NR566 Week 8: Final Exam (Dec-2025)
A patient has been prescribed a first-generation antipsychotic. Which patient education strategy BEST promotes safety at home and during daily activities?
A. Encourage the patient to exercise vigorously to counteract sedative effects
B. Recommend taking the medication only at bedtime to avoid daytime adverse effects
C. ✅ Teach the patient to rise slowly from sitting or lying positions and avoid hazardous activities until sedation diminishes
D. Advise the patient to increase fluid intake to prevent dehydration during therapy
An adult patient has been taking a hypnotic nightly for 3 months to manage insomnia. The patient reports that the medication has become less effective and asks if the dose can be doubled. What is the MOST appropriate response by the nurse practitioner?
A. Advise increasing the hypnotic dose gradually until sleep improves, since tolerance is expected with long-term use of these drugs
B. Transition the patient to barbiturates, since they have a lower risk of drug-dependency insomnia when used long term
C. ✅ Recommend interrupting hypnotic therapy temporarily to reduce tolerance and then resume at the previous effective dosage if needed
D. Suggest continuing the current dose indefinitely, because tolerance will resolve naturally without changes to the treatment plan
Before initiating ustekinumab for a patient with moderate to severe psoriasis, which of the following actions should the nurse practitioner take?
A. Begin therapy without delay because infection risk is minimal
B. Avoid all vaccinations during therapy and for one year afterward
C. Initiate prophylactic antibiotic therapy to prevent local infections
D. ✅ Screen for latent tuberculosis infection before starting therapy
The NP should monitor for which adverse effect when taking phentermine/topiramate?
A. Hypertension
B. Hypoglycemia
C. Bradycardia
✅ D. Acidosis ✔️
A patient with seasonal allergic conjunctivitis asks how long it will take for cromolyn eye drops to relieve symptoms. Which of the following responses is MOST accurate?
Answers: A – D
A. Symptom relief occurs within 30 minutes of the first application of the medication
B. Symptom relief develops within a few hours due to the rapid inhibition of prostaglandin synthesis
C. Symptom relief occurs immediately if the drops are combined with oral antihistamines
D. Symptom relief develops after several days and may take up to two weeks for full benefit ✅
An adult patient who smokes 20 cigarettes per day is highly motivated to quit. The patient has tried nicotine gum in the past but found it inconvenient and difficult to use. The patient prefers a steady nicotine delivery without frequent dosing and would like a nonprescription option. Which pharmacologic strategy BEST aligns with evidence-based guidance?
Answers: A – D
A. Prescribe a nicotine inhaler, since it mimics hand-to-mouth motion, provides rapid nicotine delivery, and is available without a prescription
B. Recommend nicotine nasal spray, as it is nonprescription, delivers the fastest nicotine absorption, and rarely causes irritation or visible use issues
C. Begin bupropion, as it is available over-the-counter, provides nicotine-free therapy, and is first-line for all smokers regardless of comorbidities
D. Start a nicotine patch to provide steady nicotine delivery, nonprescription access, and ease of use, while counseling on potential local skin irritation ✅…………………add to cart and proceed to check out to access all the NR566 Week 8: Final Exam 100 questions and answers at $60 only
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