MSN 611 Exam with complete solutions
latest version
The .primary .care .NP .sees .a .68 .yer .old .male .having .difficulty .initiating .urine
.stream .and .urine .frequency. .Pt .has .no .significant .past .medical .history .and
.vitals .at .visit .are .as .follows: .BP .112/72, .HR .70, .Temp .98.7 .F. .Which .of .the
.following .is .most .appropriate .to .treat .the .pts' .current .symptoms? .- .CORRECT
.ANSWER-Tamsulosin
A .patient .who .has .been .taking .propranolol .for .6 .months .reporting .having
.nocturnal .cough .and .SOB. .The .primary .care .NP .should: .- .CORRECT .ANSWER-
tell .the .patient .to .stop .taking .the .medication.
JW .is .a .patient .at .your .clinic .started .on .several .new .medications .during .first
.clinic .visit .two .months .ago. .Pt .reports .feeling .up .and .down .emotionally .for .the
.past .month .with .little .interest .in .socializing.
Medical .hx: .xxxxxxx
Vitals .today: .xxxxxxxxx
Current .medication .list: .simvastatin, .clonidine .0.1 .every .8 .hours,
.hydrochlorothiazide, .etc
pt .has .another .appt .in .a .month .but .is .inquiring .abot .a .med .to .help .with .mood
.at .his .visit. .Which .of .the .following .is .the .best .intervention .at .this .time? .-
.CORRECT .ANSWER-decrease .clonidine .to .0.1 .mg .every .12 .hours .for .4 .days
.then .discontinue
A .pt .who .will .begin .using .nitroglycerin .for .angina .asks .the .primary .care .NP
.how .the .medication .works .to .relieve .the .pain. .The .NP .should .tell .the .pt .that
.nitroglycerin .acts .to: .- .CORRECT .ANSWER-relax .vascular .smooth .muscle
A .primary .care .NP .prescribes .nitroglycerin .transdermal .patch .0.4 .mg/hour
.release, .for .a .pt .with .chronic .stable .angina .describing .sxs .occurring .mostly .in
.the .evening. .The .NP .should .teach .the .pt .to: .- .CORRECT .ANSWER-apply .patch
.at .8 .pm .and .remove .at .6 .am .daily
A .pt .who .has .heart .failure .has .been .treated .with .furosemide .and .an .ACE
.inhibitor. .The .pts' .cardiologist .has .added .digoxin .to .the .pts' .med .regimen. .The
.primary .care .NP .who .cares .for .this .pt .should .expect .to .monitor: .- .CORRECT
.ANSWER-serum .electrolytes
This study source was downloaded by 100000899980087 from CourseHero.com on 07-17-2025 06:15:11 GMT -05:00
https://www.coursehero.com/file/250685462/MSN-611-Exam-with-complete-solutions-latest-versionpdf/
, A .pt .is .seen .in .a .clinic .and .you .question .choice .of .beta .blocker .pt .is .receiving
.post .MI. .Pt .is .receiving .atenolol. .Which .of .the .following .would .support .use .of
.this .beta .blocker? .- .CORRECT .ANSWER-atenolol .may .prevent .post .MI
.arrhythmia
Which .of .the .following .would .be .recommended .to .lower .a .triglyceride .value .of
.220mg/dL, .assuming .all .other .lipid .values .are .WNL? .- .CORRECT .ANSWER-
gemfibrozil
A .pt .who .is .taking .an .ACE .inhibitor .sees .the .primary .care .NP .for .a .follow-up
.visit. .The .pt .reports .having .a .persistent .cough. .The .NP .should: .- .CORRECT
.ANSWER-consider .changing .the .med .to .an .ARB
Which .of .the .following .meds .is .contraindicated .n .a .pt .with .bilateral .renal .artery
.stenosis? .- .CORRECT .ANSWER-ramipril
When .attempting .to .slow .the .progression .of .nephropathy .with .proteinuria,
.which .of .the .following .would .the .NP .order? .- .CORRECT .ANSWER-Losartan
The .NP .is .preparing .to .prescribe .isosorbide .dinitrate .SR .(Dilatrate .SR) .for .a .pt
.who .has .chronic, .stable .angina. .The .NP .should .recommend .initial .dosing .of" .-
.CORRECT .ANSWER-40 .mg .twice .daily .at .8 .am .and .4 .pm
If .a .pt .develops .angioedema .with .lisinopril, .which .of .the .following .is .an
.alternative .for .blood .pressure .lowering? .- .CORRECT .ANSWER-metoprolol
A .pt .receiving .warfarin .has .an .INR .today .of .10.3. .Pt .denies .unusual .bleeding
.and .physical .exam .reveals .no .bruising .or .signs .of .bleeding. .Which .of .the
.following .should .the .NP .order? .- .CORRECT .ANSWER-Vitamin .K .5 .mg .orally .x .1
A .pt .who .has .a .hx .of .angina .has .sublingual .nitroglycerin .tablets .to .use .as
.needed. .The .NP .reviews .this .med .w .the .pt .at .the .pts' .annual .physical .exam.
