NR 508 MIDTERM EXAM – QUESTION AND ANSWERS SET 3
NR 508 MIDTERM EXAM – QUESTION AND ANSWERS SET 3
Question 1
2 / 2 pts
A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient’s body mass index is 24. A fasting plasma glucose is 100 mg/dL. Creatinine clearance ...
nr 508 midterm exam – question and answers set 3 question 1 2 2 pts a patient has three consecutive blood pressure readings of 14095 mm hg the pati
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NR 508 MIDTERM EXAM – QUESTION AND
ANSWERS SET 3
Question 1
pts
A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient’s body
mass index is 24. A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol
tests are normal. The primary care NP should order:
a β-blocker.
an angiotensin-converting enzyme inhibitor.
a thiazide diuretic.
dietary and lifestyle changes.
Question 2
pts
An African-American patient is taking captopril (Capoten) 25 mg twice daily. When performing
a physical examination, the primary care nurse practitioner (NP) learns that the patient continues
to have blood pressure readings of 135/90 mm Hg. The NP should:
increase the captopril dose to 50 mg twice daily.
!
add a thiazide diuretic to this patient’s regimen.
change the drug to losartan (Cozaar) 50 mg once daily.
,recommend a low-sodium diet in addition to the medication.
Question 3
pts
A 50-year-old woman reports severe, frequent hot flashes and vaginal dryness. She is having
irregular periods. She has no family history of CHD or breast cancer and has no personal risk
factors. The primary care NP should recommend:
estrogen-only HT.
!
low-dose oral contraceptive therapy.
selective serotonin reuptake inhibitor therapy until menopause begins.
estrogen-progesterone HT.
Question 4
pts
The primary care NP is prescribing a medication for an off-label use. To help prevent a
medication error, the NP should:
!
,write “off-label use” on the prescription and provide a rationale.
call the pharmacist to explain why the instructions deviate from common use.
write the alternative drug regimen on the prescription and send it to the pharmacy.
tell the patient to ignore the label directions and follow the verbal instructions given in the clinic.
Question 5
pts
The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of
130/85 mm Hg. The patient’s laboratory tests reveal high-density lipoprotein, 35 mg/dL;
triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body
mass index of 29. The patient has a positive family history for cardiovascular disease. The NP
should:
prescribe a thiazide diuretic.
consider treatment with an angiotensin-converting enzyme inhibitor.
reassure the patient that these findings are normal.
!
Counsel the patient about dietary and lifestyle changes.
, Question 6
pts
A patient who has had a new onset of AF the day prior will undergo cardioversion that day. The
primary care NP will expect the cardiologist to:
give clopidogrel after administering cardioversion.
!
Administer cardioversion without using anticoagulants.
give warfarin and aspirin before attempting cardioversion.
give low-dose aspirin before administering cardioversion.
Question 7
pts
A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose stools to
the primary care nurse practitioner (NP). An important question the NP should ask about the
abdominal pain is:
!
the relation of the pain to stools.
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