NR565 Week 4 Midterm Exam May 2026

NR565 Week 4 Midterm Exam May 2026

NR565 Week 4 Midterm Exam May-2026

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?

Answers: A – D

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

Which of the following statements best describes full prescriptive authority?

Answers: A – D

1. The authority to prescribe schedule I drugs without restrictions
   B. The ability to prescribe only non-controlled substances under physician supervision
   C. The right to prescribe medications only with oversight from a physician
   D. The legal right to prescribe independently and without limitation ✅

Which of the following is an example of a drug acting as an antagonist?

Answers: A – D

1. Acetylcholine stimulating muscarinic receptors in the GI tract
   B. Naloxone blocking opioid receptors to reverse respiratory depression ✅
   C. Dobutamine activating β1 receptors to increase heart rate
   D. Morphine binding to μ-opioid receptors to reduce pain perception

A neonate is prescribed a drug that is eliminated primarily via renal excretion. Which adjustment is MOST appropriate to avoid toxicity?

Answers: A – D

1. Administer the drug orally instead of intravenously
   B. Increase the frequency of administration
   C. Use a sustained-release formulation
   D. Reduce the dose or increase the dosing interval ✅

Which of the following is a pathologic effect of aldosterone seen in conditions such as heart failure?

Answers: A – D

1. Promotion of cardiac fibrosis and vascular remodeling ✅
   B. Decreased blood pressure through sodium loss
   C. Stimulation of vasodilation in vascular smooth muscle
   D. Enhanced baroreceptor sensitivity………………….add to cart and check out to purchase this exam at $70 only