Question 1 1 / 1 point
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:
Decreased renal function
Inability to concentrate
Question 2 1 / 1 point
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 1 / 1 point
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 1 / 1 point
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 1 / 1 point
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 0 / 1 point
Pernicious anemia is treated with:
Folic acid supplements
Question 7 1 / 1 point
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 1 / 1 point
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 1 / 1 point
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
Angiotensin-converting-enzyme (ACE) inhibitors
Question 10 1 / 1 point
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 rate control
Question 11 1 / 1 point
Which of the following drugs has been associated with increased risk for myocardial infarction in women?
Question 12 1 / 1 point
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
Question 13 1 / 1 point
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
Question 14 1 / 1 point
Which of the following classes of drugs is contraindicated in heart failure?
Calcium channel blockers
Question 15 1 / 1 point
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 1 / 1 point
First-line therapy for hyperlipidemia is:
Bile acid-binding resins
Question 17 1 / 1 point
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:
Fibric acid derivative
Bile acid-binding resin
Question 18 1 / 1 point
Hypertensive African Americans are typically listed as not being as responsive to which drug groups?
Calcium channel blockers
Bidil (hydralazine family of medications)
Question 19 0 / 1 point
Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:
Question 20 1 / 1 point
An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?
Nondihydropyridine calcium channel blockers
Angiotensin II receptor blockers
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