NR 565 FINAL EXAM LATEST UPDATE 2024-2025 WITH
COMPLETE QUESTIONS & CORRECT ANSWERS 100%
VERIFIED ALREADY GRADED BY EXPERTS
A patient requests medication for insomnia. The provider notes that the patient is restless
and anxious with a heart rate of 90 beats/minute, and blood pressure of 130/85 mmHg.
Current medications are the combination product loratadine/pseudoephedrine every 12
hours for allergic rhinitis. What action will the provider take?
Discuss changing to an intranasal glucocoricoid and loratidine
A patient with a cough has been advised to use guaifenesin. When the patient asks why this
particular drug, what response will the provider provide?
It stimulates the flow of secretions so they are easier to cough up.
A child with perennial allergic rhinitis has been using an intranasal glucocorticoid. After the
child develops frequent nosebleeds, the provider orders montelukast to replace the inhaler.
What statement will the provider include when teaching the child's parents about
montelukast?
This drug will help prevent inflammation without causing nosebleeds.
A patient who recently recovered from acute bronchitis reports a lingering dry cough that
prevents sleep. Which over-the-counter medication will the provider recommend to best
manage the symptoms?
Diphenhydramine
Which medication for asthma can a provider prescribe off-label to treat allergic rhinitis?
Omalizumab
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A provider prescribes montelukast for a child with asthma. Which statement by the child's
parent indicates understanding of this medication?
I may noticde mood changes in my child.
A patient with asthma reports daily symptoms requiring a short-acting B2-agonist for relief.
The patient has used oral glucocorticoids three times in the past three months and reports
awakening at night with symptoms about once a week. The patient's forced expiratory
volume in 1 second (FEV1) is 75% of predicted values. Which regimen does the provider
determine is best for this patient?
Daily low-dose inhaled glucocorticoid/LABA with a SABA as needed.
Which medication will a provider prescribe for an asthma patient as part of step 1
management?
Short acting B2 agonists
A patient with stable COPD is prescribed a bronchodilator by the provider. Which type of
bronchodilator is preferred for this patient?
A long-acting inhaled B2 agonist (LABA)
A patient takes oral theophylline twice daily for chronic stable angina. After developing an
infection, the patient went to an after-hours clinic where ciprofloxacin was prescribed. What
action will the patient's primary provider take when the patient follows up the next day?
Reduce the theophylline dose
A child with allergic rhinitis has used budesonide for several years. The parents are concerned
that the child's rate of growth has slowed. What action will the provider take to address the
parent's concerns?
Discuss changing to fluticasone with the parents.
, Page 3 of 133
A patient with seasonal and perennial rhinitis requests a prescription for the most effective
drug for treating the condition. Which medication will the provider recommend?
Fluticasone propionate
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours for a week. Since
then it has been impossible to discontinue the medication because the nasal congestion has
increased. What action will the provider take?
Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
A patient with severe, chronic COPD uses an inhaled long-acting inhaled B2 agonist
(LABA)/glucocorticoid but continues to have frequent exacerbation of symptoms. What
change in therapy will the provider discuss with the patient?
Adding roflumilast
A patient develops an asthma exacerbation. The patient's medication history lists an inhaled
glucocorticoid, montelukast, and short acting B2 agonist as needed via metered-dose inhaler
(MDI). The patient's respiratory rate is 18 breaths/minute, heart rate is 96 beats/min, and an
oxygen saturation is 95%. The provider auscultates mild expiratory wheezes bilaterally. What
action will the provider take first?
Question the patient about how much albuterol has been used.
A provider is conducting a smoking cessation class in the community. Which effects will be
included in the discussion about physiologic effects of nicotine?
Increased blood pressure
Vomiting
Increased alertness
Suppression of appetite
, Page 4 of 133
A patient reports a desire to stop smoking and asks about nonprescription aids to help with
smoking cessation. What intervention will the provider recommend for this patient?
Start a nicotine replacement product and call 1 800 QUIT NOW
A patient with a desire to stop smoking asks a provider about nicotine chewing gum. The
patient currently smokes 30 cigarettes per day. What instructions willJUsee the provider give
the patient?
Use the 4-mg strength gum and chew one piece every 2 to 3 hours.
A patient who just found out she is pregnant requests pharmacologic aids to help her quit
smoking. The provider will give her what information?
Nicotine replacement therapy is not without its risks, but it is safer than smoking, so it can be
used.
A 4-year-old child who ingested several cigarettes at home presents to the emergence
department with nausea and vomiting and a weak, thready pulse of 120 beats/minute. What
intervention will the provider order?
Respiratory support
A patient who wants to quit smoking has been taking varenicline. The patient calls the clinic
to report a new onset of mood swings and depression with desire to cause self harm. What
response will the provider give to this patient?
Go to the emergency room immediately
What is the most dangerous adverse effect of Methimazole?
Agranulocytosis
What monitoring is required for methimazole?
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