Kaplan MN553 Unit 7 Quiz – Ray has been diagnosed with hypertension

16 Jun Kaplan MN553 Unit 7 Quiz – Ray has been diagnosed with hypertension

Question
MN553 Unit 7 Quiz / MN 553 Unit 7 Quiz (Latest): Pharmacology: Kaplan University

Question

1. 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:

Hypokalemia

Impotence

Decreased renal function

Inability to concentrate

Question 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 function

Administration of aldosterone antagonist diuretics because of decreased potassium levels

Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin

Doses between 0.25 and 0.5 mg/day

Question 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 foods

Avoiding high-vitamin K-containing foods

Increasing intake of iron-containing foods

Making sure they eat 35 grams of fiber daily

Question 6. Question :

Pernicious anemia is treated with:

Folic acid supplements

Thiamine supplements

Vitamin B12

Iron

Question 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 supplementation

6 mg/kg per day of iron supplementation

325 mg ferrous sulfate per day

325 mg ferrous sulfate tid

Question 8. Question :

Kyle has Crohn’s disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:

Oral folic acid 1 to 2 mg per day

Oral folic acid 1 gram per day

IM folate weekly for at least 6 months

Oral folic acid 400 mcg daily

Question 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 blockers

Beta blockers

Angiotensin-converting-enzyme (ACE) inhibitors

Aspirin

Question 10. Question :

The rationale for prescribing calcium blockers for angina can be based on the need for:

Increased inotropic effect in the heart

Increasing peripheral perfusion

Keeping heart rates high enough to ensure perfusion of coronary arteries

Help with heart rate control

Question 11. Question :

Which of the following drugs has been associated with increased risk for myocardial infarction in women?

Aspirin

Beta blockers

Estrogen replacement

Lipid-lowering agents

Question 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 process

All beta blockers regardless of selectivity

Thiazide and loop diuretics

Cardiac glycosides

Question 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 S3

Mitral stenosis as a primary cause for heart failure

Renal insufficiency

Question 14. Question :

Which of the following classes of drugs is contraindicated in heart failure?

Nitrates

Long-acting dihydropyridines

Calcium channel blockers

Alpha-beta blockers

Question 15. Question :

What is considered the order of statin strength from lowest effect to highest?

Lovastatin, Simvastatin, Rosuvastatin

Rosuvastatin, Lovastatin, Atorvastatin

Atorvastatin, Rosuvastatin, Simvastatin

Simvastatin, Atorvastatin, Lovastatin

Question 16. Question :

First-line therapy for hyperlipidemia is:

Statins

Niacin

Lifestyle changes

Bile acid-binding resins

Question 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:

Sterol

Niacin

Fibric acid derivative

Bile acid-binding resin

Question 18. Question :

Hypertensive African Americans are typically listed as not being as responsive to which drug groups?

ACE inhibitors

Calcium channel blockers

Diuretics

Bidil (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:

Potassium

Calcium

Magnesium

Phosphates

Question 20. Question :

An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?

Beta blockers

Diuretics

Nondihydropyridine calcium channel blockers

Angiotensin II receptor blockers