NU 578 Unit 4 Exam | Questions and Answers | 2025 Update | 100% Correct – USA.

Question 1 1 / 1 pts PartialQuestion 2 0.67 / 1 pts Question 3 1 / 1 pts Score for this quiz: 42.67 out of 50 Submitted Nov 5 at 3:12pm This attempt took 99 minutes. Which of the following is a uricosuric agent for the treatment of gout? C. Colchicine (Colbenemid) A. Probenicid (Benemid) D. Methylprednisolone B. Allopurinol (Zyloprim) Cautions to the use of Adalimumab for musculoskeletal diseases include: Select all that apply: C. Lymphoma B. Use of oral contraceptives D. Multiple sclerosis A. Heart failure Raloxifene treatment is contraindicated in: B. a history of venous thromboembolic events A. Potmenopausal osteoporosisQuestion 4 1 / 1 pts Question 5 1 / 1 pts Question 6 1 / 1 pts C. Short-bowel syndrome D. Breast cancer Select the correct match of drug and side effect below: A. Acetaminophen (Tylenol) - renal insufficiency and swelling D. Indomethacin (Indocin) - GI bleeds and abdominal distress B. Ibuprofen (Motrin) - elevated liver enzymes and icterus C. Celecoxib (Celebrex) - prolonged prothrombin time and occult bleeding A patient requests something for arthritic pain but tells you that she is allergic to sulfa antibiotics. Given her history, you know that she also cannot take the following: B. Prednisone D. Gold salts A. Celecoxib (Celebrex) C. AcetaminophenIncorrectQuestion 7 0 / 1 pts Question 8 1 / 1 pts The patient taking Alendronate (Fosamax) for Paget’s disease should be monitored for: C. Heartburn, difficulty swallowing B. Elevated creatinine A. Cardiac irregularities D. Elevated liver enzymes The APN will especially remind the patient about the hypoglycemic effect of which of the following oral agents? B. Pioglitazone (Actos) C. Acarbose (Precose) A. Metformin (Glucophage) D. Sitagliptin (Januvia) In the patient on cyclosporine, which of the following additional agents can inhibit cyp 450 enzymes and lead to toxic levels? A. phenytoin (dlilantin) C. Erythromycin (ERY, PCE) B. Rifampin (Rifamate)Question 9 1 / 1 pts Question 10 1 / 1 pts Question 11 1 / 1 pts D. Amoxicillin (Amoxil) The flu vaccine is recommended for which age group? C. Contraindicated for children with seasonal allergies B. Annually, for ages between 6 months to 18 years and all adults A. all children, regardless of age D. 2, 4, and 6 months of age The practitioner understands that the only contraindication to hepatitis B vaccination is: D. Prior severe hypersensitivity B. Mild viral illness A. Pregnancy and lactation C. Age The patient taking Alosetron: D. Must enroll in a risk management program A. Will get relief from Crohn's diseaseQuestion 12 1 / 1 pts Question 13 1 / 1 pts Question 14 1 / 1 pts C. Can take the drug to treat chronic constipation B. May be using the drug for diverticulitis A patient is started on Sitagliptin (Januvia). The ANP knows that this agent: A. Is considered a first-line treatment for Type 2 diabetes B. Is an injectable agent used twice a day D. May cause pancreatitis and anaphylaxis as rare side effects C. Works by inhibiting alpha-glucosidase in the intestine Menopausal hormone therapy is initiated for prevention of: D. All of the above B. Vasomotor instability C. Urogenital atrophy A. Osteoporosis Of the second-generation antihistamines, this one is considered mildly sedating: C. LevocetirizineQuestion 15 1 / 1 pts Question 16 1 / 1 pts Question 17 1 / 1 pts B. Fexofenadine A. Desloratadine D. Loratadine Elevation in TSH indicates which of the following? C. euthyroid hormone D. goiter A. Insufficient thyroid hormone B. excess thyroid hormone All of the following slow gastric emptying in the diabetic patient except: B. Exenatide A. Liraglutide D. Acarbose C. PramlintideQuestion 18 1 / 1 pts Question 19 1 / 1 pts A patient is receiving long-term glucocorticoid therapy. To offset osteoporosis and/or fractures, the NP knows that this patient should also receive: Select all that apply: D. Thiazide diuretic A. Ibuprofen C. Calcium and vitamin D B. A bisphosphonate Which of the following patients would be a poor candidate for a glitazone? D. The patient with elevated high-density lipoproteins B. The cardiac patient in heart failure A. The type 2 diabetic C. Any patient on insulin Which of the following vaccines can be administered to the patient taking cyclosporine? C. OPV B. MMR A. DTaPQuestion 20 1 / 1 pts Question 21 1 / 1 pts Question 22 1 / 1 pts D. Varicella Acetaminophen overdose: D. Is the leading cause of acute renal