HOSMERIT
NSG 6005 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS | A GRADE (VERIFIED ANSWERS )
Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine
to:
a. Reduce the chance of tardive dyskinesia.
b. Potentiate the effects of the drug.
c. Reduce the tolerance that tends to occur.
d. Increase CNS depression. - CORRECT ANSWER-A. Reduce the chance of tardive
dyskinesia.
Unlike most type II diabetics where obesity is a major issue, older adults with low body
weight have higher risks for morbidity and mortality. The most reliable indicator of poor
nutritional status in older adults is:
a. Weight loss in previously overweight persons
b. Involuntary loss of 10% of body weight in less than six months
c. Decline in lean body mass over a twelve-month period
d. Increase in central versus peripheral body adiposity - CORRECT ANSWER-B.
Involuntary loss of 10% of body weight in less than six months
Common mistakes practitioners make in treating anxiety disorders include:
a. Switching medications after an eight-week trial to a twelve-week trial
b. Maximizing dosing of antianxiety medications
c. Encouraging exercise and relaxation therapy before starting medication
d. Thinking a partial response to medication is acceptable - CORRECT ANSWER-D.
Thinking a partial response to medication is acceptable
Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required
prior to prescribing warfarin.
,a. True
b. False - CORRECT ANSWER-B. False
Patients who have angina, regardless of class, who are also diabetic should be on:
a. Nitrates
b. Beta blockers
c. ACE inhibitors
d. Calcium channel blockers - CORRECT ANSWER-C. ACE inhibitors
Alterations in drug metabolism among Asians may lead to:
a. Slower metabolism of antidepressants, requiring lower doses
b. Faster metabolism of neuroleptics, requiring higher doses
c. Altered metabolism of omeprazole, requiring higher doses
d. Slower metabolism of alcohol, requiring higher doses - CORRECT ANSWER-A. Slower
metabolism of antidepressants, requiring lower doses
Age is a factor in different responses to pain. Which of the following age-related statements
about pain is not true?
a. Preterm and newborn infants do not yet have functional pain pathways.
b. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may
permanently alter neuronal organization in the child.
c. Increases in pain threshold in older adults may be related to peripheral neuropathies and
changes in skin thickness.
d. Decreases in pain tolerance are evident in older adults. - CORRECT ANSWER-A.
Preterm and newborn infants do not yet have functional pain pathways.
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of
.
a. serum glucose
b. stool culture
c. folate levels
, d. vitamin B12 - CORRECT ANSWER-A. serum glucose
An appropriate drug for the treatment of depression with anxiety would be:
a. Alprazolam (Xanax)
b. Escitalopram (Lexapro)
c. Buspirone (Buspar)
d. Amitriptyline (Elavil) - CORRECT ANSWER-B. Escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He comes to see you, and
you note that while his carbamazepine levels had been in the therapeutic range, they are now
low. The possible cause for the low carbamazepine levels is:
a. Dwayne hasn't been taking his carbamazepine because it causes insomnia.
b. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good
compliance.
c. Dwayne was not originally prescribed the correct amount of carbamazepine.
d. Carbamazepine is probably not the right antiseizure medication for Dwayne. - CORRECT
ANSWER-B. Carbamazepine auto-induces metabolism, leading to lower levels in spite of
good compliance.
Studies have shown that control targets that reduce the hemoglobin A1c to less than 7% are
associated with fewer long-term complications of diabetes. Patients who should have such a
target include:
a. Those with long-standing diabetes
b. Older adults
c. Those with no significant cardiovascular disease
d. Young children who are early in their disease - CORRECT ANSWER-C. Those with no
significant cardiovascular disease
Long-acting beta-agonists received a black box warning from the US Food and Drug
Administration due to the:
a. Risk of life-threatening dermatological reactions
b. Increased incidence of cardiac events when long-acting beta-agonists are used
NSG 6005 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS | A GRADE (VERIFIED ANSWERS )
Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine
to:
a. Reduce the chance of tardive dyskinesia.
b. Potentiate the effects of the drug.
c. Reduce the tolerance that tends to occur.
d. Increase CNS depression. - CORRECT ANSWER-A. Reduce the chance of tardive
dyskinesia.
Unlike most type II diabetics where obesity is a major issue, older adults with low body
weight have higher risks for morbidity and mortality. The most reliable indicator of poor
nutritional status in older adults is:
a. Weight loss in previously overweight persons
b. Involuntary loss of 10% of body weight in less than six months
c. Decline in lean body mass over a twelve-month period
d. Increase in central versus peripheral body adiposity - CORRECT ANSWER-B.
Involuntary loss of 10% of body weight in less than six months
Common mistakes practitioners make in treating anxiety disorders include:
a. Switching medications after an eight-week trial to a twelve-week trial
b. Maximizing dosing of antianxiety medications
c. Encouraging exercise and relaxation therapy before starting medication
d. Thinking a partial response to medication is acceptable - CORRECT ANSWER-D.
Thinking a partial response to medication is acceptable
Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required
prior to prescribing warfarin.
,a. True
b. False - CORRECT ANSWER-B. False
Patients who have angina, regardless of class, who are also diabetic should be on:
a. Nitrates
b. Beta blockers
c. ACE inhibitors
d. Calcium channel blockers - CORRECT ANSWER-C. ACE inhibitors
Alterations in drug metabolism among Asians may lead to:
a. Slower metabolism of antidepressants, requiring lower doses
b. Faster metabolism of neuroleptics, requiring higher doses
c. Altered metabolism of omeprazole, requiring higher doses
d. Slower metabolism of alcohol, requiring higher doses - CORRECT ANSWER-A. Slower
metabolism of antidepressants, requiring lower doses
Age is a factor in different responses to pain. Which of the following age-related statements
about pain is not true?
a. Preterm and newborn infants do not yet have functional pain pathways.
b. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may
permanently alter neuronal organization in the child.
c. Increases in pain threshold in older adults may be related to peripheral neuropathies and
changes in skin thickness.
d. Decreases in pain tolerance are evident in older adults. - CORRECT ANSWER-A.
Preterm and newborn infants do not yet have functional pain pathways.
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of
.
a. serum glucose
b. stool culture
c. folate levels
, d. vitamin B12 - CORRECT ANSWER-A. serum glucose
An appropriate drug for the treatment of depression with anxiety would be:
a. Alprazolam (Xanax)
b. Escitalopram (Lexapro)
c. Buspirone (Buspar)
d. Amitriptyline (Elavil) - CORRECT ANSWER-B. Escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He comes to see you, and
you note that while his carbamazepine levels had been in the therapeutic range, they are now
low. The possible cause for the low carbamazepine levels is:
a. Dwayne hasn't been taking his carbamazepine because it causes insomnia.
b. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good
compliance.
c. Dwayne was not originally prescribed the correct amount of carbamazepine.
d. Carbamazepine is probably not the right antiseizure medication for Dwayne. - CORRECT
ANSWER-B. Carbamazepine auto-induces metabolism, leading to lower levels in spite of
good compliance.
Studies have shown that control targets that reduce the hemoglobin A1c to less than 7% are
associated with fewer long-term complications of diabetes. Patients who should have such a
target include:
a. Those with long-standing diabetes
b. Older adults
c. Those with no significant cardiovascular disease
d. Young children who are early in their disease - CORRECT ANSWER-C. Those with no
significant cardiovascular disease
Long-acting beta-agonists received a black box warning from the US Food and Drug
Administration due to the:
a. Risk of life-threatening dermatological reactions
b. Increased incidence of cardiac events when long-acting beta-agonists are used
