Question 1

An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?
A. Beta blockers
B. Diuretics
C. Nondihydropyridine calcium channel blockers
D. Angiotensin II receptor blockers

Question 2

Adam has type I diabetes and plays tennis for his university. He exhibits knowledge deficit about his insulin and his diagnosis. He should be taught that:
A. He should increase his increase his carbohydrate intake during times of exercise intake during times of exercise.
B. Each brand of insulin is equal in bioavailability, so buy the least expensive.
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his diabetes.

Question 3

Age is a factor in different responses to pain. Which of the following age-related statements about pain is not true?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child.

C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness.
D. Decreases in pain tolerance are evident in older adults.

Question 4

Alterations in drug metabolism among Asians may lead to:
A. Slower metabolism of antidepressants, requiring lower doses
B. Faster metabolism of neuroleptics, requiring higher doses
C. Altered metabolism of omeprazole, requiring higher doses
D. Slower metabolism of alcohol, requiring higher doses

Question 5

Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching should include all of the following except:
A. Notify your healthcare provider immediately if you have visual change.
B. Monitor your own blood pressure and pulse daily.
C. Take a hot shower or bath if you feel dizzy.
D. Use a sunscreen on exposed body surfaces.

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