medications that may increase serum potassium. Which laboratory value should
be monitored particularly closely?
A. Hemoglobin
B. Serum calcium
C. Serum potassium
D. Serum amylase
Answer: C
8.
A patient with chronic heart failure reports increasing dyspnea, bilateral ankle
swelling, and a 5-pound weight gain over four days. The provider prescribes a loop
, 4
diuretic. Which outcome would best demonstrate the desired therapeutic
response?
A. Increased serum potassium
B. Increased peripheral edema
C. Reduced urine production
D. Decreased fluid overload with improved respiratory symptoms and weight
reduction
Answer: D
9.
A patient with stable angina is prescribed sublingual nitroglycerin for episodes of
chest discomfort. Which instruction should the nurse emphasize?
A. Use the medication according to the prescribed emergency instructions and
seek emergency care if chest pain persists despite appropriate doses.
B. Swallow the tablet immediately with water.
C. Take the medication only after exercising.
D. Store the medication in an uncovered pill organizer.
Answer: A
10.
A 59-year-old man with erectile dysfunction takes sildenafil and is also prescribed
nitroglycerin for angina. Which instruction is most important?
A. Take both medications together with food.
B. Do not use nitrates with sildenafil because the combination can cause
dangerous hypotension.
C. Double the nitrate dose if sildenafil was taken earlier.
D. Take sildenafil only when experiencing chest pain.
Answer: B
11.
NSG6005 FINAL EXAM / NSG 6005 FINAL EXAM (VERSION-2, NEW, 2020
/2021): SOUTH UNIVERSITY (CORRECT Q & A)SATISFACTION
GUARANTEED
1.
A 67-year-old patient with hypertension, type 2 diabetes, and chronic kidney
disease returns for medication management. The patient has persistent
albuminuria despite lifestyle modification and is currently taking an
antihypertensive regimen. The provider wants to select therapy that provides
blood-pressure control while also reducing intraglomerular pressure and slowing
progression of diabetic kidney disease. Which medication class would be most
appropriate?
A. ACE inhibitor
B. Thiazide diuretic
C. Alpha-1 blocker
D. Nondihydropyridine calcium-channel blocker
Answer: A
2.
A 58-year-old patient with hypertension is started on an ACE inhibitor. Several
weeks later, the patient calls reporting swelling of the lips and tongue
accompanied by difficulty swallowing and a sensation of throat tightness. The
patient has no history of food allergy and has not started any other medications.
Which adverse reaction should the advanced practice nurse recognize as requiring
immediate intervention?
A. Orthostatic hypotension
B. Angioedema
C. Mild hyperkalemia
D. ACE-inhibitor-associated cough
Answer: B
,2
3.
A 54-year-old patient with hypertension develops a persistent dry, nonproductive
cough after several weeks of treatment with an ACE inhibitor. Blood pressure is
controlled, renal function is stable, and the patient wants an alternative
medication because the cough interferes with sleep. Which medication class
would generally be an appropriate alternative?
A. Loop diuretic
B. Alpha agonist
C. Angiotensin II receptor blocker
D. Nitrate
Answer: C
4.
A 72-year-old patient with hypertension and heart failure is taking an ACE
inhibitor and a potassium-sparing diuretic. During follow-up, laboratory testing
reveals an elevated serum potassium concentration. Which medication-related
concern should the nurse prioritize?
A. Thiazide-induced hypoglycemia
B. Calcium-channel-blocker toxicity
C. Nitrate withdrawal
D. Increased risk of clinically significant hyperkalemia from the medication
combination
Answer: D
5.
A 63-year-old patient with hypertension and chronic kidney disease is prescribed
an antihypertensive medication that decreases angiotensin II-mediated
vasoconstriction and aldosterone secretion. The patient asks why serum
potassium and renal function must be monitored after starting treatment. Which
medication is most consistent with this description?
,3
A. Losartan
B. Amlodipine
C. Hydrochlorothiazide
D. Metoprolol
Answer: A
6.
A patient with hypertension is prescribed hydrochlorothiazide. During follow-up,
the patient reports muscle weakness and palpitations. Laboratory results show a
decreased serum potassium concentration. Which medication-related effect
should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia associated with renal potassium loss
C. Severe bradycardia
D. Hypercalcemia caused by ACE inhibition
Answer: B
7.
A 70-year-old patient with hypertension and chronic kidney disease is prescribed a
medication that blocks aldosterone receptors. The patient is taking several other
medications that may increase serum potassium. Which laboratory value should
be monitored particularly closely?
A. Hemoglobin
B. Serum calcium
C. Serum potassium
D. Serum amylase
Answer: C
8.
A patient with chronic heart failure reports increasing dyspnea, bilateral ankle
swelling, and a 5-pound weight gain over four days. The provider prescribes a loop
, 4
diuretic. Which outcome would best demonstrate the desired therapeutic
response?
A. Increased serum potassium
B. Increased peripheral edema
C. Reduced urine production
D. Decreased fluid overload with improved respiratory symptoms and weight
reduction
Answer: D
9.
A patient with stable angina is prescribed sublingual nitroglycerin for episodes of
chest discomfort. Which instruction should the nurse emphasize?
A. Use the medication according to the prescribed emergency instructions and
seek emergency care if chest pain persists despite appropriate doses.
B. Swallow the tablet immediately with water.
C. Take the medication only after exercising.
D. Store the medication in an uncovered pill organizer.
Answer: A
10.
A 59-year-old man with erectile dysfunction takes sildenafil and is also prescribed
nitroglycerin for angina. Which instruction is most important?
A. Take both medications together with food.
B. Do not use nitrates with sildenafil because the combination can cause
dangerous hypotension.
C. Double the nitrate dose if sildenafil was taken earlier.
D. Take sildenafil only when experiencing chest pain.
Answer: B
11.