.Which .statement .by .the .pt .indicates .understanding .of .the .med? .- .CORRECT
.ANSWER-"I .should .call .911 .if .chest .pain .persists .5 .min .after .the .first .dose."
Which .of .the .following .should .be .avoided .in .a .patient .post .MI .with .EF=35%? .-
.CORRECT .ANSWER-dilitiazem .IR
Which .of .the .following .would .indicate .potential .need .for .therapy .adjustment .in
.a .pt .with .heart .failure? .- .CORRECT .ANSWER-weight .gain .of .5 .lbs .in .1 .week
Which .of .the .following .serum .levels .should .be .targeted .for .a .pt .receiving
.digoxin .for .sxs .associated .with .heart .failure? .- .CORRECT .ANSWER-0.8-1.2
.ng/mL
A .pt .with .heart .failure .managed .at .the .family .medicine .clinic .remains
.symptomatic .with .SOB, .edema, .and .lethargy .despite .appropriately .dosed .ACE
.inhibitor, .beta .blocker, .diuretic, .and .digoxin .therapy. .The .NP .should: .-
This study source was downloaded by 100000899980087 from CourseHero.com on 07-17-2025 06:15:11 GMT -05:00
.CORRECT .ANSWER-refer .to .cardiologist
https://www.coursehero.com/file/250685462/MSN-611-Exam-with-complete-solutions-latest-versionpdf/
latest version
The .primary .care .NP .sees .a .68 .yer .old .male .having .difficulty .initiating .urine
.stream .and .urine .frequency. .Pt .has .no .significant .past .medical .history .and
.vitals .at .visit .are .as .follows: .BP .112/72, .HR .70, .Temp .98.7 .F. .Which .of .the
.following .is .most .appropriate .to .treat .the .pts' .current .symptoms? .- .CORRECT
.ANSWER-Tamsulosin
A .patient .who .has .been .taking .propranolol .for .6 .months .reporting .having
.nocturnal .cough .and .SOB. .The .primary .care .NP .should: .- .CORRECT .ANSWER-
tell .the .patient .to .stop .taking .the .medication.
JW .is .a .patient .at .your .clinic .started .on .several .new .medications .during .first
.clinic .visit .two .months .ago. .Pt .reports .feeling .up .and .down .emotionally .for .the
.past .month .with .little .interest .in .socializing.
