NR 566 Test-Bank Questions for Weeks
5.Latest updates 2023/2024.With 100%
Correct & verified Answers
Week 5.Ch. 18 Drugs Affecting the
Hematopoietic System
1.Kenneth is taking warfarin and is asking about what he can take for minor
aches and pains.
The best recommendation is:
A. Ibuprofen 400 mg three times a day
B. Acetaminophen, not to exceed 4 grams
C. per day Prescribe acetaminophen with
codeine
D. Aspirin 640 mg three times a day
2. Juanita had a DVT and was on heparin in the hospital and was discharged
on warfarin. She asks her primary care provider NP why she was getting
both medications while in the hospital. The best response is to:
A. Contact the hospitalist as this is not the normal guideline for proscribing
these two medications and she may have had a more complicated case
B. Explain that warfarin is often started while a patient is still
on heparin
C. because warfarin takes a few days to reach
effectiveness
Encourage the patient to contact the Customer Service department at
the hospital as this was most likely a medication error during her
admission
D. Draw anticoagulation studies to make sure she does not have
dangerously high bleeding times
3. The safest drug to use to treat pregnant
Low molecular weightwomen who require anticoagulant therapy is:
A. heparin
B. Warfarin
C. Aspirin
D. Heparin
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
, 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5
mg daily should be considered in which patients?
A. Pregnant women B. Elderly men
C. Overweight or obese
D. patients Patients with multiple comorbidities
5. Cecil and his wife are traveling to Southeast Asia on vacation and he has
come into the clinic to review his medications. He is healthy with only
mild hypertension that is well controlled. He asks about getting “a shot”
to prevent blood clots like his friend Ralph did before international travel.
The correct respond would be:
A. Administer one dose of low-molecular weight heparin 24 hours before
travel
B. Prescribe one dose of warfarin to be taken the day of travel
C. Consult with a hematologist regarding a treatment plan for Cecil
D. Explain that Cecil is not at high risk of a blood clot and provide
education
about how to prevent blood clots while
traveling
6. Robert,
age 51
years,
has been told by his primary care provider (PCP) to take an aspirin a day.
Why would this be recommended?
A. He has arthritis and this will help with the inflammation and pain.
B. Aspirin has anti-platelet activity and prevents clots that cause
C. heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
D. He has a history of GI bleed, and one aspirin a day is a safe dose.
7. Sally has been prescribed aspirin 320 mg per day for her atrial
fibrillation. She also takes aspirin four or more times a day for arthritis
pain. What are the symptoms of aspirin toxicity she would need to be
evaluated for:
A. Tinnitus
B. Diarrhea
C. Hearing loss
D. Photosensitivity
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
,8. Patient
Do not take any herbal products without discussing with theeducation
provider when
prescribing clopidogrel includes: A.
B. Monitor urine output closely and contact the provider if it decreases
C. Clopidogrel can be constipating, use a stool softener if needed D.
The patient will need regular anticoagulant studies while on
clopidogrel
9. For patients taking warfarin INRs are best drawn:
A. Monthly throughout therapy
B. Three times a week throughout therapy
C. Two hours after the last dose of warfarin to get an accurate peak level
D. In the morning if the patient takes their warfarin
at night
10. Patients receiving
heparin therapy require monitoring of:
A. Platelets every 2 to 3 days for thrombocytopenia that may occur
B. on Day 4
of
therapy
Electrolytes for elevated potassium levels in the first 24 hours of therapy
C. INR throughout therapy to keep in the range around 2.0
D. Blood pressure for hypertension that may occur in the first 2 days of
treatment
11. The routine monitoring recommended for low molecular weight heparin
is:
A. INR every 2 days until stable then weekly B. aPTT every week while on
therapy
C. Factor Xa levels if patient is
D. pregnant White blood cell count every 2 weeks
12. When writing a prescription for warfarin it is common to write on
the prescription. A. OK to substitute for generic
B. The brand name of warfarin and Do Not
C. PRN Substitute refills
D. Refills for 1 year
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
, 13.Education of patients who are taking warfarin includes discussing their diet.
Instructions include:
A. Avoiding all vitamin K-containing foods
B. Avoiding high vitamin K-containing
C. foods Increasing intake of iron-containing
foods
D. Making sure they eat 35 grams of fiber daily
14. Patients who are being treated with epoetin alfa need to be monitored
for the development of:
A. Thrombocytopenia
B. Neutropenia
C. Hypertension
D. Gout
15. The FDA issued a safety announcement regarding the use of
erythropoiesisstimulating agents (ESAs) in 2010 with the
recommendation that:
A. ESAs no longer be prescribed to patients with chronic renal failure
B. The risk of tumor development be explained to cancer patients on ESA
therapy
C. Patients should no longer receive ESA therapy to prepare for allogenic
transfusions
D. ESAs be prescribed only to patients younger than age 60 years
16. When patients are started on darbepoetin alfa (Aranesp) they need
monitoring of their blood counts to
6 weeks if they are a cancer determine a dosage adjustment in: A.
B. 1 patient week if they have chronic renal failure
C. 2 weeks if taking for allogenic transfusion
D. Weekly throughout therapy
17. Jim is having a hip replacement surgery and would like to self-donate
blood for the surgery. In addition to being prescribed epogen alpha he
should also be prescribed:
A. Folic acid to prevent megaloblastic anemia
B. Iron, to start when the epogen
C. An starts antihypertensive to counter the adverse
effects of epogen
D. Vitamin B12 to prevent pernicious anemia
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
5.Latest updates 2023/2024.With 100%
Correct & verified Answers
Week 5.Ch. 18 Drugs Affecting the
Hematopoietic System
1.Kenneth is taking warfarin and is asking about what he can take for minor
aches and pains.
