Download NURS 676 LATEST MIDTERM EXAM 2023-2024 VERSION 2(COMPLIED FROM REAL EXAM) GRADED A+ WITH and more Exams Nursing in PDF only on Docsity!
NURS 676 LATEST MIDTERM EXAM 2023-2024 VERSION
2(COMPLIED FROM REAL EXAM) GRADED A+ WITH ANSWERS
QUIZ/@ 1
1 out of 1 points
QUIZ 1 A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? STUDENT FEEDBACK: The man's chest sounds are clear and his ankle edema is lessened.QUIZ/@ 2 1 out of 1 points
QUIZ 1 A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the Nurse Practitioner to monitor?
STUDENT FEEDBACK: Potassium levels
QUIZ/@ 3 1 out of 1 points
QUIZ 1 An expected outcome for a patient who has just taken sublingual nitroglycerin should be STUDENT FEEDBACK:
increased heart rate and decreased blood pressure. QUIZ/@ 4 1 out of 1 points
QUIZ 1
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? STUDENT FEEDBACK: Oropharyngeal Candida albicans infection QUIZ/@ 8 1 out of 1 points
QUIZ 1 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? STUDENT FEEDBACK: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided QUIZ/@ 9 0 out of 1 points
InQUIZ 1 Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should STUDENT FEEDBACK: teach Mr. Lacuna about the importance of rotating sites when he applies the patch. QUIZ/@ 10 1 out of 1 points
QUIZ 1 It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? STUDENT FEEDBACK: Blood ammonia levels
QUIZ/@ 11
1 out of 1 points
QUIZ 1 A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to STUDENT FEEDBACK: rebound bronchoconstriction. QUIZ/@ 12 1 out of 1 points
QUIZ 1 Which statement is FALSE regarding the treatment of hyperthyroidism?
STUDENT FEEDBACK: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females.
QUIZ/@ 13 1 out of 1 points
QUIZ 1 A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients?
STUDENT FEEDBACK: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver
QUIZ 1
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's STUDENT FEEDBACK: use of alcohol. QUIZ/@ 18 1 out of 1 points
QUIZ 1 A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drug therapy for this patient will be STUDENT FEEDBACK: a diuretic. QUIZ/@ 19 0 out of 1 points
InQUIZ 1 The Nurse Practitioner is treating a patient that takes frequent doses of antacids for his heartburn and is also taking an enteric coded aspirin. What instructions should be provided to the patient?
STUDENT FEEDBACK: The aspirin is less effective when taken with an antacid so you need to increase the dose.
QUIZ/@ 20 1 out of 1 points
QUIZ 1
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it STUDENT FEEDBACK: inhibits cholesterol syntheses. QUIZ/@ 21 1 out of 1 points
QUIZ 1 A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive STUDENT FEEDBACK: a higher-than-normal dose of drugs that bind to acid glycoproteins. QUIZ/@ 22 1 out of 1 points
QUIZ 1 The APRN is caring for a patient taking a calcium channel blockers for hypertension. The APRN should monitor the patient for what common side effects of this medication?
STUDENT FEEDBACK: peripheral edema, constipation, dizziness
QUIZ/@ 23
1 out of 1 points
QUIZ 1
An oral antidepressant that the patient has been taking daily for several yearsQUIZ/@ 27 1 out of 1 points
QUIZ 1 The APRN's ability to prescribe controlled substances is regulated by:
STUDENT FEEDBACKs: DEA
State Law
QUIZ/@ 28 1 out of 1 points
QUIZ 1 A patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of the following medications can be administered to decrease the nighttime episodes and prevent asthma attacks?
STUDENT FEEDBACK: Leukotriene modifiers
QUIZ/@ 29 1 out of 1 points
QUIZ 1
A Nurse Practitioner is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient?
STUDENT FEEDBACK: Consider dimensions of the woman's cultural background when planning care.
QUIZ/@ 30 1 out of 1 points
QUIZ 1 A Nurse Practitioner is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the Nurse Practitioner take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment?
STUDENT FEEDBACK: Carefully assess the patient for infections
QUIZ/@ 31 1 out of 1 points
QUIZ 1 A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? STUDENT FEEDBACK:Late afternoon QUIZ/@ 32 1 out of 1 points
QUIZ 1
QUIZ/@ 35
1 out of 1 points
QUIZ 1 A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? STUDENT FEEDBACK: A 79-year-old male with cardiomegaly QUIZ/@ 36 1 out of 1 points
QUIZ 1 A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be STUDENT FEEDBACK: suppository. QUIZ/@ 37 1 out of 1 points
QUIZ 1 A 70-year-old woman has experienced peripheral edema and decreasing stamina in recent months and has sought care from her primary care provider. The patient's subsequent diagnostic workup has resulted in a diagnosis of chronic heart failure. The woman has been prescribed digoxin and the nurse has begun patient education. What should the nurse teach the patient about her new medication? STUDENT FEEDBACK: "This drug won't cure your disease, but it will help you be able to exercise more and be more comfortable." QUIZ/@ 38 1 out of 1 points
QUIZ 1
A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long- term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is STUDENT FEEDBACK: intranasal. QUIZ/@ 39 1 out of 1 points
QUIZ 1 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? STUDENT FEEDBACK: Doses of basal insulin twice daily with regular insulin before each meal QUIZ/@ 40 1 out of 1 points
QUIZ 1 A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? STUDENT FEEDBACK: "Quitting smoking will significantly increase the chance that this drug will heal your ulcer."QUIZ/@ 41 1 out of 1 points
QUIZ 1 A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of STUDENT FEEDBACK:
administer carbohydrates. QUIZ/@ 45 1 out of 1 points
QUIZ 1 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? STUDENT FEEDBACK: Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record QUIZ/@ 46 1 out of 1 points
QUIZ 1 Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? STUDENT FEEDBACK: To ensure the safety of the public QUIZ/@ 47 1 out of 1 points
QUIZ 1 A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? STUDENT FEEDBACK: It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. QUIZ/@ 48
1 out of 1 points
QUIZ 1 Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? STUDENT FEEDBACK: A bulk-forming (fiber) laxative QUIZ/@ 49 1 out of 1 points
QUIZ 1 A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?
STUDENT FEEDBACK: How well a drug produces its desired effect
QUIZ/@ 50 1 out of 1 points
QUIZ 1 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? STUDENT FEEDBACK: The amount of alcohol consumption QUIZ/@ 51 1 out of 1 points
QUIZ 1
QUIZ 1
Decongestants are recommended to use in which of the following patients?
STUDENT FEEDBACK:
patients with otitis media
QUIZ/@ 55 1 out of 1 points
QUIZ 1 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.) STUDENT FEEDBACKs: Antibiotics A PPI QUIZ/@ 56 1 out of 1 points
QUIZ 1 In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to
STUDENT FEEDBACK: take their medication at the prescribed times.
QUIZ/@ 57
1 out of 1 points
QUIZ 1 The APRN is prescribing a medication that is known to induce hepatic enzymes. What effect should you anticipate?
STUDENT FEEDBACK: Induction increases the rate of metabolism, thereby decreasing serum levels of drug
QUIZ/@ 58
1 out of 1 points
QUIZ 1 Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency? STUDENT FEEDBACK: Restoration of normal sinus rhythm QUIZ/@ 59 0 out of 1 points
InQUIZ 1 A 62 year old male who had a myocardial infarction one year ago is being seen for hypertension. Which medication has the best evidence in mortality reduction?
STUDENT FEEDBACK:Beta blocker
QUIZ/@ 60
