NR 508 Week 4 Midterm Exam / NR508 Week 4 Midterm Exam(V1) : Chamberlain College of Nursing (2020/21, All Correct)
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Course
NR 508 / NR508 Advanced Pharmacology (NR508)
Institution
Chamberlain College Of Nursing
NR508 Week 4 Midterm Exam / NR 508 Week 4 Midterm Exam (Latest): Chamberlain College of Nursing
Chamberlain NR 508 Midterm Exam / Chamberlain NR508 Midterm Exam (Latest)
Question 1: A primary care NP is developing a clinical practice guideline for management of a patient population in a midsized s...
nr 508 week 4 midterm exam nr508 week 4 midterm examv1 chamberlain college of nursing 202021
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NR 508 / NR508 Advanced Pharmacology (NR508)
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NR 508 Week 4 Midterm Exam
, NR 508 Week 4 Midterm Exam
Question 1: A primary care NP is developing a clinical practice guideline for management of a
patient population in a midsized suburban hospital. The NP should:
a. use an existing guideline from a leading research hospital.
b. follow the guideline provided by a third-party payer to help ensure reimbursement.
c. review expert opinion and experimental, anecdotal, correlational study data.
d. write the guideline to adhere to long-standing practice protocols already in use
Question 2: A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour
release, for a patient with chronic stable angina. The NP should teach the patient to:
a. change the patch four times daily.
b. use the patch as needed for angina pain.
c. use two patches daily and change them every 12 hours.
d. apply one patch daily in the morning and remove in 12 hours.
Question 3: A patient is diagnosed with asthma. The primary care nurse practitioner (NP)
prescribes an inhaled corticosteroid and an inhaled bronchodilator medication and provides
education about how to use inhalers. At a follow-up visit 2 weeks later, the patient’s pulmonary
function tests are worse. The NP should:
a. provide a detailed written asthma action plan for the patient.
b. ask the patient to describe how the medications have been used.
c. review the symptoms of an acute asthma exacerbation with the patient.
d. teach the patient to use the albuterol more often and order an oral steroid.
, Question 4: A patient who will undergo surgery in implant a biosynthetic heart valve asks the
primary care NP whether any medications will be necessary postoperatively. The NP should tell
the patient that it will be necessary to take:
a. daily low-dose aspirin for 1 year.
b. heparin injections as needed based on activated partial thromboplastin time levels.
c. lifelong warfarin combined with enoxaparin as needed.
d. warfarin for 3 months postoperatively plus long-term aspirin.
Question 5: A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, elevated
triglycerides, and a history of myocardial infarction. The primary care NP plans to initiate dietary
and lifestyle counseling and should consider prescribing:
a. ephedra.
b. orlistat (Xenical).
c. phentermine (Adipex-P).
d. phentermine and topiramate (Onexa).
Question 6: A patient who has severe arthritis and who takes nonsteroidal antiinflammatory
drugs (NSAIDs) daily develops a duodenal ulcer. The patient has tried a cyclooxygenase-2
selective NSAID in the past and states that it is not as effective as the current NSAID. The
primary care nurse practitioner (NP) should:
a. prescribe cimetidine (Tagamet).
b. prescribe omeprazole (Prilosec).
c. teach the patient about a bland diet.
d. change the NSAID to a corticosteroid.
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