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MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH 100% CORRECT ANSWERS| BRAND NEW/A+, Exams of Nursing

MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH 100% CORRECT ANSWERS| BRAND NEW/A+ GRADE

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2024/2025

Available from 11/22/2024

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MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH
100% CORRECT ANSWERS| BRAND NEW/A+ GRADE
Question 1 4 / 4
points
A potentially life-threatening adverse response to angiotensin-
converting enzyme inhibitors is angioedema. Which of the
following statements is true about this adverse response?
Question options:
Swellings of the tongue or hoarseness are the most common symptoms.
It appears to be related to the decrease in aldosterone production.
Presence of a dry, hacky cough indicates a high risk for this adverse response.
Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.
Question
2
Elena Vasquez’s primary language is Spanish, and she speaks
very limited English. Which technique would be appropriate to
use in teaching her about a new drug you have just
prescribed?
Question options:
Use correct medical terminology because Spanish has a Latin base.
4 / 4
points
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Download MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH 100% CORRECT ANSWERS| BRAND NEW/A+ and more Exams Nursing in PDF only on Docsity!

MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH

100% CORRECT ANSWERS| BRAND NEW/A+ GRADE

Question 1 4 / 4 points

A potentially life-threatening adverse response to angiotensin-

converting enzyme inhibitors is angioedema. Which of the

following statements is true about this adverse response?

Question options:

Swellings of the tongue or hoarseness are the most common symptoms. It appears to be related to the decrease in aldosterone production. Presence of a dry, hacky cough indicates a high risk for this adverse response. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week. Question 2

Elena Vasquez’s primary language is Spanish, and she speaks

very limited English. Which technique would be appropriate to

use in teaching her about a new drug you have just

prescribed?

Question options:

Use correct medical terminology because Spanish has a Latin base.

points

The State Board of Nursing for each state Reduce the likelihood of therapeutic failure with tamoxifen treatment Use a family member who speaks more English to act as an interpreter. Question 3 Use careful, detailed explanations.

Medications are typically started for angina patients when:

Question options:

The first permanent EKG changes occur

points Question 4 The events trigger a trip to the emergency department When troponin levels become altered

A provider may consider testing for CYP2D6 variants prior to

starting tamoxifen for breast cancer to:

Question options:

Ensure the patient will not have increased adverse drug reactions to the tamoxifen Identify potential drug-drug interactions that may occur with tamoxifen

points Question 5 Identify poor metabolizers of tamoxifen

Patients who are on chronic long-term proton pump inhibitor

therapy require monitoring for:

Question options:

points Question 6 Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia

Nurse practitioner prescriptive authority is regulated by:

Question options:

The National Council of State Boards of Nursing The U.S. Drug Enforcement Administration

points The State Board of Pharmacy Iron deficiency anemia, vitamin B12 and calcium deficiency The start of class I or II symptoms Use a professional interpreter or a reliable staff member who can act as an interpreter.

Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month Percentage of fat differs between genders. Question 11

points

The drug of choice for treatment of early latent or tertiary

syphilis is:

Question options:

Ceftriaxone IM Question 12 Oral azithromycin Oral ciprofloxacin 4 / 4 points

A client asks the NP about the differences in drug effects

between men and women. What is known about the

differences between the pharmacokinetics of men and

women?

Question options:

Body temperature varies between men and women. Muscle mass is greater in women. Question 13 Proven subjective factors exist between the genders. 4 / 4 points

Clinical judgment in prescribing includes:

Question options:

Question 14 Always prescribing the newest medication available for the disease process Handing out drug samples to poor patients Prescribing all generic medications to cut costs 4 / 4 points

The dosage of Vitamin B12 to initially treat pernicious anemia

is:

Question options:

Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month Vitamin B12 IM monthly Oral cobalamin 1,000 mcg daily Factoring in the cost to the patient of the medication prescribed Benzathine penicillin G IM

Treatment of thyroid disorders, especially if they are associated with Tachyarrhythmias Question 15

points

Howard is a 72 - year-old male who occasionally takes

diphenhydramine for his seasonal allergies. Monitoring for this

patient taking diphenhydramine would include assessing for:

Question options:

Question 16 Cardiac output Peripheral edema Skin rash 4 / 4 points

Class I recommendations for stage A heart failure include:

Question options:

Aerobic exercise within tolerance levels to prevent the development of heart failureReduction of sodium intake to less than 2,000 mg/day to prevent fluid retention Beta blockers for all patients regardless of cardiac history Question 17

points

When prescribing a tetracycline or quinolone antibiotic it is

critical to instruct the patient:

Question options:

Not to take their regularly prescribed medications while on these antibiotics Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption Question 18 That there are no drug interactions with these antibiotics 4 / 4 points

Preventative therapy for cluster headaches includes:

Question options:

Massage or relaxation therapy Question 19 Intranasal lidocaine four times a day during “clusters” of headaches Propranolol (Inderal) daily 0 / 4 points Ergotamine nightly before bed Not to take antacids while on these medications, as the antacid decreases absorption Urinary retention

Beta blockers

There is often cross-sensitivity and cross-resistance between

penicillins and cephalosporins because:

Question options:

Renal excretion is similar in both classes of drugs. When these drug classes are metabolized in the liver they both produce resistant enzymes. Question 24 There is not an issue with cross-resistance between the penicillins and cephalosporins. 4 / 4 points

To improve actual effectiveness of oral contraceptives women

should be educated regarding:

Question options:

Question 25 Doubling pills if they have diarrhea during the middle of a pill pack The fact that they will have a normal menstrual cycle if they miss two pills The fact that mid-cycle spotting is not normal and the provider should be contacted immediately 4 / 4 points

ACE inhibitors are contraindicated in pregnancy. While

treatment of heart failure 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?

Question options:

Diuretics ARBs Question 26 Nitrates 4 / 4 points

The Best Pharmaceuticals for Children Act:

Question options:

Includes a pediatric exclusivity rule which extends the patent on drugs studied in children Question 27 Provides funding for new drug development aimed at children Encourages manufacturers specifically to develop pediatric formulations 4 / 4 points Establishes a committee that writes guidelines for pediatric prescribing Use of a back-up method if they have vomiting or diarrhea during a pill packet Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing organisms.

Leonard is completing a 6 - month regimen to treat tuberculosis

(TB). Monitoring of a patient on TB therapy includes:

Question options:

Question 28 Monthly chest x-ray Bronchoscopy every 3 months All of the above 4 / 4 points

First-line therapy for treating topical fungal infections such as

tinea corporis (ringworm) or tinea pedis (athlete’s foot) would

be:

Question options:

Question 29 Oral terbinafine Oral griseofulvin microsize Nystatin cream or ointment 4 / 4 points

The most cost-effective treatment for two or three impetigo

lesions on the face is:

Question options:

Question 30 Retapamulin (Altabax) ointment Topical clindamycin solution Oral amoxicillin/clavulanate (Augmentin) 4 / 4 points

Lisa is a healthy nonpregnant adult woman who recently had a

urinary tract infection (UTI). She is asking about drinking

cranberry juice to prevent a recurrence of the UTI. The correct

answer to give her would be:

Question options:

Sixteen ounces per day of cranberry juice cocktail will prevent UTIs. There is no evidence that cranberry juice helps prevent UTIs. Cranberry juice only works to prevent UTIs in children. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients. Mupirocin ointment OTC topical azole (clotrimazole, miconazole) Monthly sputum cultures

Iron is best taken on an empty stomach with juice Question 35 Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks Cytoprotective drug (misoprostol) for 2 weeks 4 / 4 points

The first-line drug choice for a previously healthy adult patient

diagnosed with community-acquired pneumonia would be:

Question options:

Ciprofloxacin Question 36 Amoxicillin Doxycycline 4 / 4 points

Larry is taking allopurinol to prevent gout. Monitoring of a

patient who is taking allopurinol includes:

Question options:

Complete blood count Blood glucose C-reactive protein Question 37

points

The action of “gliptins” is different from other antidiabetic

agents because they:

Question options:

Have a low risk for hypoglycemia Are not associated with weight gain Close ATP-dependent potassium channels in the beta cell Question 38

points

Patient education regarding taking iron replacements includes:

Question options:

Doubling the dose if they miss a dose to maintain therapeutic levels Taking the iron with milk or crackers if it upsets their stomach Act on the incretin system to indirectly increase insulin production BUN, creatinine, and creatinine clearance Azithromycin Proton pump inhibitor (omeprazole) for 12 weeks

Anaphylactic reaction with a previous dose Question 39 Antacids such as Tums may help the upset stomach caused by iron therapy 0 / 4 points

Laboratory values are actually different for TSH when

screening for thyroid issues and when used for medication

management. Which of the follow holds true?

