NR 566 Test Bank Questions
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Weeks 5–7 Comprehensive
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Review
Advanced Pharmacology for Care of the Family
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(NR-566)
Downloaded by PageMaster
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, NR566TestBankQuestionsforWeeks5-
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7 Week 5: Ch. 18, 19, 27, 37
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Week 6: Ch. 22, 31, 38, 44 am am am am am am
Week 7: 48, 49, 50, 51 am am am am am
Week5 am
Ch. 18 Drugs Affecting the Hematopoietic System
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1. Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The be
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st recommendation is: amam am
A. Ibuprofen 400 mg three times a day am am am am am am
B. Acetaminophen, not to exceed 4 grams per day am am am am am am am
C. Prescribe acetaminophen with codeine am am am
D. Aspirin 640 mg three times a day am am am am am am
a m 2. Juanita had a DVT and was on heparin in the hospital and was discharged on warfarin. She asks her pr
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imary care provider NP why she was getting both medications while in the hospital. The best respon
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se is to: am am
A. Contact the hospitalist as this is not the normal guideline for proscribing these two medi am am am am am am am am am am am am am am
cations and she may have had a more complicated case am am am am am am am am am
B. Explain that warfarin is often started while a patient is still on heparin because warfa am am am am am am am am am am am am am am am
rin takes a few days to reach effectiveness am am am am am am am
C. Encourage the patient to contact the Customer Service department at the hospital as th am am am am am am am am am am am am am
is was most likely a medication error during her admission
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D. Draw anticoagulation studies to make sure she does not have dangerously high blee am am am am am am am am am am am am
ding times am
a m 3. The safest drug to use to treat pregnant women who require anticoagulant therapy is:
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A. Low molecular weight heparin am am am
B. Warfarin
C. Aspirin
D. Heparin
a m 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be consid
a m am am am am am am am am am am am am am am am am am am
ered in which patients? am am am
A. Pregnant women am
B. Elderly men am
C. Overweight or obese patients am am am
D. Patients with multiple comorbidities am am am
a m 5. Cecil and his wife are traveling to SoutheastAsia on vacation and he has come into the clinic to revie
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w his medications. He is healthy with only mild hypertension that is well controlled. He asks about g
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etting “a shot” to prevent blood clots like his friend Ralph did before international travel. The correc
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t respond would be:
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A. Administer one dose of low-molecular weight heparin 24 hours before travel am am am am am am am am am am
B. Prescribe one dose of warfarin to be taken the day of travel am am am am am am am am am am am
C. Consult with a hematologist regarding a treatment plan for Cecil am am am am am am am am am
D. Explain that Cecil is not at high risk of a blood clot and provide education about am am am am am am am am am am am am am am am a m
Downloaded by PageMaster am am
, how to prevent blood clots while traveling
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a m 6. Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day.
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Why would this be recommended? am am am am
A. He has arthritis and this will help with the inflammation and pain.
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B. Aspirin has anti-platelet activity and prevents clots that cause heart attacks. am am am am am am am am am am
C. Aspirin acidifies the urine and he needs this for prostrate health. am am am am am am am am am am
D. He has a history of GI bleed, and one aspirin a day is a safe dose.
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a m 7. Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four o
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r more times a day for arthritis pain. What are the symptoms of aspirin toxicity she would need to be ev
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aluated for: am
A. Tinnitus
B. Diarrhea
C. Hearing loss am
D. Photosensitivity
a m 8. Patient education when prescribing clopidogrel includes:
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A. Do not take any herbal products without discussing with the provider
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B. Monitor urine output closely and contact the provider if it decreases am am am am am am am am am am
C. Clopidogrel can be constipating, use a stool softener if needed am am am am am am am am am
D. The patient will need regular anticoagulant studies while on clopidogrel
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a m 9. For patients taking warfarin INRs are best drawn:
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A. Monthly throughout therapy am am
B. Three times a week throughout therapy am am am am am
C. Two hours after the last dose of warfarin to get an accurate peak levelam am am am am am am am am am am am am
D. In the morning if the patient takes their warfarin at night
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am 10. Patients receiving heparin therapy require monitoring of:
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A. Platelets every 2 to 3 days for thrombocytopenia that may occur on Day 4 of therap am am am am am am am am am am am am am am amam
y
B. Electrolytes for elevated potassium levels in the first 24 hours of therapy am am am am am am am am am am am
C. INR throughout therapy to keep in the range around 2.0 am am am am am am am am am
D. Blood pressure for hypertension that may occur in the first 2 days of treatment am am am am am am am am am am am am am
a m 11. The routine monitoring recommended for low molecular weight heparin is:
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A. INR every 2 days until stable then weekly am am am am am am am
B. aPTT every week while on therapy am am am am am
C. Factor Xa levels if patient is pregnant am am am am am am
D. White blood cell count every 2 weeks am am am am am am
am 12. When writing a prescription for warfarin it is common to write
a m am am am am am am am am am am am on the prescription.