failure A. Is the leading cause of toxic epidermal necrolysis C. Is the leading cause of hospitalizations due to GI bleeds B. Is the leading cause of acute liver failure Which of the following are contraindicated immunizations in a chemotherapeutically immunocompromised child with leukemia? D. Varicella vaccine B. Hib A. DTaP C. Polio Which of the following is considered a Pregnancy Risk Category X medication? D. Doxazosin (Cardura)IncorrectQuestion 23 0 / 1 pts Question 24 1 / 1 pts Question 25 1 / 1 pts B. Tamsulosin (Flomax) A. Dutasteride (Avodart) C. Silodosin (Rapaflo) An adult is placed on a glucocorticoid for her severe, recurrent asthma. What potential side effect(s) should you counsel her to be aware of? D. All of the above B. Increased susceptibility to allergic reactions C. Increased risk for astigmatism A. Bone demineralization When a patient is taking propylthiouracil, the practitoner should monitor: B. CBC D. Bone marrow density A. renal function C. Height and weightQuestion 26 1 / 1 pts Question 27 1 / 1 pts The APN is monitoring the impact of a change in prescription for levothyroxine from 50 mcgm daily to 88 mcgm. What lab parameter will best assist him to determine successful treatment? A. CBC B. Serum Ferritin E. Total bilirubin C. Free T3 D. TSH Which example of an initial prescription for levothyroxine is appropriate for an elderly patient? B. 88 mcg orally each day D. 25-50 mcg orally each day A. 100 mcg orally each day C. 75 mcg orally each day E. 5 mcg orally each day Side effects associated with drugs used for diabetes include: A. Canagliflozin: Female genital fungal infections and increased urinationQuestion 28 1 / 1 pts IncorrectQuestion 29 0 / 1 pts Question 30 1 / 1 pts C. Sitagliptin: Flatulence, abdominal bloating D. Acarbose: Upper respiratory tract infection and headache B. Exenatide: Lactic acidosis A child must be at least 12 months of age to receive the MMR, Varicella and Hepatitis A vaccines. A. True B. False A female patient is placed on testosterone formulation for the treatment of hypoactive sexual desire disorder. Which side effect(s) may she experience? B. Acne A. Hirsutism D. All of the above are potential side effects C. Alopecia A teenage patient needs an agent to treat mild hypocalcemia. Which of the following could be used? C. Calcium carbonateQuestion 31 1 / 1 pts Question 32 1 / 1 pts E. Watchful waiting; dietary supplementation D. Tiludronate (Skelid) B. Ergocalciferol A. Raloxifene (Evista) The Women's Health Initiative was instrumental in leading a national effort to change recommendations for hormone replacement therapy. One of the most significant recommendations currently accepted is: C. Women should take hormone replacement therapy (HRT) for a maximum of four years, after which time, no further HRT prescriptions should be given. B. Treatment plans should include determining the lowest effective dose for continued maintenance over the shortest period of time. A. Black box warnings must be visible on all forms of hormone therapy. D. A strong family history of heart disease is an absolute contraindication for hormone replacement therapy. A patient is using Finasteride to treat his benign prostatic hyperplasia. The patient will be advised: D. Upon discontinuing the drug, the patient should wait at least a month before donating bloodQuestion 33 1 / 1 pts Question 34 1 / 1 pts B. This drug will put the patient at an increased risk of genitourinary infections C. The patient will require regular renal monitoring A. This drug will cause hyperlipidemia Raloxifene belongs to which of the following class of agents? B. SERMs (selective estrogen receptor modulators) A. DMARDs (disease modifying anti-rheumatic drugs) E. TNF Antagonists (Tumor Necrosis Factor) D. H2 anti-angonist agent (Histamine 2) C. NSAIDS (nonsteroidal anti-inflammatory drugs) With respect to drugs for the treatment of GI disorders, which of the following is true? B. Infliximab is given as an IV treatment for moderate to severe Crohn's disease or ulcerative colitis D. Linaclotide is difficult to use because it interacts with several other drugs-- careful medication reconciliation is important. A. Ustekinumab is curative for moderate to severe Crohn's disease C. If a patient is receiving glucocorticoids and aprepitant for nausea and vomiting, the dose of the glucocorticoid should be increased.Question 36 1 / 1 pts Question 37 1 / 1 pts Which of the following findings would most concern the APN prescribing