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NR-508 Midterm 2024 Exam Newest Set
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NR-508 Midterm 2024 Exam Newest Setplan to use estrogen-progesterone therapy when menopause begins. - Correct
Answer-A 50-year-old woman with a family history of CHD is experiencing
occasional hot flashes and is having periods every 3 to 4 months. She asks the
primary care NP about HT to relieve her symptoms. The NP should:
prescribe estrogen-only therapy.
initiate oral contraceptive pills now.
discuss using bioidentical HT.
plan to use estrogen-progesterone therapy when menopause begins.
reassure her that this is common and will subside. - Correct Answer-A patient
who has breast cancer has been taking toremifene for 2 weeks. She tells her
primary care NP that she thinks her tumor has grown larger. The NP should:
schedule her for a breast ultrasound.
,reassure her that this is common and will subside.
tell her she may need an increased dose of this medication.
contact her oncologist to discuss adding another medication.
meclizine. - Correct Answer-A patient reports having episodes of dizziness,
nausea, and lightheadedness and describes a sensation of the room spinning when
these occur. The primary care NP will refer the patient to a specialist who, after
diagnostic testing, is likely to prescribe:
meclizine.
ondansetron.
scopolamine.
dimenhydrinate.
furosemide (Lasix). - Correct Answer-The primary care NP sees a patient who has
a history of hypertension and alcoholism. The patient is not taking any
medications. The NP auscultates crackles in both lungs and palpates the liver 2 cm
,below the costal margin. Laboratory tests show an elevated creatinine level. The
NP will refer this patient to a cardiologist and should prescribe:
albuterol metered-dose inhaler.
furosemide (Lasix).
spironolactone (Aldactone).
chlorthalidone (Zaroxolyn).
saline laxative as needed. - Correct Answer-A patient reports having occasional
acute constipation with large, hard stools and pain and asks the primary care NP
about medication to treat this condition. The NP learns that the patient drinks
1500 mL of water daily; eats fruits, vegetables, and bran; and exercises regularly.
The NP should recommend:
a daily bulk laxative.
long-term docusate sodium.
a saline laxative as needed.
, glycerin suppositories as needed.
serum electrolytes. - Correct Answer-A patient who has heart failure has been
treated with furosemide and an ACE inhibitor. The patient's cardiologist has added
digoxin to the patient's medication regimen. The primary care NP who cares for
this patient should expect to monitor:
serum electrolytes.
blood glucose levels.
serum thyroid levels.
complete blood counts (CBCs).
tell her that starting HT now may reduce her risk of breast cancer. - Correct
Answer-A 55-year-old woman has not had menstrual periods for 5 years and tells
the primary care nurse practitioner (NP) that she is having increasingly frequent
vasomotor symptoms. She has no family history or risk factors for coronary
heart disease (CHD) or breast cancer but is concerned about these side effects of
hormone therapy (HT). The NP should:
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