NR565 Week 4: Midterm Exam (Nov-2025)

NR565 Week 4: Midterm Exam

NR565 Week 4: Midterm Exam

NR565 Week 4: Midterm Exam

NR565 Week 4: Midterm Exam

Which of the following is a key argument in favor of granting full prescriptive authority to advanced practice providers (APPs)?

A. APPs require minimal training and rely heavily on physician oversight
B. Full prescriptive authority would reduce barriers to accessible, affordable care
C. Collaborative arrangements always ensure equal power between physicians and APPs
D. Physician shortages are not expected to impact primary care delivery

The NP is managing a patient that is newly prescribed spironolactone (Aldactone) for heart failure. Which patient teaching point is MOST appropriate based on the drug’s mechanism of action?

A. “This medication will cause rapid fluid loss, so weigh yourself twice daily.”
B. “Take this medication at night to enhance its immediate diuretic effect.”
C. “This medication may increase your potassium levels, so avoid salt substitutes containing potassium.”
D. “You may notice increased urination within the first hour after taking your dose.”

Why is it important for the NP to check for drug interactions, including those involving over-the-counter and herbal products, before prescribing a new medication?

A. It ensures the patient receives the most expensive medication available
B. It helps simplify the prescribing process by focusing only on prescription drugs
C. It helps prevent adverse effects and ensures safe medication use
D. It allows the NP to avoid responsibility by referring the patient to a pharmacist

A patient experiences a Rheumatoid Arthritis symptom flare-up despite initial treatment with methotrexate. What is the next appropriate step in management?

A. Switch to NSAID-only therapy
B. Add or substitute another DMARD
C. Continue methotrexate as the sole therapy
D. Start glucocorticoids for long-term use

What are the two primary functions of the circulatory system?

A. Deliver oxygen, nutrients, and hormones to cells and remove carbon dioxide and metabolic wastes
B. Pump lymph fluid, increase renal excretion and control fluid balance in tissues
C. Regulate blood pressure, respiration and maintain body temperature
D. Store electrolytes, mobilize glucose for energy and distribute immune cells throughout the body

A patient with chronic stable angina is prescribed ranolazine (Ranexa). Which of the following characteristics BEST distinguishes this medication from other antianginal agents?

A. It causes coronary vasodilation to relieve anginal pain in combination with nitroglycerin
B. It directly increases myocardial oxygen supply and reduces peripheral vascular resistance
C. It reduces intracellular sodium and calcium without significantly affecting heart rate or blood pressure
D. It primarily reduces heart rate and blood pressure within minutes of taking it

A patient with heart failure presents with significant edema and reduced cardiac output. The NP wants to prescribe a diuretic that will effectively reduce fluid volume even though the patient has a low glomerular filtration rate (GFR). Which diuretic would be MOST appropriate?

A. Hydrochlorothiazide (Microzide)
B. Spironolactone (Aldactone)
C. Triamterene (Dyrenium)
D. Furosemide (Lasix)

The NP is completing a prescription for atenolol (Tenormin) for a new patient using an electronic medical record (EMR) system. Which of the following MUST the NP ensure is included to complete a proper prescription?

A. Indication for the medication
B. Prescriber name and contact information
C. Pharmacy address
D. Patient insurance information

Nutritional deficiencies can impair hepatic drug metabolism by:

A. Reducing the expression of renal drug transporters
B. Enhancing plasma protein binding capacity
C. Depleting cofactors essential for optimal enzymatic function
D. Increasing intestinal drug absorption

A patient is taking ezetimibe and a bile acid sequestrant. What administration schedule should be recommended to minimize the interaction between these drugs?

A. Administer both drugs separately at bedtime
B. Administer sequestrant 1 hour before ezetimibe
C. Administer ezetimibe and sequestrant simultaneously
D. Administer ezetimibe 4 hours after the sequestrant…………………………………………………$60