NSG 6001 Study Guide

Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for: A. Hypokalemia B. Impotence C. Decreased renal function D. Inability to concentrate 2. Carbamazepine has a Black Box warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to: C. Increased risk for Stevens-Johnson syndrome in Asian patients with HLA-B*1502 allele 3. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: A. It is OK to double the dose of Vicodin if the pain is severe B. Vicodin is not habit forming C. He should not take any other acetaminophen-containing medications D. Vicodin may cause diarrhea; increase his fluid intake 4. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: A.Gout may worsen with therapy B.Febuxostat may cause severe diarrhea C.He should consume a high-calcium diet D.He will need frequent CBC monitoring 5. The drug recommended as primary prevention of osteoporosis in women over the age of 70 years: Aldendronate (fosamax) 6. Pregnant patients with asthma may safely use throughout their pregnancy. Inhaled corticosteroids (budesonide) 7. Selective estrogen receptor modifiers (SERMS) treat osteoporosis by selectively: Estrogen agonists/antagonists Increase BMD by decreasing bone turnover. similar to estrogen. Raloxifene (Evista) only one on the market 8. Josie is a 5 year old who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie? A. Prochlorperazine (Compazine) B. Meclizine (Antivert) C. Promethazine (Phenergan) D. Ondansetron (Zofran) 9. Infants with reflux are initially treated with: A) Histamine2 receptor antagonist (ranitidine) B) Proton pump inhibitor (omeprazole) C) Anti-reflux maneuvers (elevate the head of the bed) D) Prokinetic (metoclopramide) 10. The action of “gliptins” is different from other antidiabetic agents because they: A. Have a low risk for hypoglycemia B. Are not associated with weight gain C. Close ATP-dependent potassium channels in the beta cell D. Act on the incretin system to indirectly increase insulin production 11. Treatment of a patient with prescription with hypothyroidism and cardiovascular disease consists of: levothyroxine 12. Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because: A. Zolpidem should be taken just before going to bed B. Zolpidem may cause dry mouth and constipation C. Patients may need to double the dose for effectiveness D. They should stop drinking alcohol at least 30 minutes before taking zolpidem 13. Heart failure is a chronic condition that can be adequately managed in primary care. However, consultation with or referral to a cardiologist is appropriate when: A. Symptoms markedly worsen or the patient becomes hypotensive and has syncope B. There is evidence of progressive renal insufficiency or failure C. The patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic D. Any of the above 14. Which of the following describes off label prescribing? -It is regulated by the Federal Food and Drug Administration. -It is illegal for nurse practitioners to prescribe off label in all states and provinces -It is legal if there is scientific evidence for its use. -It is regulated by the Drug Enforcement Administration (DEA) ................................................................................................CONTINUE