NURS 6521 MIDTERM EXAM, QUESTIONS WITH ANSWERS. WALSH COLLEGE
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NURS 6521
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Walsh College
NURS 6521 MIDTERM EXAM, QUESTIONS WITH ANSWERS. WALSH COLLEGE.A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the
prevention of drug interactions, the Nurse Practitioner should ...
a nurse practitioner who provides care for older adults is aware of the high incidence of drug interactions in this popu
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Walsh College
NURS 6521
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A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the
prevention of drug interactions, the Nurse Practitioner should encourage them to
Selected consult their care provider before taking new over-the-counter
Answer: medications.
Question 2
0 out of 1 points
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive
Selected a lower-than-normal dose of drugs that bind to acid
Answer: glycoproteins.
Question 3
1 out of 1 points
A patient with a recent diagnosis of acute renal failure has a long-standing
seizure disorder which has been successfully controlled for several years with
antiseizure medications. The nurse should recognize that the patient's
compromised renal function will likely
Selected increase the half-life of medications that are metabolized by
Answer: the kidneys.
Question 4
0 out of 1 points
A Nurse Practitioner is providing patient education to a 35-year-old man who has
been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The
Nurse Practitioner should anticipate that the drug will be administered
Selected orally
Answer: .
Question 5
0 out of 1 points
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the
treatment of GERD. Why are H2RAs more effective than H1 receptor
antagonists in the treatment of diseases of the upper GI tract?
Selected H2RAs have a longer duration of action and fewer adverse
Answer: effects than H1RAs.
Question 6
1 out of 1 points
A Nurse Practitioner is caring for a female patient who has developed atelectasis
because of thick mucus secretions. The Nurse Practitioner is monitoring IV
administration of acetylcysteine (Mucomyst) and notices that the patient's face is
flushed. The appropriate nursing action would be to
, Selected slow the administration of acetylcysteine and administer
Answer: diphenhydramine if ordered.
Question 7
1 out of 1 points
A Nurse Practitioner is teaching a patient about his newly prescribed drug,
colchicine, for gout. The Nurse Practitioner will instruct the patient to avoid which of
the following foods?
Selected Shrim
Answer: p
Question 8
1 out of 1 points
A 75-year-old woman is prescribed magnesium hydroxide for constipation. The
nurse's assessment reveals that the patient is being treated for rheumatoid
arthritis and hypertension. The patient lives in assisted living and is on a low-
sodium diet. Before the magnesium hydroxide therapy begins, it will be most
important for the nurse to assess the patient's
Selected medication history.
Answer:
Question 9
1 out of 1 points
A 24-year-old factory worker has been prescribed guaifenesin for the first time.
Which of the following will be a priority assessment by the nurse before the
patient's first dose?
Selected The amount of alcohol consumption
Answer:
Question 10
1 out of 1 points
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect
by
Selected inhibiting the movement of calcium ions across the cardiac
Answer: muscle cell membrane.
Question 11
0 out of 1 points
A patient has been prescribed an oral drug that is known to have a high first-
pass effect. Which of the following measures has the potential to increase the
amount of the free drug that is available to body cells?
Selected Giving the drug with food in order to delay absorption
Answer:
, Question 12
0 out of 1 points
To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate,
the nurse will instruct the patient to take the medication
Selected once a day.
Answer:
Question 13
1 out of 1 points
A Nurse Practitioner who provides care in a long-term care facility is documenting a
new resident's medication regimen on the resident's intake admission. The Nurse
Practitioner is documenting the generic, rather than proprietary, names of the
resident's current drugs because
Selected there is a potential for confusion and miscommunication if
Answer: proprietary names are used.
Question 14
1 out of 1 points
Following an endoscopy, a 66-year-old man has been diagnosed with a
duodenal ulcer resulting from Helicobacter pylori infection. Which of the
following medications will likely be used in an attempt to eradicate the patient's
H. pylori infection? (Select all that apply.)
Selected Antibiotics
Answers:
A PPI
Question 15
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with chronic
muscle spasms and has been prescribed a new medication to treat the spasms.
She has a poorly documented allergy to eggs, synthetic clothes, and perfumes.
What is the priority action of the nurse to ensure that prescribed medication
does not experience an allergic reaction?
Selected Post an allergies notice on the front of the chart and document
Answer: the allergies in the appropriate area of the patient's record
Question 16
0 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has a
21-year history of heavy drinking and is worried about developing cirrhosis of
the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach
the patient that the combination of alcohol and Antabuse will cause which of the
following?
Selected Bradycardia
Answer:
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