1
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NR 508 Final Review Questions and
Answers (100% Correct Answers) Already
Graded A+
When prescribing an opioid analgesic such as acetaminophen
and codeine (Tylenol #3), instructions to the patient should
include:
1. The medication may cause sedation and they should not drive.
2. Constipation is a common side effect and they should increase
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fluids and fiber.
3. Patients should not take any other acetaminophen-containing
medications at the same time.
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4. All of the above [ ANS: ] All of the above
Kirk sprained his ankle and is asking for pain medication for his
mild-to-moderate pain. The appropriate first-line medication
would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol) [ ANS: ] Ibuprofen (Advil)
Kasey fractured his ankle in two places and is asking for
medication for his pain. The appropriate first-line medication
would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
, 2
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3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol) [ ANS: ] Acetaminophen with
hydrocodone (Vicodin)
Jack, age 8, has attention deficit disorder (ADD) and is prescribed
methylphenidate (Ritalin). He and his parents should be educated
about the side effects of methylphenidate, which are:
1. Slurred speech and insomnia
2. Bradycardia and confusion
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3. Dizziness and orthostatic hypotension
4. Insomnia and decreased appetite [ ANS: ] Insomnia and
decreased appetite
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Monitoring for a child on methylphenidate for attention deficit
hyperactivity disorder (ADHD) includes:
1. ADHD symptoms
2. Routine height and weight checks
3. Amount of methylphenidate being used
4. All of the above [ ANS: ] All of the above
When prescribing Adderall (amphetamine and
dextroamphetamine) to adults with ADHD the nurse practitioner
will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function [ ANS: ] Blood pressure
, 3
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Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate [ ANS: ] Decreased renal function
Angiotensin-converting enzyme inhibitors are the drug of choice in
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treating hypertension in diabetic patients because they:
1. Improve insulin sensitivity
2. Improve renal hemodynamics
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3. Reduce the production of angiotensin II
4. All of the above [ ANS: ] All of the above
A potentially life-threatening adverse response to angiotensin-
converting enzyme inhibitors is angioedema. Which of the
following statements is true about this adverse response?
1. Swelling of the tongue or hoarseness are the most common
symptoms.
2. It appears to be related to the decrease in aldosterone
production.
3. Presence of a dry, hacky cough indicates a high risk for this
adverse response.
4. Because it takes time to build up a blood level, it occurs after
being on the drug for about 1 week. [ ANS: ] Swelling of the
tongue or hoarseness are the most common symptoms.
, 4
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Angiotensin-converting enzyme inhibitors are useful in a variety of
disorders. Which of the following statements are true about both
its usefulness in the disorder and the reason for its use?
1. Stable angina because it decreases the thickening of vascular
walls due to decreased modified release.
2. Heart failure because it reduces remodeling of injured
myocardial tissues.
3. Both 1 and 2 are true and the reasons are correct.
4. Both 1 and 2 are true but the reasons are wrong.
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5. Neither 1 nor 2 are true. [ ANS: ] Both 1 and 2 are true and the
reasons are correct.
Despite good blood pressure control, an NP might change a
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patient's drug from an angiotensin-converting enzyme (ACE)
inhibitor to an angiotensin II receptor blocker (ARB) because the
ARB:
1. Is stronger than the ACE inhibitor
2. Does not produce a dry, hacky cough
3. Has no effect on the renal system
4. Reduces sodium and water retention [ ANS: ] Does not produce
a dry, hacky cough
While taking an angiotensin II receptor blocker (ARB), patients
need to avoid certain over-the-counter drugs without first
consulting the provider because:
1. Cimetidine is metabolized by the CYP 3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin
levels
For Expert help and assignment solutions, +254707240657
NR 508 Final Review Questions and
Answers (100% Correct Answers) Already
Graded A+
When prescribing an opioid analgesic such as acetaminophen
and codeine (Tylenol #3), instructions to the patient should
include:
1. The medication may cause sedation and they should not drive.
2. Constipation is a common side effect and they should increase
© 2025 Assignment Expert
fluids and fiber.
3. Patients should not take any other acetaminophen-containing
medications at the same time.
Guru01 - Stuvia
4. All of the above [ ANS: ] All of the above
Kirk sprained his ankle and is asking for pain medication for his
mild-to-moderate pain. The appropriate first-line medication
would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol) [ ANS: ] Ibuprofen (Advil)
Kasey fractured his ankle in two places and is asking for
medication for his pain. The appropriate first-line medication
would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
, 2
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3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol) [ ANS: ] Acetaminophen with
hydrocodone (Vicodin)
Jack, age 8, has attention deficit disorder (ADD) and is prescribed
methylphenidate (Ritalin). He and his parents should be educated
about the side effects of methylphenidate, which are:
1. Slurred speech and insomnia
2. Bradycardia and confusion
© 2025 Assignment Expert
3. Dizziness and orthostatic hypotension
4. Insomnia and decreased appetite [ ANS: ] Insomnia and
decreased appetite
Guru01 - Stuvia
Monitoring for a child on methylphenidate for attention deficit
hyperactivity disorder (ADHD) includes:
1. ADHD symptoms
2. Routine height and weight checks
3. Amount of methylphenidate being used
4. All of the above [ ANS: ] All of the above
When prescribing Adderall (amphetamine and
dextroamphetamine) to adults with ADHD the nurse practitioner
will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function [ ANS: ] Blood pressure
, 3
For Expert help and assignment solutions, +254707240657
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate [ ANS: ] Decreased renal function
Angiotensin-converting enzyme inhibitors are the drug of choice in
© 2025 Assignment Expert
treating hypertension in diabetic patients because they:
1. Improve insulin sensitivity
2. Improve renal hemodynamics
Guru01 - Stuvia
3. Reduce the production of angiotensin II
4. All of the above [ ANS: ] All of the above
A potentially life-threatening adverse response to angiotensin-
converting enzyme inhibitors is angioedema. Which of the
following statements is true about this adverse response?
1. Swelling of the tongue or hoarseness are the most common
symptoms.
2. It appears to be related to the decrease in aldosterone
production.
3. Presence of a dry, hacky cough indicates a high risk for this
adverse response.
4. Because it takes time to build up a blood level, it occurs after
being on the drug for about 1 week. [ ANS: ] Swelling of the
tongue or hoarseness are the most common symptoms.
, 4
For Expert help and assignment solutions, +254707240657
Angiotensin-converting enzyme inhibitors are useful in a variety of
disorders. Which of the following statements are true about both
its usefulness in the disorder and the reason for its use?
1. Stable angina because it decreases the thickening of vascular
walls due to decreased modified release.
2. Heart failure because it reduces remodeling of injured
myocardial tissues.
3. Both 1 and 2 are true and the reasons are correct.
4. Both 1 and 2 are true but the reasons are wrong.
© 2025 Assignment Expert
5. Neither 1 nor 2 are true. [ ANS: ] Both 1 and 2 are true and the
reasons are correct.
Despite good blood pressure control, an NP might change a
Guru01 - Stuvia
patient's drug from an angiotensin-converting enzyme (ACE)
inhibitor to an angiotensin II receptor blocker (ARB) because the
ARB:
1. Is stronger than the ACE inhibitor
2. Does not produce a dry, hacky cough
3. Has no effect on the renal system
4. Reduces sodium and water retention [ ANS: ] Does not produce
a dry, hacky cough
While taking an angiotensin II receptor blocker (ARB), patients
need to avoid certain over-the-counter drugs without first
consulting the provider because:
1. Cimetidine is metabolized by the CYP 3A4 isoenzymes
2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin
levels
