NURS 6630N-28 Week 11 Final Exam Latest (complied from real exam)

Quiz 1 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? ANS: Yes Quiz 2 1 out of 1 points An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.” Based on self-report from the patient, his parents, and his teacher; attention deficit hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely to prescribe? ANS: b. Methylphenidate (Ritalin, Concerta) Quiz 3 1 out of 1 points Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in lOMoARcPSD| seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options? ANS: d. “Naltrexone may be an appropriate option to discuss.” Quiz 4 1 out of 1 points Which of the following substances has the highest probability of becoming dependent after a single use? ANS: c. Nicotine Quiz 5 1 out of 1 points The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in dementia patients. Which of the following is correct? ANS: Quiz 6 c. The nurse should attempt to determine how the patient's environment may be impacting the patient's mood. 1 out of 1 points A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP is consulted to treat underlying depression. Under which circumstance should the PMHNP order naloxone (NARCAN)? ANS: c. The patient is somnolent and has 7 respirations per minute. Quiz 7 1 out of 1 points lOMoARcPSD| A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter (OTC) medication before one that needs to be prescribed to help the patient sleep. Which is the best response by the PMHNP? ANS: a. “You can get melatonin over the counter, which will help with sleep onset.” Quiz 8 1 out of 1 points The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options? ANS: b. Avoiding prescribing the patient a drug that blocks H1 receptors Quiz 9 1 out of 1 points Which of these statements is correct? ANS: d. Sedation is unusual with aripiprazole (ABILIFY) Quiz 10 1 out of 1 points The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to: ANS: d. Evaluate the patient’s willingness to abstain from alcohol Quiz 11 lOMoARcPSD| 1 out of 1 points Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food and drug addiction? ANS: d. There is decreased activation of the prefrontal cortex. Quiz 12 1 out of 1 points An 18-year-old female with a history of frequent headaches and a mood disorder is prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that this medication is effective in treating which condition(s) in this patient? ANS: c. Migraines Quiz 13 0 out of 1 points Antipsychotics are doses at a level that blocks % of D2 receptors. ANS: a. 50-70 Quiz 14 1 out of 1 points The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? ANS: b. lOMoARcPSD| “It can cause blurred vision.” Quiz 15 1 out of 1 points A patient you have been evaluating was admitted to the hospital with some abnormal lab work. Hematology/oncology was consulted and diagnoses the patient with aplastic anemia and agranulocytosis. Which medication was likely the culprit? ANS: d. Carbamazepine Quiz 16 1 out of 1 points The PMHNP is assessing a patient who will be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will require further evaluation before this medication can be prescribed? ANS: b. Cardiovascular disease Quiz 17 1 out of 1 points A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that which of the following medications may be beneficial in augmenting stimulant medication? ANS: b. Guanfacine ER (Intuniv) lOMoARcPSD| The PMHNP wishes to prescribe a medication that reduces glutamate transmission in an Alzheimer's patient. Which medication should the PMHNP prescribe? ANS: b. Memantine (NAMENDA) Quiz 19 1 out of 1 points A patient with fibromyalgia and major depression needs to be treated for symptoms of pain. Which is the PMHNP most likely to prescribe for this patient? ANS: d. Duloxetine (Cymbalta) Quiz 20 1 out of 1 points A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP include when discussing the side effects with the patient? ANS: c. The medication can affect your blood pressure. Quiz 21 1 out of 1 points Which medication is an irreversible inhibitor of aldehyde dehydrogenase that creates a negative and aversive response following ingestion of alcohol? ANS: c. Disulfiram (ANTABUSE) Quiz 22 1 out of 1 points lOMoARcPSD| An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment given the patient’s gastrointestinal problems? ANS: a. Donepezil (Aricept) Quiz 23 1 out of 1 points Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition? ANS: b. All of these are correct Quiz 24 1 out of 1 points A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider? ANS: Quiz 25 1 out of 1 points a. ADHD is often not the focus of treatment in adults with comorbid conditions. Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder (ADHD) medication for their son. Which medication would the PMHNP start? ANS: d. All of these could potentially treat their son’s symptoms. Quiz 26 1 out of 1 points lOMoARcPSD| The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by positron emission tomography (PET). What other factors will the PMHNP consider before prescribing medication for this patient, and what medication would the PMHNP want to avoid given these other factors? ANS: Quiz 27 b. ApoE4 genotype and avoid antihistamines if possible and Type 2 diabetes and avoid olanzapine 1 out of 1 points Karen completes the Epworth sleepiness scale and scores abnormally high. She is diagnosed with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak dopamine transporter antagonist. Which medication did the PMHNP prescribe? ANS: c. Modafanil (PROVIGIL) Quiz 28 1 out of 1 points You have been consulted to evaluate a patient who presents with symptoms of dementia. The patient is experiencing memory deficit, aphasia, apraxia, and agnosia. Which treatment option is best for this patient? ANS: a. Donepezil (ARICEPT) Quiz 29 1 out of 1 points Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the patient with psychosis and aggression? ANS: c. lOMoARcPSD| There is too high a risk of serious adverse side effects. Quiz 30 1 out of 1 points The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP most likely to take? ANS: a. Order hydroxyzine (Vistaril), 50 mg PRN or as needed Quiz 31 1 out of 1 points The PMHNP is caring for a patient on risperidone (Risperdal). Which action made by the PMHNP exhibits proper care for this patient? ANS: d. Titrating the dose by increasing it every 5–7 days Quiz 32 1 out of 1 points The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by mouth daily, for nerve pain 6 months ago. The patient suddenly presents to the office with the complaint that the medication is no longer working and complains of increased pain. What action will the PMHNP most likely take? ANS: c. Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily. Quiz 33 1 out of 1 points lOMoARcPSD| The PMHNP is caring for a patient with chronic insomnia who would benefit from taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-short half-life (1–3 hours). Which drug will the PMHNP prescribe? ANS: d. Triazolam (Halcion) Quiz 34 1 out of 1 points The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work? ANS: Quiz 35 1 out of 1 points c. It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels. A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient? ANS: Quiz 36 d. “The SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn.” 1 out of 1 points The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those channels with a “use-dependent” form of inhibition. Which agent will the PMHNP most likely select? ANS: c. Pregabalin (Lyrica) lOMoARcPSD| Quiz 37 1 out of 1 points Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success. He has asked for another medication to help him kick his habit. The PMHNP decides to try a medication that increases dopamine by prescribing a medications that can increase both norepinephrine and dopamine. Which medication did the PMHNP prescribe? ANS: b. Bupropion (ZYBAN) Quiz 38 1 out of 1 points The PMHNP is treating a patient with depression and fibromyalgia. The PMHNP chooses to prescribe a treatment that may help treat the patient's fibromyalgia and depressive symptoms. Which medication is the PMHNP likely to choose? ANS: a. Amitriptyline (ELAVIL) Quiz 39 1 out of 1 points The PMHNP is teaching parents about their child’s new prescription for Ritalin. What will the PMHNP include in the teaching? ANS: c. The second dose should be taken at lunch. Quiz 40 1 out of 1 points You decide to start a patient on lurasidone (LATUDA). Which of these counseling points is correct? ANS: b. lOMoARcPSD| This medication must be taken with food.