Propylthiouracil? D. Eosinophils 49 (50-75 range) A. Hemoglobin 13 (12-15 range) C. Hematocrit 40 (35-45 range) E. Lymphocytes 20 (25-35 range) B. Leukocytes 600 (5-10,000 range) The most effective treatment for menopause-related vulvar or vaginal atrophy is: C. Paroxetine D. Escitalopram A. Desvenlafaxine B. Estrogen First-line therapy for pregnancy-induced nausea and vomiting should be: B. Ondansetron IncorrectQuestion 35 0 / 1 ptsIncorrectQuestion 38 0 / 1 pts Question 39 1 / 1 pts D. Metoclopramide C. Methylprednisolone A. Doxylamine/VitaminB6 A patient on long term immunosuppressants should be cautioned to avoid which of the following agents? B. Hydrocodone C. Alcohol E. Acetaminophen D. Ibuprofen A. Penicillin An advantage of Zoledronate (Reclast) over other bisphosphonates for treating postmenopausal osteoporosis is that this drug: D. Will not bind to magnesium or aluminum-containing antacids B. May be dosed just once-a-year C. Has no GI side effects A. May be taken with foodQuestion 41 1 / 1 pts The APN suspects that a patient on the following medications; Minocycline, Celebrex, and methotrexate has which disorder? A. Osteoarthritis C. Rheumatoid Arthritis E. Post heart/lung organ recipient D. Post renal transplant recipient B. H1N1 flu The patient complains of great toe pain consistent with gout and labs show a uric acid level of 7.2, creatinine of 1.2, glucose of 302, and other values within normal limits. If there is no history of allergy, the APN will prescribe which of the following? B. Prednisone dose pack orally. A. Colchicine every 8 hours IV for five days. E. Allopurinol daily orally. D. Triamcinolone acetonide intramuscularly. C. Colchicine orally for the acute episode and for prevention. Question 42 Question 40 1 / 1 ptsQuestion 43 1 / 1 pts Question 44 1 / 1 pts 1 / 1 pts Incretin mimetics like Exenatide are administered by which route? B. Subcutaneous injection C. Intramuscular depot injection E. Intravenous injection A. Oral D. Transdermal by patch application Which of the following suppresses emesis by blocking dopamine and serotonin receptors in the chemoreceptor trigger zone? D. ondansetron (Zofran) C. misoprostol (Cytotec) B. metoclopramide (Reglan) A. sucralfate (Carafate) An agent(s) prescribed for its ability to block T-cell activity in RA (rheumatoid arthritis) is which of the following? E. Sulfinpyrazone C. AzathioprineQuestion 45 1 / 1 pts Question 46 1 / 1 pts D. Paricalcitol B. Abatacept A. Rituximab Meloxicam (Mobic) is best described as a member of which family/class of drugs for arthritis? D. Acetaminophen-like drugs B. Cyclooxygenase Inhibitors Type 2 Coxibs C. Cyclooxygenase Inhibitor Type 1 with Type 2 selectivity A. Cyclooxygenase Inhibitors Type 1 NSAIDS For the patient using an intensive basal/bolus strategy to manage her blood sugar: A. A long-acting insulin is dosed in low doses three or four times throughout the day, with boluses of short-acting insulins at mealtime B. Short-acting insulins are used at mealtimes; a long-acting insulin is added if needed C. A long-acting insulin is dosed in the afternoon; short-acting insulins are dosed in the morning and at bedtimeIncorrectQuestion 47 0 / 1 pts Question 48 1 / 1 pts Question 49 1 / 1 pts D. A long-acting insulin is dosed at bedtime; short-acting insulins are dosed at mealtimes You have diagnosed an acute gouty attack in a patient with a uric acid level of 9 mg. You will prescribe which drug(s) to prevent future attacks and treat acute symptoms? D. Indomethacin (Indocin) B. Allopurinol (Zyloprim) C. Both Colchicine and Allopurinol A. Colchicine (Colbenemid) Your patient has been on prednisone for her rheumatoid arthritis. She complains about face and torso obesity, and states that she bruises easily when she bumps herself. She wants to discontinue her prednisone.If you agree to discontinue its use, how will you instruct the patient? A. That she discontinue her prednisone immediately D. That she discontinue her prednisone immediately and begin taking Misoprostol B. That she add an NSAID to her regimen C. That she start a titrated dosing regimen of prednisoneQuestion 50 1 / 1 pts What additional side effect is particularly pronounced (occasionally lasting 3 - 4 weeks) from the MMR vaccine? B. muscle hematoma D. vesicular rash C. diarrhea A. arthritis/ arthralgias Thyroid hormones are most likely to increase the requirements for: A. NSAIDS C. Insulin B. Anti-depressants D. Proton pump inhibitors Quiz Score: 42.67 out of 50