Question

1. Question: Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation?
2. Question: Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by:
3. Question: Which of the following is a contraindication for antimuscarinic drugs?
4. Question: Which medication class is recognized for the treatment of moderate to severe dementia?
5. Question: An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently … with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient?
6. Question: What is … with chronic overtreatment with levothyroxine (Synthroid)?
7. Question: You are seeing a 65 year old male with a long history of COPD who has recently developed hypertension. Which class of antihypertensive agents should the Nurse Practitioner avoid for this patient?
8. Question: The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the
9. Question: To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should
10. Question: A Nurse Practitioneris providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following?
11. Question: A patient has been … on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. The patient has been … on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage.
12. Question: A 34-year-old male patient is … methimazole (MMI). The Nurse Practitionerwill advise him to report which of the following immediately?
13. Question: The Nurse Practitioner is preparing to Prescribe a medication regimen for her patient. He or she recognizes that criteria for choosing an effective drug for any disorder include:
14. Question: A primary therapy for patients with mild ulcerative colitis is:
15. Question: A clinic Nurse Practitioneris planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient’s safety, which of the following would … a priority nursing action?
16. Question: Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially … the medication, she asks you about the common side effects of this type of medication. Which choice below is correct?
17. Question: A 24-year-old factory worker has been … guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient’s first dose?
18. Question: A patient has a history of tonic-clonic seizures that have been successfully … with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by
19. Question: A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be
20. Question: The side effects of antihistamines are mostly due to their: conjunction with an SSRI?
21. Question: Drugs that use CYP 3A4 isoenzymes for metabolism may:
22. Question: Successful treatment for an adult patient withHelicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen?
23. Question: The nurse practitioner has … elemental iron 6 mg/kg/day in three … doses for a toddler … with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?
24. Question: A 39 y/o female is … with Graves disease.  She also has a small goiter =.  Her symptoms are not … to … severe and propylthiouracil is …. Whare is the most serious potential adverse effect of this medication?
25. Question: Which can elevate theophylline levels?
26. Question: A patient on valproic acid may experience which of the following symptoms?
27. Question: All of the following agents are used to control the inflammatory changes … in the lungs of asthmatics except:
28. Question: A Nurse Practitioneris providing care for a patient who … extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware that
29. Question: Glucocorticoids affect the metabolism of carbohydrates, protein, and fats.
30. Question: A patient with a known history of benign prostatic hyperplasia (BPH) presents to the clinic 4 days after developing a cold. He tells you he began experiencing a sore throat and nasal congestion and began to take an over the counter decongestant. Today, he complains of not urinating over the last 12 hours. He also has suprapubic fullness on exam. Which of the following medications are most likely responsible for this patient’s urinary retention?
31. Question: Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication
32. Question: A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a
33. Question: What information would the Nurse Practitioner include in teaching a patient about the treatment of vitamin B₁₂deficiency following a total gastrectomy?
34. Question: Which antihypertensive agent is … with hair growth?
35. Question: During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse’s assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives
36. Question: What is a serious side effect of ibuprofen in the older adult patient?
37. Question: Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ?
38. Question: Advanced practice nurse prescribing of … medications is affected most by:
39. Question: Which of the following is a side effect or precaution … with ACE inhibitors?
40. Question: Which of the following can block the action of heparin?
41. Question: Which of the following serves to protect the public by ensuring the purity of a drug and its contents?
42. Question: Ginger, a 25 year old female presents at the clinic with known history of depression. She reports taking an SSRI with only partial relief. Which of the following drugs can … used safely at any dose in
43. list is as follows: NURS 6521N 29
44. Question: A patient in need of myocardial infarction prophylaxis has been … sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?
45. Question: A patient is recovering from an acute episode of thrombophlebitis and is being … with warfarin (Coumadin) 5 mg PO daily. In reviewing medication information, the Nurse Practitioner would include what information in their teaching?
46. Question: Which of the following statements best defines how a chemical becomes termed a drug?
47. Question: A common side effect of metformin (Glucophage) therapy is:
48. Question: The APRN’s ability to prescribe … substances is regulated by:
49. Question: Glargine (Lantus) is an insulin analog that essentially has no peak and is usually … :
50. Question: The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered-dose inhaler (MDI) has

Answer 1

1)Rush to your physician immediately if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.

2) Nurse practitioner prescriptive authority be solely regulated by state boards of nursing and in accordance with the NP role

3) Closed angle Glaucoma. Even moderate doses of drugs with antimuscarinic effects given systemically can induce acute glaucoma in patients with shallow anterior eye chambers (see Figure 1). ...Gastric Ulcer. ...Urinary or GI tract Obstruction.

4) Memantine and a combination of memantine and donepezil are approved by the FDA for treatment of moderate to severe dementia . Memantine is prescribed to improve memory, attention, reason, language and the ability to perform simple tasks.

5) the best treatment for the pt is bronchodilators and for CAD best treatment is stent placement

6) side effects of chronic use of levothyroxine increased appetite.weight loss.heat sensitivity.excessive sweating.headache.

7) selective beta-1 blockers such as metoprolol, bisoprolol, or nebivolol may be beneficial in COPD. Dont give nonselective beta blockers ( Propanalol)to copd pt because these can cause bronchospasm

8) onset of action

9) this is indicated in a hypoglycemic patient who is unconscious, seizing, or unable to swallow the nurse should administer carbohydrates after the pt regains consciousness

10) Avoid caffeinated beverages and foods (chocolate) because both caffeine and bronchodilators (theophylline, albuterol, epinephrine) act as stimulants

11) It is wise to initiate levothyroxine therapy with smaller doses such as 25–50 μg levothyroxine and incrementally increase the dose to full replacement to avoid precipitating cardiac ischaemia

12) easy bleed, black tarry stool and difficulty in breathing should b reported immediately

13) Consulting nationally recognized guidelines for disease management is helpfull in choosing rx for any disorder

14) , topical mesalazine (Asacol) given by suppository is the preferred therapy

15) Coordinate bone density testing for the patient.High doses or long-term use of medicines called proton pump inhibitors (PPIs) can raise the risk of bone loss.

16) nervousness.anxiety.difficulty falling asleep or staying asleep.nausea.diarrhea.dry mouth.heartburn.

17) amount of alcohol consumption , the products in guaifenesin interacts with alcohol

18) Decreasing the influx of sodium into neurons because when there is sodium neuron firing seizure occur so drug action is to decrese this firing

19) suppository form is best for child