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Final NR 566 Exam Questions With Complete Answers 2025 Graded A+ Pass, Exams of Nursing

Final NR 566 Exam Questions With Complete Answers 2025 Graded A+ Pass Final NR 566 Exam Questions With Complete Answers 2025 Graded A+ Pass

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2024/2025

Available from 07/13/2025

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Final NR 566 Exam Questions With Complete Answers 2025
Graded A+ Pass
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ANSWERS-
alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - ANSWERS-Tamoxifen,
toremifene, raloxifene -- provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - ANSWERS-10-14 day course of progestin
Amenorrhea treatment - ANSWERS-progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - ANSWERS-give progestin for 5-10 days
Long term progestin therapy - ANSWERS-protection against endometrial cancer
Estradiol - ANSWERS-most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - ANSWERS-lower total estrogen dose.
less n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - ANSWERS-intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - ANSWERS-go straight from
one type of OC to the other without taking a gap.
initiating OC treatment - ANSWERS-first day of menstrual cycle (no backup BC
needed) OR first sunday after onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - ANSWERS-delayed sexual maturation
causing a boy significant distress. Limited course of Fluoxymesterone and
methyltestosterone are approved.
androgen therapy long term - ANSWERS-if delayed puberty is the result of true
hypogonadism
role of androgens in anemia - ANSWERS-promote synthesis of erythropoietin the
renal hormone that stimulates production of RBCs
Alprostadil preferred administration - ANSWERS-direct injection into the corpus
cavernosum. Rapid response
Finasteride - ANSWERS-BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
Tamsulosin - ANSWERS-BPH tx alpha adrenergic antagonist. relaxes smooth
muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin - ANSWERS-r/f floppy iris syndrome
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Final NR 566 Exam Questions With Complete Answers 2025

Graded A+ Pass

Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ANSWERS- alternatives for hormone replacement therapy Selective Estrogen Receptor Modulators (SERMs) - ANSWERS-Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while avoiding its drawbacks Dysfunctional uterine bleeding - ANSWERS-10-14 day course of progestin Amenorrhea treatment - ANSWERS-progestin helps induce menstrual flow Amenorrhea estrogen levels are low - ANSWERS-give progestin for 5-10 days Long term progestin therapy - ANSWERS-protection against endometrial cancer Estradiol - ANSWERS-most active estrogenic compound. oral estrogen option Advantages of estrogen transdermal patch - ANSWERS-lower total estrogen dose. less n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke Femring - ANSWERS-intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal atrophy No gap method of changing from one OC to another - ANSWERS-go straight from one type of OC to the other without taking a gap. initiating OC treatment - ANSWERS-first day of menstrual cycle (no backup BC needed) OR first sunday after onset of menses (backup BC needed for 7 days) Initiating androgen therapy short term - ANSWERS-delayed sexual maturation causing a boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are approved. androgen therapy long term - ANSWERS-if delayed puberty is the result of true hypogonadism role of androgens in anemia - ANSWERS-promote synthesis of erythropoietin the renal hormone that stimulates production of RBCs Alprostadil preferred administration - ANSWERS-direct injection into the corpus cavernosum. Rapid response Finasteride - ANSWERS-BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months Tamsulosin - ANSWERS-BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid Adverse effects of silodosin and tamsulosin - ANSWERS-r/f floppy iris syndrome

during cataract surgery. Chlamydia tx - ANSWERS-azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days Gonococcal urethritis tx - ANSWERS-ceftriaxone IM single dose 250mg-1g based on weight Bacterial vaginosis tx - ANSWERS-metronidazole 500mg PO 2x day for 7 days. Herpes (HSV) tx - ANSWERS-acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir Trichomoniasis tx - ANSWERS-metronidazole 2g PO x1 dose or tinidazole Syphilis - ANSWERS-benzathine penicillin 2.4mil units IM Mild symptoms PD tx - ANSWERS-MAO-B inhibitor like rasagiline or selegiline Severe symptoms PD tx - ANSWERS-levodopa + carbodopa or dopamine agonist PD tx for improving motor function - ANSWERS-levodopa PD tx for drug induced dyskinesias - ANSWERS-dopamine agonist COMT inhibitor - ANSWERS-Entacapone (Comtan). added to levo/carbidopa to increase levo concentrations & extend half life & decrease wearing off time Pramipexole side effects - ANSWERS-impulse control disorders, combined with levodopa causes orthostatic hypotension and dyskinesias Pregabalin - ANSWERS-Safest medication for seizure patients on OC Phenytoin - ANSWERS-can decrease effects of OCs, warfarin and glucocorticoids Migraine tx 1st line - ANSWERS-serotonin 1b/1d receptor agonists (triptans) First line migraine prevention - ANSWERS-propanolol Divalproex - ANSWERS-antiepileptic med reduce migraine attacks. Contraindicated in pregnancy Amitriptyline - ANSWERS-tricyclic antidepressant. Can prevent migraine/tension type headache. Orthostatic hypotension Preventative migraine meds - ANSWERS-propanolol, divalproex and amitriptyline Abortive migraine meds - ANSWERS-non specific NSAIDs, migraine specific analgesics, ergot alkaloids, dihydroergotamine Non-specific NSAIDS - ANSWERS-aspirin, naproxen, diclofenac and metoclopramide. Combos of acetaminophen +aspirin + caffeine

