NUR 605 MIDTERM EXAM LATEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) GRADED A+

NUR 605 MIDTERM EXAM LATEST 2024
ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
GRADED A+
Patients who are being treated for folate deficiency require monitoring of: - ANSWERHematocrit and Reticulocyte count at two weeks
Monitoring for a patient taking iron to treat iron def anemia includes: - ANSWERHemoglobin, hematocrit, and ferritin four weeks after treatment is started
Attenuated vaccines are also known as - ANSWER-Live vaccines
The MMR vaccine is not recommended for pregnant women because - ANSWER-There
is a risk of the fetus developing congenital rubella syndrome
Hepatitis B vaccine is contraindicated in patients who: - ANSWER-Are allergic to yeast
A patient may benefit from cyclosporine (Sandimmune). Cyclosporine may be
prescribed to: - ANSWER-Treat rheumatoid arthritis
Rho(D) Immune Globulin (RhoGAM) is given to: - ANSWER-Rh-negative women after a
birth, miscarriage, or abortion
Zoster vaccine (Zostavax) is: - ANSWER-A live varicella zoster vaccine from the same
strain used to develop the varicella vaccine
The routine monitoring recommended for low molecular weight heparin is - ANSWERFactor Xa levels if the patient is pregnant
Patient education when prescribing clopidogrel includes: - ANSWER-Don not take any
OTC or herbal products without first discussing this with the provider
When writing a prescription for warfarin it is common to write _________ on the
prescription. - ANSWER-The brand name of warfarin and Do Not Substitute
Patients who are being treated with epoetin alfa need to be monitored for the
development of: - ANSWER-Thrombocytopenia and Hypertension
The first laboratory value indication that vitamin B12 therapy is adequately treating
pernicious anemia is: - ANSWER-Reticulocyte count begins to rise within 7-14 days
A 42-year-old patient has moderate persistent asthma. Which of the following asthma
medications should be used cautiously, if at all? - ANSWER-Salmeterol, an inhaled long
acting beta agonist
When prescribing montelukast (Singulair) for asthma, patients or parents of patients
should be instructed: - ANSWER-Aggression, anxiety, depression, and/or suicidal
thoughts may occur when taking montelukast
When educating patients who are starting on inhaled corticosteroids, the provider
should tell them that: - ANSWER-Patients should rinse their mouths out after using the
inhaled corticosteroid to prevent thrush
Patient's with allergic rhinitis may benefit from a prescription of: - ANSWER-Any of the
above: Cetirizine (Zyrtec), Fluticasone (Flonase), OTC cromolyn
Second generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they are: - ANSWER-Less sedating than first generation
antihistamines
Prior to developing a plan for the treatment of asthma, the patient's asthma should be
classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent
asthma is classified as asthma symptoms that occur: - ANSWER-More than twice a
week and less than once a day
A stepwise approach to the pharmacologic management of asthma: - ANSWER-Begins
with determining the severity of asthma and assessing asthma control
Treatment of intermittent asthma is: - ANSWER-Short acting beta 2 agonists (albuterol)
as needed
Despite good blood pressure control, an NP might change a patient's drug from an ACE
inhibitor to an angiotensin II receptor blocker (ARB) because the ARB - ANSWER-Does
not produce a dry, hacking cough
Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating
hypertension in diabetic patients because they: - ANSWER-All of the above: improve
insulin sensitivity, reduce the production of angiotensin II, Improve renal hemodynamic
Which of the following adverse effects may occur due to a dihydropyridine-type calcium
channel blocker? - ANSWER-Edema of the hands and feet
Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin
is prescribed. Rhabdomyolyisis is rare but serious adverse response to this drug.
Donald should be told to: - ANSWER-Report muscle weakness or tenderness and dark
urine to his provider immediately
Commercials on TV for erectile dysfunction medications warn about mixing them with
nitrates. Why? - ANSWER-Profound hypotension
Because of the pattern of cholesterol synthesis, reductase inhibitors are given: -
ANSWER-In the evening in a single daily dose
Which drug class is replacing beta blockers as the "go to" post-myocardial infarction
(MI) medication? - ANSWER-ACE inhibitors
Which of the following drugs has been associated with increased risk for MI in women -
ANSWER-Estrogen replacement
Patients at high risk for developing significant coronary heart disease are those with: -
ANSWER-Class III angina
Not all chest pain is caused by myocardial ischemia. Noncardiac causes of chest pain
include: - ANSWER-All of the above: Pulmonary embolism, Pneumonia,
Gastroesophageal reflux
When is ASA used in angina patients? - ANSWER-All angina patients should be taking
ASA unless it is contraindicated for allergy or other medical reasons.
Vasospastic angina is linked with - ANSWER-recreational drug use such as cocaine
Beta blockers are especially helpful for patients with exertional angina who also have: -
ANSWER-Arrythmias
The rationale for prescribing calcium channel blockers for angina can be based on the
need for: - ANSWER-Help with rate control
One of the three types of HF involves systolic dysfunction. Potential causes of this most
common form of HF include: - ANSWER-Myocardial ischemia and injury secondary to
myocardial infarction (MI)
Diagnosis of HF cannot be made by symptoms alone because many disorders share
the same symptoms. The most specific and sensitive diagnostic test for HF is: -
ANSWER-two dimensional echocardiograms that identify structural anomalies and
cardiac dysfunction
ACE inhibitors are contraindicated in pregnancy. While treatment of HF during
pregnancy is best done by a specialist, which of the following drug classes is
considered to be safe, at least in the later parts of pregnancy? - ANSWER-Beta
blockers
Angiotensin-converting enzyme (ACE) inhibitors are a central part of the treatment of
heart failure (HF) because they have more than one action to address the pathological
changes in this disorder.
Which of the following pathological changes that take place in HF is NOT addressed by
ACE inhibitors - ANSWER-Activation of the sympathetic nervous system that increases
heart rate and preload
Which of the following classes of drugs is contraindicated in HF? - ANSWER-Calcium
channel blockers