NR 508 /NR 451 WEEK 6 ASSIGNMENT
QUESTIONS AND ANSWERS 2025
Henry presents to clinic with a significantly swollen, painful great toe and
is diagnosed with gout. Of the following, which would be the best
treatment for Henry?
1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine - correct answer- 2. Low-dose colchicine
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating.
2. Colchicine always causes some degree of diarrhea.
3. Mild muscle weakness is normal.
4. Moderate amounts of alcohol are safe with colchicine. - correct
answer- 2. Colchicine always causes some degree of diarrhea.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is
taking allopurinol includes:
1. Complete blood count
2. Blood glucose
3. C-reactive protein
4. BUN, creatinine, and creatinine clearance - correct answer-
4. BUN, creatinine, and creatinine clearance
,Phil is starting treatment with febuxostat (Uloric). Education of patients
starting febuxostat includes:
1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring. - correct answer- 1. Gout
may worsen with therapy.
Sallie has been taking 10 mg per day of prednisone for the past 6 months.
She should be assessed for:
1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction - correct answer- 3. Osteoporosis
Patients whose total dose of prednisone will exceed 1 gram will most likely
need a second prescription for:
1. Metformin, a biguanide to prevent diabetes
2. Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
3. Naproxen, an NSAID to treat joint pain
4. Furosemide, a diuretic to treat fluid retention - correct answer- 2.
Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
, prednisone discontinued?
1. Patients with asthma are transitioned directly off the
prednisone onto inhaled corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse effects.
3. Develop a tapering schedule to slowly wean Daniel off the
prednisone.
4. Substitute the prednisone with another anti-inflammatory such as
ibuprofen. - correct answer- 3. Develop a tapering schedule to slowly
wean Daniel off the prednisone.
Patients with rheumatoid arthritis who are on chronic low-dose prednisone
will need co-treatment with which medications to prevent further adverse
effects?
1. A bisphosphonate
2. Calcium supplementation
3. Vitamin D
4. All of the above - correct answer- 4. All of the above
Patients who are on or who will be starting chronic corticosteroid therapy
need monitoring of:
1. Serum glucose
2. Stool culture
3. Folate levels
4. Vitamin B12 - correct answer- 1. Serum glucose
Patients who are on chronic long-term corticosteroid therapy need
education regarding:
QUESTIONS AND ANSWERS 2025
Henry presents to clinic with a significantly swollen, painful great toe and
is diagnosed with gout. Of the following, which would be the best
treatment for Henry?
1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine - correct answer- 2. Low-dose colchicine
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating.
2. Colchicine always causes some degree of diarrhea.
3. Mild muscle weakness is normal.
4. Moderate amounts of alcohol are safe with colchicine. - correct
answer- 2. Colchicine always causes some degree of diarrhea.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is
taking allopurinol includes:
1. Complete blood count
2. Blood glucose
3. C-reactive protein
4. BUN, creatinine, and creatinine clearance - correct answer-
4. BUN, creatinine, and creatinine clearance
,Phil is starting treatment with febuxostat (Uloric). Education of patients
starting febuxostat includes:
1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring. - correct answer- 1. Gout
may worsen with therapy.
Sallie has been taking 10 mg per day of prednisone for the past 6 months.
She should be assessed for:
1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction - correct answer- 3. Osteoporosis
Patients whose total dose of prednisone will exceed 1 gram will most likely
need a second prescription for:
1. Metformin, a biguanide to prevent diabetes
2. Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
3. Naproxen, an NSAID to treat joint pain
4. Furosemide, a diuretic to treat fluid retention - correct answer- 2.
Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
, prednisone discontinued?
1. Patients with asthma are transitioned directly off the
prednisone onto inhaled corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse effects.
3. Develop a tapering schedule to slowly wean Daniel off the
prednisone.
4. Substitute the prednisone with another anti-inflammatory such as
ibuprofen. - correct answer- 3. Develop a tapering schedule to slowly
wean Daniel off the prednisone.
Patients with rheumatoid arthritis who are on chronic low-dose prednisone
will need co-treatment with which medications to prevent further adverse
effects?
1. A bisphosphonate
2. Calcium supplementation
3. Vitamin D
4. All of the above - correct answer- 4. All of the above
Patients who are on or who will be starting chronic corticosteroid therapy
need monitoring of:
1. Serum glucose
2. Stool culture
3. Folate levels
4. Vitamin B12 - correct answer- 1. Serum glucose
Patients who are on chronic long-term corticosteroid therapy need
education regarding:
