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NSG6005 Final Exam
Version-1

An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better

than either drug alone?



A. Beta blockers

B. Diuretics

C. Nondihydropyridine calcium channel blockers

D. Angiotensin II receptor blockers

C. Nondihydropyridine calcium channel blockers



Adam has type I diabetes and plays tennis for his university. He exhibits knowledge deficit about his

insulin and his diagnosis. He should be taught that:



A. He should increase his increase his carbohydrate intake during times of exercise intake during times of

exercise.

B. Each brand of insulin is equal in bioavailability, so buy the least expensive.

C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.

D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his

diabetes.

A. He should increase his increase his carbohydrate intake during times of exercise intake during times of

exercise.



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.

A. Preterm and newborn infants do not yet have functional pain pathways.



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



Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching

should include all of the following except:



A. Notify your healthcare provider immediately if you have visual change.

B. Monitor your own blood pressure and pulse daily.

C. Take a hot shower or bath if you feel dizzy.

D. Use a sunscreen on exposed body surfaces.

C. Take a hot shower or bath if you feel dizzy.

,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.

A. Reduce the chance of tardive dyskinesia.



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)



Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes

reminding her:



A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures

B. To wear a sunscreen due to photosensitivity from levetiracetam

C. To get an annual eye exam while on levetiracetam

D. To report weight loss if it occurs

A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizure

, Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of

motivation. An appropriate initial antidepressant for her would be:



A. Fluoxetine (Prozac)

B. Paroxetine (Paxil)

C. Amitriptyline (Elavil)

D. Duloxetine (Cymbalta)

D. Duloxetine (Cymbalta)



Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the

following raises a "red flag" about potential chemical dependency?



A. Use of more than one drug to treat the pain

B. Multiple times when prescriptions are lost with requests to refill

C. Preferences for treatments that include alternative medicines

D. Presence of a family member who has abused drugs

B. Multiple times when prescriptions are lost with requests to refill



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

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