B-Amyloid Neuritic plaques - ANSWERS-spherical bodies of neuritic plaques made up of beta amyloid. B amyloid found in high levels in AD patients and can occur 10-20 years before first symptoms appear Memantine - ANSWERS-used to treat severe dementia/AD and reduces actions of chemicals in the brain contributing to AD. use in caution w pts hx of cardiovascular dz, hepatic/renal impairment or ophthalmic dz Donepezil (Aricept) - ANSWERS-tx moderate to severe AD. Cholinesterase inhibitors - ANSWERS-donepezil, rivastigimine and galantamine NMDA antagonist - ANSWERS-memantine Bipolar dz treatment (other drugs) - ANSWERS-anticonvulsants, clonazepam, lorazepam, oxcarbazepine, antidepressants, mood stabilizers and antipsychotics Mood stabilizers - ANSWERS-lithium and divalproex sodium Divalproex Sodium (Valproate) - ANSWERS-controls sx in acute manic episodes and can help prevent relapse into mania. Teratogen and can cause thrombocytopenia, pancreatitis and liver failure Carbamezepine (Tegretol, Equetro) - ANSWERS-approved for tx and prevention of manic episodes. Neuro side effects-- visual disturbances, ataxia, vertigo, unsteadiness, headache Lithium - ANSWERS-drug of choice for controlling manic episodes and for long term ppx against recurrence of mania or depression. monitoring is mandatory Lithium can accumulate to toxic levels in what sodium level... - ANSWERS-LOW SODIUM. edu patients to maintain normal sodium intake Diuretics and lithium - ANSWERS-these promote sodium loss and can increase r/f lithium toxicity NSAIDs and lithium - ANSWERS-increase lithium levels by 60% NSAIDs to prescribe when on lithium if necessary - ANSWERS-aspirin or sulindac bc they do not increase levels Lithium drug interactions - ANSWERS-diruetics, NSAIDs and anticholinergics Anticholinergics and lithium - ANSWERS-cause urinary hesitancy + lithium induced polyuria which can cause discomfort. AVOID antihistamines, phenothiazine, antipsychotics and TCAs Lithium level monitoring - ANSWERS-measure levels every 2-3 days during initial therapy and every 3-6 months during maintenance. Serum levels checked 5 days after any dosage change and 6 months thereafter

LIthium can be toxic to what other organs - ANSWERS-renal and thyroid. Check renal/thyroid function every 6 months SSRIs for MDD - ANSWERS-fluoxetine, citalopram, escitalopram, fluvoxamine, paroxetine and sertraline Adverse effects of Venlafaxine - ANSWERS-nausea, HA, anorexia, nervousness, sweating, somnolence, insomnia, dose related sustained diastolic HTN, mydriasis, sexual dysfunction. Venlafaxine drug interaction - ANSWERS-combo with MAOI is contraindicated. (this drug is an SNRI) MAOI adverse effects - ANSWERS-hypertensive crisis triggered by foods containing tyramine. s/s hypertensive crisis - ANSWERS-HA, tachycardia, palpitations, N/V, sweating Foods containing tyramine - ANSWERS-strong aged cheese, cured meats with salt or nitrate, dry summer sausages, pepperoni, sausage, avocado, figs, yeast extract, chianti wine, shrimp paste and soy sauce Pt appropriate for MAOI - ANSWERS-patients who do NOT respond well to first line drugs (SSRIs) Baseline data/education for SSRI - ANSWERS-serum sodium. Edu not to abruptly stop med. report suicide thoughts Baseline data/pt edu for TCAs - ANSWERS-ECG in pts with known dysrhythmia or

40years. Edu ortho hypotension and anticholinergic effects Tricyclic Antidepressants drugs - ANSWERS-amitriptyline, nortriptyline, doxepin etc. MAOI baseline data/pt edu - ANSWERS-blood pressure. Edu pts on tyramine containing foods and s/s hypertensive crisis Preferred tx for panic disorder - ANSWERS-SSRIs + CBT. Can use benzos, SNRIs too. Social anxiety disorder tx - ANSWERS-psychotherapy + paroxetine or sertraline (SSRIs). PRN use benzo. generalized anxiety disorder tx - ANSWERS-SSRIs, SNRIs, buspirone for at least 12 months buspirone - ANSWERS-anxiolytic. No abuse potential. Benzodiazepine - ANSWERS-first choice drug for ACUTE anxiety. onset of benefits is immediate. high abuse potential. (-pams) first gen antipsychotics side effects - ANSWERS-conventional. EPS-- acute dystonia,