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MN 553 Final Exam with Answers

1. Conjunctivitis in a child that is accompanied by acute otitis media is treated with:
2. The drug of choice for treatment of early latent or tertiary syphilis is:
3. Clinical judgment in prescribing includes:
4. When considering which cholesterol-lowering drug to prescribe, which factor determines the type and intensity of treatment?
5. Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
6. A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?
7. The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be:
8. Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include:
9. Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10-year-old child would be:
10. Medications are typically started for angina patients when:
11. First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be:
12. To improve actual effectiveness of oral contraceptives women should be educated regarding:
13. Class I recommendations for stage A heart failure include:
14. Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
15. Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
16. Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having “strange” thoughts. The appropriate initial action would be:
17. Gastric emptying is faster than that of men.18. Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
18. The role of the NP in the use of herbal medication is to:
19. Gender differences between men and women in pharmacokinetics include:
20. Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is atenolol. Beta blockers treat hypertension by:
21. Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
22. All of the following statements about the Beer’s List are true except:
23. Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?
24. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:
25. Which the following persons should not have a statin medication ordered?
26. Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine?
27. The optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is:
28. Patients who are treated with greater than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for:
29. There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
30. Which of the following statements is true about acute pain?
31. If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at home with OTC ranitidine daily, the appropriate treatment would be:
32. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the:
33. ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during pregnancy is best done by a specialist, which of the following drug classes is considered to be safe, at least in the later parts of pregnancy?
34. The most cost-effective treatment for two or three impetigo lesions on the face is:
35. Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:
36. Male patients who should not be prescribed phosphodiesterase type 5 (PDE-5) inhibitors include:
37. Preventative therapy for cluster headaches includes:
38. The Best Pharmaceuticals for Children Act:
39. Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
40. Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
41. Which diuretic agents typically do not need potassium supplementation?
42. Patients who are prescribed exogenous androgens need to be warned that decreased libido:
43. Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to:
44. Monitoring for patients who are on long-term antifungal therapy with ketoconazole includes:
45. Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:
46. While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of excessive erythrocytosis or abuse are:
47. A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to:
48. True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
49. Pharmacoeconomics is:
50. Precautions that should be taken when prescribing controlled substances include:
51. Patients who have a poor metabolism phenotype will have:
52. The drug of choice for type 2 diabetics is metformin. Metformin:
53. Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for her URI would include:
54. 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 for which she would need to be evaluated?
55. Elena Vasquez’s primary language is Spanish, and she speaks very limited English. Which technique would be appropriate to use in teaching her about a new drug you have just prescribed?
56. Drugs that have a significant first-pass effect:
57. If an adult patient with comorbidities cannot reliably take oral antibiotics to treat pneumonia, an appropriate initial treatment option would be:
58. The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act:
59. Absolute contraindications that clinicians must consider when initiating estrogen therapy include:
60. Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:
61. Rapidly achieves drug levels in the therapeutic range63. An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
62. An Investigational New Drug is filed with the U.S. Food and Drug Administration:
63. Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that:
64. What is the role of calcium supplements when patients take bisphosphonates?
65. Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most other selective serotonin reuptake inhibitors (SSRIs)?
66. A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?
67. Nurse practitioner prescriptive authority is regulated by:
68. Laboratory values are actually different for TSH when screening for thyroid issues and when used for medication management. Which of the follow holds true?
69. The first-line therapy for mild-persistent asthma is:
70. According to the U.S. Office of Minority Health, poor health outcomes among African Americans are attributed to:
71. Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
72. Several classes of drugs have interactions with cholinergic blockers. Which of the following is true about these interactions?
73. Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes:
74. Alterations in drug metabolism among Asians may lead to:
75. When a pharmacoeconomic analysis looks at two or more treatment alternatives that are considered equal in efficacy and compares the costs of each it is referred to as:
76. When determining drug treatment the NP prescriber should:
77. Which of the following is a primary benefit of the use of computerized provider order entry for patient medications?
78. Goals when treating tuberculosis include:
79. Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?
80. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
81. Patient education for a patient who is prescribed antibiotics for sinusitis includes:
82. The dosage of Vitamin B12 to initially treat pernicious anemia is:
83. A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with:
84. The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is class:
85. Ginseng, which is taken to assist with memory, may potentiate:
86. The reason that two MMR vaccines at least a month apart are recommended is:
87. IV forms of bisphosphonates are used for all the following except:
88. Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?
89. When discussing with a patient the different start methods used for oral combined contraceptives, the advantage of a Sunday start over the other start methods is:
90. When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
91. Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
92. Patient education regarding taking iron replacements includes:
93. Developmental variation in renal function has what impact on prescribing for infants and children?
94. Instructions for the use of nicotine gum include:
95. Varenicline (Chantix) may be prescribed for tobacco cessation. Instructions to the patient who is starting varenicline include:
96. Leonard is completing a 6-month regimen to treat tuberculosis (TB). Monitoring of a patient on TB therapy includes:
97. Sadie is a 90-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie?
98. The action of “gliptins” is different from other antidiabetic agents because they: