MSN 571 ACTUAL EXAM LAT EST 70

MSN 571 ACTUAL EXAM LAT EST 70+

QUESTION AND ANSW ERS.

Final Exam .1) 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.” 2) 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

3) The recommended range for maintaining serum theophylline levels is:

▪ 20 to 25 ug/ml ▪ 30 to 40 ug/ml ▪ 0.05 to 2 ug/ml ▪ 10 to 20 ug/ml 4) 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?▪ “I will contact the respiratory therapist about your problem.” ▪ “Tremors are the most common side effect of this inhalant and will usually fade over time.” ▪ “The tremors are probably not related to the medication.” ▪ “ I will contact your provider about your problem.” 5) A patient with COPD is acutely hypercapneic. Which respiratory therapy should you prescribeto lower the patient’s carbon dioxide concentration?▪ Salmeterol ▪ Oxygen via a nasal cannula 2L/minute 1 / 2

▪ Fluticasone propionate ▪ Albuterol nebulizer 6) A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the NP ismost appropriate?▪ Exercise soon after eating to increase gastric emptying ▪ You need to schedule an upper GI endoscopy soon.▪ Try these proton-pump inhibitors for 2 weeks.▪ Over-the- counter antiemetics work well for this condition 7) 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 8) Metoclopramide (Reglan) carries a black box warning that it can cause tardive dyskinesia withlong- term therapy.▪ True ▪ False 9) A patient with gastroesophageal reflux disease (GERD) receives a prescription for a protonpump inhibitor (PPI). What information will the provider include when teaching the patient about this drug?▪ “The FDA has determined that there is a gastric cancer risk with this drug.” ▪ “This drug will be given on a long-term basis only.” ▪ “You should report any fever and cough to your provider.” ▪ “You may experience high magnesium levels when taking this drug.” 16) Which medication is the first-line drug for migraine prevention?▪ Propranolol ▪ Topiramate ▪ Ergotamine ▪ Metoclopramide 17) Why should Sumatriptan be used with caution in a patient with angina?▪ None of the answers are correct ▪ It can precipitate an anginal attack secondary to vasoconstriction of coronary arteries.▪ It can cause vasoconstriction of the coronary arteries leading to severe hypotension and chest pain ▪ It can precipitate an angina attack secondary to vasospasm of coronary arteries.18) A patient with a history of moderate to severe headache pain associated with nausea andvomiting is diagnosed with migraines. Which medication would the NP prescribe initially?▪ Meperidine

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