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NURS 6521 MIDTERM EXAM ACTUAL 200 QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES ALREADY
A+ GRADE
A female patient with a diagnosis of type 1 diabetes mellitus has been
experiencing increasing neuropathic pain in recent months, a symptom
that has not responded appreciably to conventional analgesics. The
patient's care provider has begun treatment with gabapentin
(Neurontin). How is the addition of this drug likely to influence the
management of the patient's existing drug regimen? ......ANSWER......It
is unlikely to influence the patient's other medications because
gabapentin does not interact with other drugs.
of the following assessment findings should an assisted living facility has
begun taking daily oral Following an assessment by her primary care
provider, a 70-year-old resident of doses of levothyroxine. Which
prompt the nurse to withhold a scheduled dose of levothyroxine?
......ANSWER......The resident's apical heart rate is 112 beats/minute
with a regular rhythm
processes protects the lower respiratory system? ......ANSWER......Cilia
sweep foreign material and mucus upward toward the trachea and
larynx where they can then be swallowed.
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A 62-year-old man has been prescribed lovastatin. The Nurse
Practitioner will instruct the patient to take the medication
......ANSWER......at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the
high incidence of drug interactions in this population. When educating a
group of seniors about the prevention of drug interactions, the Nurse
Practitioner should encourage them to ......ANSWER......consult their
care provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about
polypharmacy. Which of the following statements best describe this
term? ......ANSWER......Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner
that he is having adverse effects from his drug therapy. The patient has
been taking dextroamphetamine for 2 weeks as adjunct therapy. Which
of the following adverse effects would need the Nurse Practitioner's
immediate attention? ......ANSWER......Increased blood glucose
A 22 year old patient is transitioning from oral agents to insulin. He will
be taking 20 units of lantus at bedtime and regular insulin before meals.
What instructions should the NP provide about the timing and dose of
regular insulin? ......ANSWER......Take 1 unit of regular insulin for each 10
grams of carbohydrate to be consumed 15 minutes before each meal
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decongestants should not be used chronically (>5 days) because they
can cause ......ANSWER......rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with
allergic asthma are being taught about their son's medication regimen
by the nurse. The nurse is currently teaching the parent's about the
appropriate use of a "rescue drug" for acute exacerbations of their son's
asthma. What drug should the nurse suggests the parents to use in
these situations? ......ANSWER......Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin
and verapamil to control her health problem. Verapamil achieves a
therapeutic effect by ......ANSWER......blocking adrenergic receptors and
producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day
should the nurse advise the patient to be most alert for a potential
hypoglycemic reaction? ......ANSWER......Late afternoon
A child with sinusitis has been on antibiotics for seven days and his
symptoms are not improving., All of the following are options to
prescribe for the patient now EXCEPT:
......ANSWER......Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult
suggests that the client may have drug allergies that have not been
previously documented. What statement by the client would confirm
NURS 6521 MIDTERM EXAM ACTUAL 200 QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES ALREADY
A+ GRADE
A female patient with a diagnosis of type 1 diabetes mellitus has been
experiencing increasing neuropathic pain in recent months, a symptom
that has not responded appreciably to conventional analgesics. The
patient's care provider has begun treatment with gabapentin
(Neurontin). How is the addition of this drug likely to influence the
management of the patient's existing drug regimen? ......ANSWER......It
is unlikely to influence the patient's other medications because
gabapentin does not interact with other drugs.
of the following assessment findings should an assisted living facility has
begun taking daily oral Following an assessment by her primary care
provider, a 70-year-old resident of doses of levothyroxine. Which
prompt the nurse to withhold a scheduled dose of levothyroxine?
......ANSWER......The resident's apical heart rate is 112 beats/minute
with a regular rhythm
processes protects the lower respiratory system? ......ANSWER......Cilia
sweep foreign material and mucus upward toward the trachea and
larynx where they can then be swallowed.
,2|Page
A 62-year-old man has been prescribed lovastatin. The Nurse
Practitioner will instruct the patient to take the medication
......ANSWER......at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the
high incidence of drug interactions in this population. When educating a
group of seniors about the prevention of drug interactions, the Nurse
Practitioner should encourage them to ......ANSWER......consult their
care provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about
polypharmacy. Which of the following statements best describe this
term? ......ANSWER......Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner
that he is having adverse effects from his drug therapy. The patient has
been taking dextroamphetamine for 2 weeks as adjunct therapy. Which
of the following adverse effects would need the Nurse Practitioner's
immediate attention? ......ANSWER......Increased blood glucose
A 22 year old patient is transitioning from oral agents to insulin. He will
be taking 20 units of lantus at bedtime and regular insulin before meals.
What instructions should the NP provide about the timing and dose of
regular insulin? ......ANSWER......Take 1 unit of regular insulin for each 10
grams of carbohydrate to be consumed 15 minutes before each meal
, 3|Page
decongestants should not be used chronically (>5 days) because they
can cause ......ANSWER......rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with
allergic asthma are being taught about their son's medication regimen
by the nurse. The nurse is currently teaching the parent's about the
appropriate use of a "rescue drug" for acute exacerbations of their son's
asthma. What drug should the nurse suggests the parents to use in
these situations? ......ANSWER......Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin
and verapamil to control her health problem. Verapamil achieves a
therapeutic effect by ......ANSWER......blocking adrenergic receptors and
producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day
should the nurse advise the patient to be most alert for a potential
hypoglycemic reaction? ......ANSWER......Late afternoon
A child with sinusitis has been on antibiotics for seven days and his
symptoms are not improving., All of the following are options to
prescribe for the patient now EXCEPT:
......ANSWER......Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult
suggests that the client may have drug allergies that have not been
previously documented. What statement by the client would confirm
