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• NURS 676 MIDTERM EXAM 2024 TOP PREDICTION FALL-
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Question 1
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history
of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to
take disulfiram (Antabuse). The nurse will teach the patient that the combination of
alcohol and Antabuse will cause which of the following?
Selected Answer: Nausea
• Question 2
0 out of 1 points
You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As
the NP, you will instruct the patient to call the clinic if which symptoms are experienced?
Selected Answer: Increased irritability, abdominal cramping, and lower extremity weakness.
• Question 3
1 out of 1 points
A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole
(Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the
following would be a priority nursing action?
Selected Answer: Coordinate bone density testing for the patient.
• Question 4
0 out of 1 points
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Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up
appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What
is your best course of action given presentation?
Selected Answer: Obtain a liver function test
• Question 5
0 out of 1 points
The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis
are:
Selected Answer: intranasal H1 antihistamines.
Question 6 0
out of 1 points
Glucocorticoids affect the metabolism of carbohydrates, protein, and fats.
Selected Answer: False
• Question 7
1 out of 1 points
Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating
large
amounts of leafy green vegetables because:
Selected Answer: The high vitamin K levels will decrease the INR
• Question 8
1 out of 1 points
The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a
toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse
practitioner include for the parents?
Selected Answer: Give the medication through a straw to decrease the staining of the teeth.
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• Question 9
1 out of 1 points
A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she
reports that since she has been on the drug, she can breathe better and her heart rate has
been
around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10
pounds since the digoxin therapy was started. The patient is concerned
that the additional weight will necessitate an increase in the medication. Which of the following is
an appropriate response by the nurse?
Selected Answer: "No, the drug dosage will likely stay the same."
• Question 10
0 out of 1 points
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy
begins, a priority action by the nurse will be to assess the patient's
Selected Answer: potassium level.
Question 11
1 out of 1 points
The point in time on the drug concentration curve that indicates the first sign of a therapeutic
effect is the
Selected Answer: onset of action
• Question 12
0 out of 1 points
Metformin (Glucophage) acts by:
Selected Answer: Enhancing insulin secretion
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•
• Question 13
1 out of 1 points
Some first-generation antihistamines are used:
Selected Answer: to prevent motion sickness
• Question 14
1 out of 1 points
A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has
suggested, and he begin taking. Efficacy of a drug means which of the following?
Selected Answer: How well a drug produces its desired effect
• Question 15
0 out of 1 points
Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days,
she has been having some hypoglycemic episodes and feels it is related to medication. Her
medication list is as follows:
Victoza (liraglutide) 1.8 mg SC daily
Metformin 500mg p.o. Twice a Day
Glyburide 5 mg p.o. Twice a day
Lisinopril 10mg p.o. dailo
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