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A. OK to substitute for generic am am am am
B. The brand name of warfarin and Do Not Substitute am am am am am am am am
C. PRN refills am
D. Refills for 1 year am am am
am 13. Education of patients who are taking warfarin includes discussing their diet. Instructions include:
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Downloaded by PageMaster am am
am am am am
Weeks 5–7 Comprehensive
am am
Review
Advanced Pharmacology for Care of the Family
am am am am am am am
(NR-566)
Downloaded by PageMaster
am am
, NR566TestBankQuestionsforWeeks5-
am am am am am am am
7 Week 5: Ch. 18, 19, 27, 37
am am am am am am am
Week 6: Ch. 22, 31, 38, 44 am am am am am am
Week 7: 48, 49, 50, 51 am am am am am
Week5 am
Ch. 18 Drugs Affecting the Hematopoietic System
am am am am am am
1. Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The be
am am am am am am am am am am am am am am am am am am
st recommendation is: amam am
A. Ibuprofen 400 mg three times a day am am am am am am
B. Acetaminophen, not to exceed 4 grams per day am am am am am am am
C. Prescribe acetaminophen with codeine am am am
D. Aspirin 640 mg three times a day am am am am am am
a m 2. Juanita had a DVT and was on heparin in the hospital and was discharged on warfarin. She asks her pr
a m am am am am am am am am am am am am am am am am am am am
imary care provider NP why she was getting both medications while in the hospital. The best respon
am am am am am am am am am am am am am am am am
se is to: am am
A. Contact the hospitalist as this is not the normal guideline for proscribing these two medi am am am am am am am am am am am am am am
cations and she may have had a more complicated case am am am am am am am am am
B. Explain that warfarin is often started while a patient is still on heparin because warfa am am am am am am am am am am am am am am am
rin takes a few days to reach effectiveness am am am am am am am
C. Encourage the patient to contact the Customer Service department at the hospital as th am am am am am am am am am am am am am
is was most likely a medication error during her admission
am am am am am am am am am
D. Draw anticoagulation studies to make sure she does not have dangerously high blee am am am am am am am am am am am am
ding times am
a m 3. The safest drug to use to treat pregnant women who require anticoagulant therapy is:
a m am am am am am am am am am am am am a m
A. Low molecular weight heparin am am am
B. Warfarin
C. Aspirin
D. Heparin
a m 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be consid
a m am am am am am am am am am am am am am am am am am am
ered in which patients? am am am
A. Pregnant women am
B. Elderly men am
C. Overweight or obese patients am am am
D. Patients with multiple comorbidities am am am
a m 5. Cecil and his wife are traveling to SoutheastAsia on vacation and he has come into the clinic to revie
a m am am am am am am am am am am am am am am am am am am am
w his medications. He is healthy with only mild hypertension that is well controlled. He asks about g
am am am am am am am am am am am am am am am am am
etting “a shot” to prevent blood clots like his friend Ralph did before international travel. The correc
am am am am am am am am am am am am am am am am
t respond would be:
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A. Administer one dose of low-molecular weight heparin 24 hours before travel am am am am am am am am am am
B. Prescribe one dose of warfarin to be taken the day of travel am am am am am am am am am am am
C. Consult with a hematologist regarding a treatment plan for Cecil am am am am am am am am am
D. Explain that Cecil is not at high risk of a blood clot and provide education about am am am am am am am am am am am am am am am a m
Downloaded by PageMaster am am
, how to prevent blood clots while traveling
am am am am am am
a m 6. Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day.
a m am am am am am am am am am am am am am am am am am am
Why would this be recommended? am am am am
A. He has arthritis and this will help with the inflammation and pain.
am am am am am am am am am am am
B. Aspirin has anti-platelet activity and prevents clots that cause heart attacks. am am am am am am am am am am
C. Aspirin acidifies the urine and he needs this for prostrate health. am am am am am am am am am am
D. He has a history of GI bleed, and one aspirin a day is a safe dose.
am am am am am am am am am am am am am am am
a m 7. Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four o
a m am am am am am am am am am am am am am am am am am am
r more times a day for arthritis pain. What are the symptoms of aspirin toxicity she would need to be ev
am am am am am am am am am am am am am am am am am am am am
aluated for: am
A. Tinnitus
B. Diarrhea
C. Hearing loss am
D. Photosensitivity
a m 8. Patient education when prescribing clopidogrel includes:
a m am am am am am
A. Do not take any herbal products without discussing with the provider
am am am am am am am am am am
B. Monitor urine output closely and contact the provider if it decreases am am am am am am am am am am
C. Clopidogrel can be constipating, use a stool softener if needed am am am am am am am am am
D. The patient will need regular anticoagulant studies while on clopidogrel
am am am am am am am am am
a m 9. For patients taking warfarin INRs are best drawn:
a m am am am am am am am
A. Monthly throughout therapy am am
B. Three times a week throughout therapy am am am am am
C. Two hours after the last dose of warfarin to get an accurate peak levelam am am am am am am am am am am am am
D. In the morning if the patient takes their warfarin at night
am am am am am am am am am am
am 10. Patients receiving heparin therapy require monitoring of:
a m am am am am am am
A. Platelets every 2 to 3 days for thrombocytopenia that may occur on Day 4 of therap am am am am am am am am am am am am am am amam
y
B. Electrolytes for elevated potassium levels in the first 24 hours of therapy am am am am am am am am am am am
C. INR throughout therapy to keep in the range around 2.0 am am am am am am am am am
D. Blood pressure for hypertension that may occur in the first 2 days of treatment am am am am am am am am am am am am am
a m 11. The routine monitoring recommended for low molecular weight heparin is:
a m am am am am am am am am am
A. INR every 2 days until stable then weekly am am am am am am am
B. aPTT every week while on therapy am am am am am
C. Factor Xa levels if patient is pregnant am am am am am am
D. White blood cell count every 2 weeks am am am am am am
am 12. When writing a prescription for warfarin it is common to write
a m am am am am am am am am am am am on the prescription.
am am
A. OK to substitute for generic am am am am
B. The brand name of warfarin and Do Not Substitute am am am am am am am am
C. PRN refills am
D. Refills for 1 year am am am
am 13. Education of patients who are taking warfarin includes discussing their diet. Instructions include:
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Downloaded by PageMaster am am
