Question: Using the American Heart Association and the American College of Cardiology classification system for heart, what stage will a nurse practitioner place a patient with symptoms and underlying disease?
Answer Options:
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Answer: C. Stage C
Question: The New York Heart Association and the Canadian Cardiovascular Society have prescribed grading criteria for levels of angina. Angina that occurs during unusual strenuous activity or on walking or climbing stairs after meals is class:
Answer Options:
Class 1
Class 2
Class 3
Class 4
Answer: Class 2
Question: Rodrigo has been prescribed procainamide after an episode of MI. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:
Answer: Onset of congestive heart failure
Question: A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following statements is true about this adverse response?
Answer Options:
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week.
Answer: A. Swelling of the tongue and hoarseness are the most common symptoms.
Question: The advanced practice nurse is instructing a patient managing asthma exacerbation at home. This would include:
Answer: Increasing the frequency of beta 2 agonist and contacting her provider
Question: The APN would diagnose mild persistent asthma in an eight-year-old when the symptoms:
Answer Options:
A. At nighttime one to two times a month
B. At nighttime three to four times a month
C. Less than twice a week
D. Daily
Answer: B. At nighttime three to four times a month
Question: Decongestants such as pseudoephedrine are Schedule III drugs in all states. They should not be prescribed for:
Answer Options:
A. Are Schedule III drugs in all states
B. Should not be prescribed or recommended for children under four years of age
C. Are effective in treating the congestion children experience with the common cold
D. May cause drowsiness in patients of all ages
Answer: B. Should not be prescribed or recommended for children under four years of age
Question: Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the:
Answer Options:
A. Risk of life-threatening dermatological reactions
B. Increased incidence of cardiac events when long-acting beta-agonists are used
C. Increased risk of asthma-related deaths when long-acting beta-agonists are used
D. Risk for life-threatening alterations in electrolytes
Answer: C. Increased risk of asthma-related deaths when long-acting beta-agonists are used
Question: The nurse practitioner is prescribing continuous prednisone and 40 milligrams daily for a patient with stage three COPD who lives in an assisted living facility. The NP would monitor:
Answer Options:
Serum glucose
Culture folate levels
B12
Answer: Serum glucose
Question: Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:
Answer Options:
Understanding that obesity is a contraindication to prescribing phentermine.
Anorexiants may cause tolerance and should only be prescribed for 6 months.
Patients should be monitored for postural hypotension.
Renal function should be monitored closely while on anorexiants.
Answer: Anorexiants may cause tolerance and should only be prescribed for 6 months.
Question: Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
Answer Options:
A. Used for the treatment of COPD
B. Used in the treatment of asthma
C. Combined with albuterol for treatment of asthma exacerbations
D. Combined with fluticasone for the treatment of persistent asthma
Answer: A. Used for the treatment of COPD
Question: Martin is a 60-year-old with hypertension. The first-line decongestant to prescribe would be:
Answer Options:
A. Oral pseudoephedrine
B. Oral phenylephrine
C. Nasal oxymetazoline
D. Nasal azelastine
Answer: C. Nasal oxymetazoline
Question: Cough and cold medications that contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population:
Answer Options:
Older adults
Hypertensive patients
Infants
All of the above
Answer: All of the above
Question: Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide:
Answer Options:
A. Can be given to all age patients, including infants and children, for viral gastroenteritis.
B. Slows gastric motility and reduces fluid and electrolyte loss from diarrhea.
C. Is the treatment of choice for the diarrhea associated with E. coli 0157.
D. May be used in pregnancy and by lactating women.
Answer: B. Slows gastric motility and reduces fluid and electrolyte loss from diarrhea.