Medical .hx: .xxxxxxx
Vitals .today: .xxxxxxxxx
Current .medication .list: .simvastatin, .clonidine .0.1 .every .8 .hours,
.hydrochlorothiazide, .etc
pt .has .another .appt .in .a .month .but .is .inquiring .abot .a .med .to .help .with .mood
.at .his .visit. .Which .of .the .following .is .the .best .intervention .at .this .time? .-
.CORRECT .ANSWER-decrease .clonidine .to .0.1 .mg .every .12 .hours .for .4 .days
.then .discontinue
A .pt .who .will .begin .using .nitroglycerin .for .angina .asks .the .primary .care .NP
.how .the .medication .works .to .relieve .the .pain. .The .NP .should .tell .the .pt .that
.nitroglycerin .acts .to: .- .CORRECT .ANSWER-relax .vascular .smooth .muscle
A .primary .care .NP .prescribes .nitroglycerin .transdermal .patch .0.4 .mg/hour
.release, .for .a .pt .with .chronic .stable .angina .describing .sxs .occurring .mostly .in
.the .evening. .The .NP .should .teach .the .pt .to: .- .CORRECT .ANSWER-apply .patch
.at .8 .pm .and .remove .at .6 .am .daily
A .pt .who .has .heart .failure .has .been .treated .with .furosemide .and .an .ACE
.inhibitor. .The .pts' .cardiologist .has .added .digoxin .to .the .pts' .med .regimen. .The
.primary .care .NP .who .cares .for .this .pt .should .expect .to .monitor: .- .CORRECT
.ANSWER-serum .electrolytes
This study source was downloaded by 100000899980087 from CourseHero.com on 07-17-2025 06:15:11 GMT -05:00
https://www.coursehero.com/file/250685462/MSN-611-Exam-with-complete-solutions-latest-versionpdf/
, A .pt .is .seen .in .a .clinic .and .you .question .choice .of .beta .blocker .pt .is .receiving
.post .MI. .Pt .is .receiving .atenolol. .Which .of .the .following .would .support .use .of
.this .beta .blocker? .- .CORRECT .ANSWER-atenolol .may .prevent .post .MI
.arrhythmia
Which .of .the .following .would .be .recommended .to .lower .a .triglyceride .value .of
.220mg/dL, .assuming .all .other .lipid .values .are .WNL? .- .CORRECT .ANSWER-
gemfibrozil
A .pt .who .is .taking .an .ACE .inhibitor .sees .the .primary .care .NP .for .a .follow-up
.visit. .The .pt .reports .having .a .persistent .cough. .The .NP .should: .- .CORRECT
.ANSWER-consider .changing .the .med .to .an .ARB
Which .of .the .following .meds .is .contraindicated .n .a .pt .with .bilateral .renal .artery
.stenosis? .- .CORRECT .ANSWER-ramipril
When .attempting .to .slow .the .progression .of .nephropathy .with .proteinuria,
.which .of .the .following .would .the .NP .order? .- .CORRECT .ANSWER-Losartan
The .NP .is .preparing .to .prescribe .isosorbide .dinitrate .SR .(Dilatrate .SR) .for .a .pt
.who .has .chronic, .stable .angina. .The .NP .should .recommend .initial .dosing .of" .-
.CORRECT .ANSWER-40 .mg .twice .daily .at .8 .am .and .4 .pm
If .a .pt .develops .angioedema .with .lisinopril, .which .of .the .following .is .an
.alternative .for .blood .pressure .lowering? .- .CORRECT .ANSWER-metoprolol
A .pt .receiving .warfarin .has .an .INR .today .of .10.3. .Pt .denies .unusual .bleeding
.and .physical .exam .reveals .no .bruising .or .signs .of .bleeding. .Which .of .the
.following .should .the .NP .order? .- .CORRECT .ANSWER-Vitamin .K .5 .mg .orally .x .1
A .pt .who .has .a .hx .of .angina .has .sublingual .nitroglycerin .tablets .to .use .as
.needed. .The .NP .reviews .this .med .w .the .pt .at .the .pts' .annual .physical .exam.
.Which .statement .by .the .pt .indicates .understanding .of .the .med? .- .CORRECT
.ANSWER-"I .should .call .911 .if .chest .pain .persists .5 .min .after .the .first .dose."
Which .of .the .following .should .be .avoided .in .a .patient .post .MI .with .EF=35%? .-
.CORRECT .ANSWER-dilitiazem .IR
Which .of .the .following .would .indicate .potential .need .for .therapy .adjustment .in
.a .pt .with .heart .failure? .- .CORRECT .ANSWER-weight .gain .of .5 .lbs .in .1 .week
Which .of .the .following .serum .levels .should .be .targeted .for .a .pt .receiving
.digoxin .for .sxs .associated .with .heart .failure? .- .CORRECT .ANSWER-0.8-1.2
.ng/mL
A .pt .with .heart .failure .managed .at .the .family .medicine .clinic .remains
.symptomatic .with .SOB, .edema, .and .lethargy .despite .appropriately .dosed .ACE
.inhibitor, .beta .blocker, .diuretic, .and .digoxin .therapy. .The .NP .should: .-
This study source was downloaded by 100000899980087 from CourseHero.com on 07-17-2025 06:15:11 GMT -05:00
.CORRECT .ANSWER-refer .to .cardiologist
https://www.coursehero.com/file/250685462/MSN-611-Exam-with-complete-solutions-latest-versionpdf/
