Reference no: EM133598001
Question
1. A patient with diabetes is taking low-dose enalapril (Vasotec) to manage hypertension. A record of the patient's blood pressure over 4 weeks ranges from 140 mm Hg to 145 mm Hg systolic and 85 mm Hg to 95 mm Hg diastolic. How should the nurse practitioner respond?
A-Add a second medication, such as an angiotensin receptor blocker, to the regimen.
B-Increase the dosage of the current antihypertensive medication
C-Continue the current medication and dosage for 4 more weeks
D-Add a thiazide diuretic to the current medication regimen
2. The reason beta-adrenergic blockers should be avoided in patients with diabetes is because theymay:
A- potentiate hypoglycemia
B- interfere with the action of insulin and oral hypoglycemics
C- mask symptoms of hypoglycemia
D-stimulate hepatic glucose secretion
3. Today a patient is diagnosed with iron deficiency anemia and started on a daily iron supplement.
The nurse practitioner should advise the patient to follow up in:
A-2 months for a reticulocyte count
B-6 weeks for measurement of total iron binding capacity (TIBC)
C-6 months for a serum ferritin and iron level
D-1 month for a CBC
4. The condition that is NOT likely related to the long-term use of glucocorticoid therapy is:
A Cushing syndrome
B hyperthyroidism
C cataracts
D-gastritis
5. The nurse practitioner assesses a 43-year-old patient who is determined to have a 10-year cardiovascular risk score of 3.5 (low risk). The patient asks if he would benefit from taking aspirin 325 mg every day to prevent a myocardial infarction. What should the nurse practitioner recommend?
A-Daily aspirin at a dose of 81 mg will decrease the risk of having an early cardiovascular event.
B-Numerous studies support the use of 325 mg of aspirin daily for the primary prevention of cardiovascular events.
C-The risks associated with daily aspirin outweigh the benefits in the primary prevention of cardiovascular events.
D-Daily aspirin may be indicated if the patient has hypertension and hyperlipidemia
6. The Centers for Disease Control and Prevention designates several populations as being at "high-risk" for sexually transmitted diseases (STDs). Which of the following is NOT considered a high-risk group requiring additional screening for sexually transmitted diseases?
A-Pregnant patients
B-Juveniles held in detention centers
C-Patients with a history of prior STDs
D-Members of the military
7. A nonsmoking adult is diagnosed with acute bronchitis. The nurse practitioner advises the patient to take guaifenesin for the cough. The patient should be instructed to return to clinic if:
A-fatigue develops
B-the cough becomes productive
C-the cough persists longer than 3 weeks
D-the patient develops substernal musculoskeletal pain.
8. A female patient presents with pain and burning in the vulvar area. Upon examination, the nurse practitioner notes four vesicles with an erythematous base arranged in a group on the patient's labia majora. The most likely diagnosis is:
A-folliculitis.
B-human papillomavirus
C-chancroid lesions
D-herpes simplex
9. The most prevalent non viral sexually transmitted infection in the United States is:
A-bacterial vaginosis (BV)
B-trichomoniasis
C-herpes simplex
D-syphilis
10. Which of the following is NOT a true statement about medication use in an older adult patient?
A-Drug-drug interactions between prescription and over-the-counter medications are more common in older adults
B-The older adult patient is likely to have multiple prescribers, resulting in polypharmacy and increasing the potential for drug-drug interaction
C-The older adult patient is likely to experience increased tolerance and subtherapeutic effects of prescription drugs given in combination with over-the-counter medications
D-When prescribing for the older adult patient, caution should be used due to a decreased rate of metabolism and excretion of medications