NURS 6521 MIDTERM EXAM QUESTIONS
AND ANSWERS COMPLETE RATED A
WALDEN UNIVERSITY.
A clinic Nurse Practitioner has been assigned a 49-year-old female patient
who has a history of diabetes. A recent diagnosis of hypertension has been
made, and the patient has been prescribed a thiazide diuretic and
labetalol. The patient will be scheduled to return to the clinic once a
month for the next 6 months. A priority action by the Nurse Practitioner
will be to
Correct Answer -monitor the patient's blood pressure.
A patient has GERD and is taking ranitidine (Zantac). She continues to have
gastric discomfort and asks whether she can take an antacid. Which of the
following is an appropriate response by the nurse?
Correct Answer -"Yes, but be sure to wait at least 2 hours to take the
antacid after you take the ranitidine."
Which of the following statements best defines how a chemical becomes
termed a drug?
Correct Answer -A chemical must have a proven therapeutic value or
efficacy without severe toxicity or damaging properties to become a drug.
A Nurse Practitioner is caring for a 73-year-old man who is receiving drug
therapy. He is beginning to exhibit signs of decline in his renal system, yet
his current serum creatinine level is normal. The Nurse Practitioner will
base the patient's plan of care on the understanding that there is
Correct Answer -a decrease in the amount of creatinine to be filtered.
,A 46-year-old white American has been prescribed a drug that binds to
acid glycoproteins. The nurse understands that white Americans usually
receive
Correct Answer -a higher-than-normal dose of drugs that bind to acid
A 46-year-old white American has been prescribed a drug that binds to
acid glycoproteins. The nurse understands that white Americans usually
receive
Correct Answer -a higher-than-normal dose of drugs that bind to acid
glycoproteins.
Which of the following would be an expected outcome in a patient who
has been given atropine during a medical emergency?
Correct Answer -Restoration of normal sinus rhythm
A nurse practitioner understands when prescribing a medication that there
are certain questions to address. Check all that apply.
Correct Answer -Is there a need for the drug in treating the presenting
problem? Is this the best drug for the presenting problem? Can the patient
take the prescribed drug?
The APRN is prescribing a medication that is known to induce hepatic
enzymes. What effect should you anticipate?
Correct Answer -Induction increases the rate of metabolism, thereby
decreasing serum levels of drug
, A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset
her stomach. The nurse will encourage the patient to
Correct Answer -swallow the tablet with milk or food.
It is determined that a patient, who is in a hepatic coma, needs a laxative.
Lactulose is prescribed. Which of the following should the nurse monitor to
assess the efficacy of the lactulose therapy?
Correct Answer -Blood ammonia levels
Drugs have a high potential for abuse. There is no routine therapeutic use
for these drugs and they are not available for regular use. They may be
obtained for "investigational use only" by applying to the U.S. Drug
Enforcement Agency. Examples include heroin and LSD. Which scheduled
drug is this?
Correct Answer -Schedule 1
A Nurse Practitioner is a member of a research team that is exploring
unique differences in responses to drugs that each individual possesses,
based on genetic make-up. This area of study is called
Correct Answer -pharmacodynamics.
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a
patient with asthma. What instructions would be correct to provide the
patient?
Correct Answer -"This is a long acting medication for your asthma and
should be used once every 12 hours"
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