NR 508 Quiz 1 to 5 Questions and Answers

NR 508 Quiz 1 to 5 Questions and Answers
Quiz 1

• Azithromycin, erythromycin, and clarithromycin belong to which class of drug
• The primary mechanism of antibacterial action of the penicillin’s involves inhibition of
• A 75 y/o pt who has cardiovascular dz reports insomnia and vomiting for several weeks. The primary care NP orders thyroid function tests. The tests show TSH is decreased and T4 is increased. The NP should consult with an endocrinologist and order:
• In every state, Prescriptive authority for NPs include the ability to write prescriptions:
• Which is the drug clinically useful in the tx of systemic infections caused by Aspegillus, Blastomyces, Candida Albicans, Histoplasma, & Cyptoccus?

Quiz 2

• Which of the following drugs does not match with one of its potential side effects? Adverse effects)
• Lupus like syndrome can be an adverse effect of which of the following anti-arrhythmic agents:
• Which of the following diuretics is useful in the management of recurrent calcium stones? (Therapeutic use)
• Which of the following agents is the most appropriate choice as a diuretic in patients with hypertension, heart failure and renal failure? (Therapeutic use)
• Which of the antiarrhythmic agents has its action best described by decrease in myocardial conduction by inhibiting the influx of sodium through “fast” channels of the myocardial cells:

Quiz 3

• Which of the following agents is useful in treating angina but is avoided in patients with heart failure and atrioventricular nodal conduction abnormalities due to its significant effects of myocardial contractile force: (therapeutic effects and adverse)
• Which is the anti-lipidemic agent that competitively inhibits HMG CoA reductase enzymes in the biosynthesis of cholesterol? (Dynamics, mechanism)
• DM is a 46 y/o female with diabetes. Her medicine was recently … to a high HGA1c. One month later she starts to develop reoccurring vaginal candidiasis. Which of the following may be responsible?
• Which of the following is an antianginal agent believed to reduce myocardial oxygen demand by its effects of vascular smooth muscle calcium channels? (dynamics, mechanism)
• A patient on an antihypertensive drug comes to your office complaining of dry cough. You switched the patient to another drug that inhibits similar pharmacologic mechanisms, and now the pt does not complain of dry cough anymore. Which is the drug that the patient is currently on? (Adverse ACE inhibitors)

Quiz 4

• A pt who has osteoarthritis is scheduled to have knee surgery. The pt takes asparin for MI prophylaxis and naproxen (Naprosyn) for pain and inflammation. Which statement by the pt to the primary care NP indicates a need for further teaching?
• A pt who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis, which is treated with probenecid. At a follow-up visit, the pts serum uric acid level is 7mg/dl, and the pt denies any current symptoms. The primary care NP should discontinue the probenecid and :
• A pt who has HTN is taking a thiazide diuretic. The pt has a serum uric acid level of 8 mg/dl. The primary care NP caring for this pt should:
• A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:
• A patient having recurring migraine headaches and you plan to initiate prophylactic therapy. Which class of anti-hypertensive medications …. shown to have the greatest efficacy in preventing migraine headache?

Quiz 5 

• A patient asks an NP about usnign an oral OTC decongestant medication for nasal congestion associated with a viral upper respiratory illness. The NP  learns that the patient uses loratadine (Clarritin), a Beta adrenergic blocker, and an intranasal corticosteroid. The NP Would be concerned about which adverse effects?
• A pt is … with asthma. The primary care NP prescribes an inhaled corticosteroid and an inhaled broncholidalator medication and provides education about how to use inhalers. At a follow-up visiti 2 wks later, the pts pulmonary function tests are worse. The NP should :
• A patient who was recently … with COPD comes to the clinic for a follow-up evaluation after beginning therapy with a SABA as needed for dyspnea. The pt reports occasional mild exertional dyspnea but is able to sleep well. The pts FEV1 in the clinic is 85% of predicted, and oxygen sat is 96%. The primary care NP should recommend:
• A 7 year old patient who has severe asthsma takes oral prednisone daily. At a well-child examination, the primary care NP notes a decrease in the child’s linear growth rate. The NP should consult the child’s asthma specialist about:
• A patient comes to the clinic with a 2-day history of cough and wheezing. The patient has no previous history of asthma. The patient reports having heartburn for several months, which has worsened considerably. The NP makes a diagnosis of asthma and orders oral steroids and inhaled albuterol. The patient’s condition worsens and a chest radiograph obtained 2 days later shows bilateral infiltrates. The NP has failed to:

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