Question options:

Question 40 Screening values are much narrower than the acceptable range used to keep a person stable on hormone replacement. Therapeutic values are kept between 0.05 and 3.0 ideally. Screening values are considered acceptable up to 10. Screening values are between 5 and 10, and therapeutic values are greater than 10. 4 / 4 points

Goals when treating tuberculosis include:

Question options:

Question 41 Negative purified protein derivative at the end of therapy Completely normal chest x-ray All of the above 4 / 4 points

True contraindications to diphtheria, tetanus, and acellular

pertussis (DTaP or Tdap) vaccine include:

Question options:

Fever up to 104oF (40.5oC) after previous DTaP vaccine Family history of seizures after DTaP vaccine Adolescent pregnancy Question 42

points

What is the role of calcium supplements when patients take

bisphosphonates?

Question options:

They must be restricted to allow the medication to work. They must be taken in sufficient amounts to provide foundational elements for bone growth. Completion of recommended therapy Screening TSH has a wider range of normal values 0.02-5.0; therapeutic levels need to remain above 5.0.

The highest abstinence rates occur if the patient chews the gum when he or she is having cravings. Question 47 Increased muscle-to-fat ratio 4 / 4 points

Several classes of drugs have interactions with cholinergic

blockers. Which of the following is true about these

interactions?

Question options:

Question 48 Additive antimuscarinic effects may occur with antihistamines. Cholinergic blockers may decrease the sedative effects of hypnotics. Cholinergic blockers are contraindicated with antipsychotics. 4 / 4 points

The drug of choice for type 2 diabetics is metformin.

Metformin:

Question options:

Question 49 Increases the release of insulin from beta cells Increases intestinal uptake of glucose Prevents weight gain associated with hyperglycemia 0 / 4 points

Instructions for the use of nicotine gum include:

Question options:

Chew the gum quickly to get a peak effect. The gum should be “parked” in the buccal space between chewing. Acidic drinks such as coffee help with the absorption of the nicotine. Question 50

points

Which of the following statements is true about acute pain?

Question options:

Somatic pain comes from body surfaces and is only sharp and well-localized. Visceral pain comes from the internal organs and is most responsive to acetaminophen and opiates. Referred pain is present in a distant site for the pain source and is based on activation of the same spinal segment as the actual pain site. Decreases glycogenolysis by the liver Drugs with a narrow therapeutic range given orally may not stay in the GI tract long enough to produce an action.

Question 51 Acute neuropathic pain is caused by lack of blood supply to the nerves in a given area. 4 / 4 points

An acceptable first-line treatment for peptic ulcer disease with

positive H. pylori test is:

Question options:

Histamine2 receptor antagonists for 4 to 8 weeks Proton pump inhibitor bid for 12 weeks until healing is complete Question 52 Proton pump inhibitor bid and levofloxacin for 14 days 4 / 4 points

Education for patients who use an inhaled beta-agonist and an

inhaled corticosteroid includes:

Question options:

Use the inhaled corticosteroid first, followed by the inhaled beta-agonists. Question 53 Increase fluid intake to 3 liters per day. Avoid use of aspirin or ibuprofen while using inhaled medications. 0 / 4 points

Alterations in drug metabolism among Asians may lead to:

Question options:

Slower metabolism of antidepressants, requiring lower doses Question 54 Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses 4 / 4 points

Harold, a 42 - year-old African American, has moderate

persistent asthma. Which of the following asthma medications

should be used cautiously, if at all?

