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NSG 6005 Final Exam: Questions With Correct Answers
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NSG 6005 Final Exam: Questions With Correct AnswersDisease states in addition to hypertension in which beta blockade is a
compelling indication for the use of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia Right Ans - C. MI
When a patient is on selective-serotonin reuptake inhibitors:
A. The complete blood count must be monitored every three to four months
B. Therapeutic blood levels must be monitored every six months after a steady
state is achieved.
C. Blood glucose must be monitored every three to four months.
D. There is no laboratory monitoring required. Right Ans - D. There is no
laboratory monitoring required.
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 Right Ans - B.
Multiple times when prescriptions are lost with requests to refill
Prescribing for women during their childbearing years requires constant
awareness of the possibility of:
A. Pregnancy unless the women is on birth control
B. Risk for silent bacterial or viral infections of the genitalia
C. High risk for developmental disorders in their infants
D. Decreased risk for abuse during this time Right Ans - B. Risk for silent
bacterial or viral infections of the genitalia
,First-line therapy for hyperlipidemia is:
A. Statins
B. Niacin
C. Lifestyle changes
D. Bile acid-binding resins Right Ans - C. Lifestyle changes
The DEA:
A. Registers manufacturers and prescribes controlled substances
B. Regulates NP prescribing at the state level
C. Sanctions providers who prescribe drugs off-label
D. Provides prescribers with a number they can use for insurance billing
Right Ans - A. Registers manufacturers and prescribes controlled substances
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) Right Ans - D. Duloxetine (Cymbalta)
Sarah, a forty-two-year-old female, requests a prescription for an anorexiant
to treat her obesity. A trial of phentermine is prescribed. Prescribing
precautions include understanding that:
A. Obesity is a contraindication to prescribing phentermine.
B. Anorexiants may cause tolerance and should only be prescribed for six
months.
C. Patients should be monitored for postural hypotension.
D. Renal function should be monitored closely while the patient is on
anorexiants. Right Ans - B. Anorexiants may cause tolerance and should
only be prescribed for six months.
Patients with psychiatric illnesses have adherence rates to their drug regimen
between 35% and 60%. To improve adherence in this population, prescribe
drugs:
, A. With a longer half-life so that missed doses produce a longer taper on the
drug curve
B. In oral formulations that are more easily taken
C. That do not require frequent monitoring
D. Combined with patient education about the need to adhere even when
symptoms are absent Right Ans - A. With a longer half-life so that missed
doses produce a longer taper on the drug curve
The drugs recommended by the American Academy of Pediatrics for use in
children with diabetes (depending upon type of diabetes) are:
A. Metformin and insulin
B. Sulfonylureas and insulin glargine
C. Split-mixed dose insulin and GLP-1 agonists
D.Biguanides and insulin lispro Right Ans - A. Metformin and insulin
Inadequate vitamin D intake can contribute to the development of
osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation Right Ans - B. Increasing calcium absorption
from the intestine
Which of the following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of daily living
B. Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs
Right Ans - C. Reduction or elimination of pain with minimum adverse
reactions
Anticholinergic agents, such as benztropine (Cogentin), may be given with a
phenothiazine to:
A. Reduce the chance of tardive dyskinesia.
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