Question1. Question :Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for:HypokalemiaImpotenceDecreased renal functionInability to concentrateQuestion 2. Question :Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.Older adults because of reduced renal functionAdministration of aldosterone antagonist diuretics because of decreased potassium levelsTaking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxinDoses between 0.25 and 0.5 mg/dayQuestion 3. Question :Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on warfarin. She asks her primary care provider NP why she was getting both medications while in the hospital. The best response is to:Contact the hospitalist as this is not the normal guideline for prescribing these two medications and she may have had a more complicated case.Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days to reach effectiveness.Encourage the patient to contact the Customer Service department at the hospital as this was most likely a medication error during her admission.Draw anticoagulation studies to make sure she does not have dangerously high bleeding times.Question 4. Question :Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day. Why would this be recommended?He has arthritis and this will help with the inflammation and pain.Aspirin has anti-platelet activity and prevents clots that cause heart attacks.Aspirin acidifies the urine and he needs this for prostrate health.He has a history of GI bleed, and one aspirin a day is a safe dosage.Question 5. Question :Education of patients who are taking warfarin includes discussing their diet. Instructions include:Avoiding all vitamin K-containing foodsAvoiding high-vitamin K-containing foodsIncreasing intake of iron-containing foodsMaking sure they eat 35 grams of fiber dailyQuestion 6. Question :Pernicious anemia is treated with:Folic acid supplementsThiamine supplementsVitamin B12IronQuestion 7. Question :Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be:18 mg/day of iron supplementation6 mg/kg per day of iron supplementation325 mg ferrous sulfate per day325 mg ferrous sulfate tidQuestion 8. Question :Kyle has Crohns disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:Oral folic acid 1 to 2 mg per dayOral folic acid 1 gram per dayIM folate weekly for at least 6 monthsOral folic acid 400 mcg dailyQuestion 9. Question :Angina is produced by an imbalance between myocardial oxygen supply (MOS) and demand (MOD) in the myocardium. Which of the following drugs help to correct this imbalance by increasing MOS?Calcium channel blockersBeta blockersAngiotensin-converting-enzyme (ACE) inhibitorsAspirinQuestion 10. Question :The rationale for prescribing calcium blockers for angina can be based on the need for:Increased inotropic effect in the heartIncreasing peripheral perfusionKeeping heart rates high enough to ensure perfusion of coronary arteriesHelp with rate controlQuestion 11. Question :Which of the following drugs has been associated with increased risk for myocardial infarction in women?AspirinBeta blockersEstrogen replacement Lipid-lowering agentsQuestion 12. Question :Increased life expectancy for patients with heart failure has been associated with the use of:ACE inhibitors, especially when started early in the disease processAll beta blockers regardless of selectivityThiazide and loop diureticsCardiac glycosidesQuestion 13. Question :Digoxin has a very limited role in treatment of heart failure. It is used mainly for patients with:Ejection fractions above 40%An audible S3Mitral stenosis as a primary cause for heart failureRenal insufficiencyQuestion 14. Question :Which of the following classes of drugs is contraindicated in heart failure?NitratesLong-acting dihydropyridinesCalcium channel blockersAlpha-beta blockersQuestion 15. Question :What is considered the order of statin strength from lowest effect to highest?Lovastatin, Simvastatin, RosuvastatinRosuvastatin, Lovastatin, AtorvastatinAtorvastatin, Rosuvastatin, SimvastatinSimvastatin, Atorvastatin, LovastatinQuestion 16. Question :First-line therapy for hyperlipidemia is:StatinsNiacinLifestyle changes Bile acid-binding resinsQuestion 17. Question :Han is a 48-year-old diabetic with hyperlipidemia and high triglycerides. His LDL is 112 mg/dL and he has not tolerated statins. He warrants a trial of a:SterolNiacinFibric acid derivativeBile acid-binding resinQuestion 18. Question :Hypertensive African Americans are typically listed as not being as responsive to which drug groups?ACE inhibitorsCalcium channel blockersDiureticsBidil (hydralazine family of medications)Question 19. Question :Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:PotassiumCalciumMagnesiumPhosphatesQuestion 20. Question :An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?Beta blockersDiureticsNondihydropyridine calcium channel blockersAngiotensin II receptor blockers
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