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NUR 635 Midterm Exam Questions and
Correct Answers
What does the NP take into account concerning pharmacokinetics?
Ans: Bioavailability
What statement by the patient tells the RN they understand the
education regarding heparin? Ans: I need to have my labs drawn
in 2-3 days for thrombocytopenia which can occur on day 4 of
therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per
week during the next 1 to 2 weeks, once a week for the next 1-2
months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the
patient understands the use of warfarin? Ans: Avoid foods high in
Vitamin-K
What education should the NP include when educating patients on
erythropoiesis-stimulating agents? Ans: They may cause tumors.
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The patient understands education regarding iron supplements
when the patient states: Ans: take on an empty stomach with
orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: Ans:
Gliptins act on the incretin system to increase insulin production
indirectly
Diabetics can benefit from GLP-1 agonists because they: Ans:
Decrease gastric absorption by directly binding to a receptor in
pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic.
The NP prepares the patient for: Ans: Treatment with epoetin alfa
The NP believes the patient has adequate education regarding iron
supplements when they verbalize: Ans: I need to have a CBC
drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of
the following EXCEPT: Ans: Increasing HR and preload
ACE Inhibitors help patients with HF by:
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
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**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal
failure
A chronic pain patient calls for refills on regularly prescribed
hydrocodone prescription. The appropriate action of the NP would
be to: Ans: Schedule the patient for an in-person office visit
What portion of the patient's history should be thoroughly
assessed before prescribing Metronidazole (Flagyl) for a bacterial
vaginosis: Ans: Social history of ETOH intake. **Worst hangover of
your life!
When being prescribed Lithium, the NP educates the patient that
all of the following will need to be closely monitored throughout
therapy except: Ans: Liver function. **While on lithium therapy,
Renal and Thyroid function and Sodium levels need to be
monitored!
You have a 32-week pregnant patient come in complaining of
contractions. The NP educates the patient on the following: Ans:
Treatment with a beta-2 agonist (Terbutaline?)
The patient experiences hallucinations following atropine
treatment for bradycardia. The NP will prescribe: Ans:
© 2025 All rights reserved
NUR 635 Midterm Exam Questions and
Correct Answers
What does the NP take into account concerning pharmacokinetics?
Ans: Bioavailability
What statement by the patient tells the RN they understand the
education regarding heparin? Ans: I need to have my labs drawn
in 2-3 days for thrombocytopenia which can occur on day 4 of
therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per
week during the next 1 to 2 weeks, once a week for the next 1-2
months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the
patient understands the use of warfarin? Ans: Avoid foods high in
Vitamin-K
What education should the NP include when educating patients on
erythropoiesis-stimulating agents? Ans: They may cause tumors.
© 2025 All rights reserved
, 2 | Page
The patient understands education regarding iron supplements
when the patient states: Ans: take on an empty stomach with
orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: Ans:
Gliptins act on the incretin system to increase insulin production
indirectly
Diabetics can benefit from GLP-1 agonists because they: Ans:
Decrease gastric absorption by directly binding to a receptor in
pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic.
The NP prepares the patient for: Ans: Treatment with epoetin alfa
The NP believes the patient has adequate education regarding iron
supplements when they verbalize: Ans: I need to have a CBC
drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of
the following EXCEPT: Ans: Increasing HR and preload
ACE Inhibitors help patients with HF by:
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
© 2025 All rights reserved
, 3 | Page
**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal
failure
A chronic pain patient calls for refills on regularly prescribed
hydrocodone prescription. The appropriate action of the NP would
be to: Ans: Schedule the patient for an in-person office visit
What portion of the patient's history should be thoroughly
assessed before prescribing Metronidazole (Flagyl) for a bacterial
vaginosis: Ans: Social history of ETOH intake. **Worst hangover of
your life!
When being prescribed Lithium, the NP educates the patient that
all of the following will need to be closely monitored throughout
therapy except: Ans: Liver function. **While on lithium therapy,
Renal and Thyroid function and Sodium levels need to be
monitored!
You have a 32-week pregnant patient come in complaining of
contractions. The NP educates the patient on the following: Ans:
Treatment with a beta-2 agonist (Terbutaline?)
The patient experiences hallucinations following atropine
treatment for bradycardia. The NP will prescribe: Ans:
© 2025 All rights reserved
