NR 508 Final Review Questions with correct
|\ |\ |\ |\ |\ |\ |\
answers
When prescribing an opioid analgesic such as acetaminophen and codeine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Tylenol #3), instructions to the patient should include:
|\ |\ |\ |\ |\ |\ |\
1. The medication may cause sedation and they should not drive.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Constipation is a common side effect and they should increase fluids and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fiber.
3. Patients should not take any other acetaminophen-containing medications
|\ |\ |\ |\ |\ |\ |\ |\ |\
at the same time.
|\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kirk sprained his ankle and is asking for pain medication for his mild-to-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate pain. The appropriate first-line medication would be:
|\ |\ |\ |\ |\ |\ |\
1. Ibuprofen (Advil)
|\ |\
2. Acetaminophen with hydrocodone (Vicodin)
|\ |\ |\ |\
3. Oxycodone (Oxycontin)
|\ |\
4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Ibuprofen (Advil)
|\ |\ |\ |\ |\ |\ |\ |\
Kasey fractured his ankle in two places and is asking for medication for his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain. The appropriate first-line medication would be:
|\ |\ |\ |\ |\ |\
1. Ibuprofen (Advil)
|\ |\
2. Acetaminophen with hydrocodone (Vicodin)
|\ |\ |\ |\
,3. Oxycodone (Oxycontin)
|\ |\
4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Acetaminophen
|\ |\ |\ |\ |\ |\ |\ |\
with hydrocodone (Vicodin)
|\ |\
Jack, age 8, has attention deficit disorder (ADD) and is prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
methylphenidate (Ritalin). He and his parents should be educated about the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side effects of methylphenidate, which are:
|\ |\ |\ |\ |\
1. Slurred speech and insomnia
|\ |\ |\ |\
2. Bradycardia and confusion
|\ |\ |\
3. Dizziness and orthostatic hypotension
|\ |\ |\ |\
4. Insomnia and decreased appetite - CORRECT ANSWERS ✔✔Insomnia
|\ |\ |\ |\ |\ |\ |\ |\ |\
and decreased appetite
|\ |\
Monitoring for a child on methylphenidate for attention deficit hyperactivity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder (ADHD) includes: |\ |\
1. ADHD symptoms
|\ |\
2. Routine height and weight checks
|\ |\ |\ |\ |\
3. Amount of methylphenidate being used
|\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
When prescribing Adderall (amphetamine and dextroamphetamine) to adults
|\ |\ |\ |\ |\ |\ |\
with ADHD the nurse practitioner will need to monitor:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Blood pressure
|\ |\
2. Blood glucose levels
|\ |\ |\
3. Urine ketone levels
|\ |\ |\
,4. Liver function - CORRECT ANSWERS ✔✔Blood pressure
|\ |\ |\ |\ |\ |\ |\
Ray has been diagnosed with hypertension and an angiotensin-converting
|\ |\ |\ |\ |\ |\ |\ |\ |\
enzyme inhibitor is determined to be needed. Prior to prescribing this drug,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the NP should assess for:
|\ |\ |\ |\
1. Hypokalemia
|\
2. Impotence
|\
3. Decreased renal function
|\ |\ |\
4. Inability to concentrate - CORRECT ANSWERS ✔✔Decreased renal
|\ |\ |\ |\ |\ |\ |\ |\ |\
function
Angiotensin-converting enzyme inhibitors are the drug of choice in treating |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypertension in diabetic patients because they: |\ |\ |\ |\ |\
1. Improve insulin sensitivity
|\ |\ |\
2. Improve renal hemodynamics
|\ |\ |\
3. Reduce the production of angiotensin II
|\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A potentially life-threatening adverse response to angiotensin-converting
|\ |\ |\ |\ |\ |\ |\
enzyme inhibitors is angioedema. Which of the following statements is true
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about this adverse response?
|\ |\ |\
1. Swelling of the tongue or hoarseness are the most common symptoms.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. It appears to be related to the decrease in aldosterone production.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Presence of a dry, hacky cough indicates a high risk for this adverse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response.
, 4. Because it takes time to build up a blood level, it occurs after being on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug for about 1 week. - CORRECT ANSWERS ✔✔Swelling of the tongue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or hoarseness are the most common symptoms.
|\ |\ |\ |\ |\ |\
Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following statements are true about both its usefulness in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder and the reason for its use?
|\ |\ |\ |\ |\ |\
1. Stable angina because it decreases the thickening of vascular walls due to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decreased modified release. |\ |\
2. Heart failure because it reduces remodeling of injured myocardial tissues.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Both 1 and 2 are true and the reasons are correct.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Both 1 and 2 are true but the reasons are wrong.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
5. Neither 1 nor 2 are true. - CORRECT ANSWERS ✔✔Both 1 and 2 are true
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the reasons are correct.
|\ |\ |\ |\ |\
Despite good blood pressure control, an NP might change a patient's drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from an angiotensin-converting enzyme (ACE) inhibitor to an angiotensin II
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receptor blocker (ARB) because the ARB:
|\ |\ |\ |\ |\
1. Is stronger than the ACE inhibitor
|\ |\ |\ |\ |\ |\
2. Does not produce a dry, hacky cough
|\ |\ |\ |\ |\ |\ |\
3. Has no effect on the renal system
|\ |\ |\ |\ |\ |\ |\
4. Reduces sodium and water retention - CORRECT ANSWERS ✔✔Does not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
produce a dry, hacky cough
|\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
answers
When prescribing an opioid analgesic such as acetaminophen and codeine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Tylenol #3), instructions to the patient should include:
|\ |\ |\ |\ |\ |\ |\
1. The medication may cause sedation and they should not drive.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Constipation is a common side effect and they should increase fluids and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fiber.
