NUR 635 FINAL EXAM 1 LATEST VERSIONS
(VERSION A AND B) 2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
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 - ANSWER>>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 -
ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>B.Salmeterol, an
inhaled longacting 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 -
ANSWER>>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 - ANSWER>>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. -
ANSWER>>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 - ANSWER>>3. Patients should
rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient
taking diphenhydramine would include assessing for: Urinary retention
Cardiac output
Peripheral edema
Skin for rash - ANSWER>>Urinary retention
Second generation antihistamines such as loratadine (Claritin) are
prescribed for seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol -
ANSWER>>B.Less sedating than the first generation antihistamines
(VERSION A AND B) 2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
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 - ANSWER>>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 -
ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>B.Salmeterol, an
inhaled longacting 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 -
ANSWER>>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 - ANSWER>>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. -
ANSWER>>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 - ANSWER>>3. Patients should
rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient
taking diphenhydramine would include assessing for: Urinary retention
Cardiac output
Peripheral edema
Skin for rash - ANSWER>>Urinary retention
Second generation antihistamines such as loratadine (Claritin) are
prescribed for seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol -
ANSWER>>B.Less sedating than the first generation antihistamines
