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NR 508NR 508 Week 4 Mid Term Exam
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NR 508NR 508 Week 4 Mid Term Exam/NR 508NR 508 Week 4 Mid Term Exam
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1NR 508 WEEK 4
MID-TERM
Question 12 pts
Osteopenia is diagnosed in a 55-year-old woman who has not had a
period in 15 months. She has a positive family history of breast cancer.
The primary care NP should recommend:
testosterone therapy.
estrogenonly therapy.
nonhormonal drugs for osteoporosis.
estrogenprogesterone therapy for 1 to 2 years.
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Question 22 pts
A woman is in her first trimester of pregnancy. She tells the primary
care nurse practitioner (NP) that she continues to have severe morning
sickness on a daily basis. The NP notes a weight loss of 1 pound from
her previous visit 2 weeks prior. The NP should consult an obstetrician
and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
,1
prochlorperazine (Compazine).
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Question 32 pts
A 75-year-old patient who has cardiovascular disease reports insomnia
and vomiting for several weeks. The primary care NP orders thyroid
function tests.
The tests show TSH is decreased and T4 is increased. The NP should
consult with an endocrinologist and order:
thyrotropin.
,1
methimazole.
levothyroxine.
propylthiouracil.
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Question 42 pts
A 55-year-old patient with no prior history of hypertension has a blood
pressure greater than 140/90 on three separate occasions. The patient
does not smoke, has a body mass index of 24, and exercises regularly.
The patient has no known risk factors for cardiovascular disease. The
primary care NP should:
prescribe a thiazide diuretic and an angiotensinconverting enzyme
inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a βblocker.
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Question 52 pts
A patient reports fatigue, weight loss, and dry skin. The primary care
nurse practitioner (NP) orders thyroid function tests. The patient’s
thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1
ng/mL. The NP should refer the patient to an endocrinologist and
prescribe:
methimazole.
liothyronine.
, 1
levothyroxine.
propylthiouracil.
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Question 62 pts
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