NR 508 Week 4 Midterm Exam / NR508 Week 4 Midterm Exam(V2) : Chamberlain College of Nursing (2020/21, All Correct)
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Course
NR 508 / NR508 Advanced Pharmacology (NR508)
Institution
Chamberlain College Of Nursing
NR508 Week 4 Midterm Exam / NR 508 Week 4 Midterm Exam (Latest): Chamberlain College of Nursing
Chamberlain NR 508 Midterm Exam / Chamberlain NR508 Midterm Exam (Latest)
Question 1. (2 pts): Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months. She has a positive fa...
nr 508 week 4 midterm exam nr508 week 4 midterm examv2 chamberlain college of nursing 202021
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NR 508 / NR508 Advanced Pharmacology (NR508)
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NR 508 Week 4 Midterm Exam
, NR 508 Week 4 Midterm Exam
Question 1. (2 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:
a. testosterone therapy.
b. estrogen-only therapy.
c. nonhormonal drugs for osteoporosis.
d. estrogen-progesterone therapy for 1 to 2 years.
Question 2. (2 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:
a. aprepitant (Emend).
b. ondansetron (Zofran).
c. scopolamine transdermal.
d. prochlorperazine (Compazine).
Question 3. (2 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:
a. thyrotropin.
b. methimazole.
, c. levothyroxine.
d. propylthiouracil.
Question 4.(2pts): 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:
a. prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
b. perform a careful cardiovascular physical assessment.
c. counsel the patient about dietary and lifestyle changes.
d. order a urinalysis and creatinine clearance and begin therapy with a b-blocker.
Question 5. (2 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:
a. methimazole.
b. liothyronine.
c. levothyroxine.
d. propylthiouracil.
Question 6. (2 pts): When prescribing a medication for a chronic condition, the primary care NP
should tell the patient:
a. to contact the pharmacy whenever refills are needed.
b. that it is necessary to return to the clinic for each monthly refill of the medication.
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