NR 566 Test Bank Questionsfor Weeks 5-7

Week 5: Ch. 18, 19, 27, 37

Week 6: Ch. 22, 31, 38, 44

Week 7: 48, 49, 50, 51

Week 5

Ch. 18 Drugs Affecting the Hematopoietic System

1.Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best

recommendation is:

A. Ibuprofen 400 mg three times a day

B. Acetaminophen, not to exceed 4 grams per day

C. Prescribe acetaminophen with codeine

D. Aspirin 640 mg three times a day

 2. Juanita had a 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:

A. Contact the hospitalist as this is not the normal guideline for proscribing these two

medications and she may have had a more complicated case

B. Explain that warfarin is often started while a patient is still on heparin because

warfarin takes a few days to reach effectiveness

C. Encourage the patient to contact the Customer Service department at the hospital

as this was most likely a medication error during her admission

D. Draw anticoagulation studies to make sure she does not have dangerously high

bleeding times

 3. The safest drug to use to treat pregnant women who require anticoagulant therapy is:

A. Low molecular weight heparin

B. Warfarin

C. Aspirin

D. Heparin

 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be

considered in which patients?

A. Pregnant women

B. Elderly men

C. Overweight or obese patients

D. Patients with multiple comorbidities

 5. Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to

review his medications. He is healthy with only mild hypertension that is well controlled. He

asks about getting “a shot” to prevent blood clots like his friend Ralph did before international

travel. The correct respond would be:

A. Administer one dose of low-molecular weight heparin 24 hours before travel

B. Prescribe one dose of warfarin to be taken the day of travel

C. Consult with a hematologist regarding a treatment plan for Cecil

D. Explain that Cecil is not at high risk of a blood clot and provide education about

how to prevent blood clots while traveling

 6. Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day.

Why would this be recommended?

A. He has arthritis and this will help with the inflammation and pain.

B. Aspirin has anti-platelet activity and prevents clots that cause heart attacks.

C. Aspirin acidifies the urine and he needs this for prostrate health.

D. He has a history of GI bleed, and one aspirin a day is a safe dose.

 7. Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin

four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity she would

need to be evaluated for:

A. Tinnitus

B. Diarrhea

C. Hearing loss

D. Photosensitivity

 8. Patient education when prescribing clopidogrel includes:

A. Do not take any herbal products without discussing with the provider

B. Monitor urine output closely and contact the provider if it decreases

C. Clopidogrel can be constipating, use a stool softener if needed

D. The patient will need regular anticoagulant studies while on clopidogrel