1
NURS 635 FINAL EXAM LATEST QUESTIONS AND
CORRECT CETAILED ANSWERS (VERIFIED 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:
, 2
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 long-
acting beta-agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
, 3
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.
, 4
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
NURS 635 FINAL EXAM LATEST QUESTIONS AND
CORRECT CETAILED ANSWERS (VERIFIED 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:
, 2
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 long-
acting beta-agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
, 3
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.
, 4
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
