NSG 6005 FINAL EXAM QUESTIONS AND
ANSWERS SOUTH UNIVERSITY
Patients who have angina, regardless of class, who are also diabetic
should be on:
A. Nitrates
B. Beta blockers
C. ACE inhibitors
D. Calcium channel blockers
Verified Answer -C. ACE inhibitors
Alterations in drug metabolism among Asians may lead to:
A. Slower metabolism of antidepressants, requiring lower doses
B. Faster metabolism of neuroleptics, requiring higher doses
C. Altered metabolism of omeprazole, requiring higher doses
D. Slower metabolism of alcohol, requiring higher doses
Verified Answer -A. Slower metabolism of antidepressants, requiring
lower doses
Age is a factor in different responses to pain. Which of the following age-
related statements about pain is not true?
A. Preterm and newborn infants do not yet have functional pain
pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during
pregnancy may permanently alter neuronal organization in the child.
,C. Increases in pain threshold in older adults may be related to peripheral
neuropathies and changes in skin thickness.
D. Decreases in pain tolerance are evident in older adults.
Verified Answer -A. Preterm and newborn infants do not yet have
functional pain pathways.
Patients who are on or who will be starting chronic corticosteroid therapy
need monitoring of __________.
A. serum glucose
B. stool culture
C. folate levels
D. vitamin B12
Verified Answer -A. serum glucose
An appropriate drug for the treatment of depression with anxiety would
be:
A. Alprazolam (Xanax)
B. Escitalopram (Lexapro)
C. Buspirone (Buspar)
D. Amitriptyline (Elavil)
Verified Answer -B. Escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He
comes to see you, and you note that while his carbamazepine levels had
been in the therapeutic range, they are now low. The possible cause for
the low carbamazepine levels is:
,A. Dwayne hasn't been taking his carbamazepine because it causes
insomnia.
B. Carbamazepine auto-induces metabolism, leading to lower levels in
spite of good compliance.
C. Dwayne was not originally prescribed the correct amount of
carbamazepine.
D. Carbamazepine is probably not the right antiseizure medication for
Dwayne.
Verified Answer -B. Carbamazepine auto-induces metabolism, leading to
lower levels in spite of good compliance.
Studies have shown that control targets that reduce the hemoglobin A1c to
less than 7% are associated with fewer long-term complications of
diabetes. Patients who should have such a target include:
A. Those with long-standing diabetes
B. Older adults
C. Those with no significant cardiovascular disease
D. Young children who are early in their disease
Verified Answer -C. Those with no significant cardiovascular disease
Long-acting beta-agonists received a black box warning from the US Food
and Drug Administration due to the:
A. Risk of life-threatening dermatological reactions
B. Increased incidence of cardiac events when long-acting beta-agonists
are used
, C. Increased risk of asthma-related deaths when long-acting beta-agonists
are used
D. Risk for life-threatening alterations in electrolytes
Verified Answer -C. Increased risk of asthma-related deaths when long-
acting beta-agonists are used
In five- to eleven-year-old children, mild-persistent asthma is diagnosed
when asthma symptoms occur:
A. At nighttime one to two times a month
B. At nighttime three to four times a month
C. Less than twice a week
D. Daily
Verified Answer -B. At nighttime three to four times a month
Prior to prescribing metformin, the provider should:
A. Draw a serum creatinine to assess renal function.
B. Try the patient on insulin.
C. Tell the patient to increase iodine intake.
D. Have the patient stop taking any sulfonylurea to avoid dangerous drug
interactions.
Verified Answer -A. Draw a serum creatinine to assess renal function.
One goal of asthma management in children is:
A. They should independently manage their asthma.
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