MN553 Unit 7 Practice Questions
with Solutions A+ Graded
An ACE inhibitor and what other class of drug may reduce proteinuria in
patients with diabetes better than either drug alone?
Question options:
A. Beta blockers
B. Diuretics
C. Nondihydropyridine calcium channel blockers
D. Angiotensin II receptor blockers - -C. Nondihydropyridine calcium channel
blockers
- Ray has been diagnosed with hypertension and an angiotensin-converting
enzyme inhibitor is determined to be needed. Prior to prescribing this drug,
the NP should assess for:
Question options:
A. Hypokalemia
B. Impotence
C. Decreased renal function
D. Inability to concentrate - -C. Decreased renal function
- Which of the following create a higher risk for digoxin toxicity? Both the
cause and the reason for it must be correct.
Question options:
A. Older adults because of reduced renal function
B. Administration of aldosterone antagonist diuretics because of decreased
potassium levels
C. Taking an antacid for GERD because it increases the absorption of digoxin
D. Doses between 0.25 and 0.5 mg/day - -A. Older adults because of
reduced renal function
- B. Juanita had a deep vein thrombosis (DVT) and was on heparin in the
, hospital and was discharged on warfarin. She asks her primary care
provider NP why she was getting both medications while in the hospital.
The best response is to:
Question options:
A. Contact the hospitalist as this is not the normal guideline for prescribing
these
two medications and she may have had a more complicated case.
B. Explain that warfarin is often started while a patient is still on heparin
because
warfarin takes a few days to reach effectiveness.
C. Encourage the patient to contact the Customer Service department at the
hospital
as this was most likely a medication error during her admission.
D. Draw anticoagulation studies to make sure she does not have dangerously
high
bleeding times. - -B. Explain that warfarin is often started while a patient is
still on heparin because
warfarin takes a few days to reach effectiveness.
- Robert, age 51 years, has been told by his primary care provider (PCP) to
take an aspirin a day. Why would this be recommended?
Question options:
A. He has arthritis and this will help with the inflammation and pain
B. Aspirin has anti-platelet activity and prevents clots that cause heart
attacks
C. Aspirin acidifies the urine and he needs this for prostrate health
D. He has a history of GI bleed, and one aspirin a day is a safe dosage - -B.
Aspirin has anti-platelet activity and prevents clots that cause heart attacks
- Education of patients who are taking warfarin includes discussing their
diet. Instructions include:
Question options:
A. Avoiding all vitamin K containing foods
B. Avoiding high vitamin K containing foods
C. Increasing intake of iron containing foods
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