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MSN 611 FINAL EXAM NEWEST 2025 TEST BANK|
COMPLETE 250 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| MSN 611 EXAM
REVIEW|| BRAND NEW!!
During procedural sedation with midazolam, a patient becomes obtunded. Which drug is used to reverse this effect? - ANSWER - Flumazenil
A patient is scheduled for same-day surgery. The anesthesiologist plans to use a local anesthetic such as lidocaine. What is the rationale for including epinephrine with the anesthetic? - ANSWER - Prolongs anesthetic action
A 23-year old female is taking a cocktail of immunosuppressive agents as she prepares to receive a bone marrow transplant. Her transplant is successful, but the patient returns to her primary care physician complaining of recurrent fevers and body aches. Her physician explains that her immune system is still partially immunocompromised after treatment with immunosuppressive drugs. The physician orders a CBC and UA to be sure that nothing else is abnormal in the patient. Upon collecting the urine sample, the physician notes a reddish hue. Which of the following agents is most likely responsible for the appearance of the sample? - ANSWER - Cyclophosphamide
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pg. 2 A 50-year-old male is admitted to the intensive care unit following myocardial infarction. His current vitals include a temperature of 98.6 F (37 C), a pulse rate of 98 bpm, a blood pressure of 80/55 mmHg, and a respiratory rate of 20 breaths/min. The chest auscultation does not demonstrate any abnormal findings. In line with the initial emergency management for the ischemic event, dobutamine is to be administered to counter the cardiogenic shock. Which of the following would accurately explain the main role of dobutamine in achieving hemodynamic stability in this patient? - ANSWER - Predominant beta1-receptor activity
A 37-year-old woman presents with occasional heartburn. She says she has an extremely stressful job and is not able to eat well, and has to drink at least six cups of coffee per day to keep herself going. The recommendation of a change in her lifestyle is made, and cimetidine is prescribed. Which of the following is the target of this drug? - ANSWER
- Histamine
A 70-year-old woman presents to the clinic with complaints episodes of severe breathlessness that wake her in the night. She has a history of hypertension and diabetes mellitus. Her drug history includes metformin, hydrochlorothiazide, amlodipine and valsartan, and carvedilol. Examination shows jugular venous distention and an irregular heartbeat. Her electrolyte profile shows sodium 130 mEq/L, potassium 3 mEq/L, chloride 100 mEq/L, and bicarbonate 25 mEq/L.Which of the following is the strongest contraindication to initiating digoxin in this patient? - ANSWER - Hypokalemia
A patient is receiving isoniazid (INH) to treat pulmonary tuberculosis.The patient should be monitored for which one of the following reactions? - ANSWER - Hepatitis 2 / 4
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pg. 3 A 70-year-old woman presents to the clinic with complaints episodes of severe breathlessness that wake her in the night. She has a history of hypertension and diabetes mellitus. Her drug history includes metformin, hydrochlorothiazide, amlodipine and valsartan, and carvedilol. Examination shows jugular venous distention and an irregular heartbeat. Her electrolyte profile shows sodium 130 mEq/L, potassium 3 mEq/L, chloride 100 mEq/L, and bicarbonate 25 mEq/L.Which of the following is the strongest contraindication to initiating digoxin in this patient? - ANSWER - Decreases synthesis of mycolic acids
Following liver transplantation, a prescription is written for cyclosporine 600 mg oral solution to be given daily. What instruction should be given to the patient prior to discharge? - ANSWER - Have kidney fxn checked regulary
Which of the following antacids or anti-ulcer medications may also be useful in preventing osteoporosis? - ANSWER - Calcium carbonate
A 45-year-old man has cancer and is to receive a combination of fluorouracil (5-FU) and leucovorin calcium. He is also receiving allopurinol. When teaching the patient about 5-FU, which of the following dermatological manifestations should be reviewed? - ANSWER - Darkening of the skin along veins and dark coloration of the nails
Which condition is a relative contraindication to thiazide diuretics? - ANSWER - Gout
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pg. 4 Which of the following medications is the best treatment for methanol poisoning? - ANSWER - Fomepizole
A 67-year-old male uses a topical preparation to control his open-angle glaucoma and subsequently experiences episodes of tachyarrhythmias.Which of the following is most likely to produce this effect? - ANSWER
- Epinephrine
Which of the following would be a contraindication for initiating buspirone therapy in a patient with generalized anxiety disorder? - ANSWER - Pt currently taking phenelzine for depression
Which is a possible side effect of leuprolide (GnRH analogue) therapy for prostate cancer? - ANSWER - Gynecomastia
An 81-year-old is found to have a stress ulcer after being transferred to the intensive care unit (ICU) after diagnosing congestive heart failure (CHF). She is started on cimetidine to manage this condition. Which of the following enzymes is most likely inhibited by the administration of this drug? - ANSWER - Cyclic AMP
A patient was prescribed an albuterol inhaler to be used for rescue, 2 puffs every 4 to 6 hours as needed. Which of the following dose-related adverse effects should be highlighted when counseling a patient about this medication? - ANSWER - Hyperglycemia
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