©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
NR 508 midterm Exam Study Guide with Complete Solutions
before prescribing phentermine a through drug history should be taken including
for the use of sertonergic agents such as selective serotonin re uptake inhibitors
(SSRI's) and St Johns wart due to - Answer✔️✔️-risk of Serotonin syndrome
A primary care NP sees a patient who is being treated for heart failure with
digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having nausea.
The NP notes a heart rate of 60 beats per minute and a blood pressure of 100/60
mm Hg. The NP should: - Answer✔️✔️-obtain a digoxin level before pt takes
another dose
drug cost of therapy include - Answer✔️✔️-pain an suffering due to inadequate drug
therapy
A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3
days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm
Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C. The primary care
NP notes a capillary refill of greater than 3 seconds. The NP should: - Answer✔️✔️-
admit for IV re-hydration
Page 1 of 22
,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
A primary care NP is performing a pre-visit health history on a new patient. The
patient reports taking vitamins every day. The NP should: - Answer✔️✔️-ask Pt to
bring all vitamin bottles to clinic apointment
A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone
(Phazyme), and a TCA. She reports having continued severe diarrhea. The primary
care NP should: - Answer✔️✔️-refer to a gastroenterology for endoscopy
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the
presence of Helicobacter pylori. The primary care NP orders a proton pump
inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin. After 14
days of treatment, H. pyloriis still present. The NP should order: - Answer✔️✔️-a
PPI, amoxocillin, and metronidazole for 14 days
The primary care NP sees a new patient who has diabetes and hypertension and has
been taking a thiazide diuretic for 6 months. The patient's blood pressure at the
beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85
mm Hg. The NP should: - Answer✔️✔️-add an angiotensin-converting enzyme
inhibitor
Page 2 of 22
, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk
for consequences of rapid withdrawal are those with - Answer✔️✔️-angina and
coronary artery disease
Carbamazepine has a black box warning due to life-threatening - Answer✔️✔️-
dermatological reaction, including stevens johnson and toxic epidermal necrolysis
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been
prescribed nadolol. You do his annual laboratory work and find a CrCl of 25
ml/min. What action should you take related to his nadolol? - Answer✔️✔️-decrease
the dosage by 75%
for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment -
Answer✔️✔️-Your patient is being prescribed phenytoin for seizures. monitoring
includes assessing
A patient developed a rash after using a topical medication. This is a type _____
allergic drug reaction - Answer✔️✔️-IV
A 50-year-old woman with a family history of CHD is experiencing occasional hot
flashes and is having periods every 3 to 4 months. She asks the primary care NP
about HT to relieve her symptoms. The NP should: - Answer✔️✔️-plan to use
estrogen-progesterone therapy when menopause begins.
Page 3 of 22
NR 508 midterm Exam Study Guide with Complete Solutions
before prescribing phentermine a through drug history should be taken including
for the use of sertonergic agents such as selective serotonin re uptake inhibitors
(SSRI's) and St Johns wart due to - Answer✔️✔️-risk of Serotonin syndrome
A primary care NP sees a patient who is being treated for heart failure with
digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having nausea.
The NP notes a heart rate of 60 beats per minute and a blood pressure of 100/60
mm Hg. The NP should: - Answer✔️✔️-obtain a digoxin level before pt takes
another dose
drug cost of therapy include - Answer✔️✔️-pain an suffering due to inadequate drug
therapy
A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3
days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm
Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C. The primary care
NP notes a capillary refill of greater than 3 seconds. The NP should: - Answer✔️✔️-
admit for IV re-hydration
Page 1 of 22
,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
A primary care NP is performing a pre-visit health history on a new patient. The
patient reports taking vitamins every day. The NP should: - Answer✔️✔️-ask Pt to
bring all vitamin bottles to clinic apointment
A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone
(Phazyme), and a TCA. She reports having continued severe diarrhea. The primary
care NP should: - Answer✔️✔️-refer to a gastroenterology for endoscopy
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the
presence of Helicobacter pylori. The primary care NP orders a proton pump
inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin. After 14
days of treatment, H. pyloriis still present. The NP should order: - Answer✔️✔️-a
PPI, amoxocillin, and metronidazole for 14 days
The primary care NP sees a new patient who has diabetes and hypertension and has
been taking a thiazide diuretic for 6 months. The patient's blood pressure at the
beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85
mm Hg. The NP should: - Answer✔️✔️-add an angiotensin-converting enzyme
inhibitor
Page 2 of 22
, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk
for consequences of rapid withdrawal are those with - Answer✔️✔️-angina and
coronary artery disease
Carbamazepine has a black box warning due to life-threatening - Answer✔️✔️-
dermatological reaction, including stevens johnson and toxic epidermal necrolysis
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been
prescribed nadolol. You do his annual laboratory work and find a CrCl of 25
ml/min. What action should you take related to his nadolol? - Answer✔️✔️-decrease
the dosage by 75%
for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment -
Answer✔️✔️-Your patient is being prescribed phenytoin for seizures. monitoring
includes assessing
A patient developed a rash after using a topical medication. This is a type _____
allergic drug reaction - Answer✔️✔️-IV
A 50-year-old woman with a family history of CHD is experiencing occasional hot
flashes and is having periods every 3 to 4 months. She asks the primary care NP
about HT to relieve her symptoms. The NP should: - Answer✔️✔️-plan to use
estrogen-progesterone therapy when menopause begins.
Page 3 of 22
