NR 508 /NR508 MIDTERM EXAM 2024 NEWEST! 2 VERSIONS WITH OVER 500 QUESTIONS WITH ANSWERS
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Course
NR 508
Institution
NR 508
NR 508 /NR508 MIDTERM EXAM 2024 NEWEST! 2
VERSIONS WITH OVER 500 QUESTIONS WITH
ANSWERS
NR 508 /NR508 MIDTERM EXAM 2024 NEWEST! 2
VERSIONS WITH OVER 500 QUESTIONS WITH
ANSWERS
1. Type I reaction, called immediate hypersensitivity reaction
2. Type II reaction, called cytotoxic hypersensitivity reaction
3. Type III allergic reaction, called immune complex hypersensitivity
4. Type IV allergic reaction, called delayed hypersensitivity reaction - CORRECT ANSWER-1. Type I
reaction, called immediate hypersensitivity reaction
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a corticosteroid)
use. He is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F - CORRECT ANSWER-2. Type C
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction known as a type D
reaction because they are known:
A 24-year-old male received multiple fractures in a motor vehicle accident that required significant
amounts of opioid medication to treat his pain. He is at risk for a _____ adverse drug reaction when he
no longer requires the opioids.
1. Rapid
,2. First-dose
3. Late
4. Delayed - CORRECT ANSWER-3. Late
An example of a first-dose reaction that may occur includes:
1. Orthostatic hypotension that does not occur with repeated doses
2. Purple glove syndrome with phenytoin use
3. Hemolytic anemia from ceftriaxone use
4. Contact dermatitis from neomycin use - CORRECT ANSWER-1. Orthostatic hypotension that does not
occur with repeated doses
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants - CORRECT ANSWER-3. Insulins
The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
2. The patient has a severe reaction that is noted in the "Severe Reaction" section in the medication
label.
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
4. An adverse event or serious problem occurs with a medication that is not already identified on the
label. - CORRECT ANSWER-4. An adverse event or serious problem occurs with a medication that is
not already identified on the label.
The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an adverse vaccine
event
2. A voluntary reporting system that health-care providers or consumers may use to report vaccine
adverse events
, 3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects - CORRECT ANSWER-2.
A voluntary reporting system that health-care providers or consumers may use to report vaccine
adverse events
A comprehensive assessment of a patient should be holistic when trying to determine competence in
drug administration. Which of the following factors would the NP omit from this type of assessment? 1.
Financial status
2. Mobility
3. Social support
4. Sexual practices - CORRECT ANSWER-4. Sexual practices
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which technique
would be appropriate to use in teaching her about a new drug you have just prescribed?
1. Use correct medical terminology because Spanish has a Latin base.
2. Use a family member who speaks more English to act as an interpreter.
3. Use a professional interpreter or a reliable staff member who can act as an interpreter.
4. Use careful, detailed explanations. - CORRECT ANSWER-3. Use a professional interpreter or a reliable
staff member who can act as an interpreter.
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in assuring that he
understands teaching about his drug?
1. Stand facing him and speak slowly and clearly.
2. Speak in low tones or find a provider who has a lower voice.
3. Write down the instructions as well as speaking them.
4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds. - CORRECT
ANSWER-4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds.
Which of the following factors may adversely affect a patient's adherence to a therapeutic drug
regimen?
1. Complexity of the drug regimen
2. Patient perception of the potential adverse effects of the drugs
3. Both 1 and 2
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