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6521 Midterm Exam 2024/2025 Questions With Completed & Verified Solutions.
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- Walden University
6521 Midterm Exam 2024/2025 Questions With Completed & Verified Solutions.
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6521 MidtermIn order to promote therapeutic drug effects, the Nurse Practitioner should always encourage
patients to - ANS - take their medication at the prescribed times.
\A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing
neuropathic pain in recent months, a symptom that has not responded appreciably to
conventional analgesics. The patient's care provider has begun treatment with gabapentin
(Neurontin). How is the addition of this drug likely to influence the management of the patient's
existing drug regimen? - ANS - It is unlikely to influence the patient's other medications because
gabapentin does not interact with other drugs.
\of the following assessment findings should an assisted living facility has begun taking daily
oral Following an assessment by her primary care provider, a 70-year-old resident of doses of
levothyroxine. Which prompt the nurse to withhold a scheduled dose of levothyroxine? - ANS -
The resident's apical heart rate is 112 beats/minute with a regular rhythm
\processes protects the lower respiratory system? - ANS - Cilia sweep foreign material and
mucus upward toward the trachea and larynx where they can then be swallowed.
\A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the
patient to take the medication - ANS - at bedtime.
\A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug
interactions in this population. When educating a group of seniors about the prevention of drug
interactions, the Nurse Practitioner should encourage them to - ANS - consult their care provider
before taking new over-the-counter medications.
\A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the
following statements best describe this term? - ANS - Taking several drugs simultaneously
\A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse
effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as
adjunct therapy. Which of the following adverse effects would need the Nurse Practitioner's
immediate attention? - ANS - Increased blood glucose
\A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of
lantus at bedtime and regular insulin before meals. What instructions should the NP provide
about the timing and dose of regular insulin? - ANS - Take 1 unit of regular insulin for each 10
grams of carbohydrate to be consumed 15 minutes before each meal
\decongestants should not be used chronically (>5 days) because they can cause - ANS -
rebound rhinitis/congestion
\The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being
taught about their son's medication regimen by the nurse. The nurse is currently teaching the
parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's
asthma. What drug should the nurse suggests the parents to use in these situations? - ANS -
Albuterol
\A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control
her health problem. Verapamil achieves a therapeutic effect by - ANS - blocking adrenergic
receptors and producing antisympathetic effects.
, \A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise
the patient to be most alert for a potential hypoglycemic reaction? - ANS - Late afternoon
\A child with sinusitis has been on antibiotics for seven days and his symptoms are not
improving., All of the following are options to prescribe for the patient now EXCEPT: - ANS -
Amoxicillin/clavulanic acid
\The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client
may have drug allergies that have not been previously documented. What statement by the
client would confirm this? - ANS - "I broke out in hives and got terribly itchy when I started a new
prescription last year."
\A homeless man who is well known to care providers at the local hospital has been admitted to
the emergency department after having a seizure outside a mall. The man is known to be a
heavy alcohol user and is malnourished with a very low body mass index. How are this patient's
characteristics likely to influence possible treatment with phenytoin? - ANS - The patient's
protein deficit will likely increase the levels of the free drug in his blood.
\A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of
GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of
diseases of the upper GI tract? - ANS - The parietal cells of the stomach have H2 receptors but
not H1 receptors.
\A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the
following will be a priority assessment by the nurse before the patient's first dose? - ANS - The
amount of alcohol consumption
\In light of her recent high blood pressure readings, a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely
rationale for using two medications to address the patient's hypertension? - ANS - Using the two
drugs to treat a health problem may create a synergistic effect.
\A woman with numerous chronic health problems has been diagnosed with a benign gastric
ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should
the nurse provide to this patient? - ANS - "Quitting smoking will significantly increase the chance
that this drug will heal your ulcer."
\The APRN should educate a diabetic patient that beta blockers may mask the signs and
symptoms of - ANS - hypoglycemia
\A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? - ANS - The therapeutic effects and possible adverse
effects
\Advanced practice nurse prescribing of scheduled medications is affected most by: - ANS -
Combined state medical / pharmacy /nursing prescribing board regulations
\The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of
metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting
blood sugar of 312 and HBA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg.
What dose and instructions should the APRN provide? - ANS - Give 19 units of Lantus
subcutaneously prior to bedtime.
\A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's
assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension.
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