Chat with us, powered by LiveChat MN553 Unit 7 Practice Quiz Latest 2017 April | acewriters
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1. Question
:
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:

Hypokalemia
Impotence
Decreased renal function
Inability to concentrate

Question 2. Question
:
Which of the following create a higher risk for digoxin
toxicity? Both the cause and the reason for it must be correct.

Older adults because of reduced renal function
Administration of aldosterone antagonist
diuretics because of decreased potassium levels
Taking an antacid for gastroesophageal reflux
disease because it increases the absorption of digoxin
Doses between 0.25 and 0.5 mg/day

Question 3. Question
:
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:

Contact the hospitalist as this is not the
normal guideline for prescribing these two medications and she may have had a
more complicated case.
Explain that warfarin is often started while a
patient is still on heparin because warfarin takes a few days to reach
effectiveness.
Encourage the patient to contact the Customer
Service department at the hospital as this was most likely a medication error
during her admission.
Draw anticoagulation studies to make sure she
does not have dangerously high bleeding times.

Question 4. Question
:
Robert, age 51 years, has been told by his primary care
provider (PCP) to take an aspirin a day. Why would this be recommended?

He has arthritis and this will help with the
inflammation and pain.
Aspirin has anti-platelet activity and
prevents clots that cause heart attacks.
Aspirin acidifies the urine and he needs this
for prostrate health.
He has a history of GI bleed, and one aspirin
a day is a safe dosage.

Question 5. Question
:
Education of patients who are taking warfarin includes
discussing their diet. Instructions include:

Avoiding all vitamin K-containing foods
Avoiding high-vitamin K-containing foods
Increasing intake of iron-containing foods
Making sure they eat 35 grams of fiber daily

Question 6. Question
:
Pernicious anemia is treated with:

Folic acid supplements
Thiamine supplements
Vitamin B12
Iron

Question 7. Question
:
Valerie presents to the clinic with menorrhagia. Her
hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her
anemia would be:

18 mg/day of iron supplementation
6 mg/kg per day of iron supplementation
325 mg ferrous sulfate per day
325 mg ferrous sulfate tid

Question 8. Question
:
Kyle has Crohn’s disease and has a documented folate
deficiency. Drug therapy for folate deficiency anemia is:

Oral folic acid 1 to 2 mg per day
Oral folic acid 1 gram per day
IM folate weekly for at least 6 months
Oral folic acid 400 mcg daily

Question 9. Question
:
Angina is produced by an imbalance between myocardial oxygen
supply (MOS) and demand (MOD) in the myocardium. Which of the following drugs
help to correct this imbalance by increasing MOS?

Calcium channel blockers
Beta blockers
Angiotensin-converting-enzyme (ACE) inhibitors
Aspirin

Question 10. Question
:
The rationale for prescribing calcium blockers for angina can
be based on the need for:

Increased inotropic effect in the heart
Increasing peripheral perfusion
Keeping heart rates high enough to ensure
perfusion of coronary arteries
Help with rate control

Question 11. Question
:
Which of the following drugs has been associated with
increased risk for myocardial infarction in women?

Aspirin
Beta blockers
Estrogen replacement ***
Lipid-lowering agents

Question 12. Question
:
Increased life expectancy for patients with heart failure has
been associated with the use of:
ACE inhibitors, especially when started early
in the disease process
All beta blockers regardless of selectivity
Thiazide and loop diuretics
Cardiac glycosides

Question 13. Question
:
Digoxin has a very limited role in treatment of heart
failure. It is used mainly for patients with:

Ejection fractions above 40%
An audible S3
Mitral stenosis as a primary cause for heart
failure
Renal insufficiency

Question 14. Question
:
Which of the following classes of drugs is contraindicated in
heart failure?

Nitrates
Long-acting dihydropyridines
Calcium channel blockers
Alpha-beta blockers

Question 15. Question
:
What is considered the order of statin strength from lowest
effect to highest?

Lovastatin, Simvastatin, Rosuvastatin
Rosuvastatin, Lovastatin, Atorvastatin
Atorvastatin, Rosuvastatin, Simvastatin
Simvastatin, Atorvastatin, Lovastatin

Question 16. Question
:
First-line therapy for hyperlipidemia is:

Statins
Niacin
Lifestyle changes
***
Bile acid-binding resins

Question 17. Question
:
Han is a 48-year-old diabetic with hyperlipidemia and high
triglycerides. His LDL is 112 mg/dL and he has not tolerated statins. He
warrants a trial of a:

Sterol
Niacin
Fibric acid derivative
Bile acid-binding resin

Question 18. Question
:
Hypertensive African Americans are typically listed as not being
as responsive to which drug groups?

ACE inhibitors
Calcium channel blockers
Diuretics
Bidil (hydralazine family of medications)

Question 19. Question
:
Because of its action on various body systems, the patient
taking a thiazide or loop diuretic may also need to receive the following
supplement:

Potassium
Calcium
Magnesium
Phosphates

Question 20. Question
:
An ACE inhibitor and what other class of drug may reduce
proteinuria in patients with diabetes better than either drug alone?

Beta blockers
Diuretics
Nondihydropyridine calcium channel blockers
Angiotensin II receptor blockers

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