NSG 6005 Final Exam (2025) – Complete
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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
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
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
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B. False
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
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
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.
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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
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)
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.
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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
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
C. Increased risk of asthma-related deaths when long-acting beta-agonists are used
D. Risk for life-threatening alterations in electrolytes
C. Increased risk of asthma-related deaths when long-acting beta-agonists are used
In five- to eleven-year-old children, mild-persistent asthma is diagnosed when asthma symptoms
occur:
A. At nighttime one to two times a month
B. At nighttime three to four times a month
C. Less than twice a week
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