NURSING MSN 571 FINAL EXAM QUESTIONS AND ANSWERS 100%
CORRECT LATEST UPDATE 2022\/2023 (GRADED A+)
1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently on Metformin 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.
\u25aa Liraglutide may be stored in the refrigerator or freezer prior to first use.
\u25aa The brand name is Bydureon
\u25aa Nausea and\/or vomiting are common side effects of therapy
\u25aa 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 that the interaction
of the beta blocker and the insulin may have which result?
\u25aa Decreased activity of the beta blocker drug
\u25aa Enhanced activity of the beta blocker drug
\u25aa Masked signs of hypoglycemia
\u25aa Masked signs of hyperglycemia
3) The drug of choice for type 2 diabetics is metformin. Metformin:
\u25aa Increases intestinal uptake of glucose
\u25aa Decreases glycogenolysis by the liver
\u25aa Increases the release of insulin from beta cells
\u25aa Prevents weight gain associated with hyperglycemia
4) Which classification of oral hypoglycemic drugs decreases hepatic glucose production and increases insulin
sensitivity and peripheral glucose uptake?
\u25aa Sulfonylureas (glyburide)
\u25aa Meglitinides (glinides)
\u25aa Biguanide (metformin)
\u25aa alpha-glycosidase inhibitor (miglitol)
5) A breast-feeding mother is seen in your clinic wanting contraceptive and plans on breast-feeding for a year.
What is an inappropriate choice for this patient?
\u25aa Depo-Provera 150mg IM every 3 months
\u25aa Progestin-only OC
\u25aa Combination OC
\u25aa Intrauterine device
6) Which of the following is (are) true about oral contraceptives (OCs)?
\u25aa Estrostep, Ortho Tri-Cyclen, Beyaz, and YAZ are approved for managing acne in women
\u25aa All the answrs are correct
\u25aa OCs favorably affect menstrual symptoms: cramps reduction, reduced menstrual flow volume andduration.
\u25aa OCs decrease the risk for several disorders, including ovarian cancer, endometrial cancer, ovariancysts, pelvic
inflammatory disease, benign breast disease.<\/p>\n\n\n\n
7) 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?
\u25aa \u201cThe patch prevents pregnancy by acting as barrier.\u201d
\u25aa \u201cI will experience minimal side effects because it is a progestin-only device.\u201d
\u25aa \u201cI will remove the patch each month and replace it with a new patch 1 week later.\u201d
\u25aa \u201cI will apply the patch in my vaginal area prior to having sexual intercourse.\u201d
8) The NP at the immunization clinic is reviewing the list of patients who are scheduled to receivethe varicella
vaccination. The NPwill cancel all of the following patients except:
\u25aa A21-year old patient who is allergic to neomycin
\u25aa A12-year old patient with an allergy to gelatin
\u25aa An 8-year old patient with asthma
\u25aa Apatient who is pregnant
9) The recommended range for maintaining serum theophylline levels is:
\u25aa 20 to 25 ug\/ml
\u25aa 30 to 40 ug\/ml
\u25aa 0.05 to 2 ug\/ml
\u25aa 10 to 20 ug\/ml
10) For his asthma, a patient is prescribed albuterol in the form of an inhalant. The patient tells youthe
medication causes shakes and hand tremors. What is the best response?
\u25aa \u201cI will contact the respiratory therapist about your problem.\u201d
\u25aa \u201cTremors are the most common side effect of this inhalant and will usually fade over time.\u201d
\u25aa \u201cThe tremors are probably not related to the medication.\u201d
\u25aa \u201c I will contact your provider about your problem.\u201d
11) A patient with COPD is acutely hypercapneic. Which respiratory therapy should you prescribeto lower the
patient\u2019s carbon dioxide concentration?
\u25aa Salmeterol
\u25aa Oxygen via a nasal cannula 2L\/minute
\u25aa Fluticasone propionate
\u25aa Albuterol nebulizer
12) A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the NP ismost
appropriate?
\u25aa Exercise soon after eating to increase gastric emptying
\u25aa You need to schedule an upper GI endoscopy soon.
\u25aa Try these proton-pump inhibitors for 2 weeks.
\u25aa Over-the- counter antiemetics work well for this condition
<\/p>\n","protected":false},"excerpt":{"rendered":"
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