Question options:

Betamethasone, an inhaled corticosteroid Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier Salmeterol, an inhaled long-acting beta-agonist Faster metabolism of neuroleptics, requiring higher doses Use the inhaled beta-agonist first, followed by the inhaled corticosteroid. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days

Question 59 Cost-of-illness analysis Cost-effectiveness analysis Cost-benefit analysis 4 / 4 points

Severe contact dermatitis caused by poison ivy or poison oak

exposure often requires treatment with:

Question options:

Topical antipruritics Question 60 Thickly applied topical intermediate-dose corticosteroids Isolation of the patient to prevent spread of the dermatitis 4 / 4 points

The optimal maximum time frame for HRT or estrogen

replacement therapy (ERT) is:

Question options:

2 years Question 61 10 years 15 years 4 / 4 points

Sophie presents to the clinic with a malodorous vaginal

discharge and is confirmed to have Trichomonas infection.

Treatment for her would include:

Question options:

Question 62 Topical intravaginal metronidazole daily x 7 days Intravaginal clindamycin daily x 7 days Azithromycin 2 grams PO x 1 dose 4 / 4 points

Monitoring for patients who are on long-term antifungal

therapy with ketoconazole includes:

Question options:

Metronidazole 2 grams PO x 1 dose 5 years Oral corticosteroids for 2 to 3 weeks Cost-minimization analysis

AST, ALT, alkaline phosphatase, and bilirubin Platelet count BUN and creatinine White blood cell count Question 63

points

Patrick is a 10 - year-old patient who presents with

uncomfortable constipation. Along with diet changes, a

laxative is ordered to provide more rapid relief of constipation.

An appropriate choice of medication for a 10 - year-old child

would be:

Question options:

PEG 3350 (Miralax) Question 64 Docusate (Colace) suppository Polyethylene glycol electrolyte solution 4 / 4 points

When determining drug treatment the NP prescriber should:

Question options:

Always use evidence-based guidelines Question 65 Rely on his or her experience when prescribing for complex patients Use the newest drug on the market for the condition being treated 4 / 4 points

According to the U.S. Office of Minority Health, poor health

outcomes among African Americans are attributed to:

Question options:

The belief among African Americans that prayer is more powerful than drugs Poor compliance on the part of the African American patient The genetic predisposition for illness found among African Americans Question 66

points

Henry is 82 years old and takes two aspirin every morning to

treat the arthritis pain in his back. He states the aspirin helps

Discrimination, cultural barriers, and lack of access to health care Individualize the drug choice for the specific patient Bisacodyl (Dulcolax) suppository

Hypercalcemia Question 70 Must be taken no more than twice a day 4 / 4 points

Patients who are treated with greater than 100 grams per

week of topical calcipotriene for psoriasis need to be

monitored for:

Question options:

High vitamin D levels Hyperkalemia Question 71 Hyperuricemia 0 / 4 points

Rose is a 3 - year-old patient with an upper respiratory infection

(URI). Treatment for her URI would include:

Question options:

Question 72 Diphenhydramine Pseudoephedrine Nasal saline spray 4 / 4 points

The Combat Methamphetamine Epidemic Act, which is part of

the 2006 U.S. Patriot Act:

Question options:

Requires all providers to screen their patients for methamphetamine use Restricts the prescribing of amphetamines to U.S. citizens Requires a prescription be written for all methamphetamine precursors in all states Question 73

points

The New York Heart Association and the Canadian

Cardiovascular Society have described grading criteria for

levels of angina. Angina that occurs with unusually strenuous

activity or on walking or climbing stair after meals is class:

Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30 - day limit on sales Amoxicillin and dizziness

Digoxin

Question options:

I

Question 74

III

IV

points

Ginseng, which is taken to assist with memory, may

potentiate:

Question options:

Aricept Insulin Question 75 Propranolol 4 / 4 points

Pharmacoeconomics is:

Question options:

The study of the part of the U.S. economy devoted to drug use The study of the impact of prescription drug costs on the overall economy Question 76 The analysis of the clinical efficacy of the drug 4 / 4 points

While on testosterone replacement, hemoglobin and

hematocrit levels should be monitored. Levels suggestive of

excessive erythrocytosis or abuse are:

Question options:

Hemoglobin 14 g/dl or hematocrit 39% Hemoglobin 11.5 g/dl or hematocrit 31% Hemoglobin 13 g/dl or hematocrit 38% Question 77

points

A laboratory result indicates that the peak level for a drug is

above the minimum toxic concentration. This means that the:

Question options:

Hemoglobin 17.5 g/dl or hematocrit 54% The analysis of the costs and consequences of any health-care-related treatment or service

II