NR 565 MIDTERM EXAM LATEST 2024-2025
WITH 110 UPDATED QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) [ALREADY
GRADED A+]
When prescribing Medications, we must understand that the liver
function declines with age d/t what?
A. Enlarged Liver
B. Decreased blood flow to liver
C. Increased activity of the hepatic enzymes - B. Decreased blood
flow to liver
An 82 yo male visits the clinic complaining that his pain meds
"take forever" to work after he takes his pill. What are possible
reasons you can explain to him as to why this may be happening.
2 | P a g e
A. Perhaps we need to increase your dose
B. Sometimes as you get older, absorption may be slower
resulting in a delayed response
C. As we get older, the gastric acid decreases and may delay
absorption - B. Sometimes as you get older, absorption may be
slower resulting in a delayed response
C. As we get older, the gastric acid decreases and may delay
absorption
What might you expect to find in the synovial fluid of a pt with OA
- Mild leukocytes
What might you expect to find in the synovial fluid of a pt with RA
- Cloudy with leukocytes
Goals of Tx for RA - Sxs relief (pain, stiffness, inflammation,
maintaining joint fxn and ROM
3 | P a g e
minimize systemic involvement
delay progression
Typical pharm Txs for RA - NSAIDs, systemic steroids,
antimalarials, antimetabolites, and biologics
Baseline assessment data before starting DMARD - Liver, PG,
serum creatinine, CBC with diff, sxs of infxn (TB & hepatits), Hx &
physical, renal status, & malignancies
Significant baseline data for Sulfasalazine - CXR, pulmonary and
neuro status
Significant baseline data for Leflunomide - CXR, BP & pulmonary
status
Significant baseline data for Mehtotrexate - CXR, Pulmonary and
GI status
4 | P a g e
Significant baseline data for hydroxychloroquine - Ophthalmologic
& cardiac exam (ECG if indicated)
Conventional DMARDs- examples - Methotrexate,
hydroxychloroquine, sulfsalazine
Biologic DMARDS- examples - adalimumab, etanercept,
golimumab
"-mab"s
MOA of methotrexate - folic acid antagonist ->inhibits lymphocyte
proliferation
Within how many months of RA diagnosis should Methotrexate be
started and why? - 3 months of diagnosis
acct 526 advanced pathophysiology aha pals aorn periop 101 ati capstone fundamentals ati comprehensive predictor ati fundamentals proctored ati rn community health proctored ati rn med surg proctored ati rn nutrition proctored az post healthcare hesi hesi exit hesi health assessment hesi mental health hesi pn exit hesi rn exit ihuman case study med surg nclex ngn nclex rn nursing urinalysis and body fluids west coast emt block 2
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