Exam (elaborations)
2024 NR 565 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM EXAMWITH CORRECT ANSWERS
What are the key responsibilities of prescribing? - CORRECT ANSWERS-A
sound understanding of drugs and the conditions that they are used to
manage
Be deliberate in decision-making process
Do not prescribe for family or friends
Document thorough history and physical for the records, including education
provided on drug
Have a documented plan for monitoring and titration
What should be co-administered with febuxostat? - CORRECT ANSWERS-
Colchine or NSAIDs for the first six months since initiating febuxostat can
induce a flare
Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS-Varies
state by state
May include schedule II-V, but never schedule I
Who determines and regulates prescriptive authority? - CORRECT ANSWERS-
The state's health professional board
How does limited prescriptive authority impact patients within the healthcare
system? - CORRECT ANSWERS-Creates numerous barriers to quality,
affordable, and accessible patient care
May prevent outreach to areas of greatest need
Physician approval of prescriptions can increase patient waits
Colchine Side Effects - CORRECT ANSWERS-GI toxicity, N/V/D
Colchine Contraindications - CORRECT ANSWERS-Pregnancy category C
Colchine - CORRECT ANSWERS-Alternative to NSAID for treating gout
NSAIDs - CORRECT ANSWERS-ibuprofen, naproxen, diclofenac potassium,
meloxicam, indomethacin, celecoxib
, Starting Disease Modifying Antirheumatic Drugs (DMARDs) - CORRECT
ANSWERS-Baseline-CBC with diff, TB testing, pregnancy test, liver/renal
status
Complete H&P
Assess for s/s of infection and malignancies
Therapeutic response of MTX? - CORRECT ANSWERS-Starting early can delay
joint degradation
Conventional DMARDs - CORRECT ANSWERS-MTX, leflunomide, sulfasalazine,
hydroxychloroquine
Inhibits dihydroflorate reductase, inhibits lymphocyte proliferation
Monitor LFTs, creatinine
Biologic DMARDs - CORRECT ANSWERS-Adalimumab (Humira), certolizumab
pegol, etanerdept, golimumab
Binds and inhibits tumor necrosis factor-alpha, reducing inflammation and
altering immune response
Targeted DMARDs - CORRECT ANSWERS-Tofacitinib, barcitinib
Inhibits JAK 1,2,3, leading to disruption of cytokine and growth factor
signaling pathways
Alendronate - CORRECT ANSWERS-Biphosphonate, used as first-line
treatment for osteoporosis
Inhibits osteoclasts, reducing bone resorption and turnover
Which dietary supplements interfere with absorption of biphosphonates? -
CORRECT ANSWERS-Antacids, calcium, iron and magnesium
Patient education for biphosphonates? - CORRECT ANSWERS-Swallow tablet
with a full glass of water on an empty stomach while sitting or standing
Remain upright for 30-60 minutes
Typical daily dose of lisinopril? - CORRECT ANSWERS-5-10mg PO daily
Typical daily dose of amlodipine? - CORRECT ANSWERS-5 mg PO daily to
start, maintenance 5-10mg PO daily
Typical daily dose of colchicine? - CORRECT ANSWERS-1.2-2.4 mg PO daily
divided in 1 or 2 doses
Typical daily dose of Lortab? - CORRECT ANSWERS-5/325 1-2 tab Q4-6 hrs
(12 tab daily)
7.5/325 1 tab Q4-6 hrs (6 tabs daily)
10/325 1 tab Q4-6 hrs (6 tabs daily)
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