3. Patients should not take any other acetaminophen-containing medications
|\ |\ |\ |\ |\ |\ |\ |\ |\
at the same time.
|\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kirk sprained his ankle and is asking for pain medication for his mild-to-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate pain. The appropriate first-line medication would be:
|\ |\ |\ |\ |\ |\ |\
1. Ibuprofen (Advil)
|\ |\
2. Acetaminophen with hydrocodone (Vicodin)
|\ |\ |\ |\
3. Oxycodone (Oxycontin)
|\ |\
4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Ibuprofen (Advil)
|\ |\ |\ |\ |\ |\ |\ |\
Kasey fractured his ankle in two places and is asking for medication for his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain. The appropriate first-line medication would be:
|\ |\ |\ |\ |\ |\
1. Ibuprofen (Advil)
|\ |\
2. Acetaminophen with hydrocodone (Vicodin)
|\ |\ |\ |\
,3. Oxycodone (Oxycontin)
|\ |\
4. Oral morphine (Roxanol) - CORRECT ANSWERS ✔✔Acetaminophen
|\ |\ |\ |\ |\ |\ |\ |\
with hydrocodone (Vicodin)
|\ |\
Jack, age 8, has attention deficit disorder (ADD) and is prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
methylphenidate (Ritalin). He and his parents should be educated about the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side effects of methylphenidate, which are:
|\ |\ |\ |\ |\
1. Slurred speech and insomnia
|\ |\ |\ |\
2. Bradycardia and confusion
|\ |\ |\
3. Dizziness and orthostatic hypotension
|\ |\ |\ |\
4. Insomnia and decreased appetite - CORRECT ANSWERS ✔✔Insomnia
|\ |\ |\ |\ |\ |\ |\ |\ |\
and decreased appetite
|\ |\
Monitoring for a child on methylphenidate for attention deficit hyperactivity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder (ADHD) includes: |\ |\
1. ADHD symptoms
|\ |\
2. Routine height and weight checks
|\ |\ |\ |\ |\
3. Amount of methylphenidate being used
|\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
When prescribing Adderall (amphetamine and dextroamphetamine) to adults
|\ |\ |\ |\ |\ |\ |\
with ADHD the nurse practitioner will need to monitor:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Blood pressure
|\ |\
2. Blood glucose levels
|\ |\ |\
3. Urine ketone levels
|\ |\ |\
,4. Liver function - CORRECT ANSWERS ✔✔Blood pressure
|\ |\ |\ |\ |\ |\ |\
Ray has been diagnosed with hypertension and an angiotensin-converting
|\ |\ |\ |\ |\ |\ |\ |\ |\
enzyme inhibitor is determined to be needed. Prior to prescribing this drug,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the NP should assess for:
|\ |\ |\ |\
1. Hypokalemia
|\
2. Impotence
|\
3. Decreased renal function
|\ |\ |\
4. Inability to concentrate - CORRECT ANSWERS ✔✔Decreased renal
|\ |\ |\ |\ |\ |\ |\ |\ |\
function
Angiotensin-converting enzyme inhibitors are the drug of choice in treating |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypertension in diabetic patients because they: |\ |\ |\ |\ |\
1. Improve insulin sensitivity
|\ |\ |\
2. Improve renal hemodynamics
|\ |\ |\
3. Reduce the production of angiotensin II
|\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A potentially life-threatening adverse response to angiotensin-converting
|\ |\ |\ |\ |\ |\ |\
enzyme inhibitors is angioedema. Which of the following statements is true
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about this adverse response?
|\ |\ |\
1. Swelling of the tongue or hoarseness are the most common symptoms.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. It appears to be related to the decrease in aldosterone production.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Presence of a dry, hacky cough indicates a high risk for this adverse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response.
, 4. Because it takes time to build up a blood level, it occurs after being on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug for about 1 week. - CORRECT ANSWERS ✔✔Swelling of the tongue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or hoarseness are the most common symptoms.
|\ |\ |\ |\ |\ |\
Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following statements are true about both its usefulness in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder and the reason for its use?
|\ |\ |\ |\ |\ |\
1. Stable angina because it decreases the thickening of vascular walls due to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decreased modified release. |\ |\
2. Heart failure because it reduces remodeling of injured myocardial tissues.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Both 1 and 2 are true and the reasons are correct.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Both 1 and 2 are true but the reasons are wrong.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
5. Neither 1 nor 2 are true. - CORRECT ANSWERS ✔✔Both 1 and 2 are true
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the reasons are correct.
|\ |\ |\ |\ |\
Despite good blood pressure control, an NP might change a patient's drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from an angiotensin-converting enzyme (ACE) inhibitor to an angiotensin II
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receptor blocker (ARB) because the ARB:
|\ |\ |\ |\ |\
1. Is stronger than the ACE inhibitor
|\ |\ |\ |\ |\ |\
2. Does not produce a dry, hacky cough
|\ |\ |\ |\ |\ |\ |\
3. Has no effect on the renal system
|\ |\ |\ |\ |\ |\ |\
4. Reduces sodium and water retention - CORRECT ANSWERS ✔✔Does not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
produce a dry, hacky cough
|\ |\ |\ |\ |\