The best recommendation is:
A. Ibuprofen 400 mg three times a day
B. Acetaminophen, not to exceed 4 grams
C. per day Prescribe acetaminophen with
codeine
D. Aspirin 640 mg three times a day
2. Juanita had a DVT and was on heparin in the hospital and was discharged
on warfarin. She asks her primary care provider NP why she was getting
both medications while in the hospital. The best response is to:
A. Contact the hospitalist as this is not the normal guideline for proscribing
these two medications and she may have had a more complicated case
B. Explain that warfarin is often started while a patient is still
on heparin
C. because warfarin takes a few days to reach
effectiveness
Encourage the patient to contact the Customer Service department at
the hospital as this was most likely a medication error during her
admission
D. Draw anticoagulation studies to make sure she does not have
dangerously high bleeding times
3. The safest drug to use to treat pregnant
Low molecular weightwomen who require anticoagulant therapy is:
A. heparin
B. Warfarin
C. Aspirin
D. Heparin
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
, 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5
mg daily should be considered in which patients?
A. Pregnant women B. Elderly men
C. Overweight or obese
D. patients Patients with multiple comorbidities
5. Cecil and his wife are traveling to Southeast Asia on vacation and he has
come into the clinic to review his medications. He is healthy with only
mild hypertension that is well controlled. He asks about getting “a shot”
to prevent blood clots like his friend Ralph did before international travel.
The correct respond would be:
A. Administer one dose of low-molecular weight heparin 24 hours before
travel
B. Prescribe one dose of warfarin to be taken the day of travel
C. Consult with a hematologist regarding a treatment plan for Cecil
D. Explain that Cecil is not at high risk of a blood clot and provide
education
about how to prevent blood clots while
traveling
6. Robert,
age 51
years,
has been told by his primary care provider (PCP) to take an aspirin a day.
Why would this be recommended?
A. He has arthritis and this will help with the inflammation and pain.
B. Aspirin has anti-platelet activity and prevents clots that cause
C. heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
D. He has a history of GI bleed, and one aspirin a day is a safe dose.
7. Sally has been prescribed aspirin 320 mg per day for her atrial
fibrillation. She also takes aspirin four or more times a day for arthritis
pain. What are the symptoms of aspirin toxicity she would need to be
evaluated for:
A. Tinnitus
B. Diarrhea
C. Hearing loss
D. Photosensitivity
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
,8. Patient
Do not take any herbal products without discussing with theeducation
provider when
prescribing clopidogrel includes: A.
B. Monitor urine output closely and contact the provider if it decreases
C. Clopidogrel can be constipating, use a stool softener if needed D.
The patient will need regular anticoagulant studies while on
clopidogrel
9. For patients taking warfarin INRs are best drawn:
A. Monthly throughout therapy
B. Three times a week throughout therapy
C. Two hours after the last dose of warfarin to get an accurate peak level
D. In the morning if the patient takes their warfarin
at night
10. Patients receiving
heparin therapy require monitoring of:
A. Platelets every 2 to 3 days for thrombocytopenia that may occur
B. on Day 4
of
therapy
Electrolytes for elevated potassium levels in the first 24 hours of therapy
C. INR throughout therapy to keep in the range around 2.0
D. Blood pressure for hypertension that may occur in the first 2 days of
treatment
11. The routine monitoring recommended for low molecular weight heparin
is:
A. INR every 2 days until stable then weekly B. aPTT every week while on
therapy
C. Factor Xa levels if patient is
D. pregnant White blood cell count every 2 weeks
12. When writing a prescription for warfarin it is common to write on
the prescription. A. OK to substitute for generic
B. The brand name of warfarin and Do Not
C. PRN Substitute refills
D. Refills for 1 year
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
, 13.Education of patients who are taking warfarin includes discussing their diet.
Instructions include:
A. Avoiding all vitamin K-containing foods
B. Avoiding high vitamin K-containing
C. foods Increasing intake of iron-containing
foods
D. Making sure they eat 35 grams of fiber daily
14. Patients who are being treated with epoetin alfa need to be monitored
for the development of:
A. Thrombocytopenia
B. Neutropenia
C. Hypertension
D. Gout
15. The FDA issued a safety announcement regarding the use of
erythropoiesisstimulating agents (ESAs) in 2010 with the
recommendation that:
A. ESAs no longer be prescribed to patients with chronic renal failure
B. The risk of tumor development be explained to cancer patients on ESA
therapy
C. Patients should no longer receive ESA therapy to prepare for allogenic
transfusions
D. ESAs be prescribed only to patients younger than age 60 years
16. When patients are started on darbepoetin alfa (Aranesp) they need
monitoring of their blood counts to
6 weeks if they are a cancer determine a dosage adjustment in: A.
B. 1 patient week if they have chronic renal failure
C. 2 weeks if taking for allogenic transfusion
D. Weekly throughout therapy
17. Jim is having a hip replacement surgery and would like to self-donate
blood for the surgery. In addition to being prescribed epogen alpha he
should also be prescribed:
A. Folic acid to prevent megaloblastic anemia
B. Iron, to start when the epogen
C. An starts antihypertensive to counter the adverse
effects of epogen
D. Vitamin B12 to prevent pernicious anemia
NR 566 Test-Bank Questions for Weeks 5.Latest updates 2023-2024.With 100%
Correct & verified Answers
