NURSING MSN571 FINAL EXAM QUESTIONS WITH ANSWERS LATEST 2023/2024, Exams of Nursing

Download NURSING MSN571 FINAL EXAM QUESTIONS WITH ANSWERS LATEST 2023/2024 and more Exams Nursing in PDF only on Docsity! / NURSING MSN571 FINAL EXAM QUESTIONS WITH ANSWERS LATEST 2023/2024 1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently onMetformin 1 gram twice a day and has been tolerating it well for about six months. Her hemoglobin A1c a week ago was 8.9%. The plan is to initiate liraglutide therapy in addition to the metformin. Which of the following statements is true with regards to liraglutide. Liraglutide may be stored in the refrigerator or freezer prior to first use. The brand name is Bydureon Nausea and/or vomiting are common side effects of therapy It should be administered intramuscularly into the upper arm. 2) The patient who takes insulin has just been prescribed a beta blocker drug. You recognize thatthe interaction of the beta blocker and the insulin may have which result? Decreased activity of the beta blocker drug Enhanced activity of the beta blocker drug Masked signs of hypoglycemia Masked signs of hyperglycemia 3) Which classification of oral hypoglycemic drugs decreases hepatic glucose production andincreases insulin sensitivity and peripheral glucose uptake? Sulfonylureas (glyburide) Meglitinides (glinides) Biguanide (metformin) alpha-glycosidase inhibitor (miglitol) 4) A breast-feeding mother is seen in your clinic wanting contraceptive and plans on breast- feedingfor a year. What is an inappropriate choice for this patient? Depo-Provera 150mg IM every 3 months / Progestin-only OC Combination OC Intrauterine device 5) Which of the following is (are) true about oral contraceptives (OCs)? Estrostep, Ortho Tri-Cyclen, Beyaz, and YAZ are approved for managing acne in women All the answrs are correct OCs favorably affect menstrual symptoms: cramps reduction, reduced menstrual flow volume and duration. OCs decrease the risk for several disorders, including ovarian cancer, endometrial cancer, ovarian cysts, pelvic inflammatory disease, benign breast disease. 6) A patient is prescribed ehtinyl estradiol and norelgestromin transdermal contraceptive patch.Which statement, If made by the patient, indicates an understanding of the use of this drug? “The patch prevents pregnancy by acting as barrier.” “I will experience minimal side effects because it is a progestin-only device.” “I will remove the patch each month and replace it with a new patch 1 week later.” “I will apply the patch in my vaginal area prior to having sexual intercourse.” 7) The NP at the immunization clinic is reviewing the list of patients who are scheduled to receivethe varicella vaccination. The NP will cancel all of the following patients except: A 21-year old patient who is allergic to neomycin A 12-year old patient with an allergy to gelatin An 8-year old patient with asthma A patient who is pregnant 8) The drug of choice for type 2 diabetics is metformin. Metformin: Increases intestinal uptake of glucose Decreases glycogenolysis by the liver Increases the release of insulin from beta cells / Meperidine Butorphanol Aspirin Sumatriptan 19) A patient is taking Loracaserin (Belviq) for weight-loss. Which supplement taken by this patientwould cause you to be alarmed? Garlic Ginseng St. John’s wort Ginkgo biloba 20) What are the adverse effects of Orlistat? Select all that apply. Fecal urgency Bloody stool Fatty stool Oily spotting Increased defecation Flatus with discharge Abdominal discomfort 21) A patient with peptic ulcers report pain in the stomach. A gastric tissue biopsy reveals thepresence of Helicobacter pylori infection. What should be the first-line treatment for the patient? Cimetidine combined with Metronidazole and Ketoconazole Omeprazole combined with metronidazole and clarithromycin Cimetidine combined with sucralfate and clarithromycin Omeprazole combined with clarithromycin and sucralfate / 22) Probiotics are recommended to be co-administered when what are prescribed? Antibiotics Antidiarrheals Antihistamines Antihypertensives Antacids 23) Which of the following is (are) true of Vitamin B-3? (select all the apply). Can be used to raise HDL levels. Administration of high doses may cause flushing A deficiency may result in beriberi Should be supplemented to patients on a long-term Isoniazid. Used to treat high cholesterol levels. 24) Which of the following is a false statement about medication therapy for gout? Colchicine is currently considered a first-line drug for gout. Colchicine is an anti- inflammatory agent used for gout. Colchicine can decrease the frequency of acute flare-ups Colchicine can relieve the pain of gout. 25) The anti-inflammatory effect of nonsteroidal anti-inflammatory drugs (NSAIDs) is due to theirability to do which of the following? Inhibit the stimulation of the chemoreceptor trigger zone Reset the hypothalamic “setpoint” None of the answers are correct Inhibit prostaglandin synthesis 26) A patient who takes oral levothyroxine for hypothyroidism is admitted to the hospital. After theprovider determines the patient has myxedema, what action will the provider take? / Prescribe a B-blocker Increase the dose of levothyroxine Change to intravenous levothyroxine Prescribe methimazole 27) A pregnant patient recently began treatment for hypothyroidism. What response will theprovider give when the patient shares that she does not want to take medications while she is pregnant? Your baby will likely be born with permanent neuropsychologic deficits if the condition is not treated Hypothyroidism is a normal effect of pregnancy and usually is of no consequence Treatment is required only when you are experiencing symptoms No danger to the fetus exists until the third trimester. 28) Thyroxine has recently been added to the routine medications for a patient who also usesinsulin, warfarin, cholestyramine, and antacids daily. Which statement should be included in the patient’s medication education? You will need to avoid aluminum-containing antacids such as Maalox and Mylanta. The dosage of insulin that you take may need to be decreased Take your cholestyramine at least 4 hours apart from the levothyroxine Your dose of warfarin will have to be increased while you are taking this medication 29) A 38-year old female is seen in your office complaining of cold intolerance, fatigue, dry skin,weight gain, and heavy menstrual periods. Her physical exam showed a HR 58 bpm and a waxy sallow complexion and a firm goiter. Her TSH level is 34 Mu/L. What is the recommended treatment for this patient? Begin levothyroxine (synthroid) at 0.025 mg PO every morning and repeat TSH in 2 weeks. Administer an IV loading dose of levothyroxine and start with half replacement therapy.