NURS 6521 Midterm Exam Questions With Answers | Latest Update 2023/2024 | Graded A+

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? Selected Answer: Nausea • Question 2 0 out of 1 points You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? Selected Answer: Increased irritability, abdominal cramping, and lower extremity weakness. • Question 3 1 out of 1 points A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? Selected Answer: Coordinate bone density testing for the patient. • Question 4 0 out of 1 points Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation? Selected Answer: Obtain a liver function test • Question 5 0 out of 1 points The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: Selected Answer: intranasal H1 antihistamines. • Question 6 0 out of 1 points Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. Selected Answer: False • Question 7 1 out of 1 points Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: Selected Answer: The high vitamin K levels will decrease the INR • Question 8 1 out of 1 points The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University Selected Answer: Give the medication through a straw to decrease the staining of the teeth. • Question 9 1 out of 1 points A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? Selected Answer: "No, the drug dosage will likely stay the same." • Question 10 0 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer: potassium level. • Question 11 1 out of 1 points The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the Selected Answer: onset of action • Question 12 0 out of 1 points Metformin (Glucophage) acts by: Selected Answer: Enhancing insulin secretion NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University • Question 13 1 out of 1 points Some first-generation antihistamines are used: Selected Answer: to prevent motion sickness • Question 14 NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University 1 out of 1 points A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? Selected Answer: How well a drug produces its desired effect • Question 15 0 out of 1 points Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. dailo Which medication most likely is contributing to her hypoglycemic episodes Selected Answer: Metformin • Question 16 0 out of 1 points Autonomic drugs have little effect when administered: Selected Answer: intramuscularly • Question 17 0 out of 1 points A patient on valproic acid may experience which of the following symptoms? NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University Selected Answer: Constipation • Question 18 1 out of 1 points Which of the following is a side effect or precaution associated with ACE inhibitors? Selected Answer: Angioedema NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University • Question 19 0 out of 1 points Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? Selected Answer: blurred vision • Question 20 1 out of 1 points The recommended range for maintaining serum theophylline levels is: Selected Answer: 10 to 20 μg/mL. • Question 21 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer: may cause nutrient deficiencies. • Question 22 1 out of 1 points A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hipreplacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University Selected Answer: her history of emphysema. • Question 23 1 out of 1 points The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered-dose inhaler (MDI) has been ordered as treatment. Which patient response would indicate to the family nurse practitioner that the patient understands NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University how to take the medication? Selected Answer: “I will take 1 puff of the medication and then wait a minute before taking the second puff.” • Question 24 1 out of 1 points The anticoagulant drug that acts as a vitamin K antagonist is: Selected Answer: coumadin • Question 25 0 out of 1 points A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? Selected Answer: Vertigo • Question 26 0 out of 1 points A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware that Selected Answer: pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site. • Question 27 0 out of 1 points Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially prescribed the medication, she asks you about the common side effects of this NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University type of medication. Which choice below is correct? Selected Answer: weight loss • Question 28 1 out of 1 points The Elderly are at high risk of Adverse Drug Reactions due to: NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University Selected Answer: age related decrease in renal function • Question 29 0 out of 1 points Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? Selected Answer: Beta Blocker • Question 30 1 out of 1 points Which of the following statements best defines how a chemical becomes termed a drug? Selected Answer: A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug. • Question 31 0 out of 1 points Advanced practice nurse prescribing of scheduled medications is affected most by: Selected Answer: FDA • Question 32 0 out of 1 points An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently diagnosed with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University NURS 6521Midterm Exam NURS 6521 Review Test Submission: Exam - Week 7 LATEST Walden University breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient? Selected Answer: Start beclomethasone (Beclovent) inhaler 2 puffs 3 to 4 times daily • Question 33 0 out of 1 points