<\/p>\n
Question<\/span><\/p>\n Question 1<\/span>.<\/span><\/a>Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed<\/span>.<\/span><\/a>\u00a0Prior to prescribing this drug, the nurse practitioner should assess for:<\/span><\/p>\n Hypokalemia<\/span><\/p>\n Impotence<\/span><\/p>\n Decreased renal function<\/span><\/p>\n Inability to concentrate<\/span><\/p>\n Question 2<\/span>.<\/span><\/a>\u00a0A potentially life-threatening adverse response to ACE inhibitors is angioedema<\/span>.<\/span><\/a>\u00a0Which of the following statements is true about this adverse response?<\/span><\/p>\n Swelling of the tongue and hoarseness are the most common symptoms<\/span>.<\/span><\/a><\/p>\n It appears to be related to a decrease in aldosterone production<\/span>.<\/span><\/a><\/p>\n The presence of a dry, hacky cough indicates a high risk for this adverse response<\/span>.<\/span><\/a><\/p>\n Because it takes time to build up a blood level, it occurs after being on the drug for about one week<\/span>.<\/span><\/a><\/p>\n Question 3<\/span>.<\/span><\/a>\u00a0Rodrigo has been prescribed procainamide after an episode of MI<\/span>.<\/span><\/a>\u00a0He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:<\/span><\/p>\n Widening of the area of infarction<\/span><\/p>\n Onset of congestive heart failure<\/span><\/p>\n An electrolyte imbalance involving potassium<\/span><\/p>\n Renal dysfunction<\/span><\/p>\n Question 4<\/span>.<\/span><\/a>\u00a0Which of the following is true about procainamide and its dosing schedule?<\/span><\/p>\n It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen<\/span>.<\/span><\/a><\/p>\n GI adverse effects are common, so the drug should be taken with food<\/span>.<\/span><\/a><\/p>\n Adherence can be improved by using a sustained-release formulation that can be given once daily<\/span>.<\/span><\/a><\/p>\n Doses of this drug should be taken evenly spaced around the clock to keep an even blood level<\/span>.<\/span><\/a><\/p>\n Question 5<\/span>.<\/span><\/a>\u00a0Furosemide is added to a treatment regimen for heart failure, which includes digoxin<\/span>.<\/span><\/a>\u00a0Monitoring for this combination includes:<\/span><\/p>\n Hemoglobin<\/span><\/p>\n Serum potassium<\/span><\/p>\n Blood urea nitrogen<\/span><\/p>\n Serum glucose<\/span><\/p>\n Question 6<\/span>.<\/span><\/a>\u00a0Art is a fifty-five-year-old smoker who has been diagnosed with angina and placed on nitrates<\/span>.<\/span><\/a>\u00a0He complains of headaches after using his nitrate<\/span>.<\/span><\/a>\u00a0An appropriate reply might be:<\/span><\/p>\n \u201cThis is a parasympathetic response to the vasodilating effects of the drug<\/span>.<\/span><\/a>\u201d<\/span><\/p>\n \u201cHeadaches are common side effects with these drugs<\/span>.<\/span><\/a>\u00a0How severe are they?\u201d<\/span><\/p>\n \u201cThis is associated with your smoking<\/span>.<\/span><\/a>\u00a0Let\u2019s work on having you stop smoking<\/span>.<\/span><\/a>\u201d<\/span><\/p>\n \u201cThis is not related to your medication<\/span>.<\/span><\/a>\u00a0Are you under a lot of stress?\u201d<\/span><\/p>\n Question 7<\/span>.<\/span><\/a>\u00a0Donald has been diagnosed with hyperlipidemia<\/span>.<\/span><\/a>\u00a0On the basis of his lipid profile, atorvastatin is prescribed<\/span>.<\/span><\/a>\u00a0Rhabdomyolysis is a rare but serious adverse response to this drug<\/span>.<\/span><\/a>\u00a0Donald should be told to:<\/span><\/p>\n Become a vegetarian since this disorder is associated with eating red meat<\/span><\/p>\n Stop taking the drug if abdominal cramps and diarrhea develop<\/span><\/p>\n Report muscle weakness or tenderness and dark urine to his provider immediately<\/span><\/p>\n Expect \u201chot flash\u201d sensations during the first two weeks of therapy<\/span><\/p>\n Question 8<\/span>.<\/span><\/a><\/p>\n Which of the following classes of drugs is contraindicated in heart failure?<\/span><\/p>\n Nitrates<\/span><\/p>\n Long-acting dihydropyridines<\/span><\/p>\n Calcium channel blockers<\/span><\/p>\n Alpha-beta blockers<\/span><\/p>\n Question 9<\/span>.<\/span><\/a>\u00a0First-line therapy for hyperlipidemia is:<\/span><\/p>\n Statins<\/span><\/p>\n Niacin<\/span><\/p>\n Lifestyle changes<\/span><\/p>\n Bile acid-binding resins<\/span><\/p>\n Question 10<\/span>.<\/span><\/a>\u00a0Patients who are being treated for folate deficiency require monitoring of:<\/span><\/p>\n Complete blood count every four weeks<\/span><\/p>\n Hematocrit and hemoglobin at one week and then at eight weeks<\/span><\/p>\n Reticulocyte count at one week<\/span><\/p>\n Folate levels every four weeks until the hemoglobin stabilizes<\/span><\/p>\n Question 11<\/span>.<\/span><\/a>\u00a0Isosorbide dinitrate is a long-acting nitrate given twice daily (BID)<\/span>.<\/span><\/a>\u00a0The schedule for administration is 7 a<\/span>.<\/span><\/a>m<\/span>.<\/span><\/a>\u00a0and 2 p<\/span>.<\/span><\/a>m<\/span>.<\/span><\/a>\u00a0because:<\/span><\/p>\n Long-acting forms have a higher risk for toxicity<\/span>.<\/span><\/a><\/p>\n Orthostatic hypotension is a common adverse effect<\/span>.<\/span><\/a><\/p>\n It must be taken with milk or food<\/span>.<\/span><\/a><\/p>\n Nitrate tolerance can develop<\/span>.<\/span><\/a><\/p>\n Question 12<\/span>.<\/span><\/a>\u00a0The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina<\/span>.<\/span><\/a>Angina that occurs with\u00a0 unusually strenuous activity or on walking or climbing stair after meals is:<\/span><\/p>\n Class I<\/span><\/p>\n Class II<\/span><\/p>\n Class III<\/span><\/p>\n Class IV<\/span><\/p>\n Question 13<\/span>.<\/span><\/a>\u00a0Which of the following drugs has been associated with increased risk for MI in women?<\/span><\/p>\n Aspirin<\/span><\/p>\n Beta blockers<\/span><\/p>\n