1. Which of the following is a common cause of iron deficiency in patient?
a. Rapid grown during adolescence
b. Vegetarian eating pattern
c. Decreased
... [Show More] intestinal uptake of iron
d. Chronic blood loss through the gastrointestinal tract.
2. Which of the most common type of anemia?
a. Iron deficiency anemia
3. A patient is taking oral ketoconazole for a systemic fungal infection. The medication administration record notes that the patient is also taking ho MEPRAZOL for reflux disease . What instruction will the provider give the patient to maximize medication effectiveness?
a. Take the omeprazole one hour before the ketoconazole
b. Wear sunglasses when outdoors to manage photo sensitivity
c. Take omeprazole at least two hours after keto ketoconazole
d. Restrict intake of dietary products
4. A 70 year old patient with penicillin sensitivity is receiving digoxin and warfarin therapy hey mark holiday antibiotic is required to treat streptococcal infection which of the following medication would be best for this patient
a. Clarithromycin
b. Telithromycin
c. Azithromycin
d. Erythromycin ???/
5. You are teaching a patient to promptly report any diarrhea after prescribing which of the following drug is the patient likely being prescribed. Clindamycin
6. which of the following is true about prescriptive authority
a. all the answers are correct
b. some MP's have restricted prescriptive authority
c. some MP's have full prescriptive authority
d. prescriptive authority is the legal right to prescribe drugs
7. which patient statement suggests to the provider that the patient nonadherence with their medication plan is related to dissatisfaction with the therapy
I have been taking this medication for well ove a week and I lost only a half a pound.
8. which was the first antibiotic class available for the treatment of systemic bacterial infection
a. sulfonamides
b. cephalosporinase
c. penicillin’s
d. tetracycline
9. risk factors for extended spectrum beta lactamase producing Organism include except
10. monitoring for patients who are on long term antifungal therapy with ketoconazole Includes
a. platelet count
b. bun & creatinine
c. AST ALT, alkaline phosphate, and bilirubin
d. WBC
11. Which antipyretic drug would you prescribe the patient of a child with influenza
A. Acetaminophen ?
B. ibuprofen
C. none of the answers are correct
D. naproxen
E. aspirin
12. a patient comes to the clinic and receive valacyclovir for herpes zoster virus when will the provider instruct the patient to take the medication
a. Without regard to meals
b. without any dairy product
c. each morning
d. an empty stomach
13. A patient has been diagnosed with onychomycosis the patient disliked the yellow discoloration of the toenails and request an oral form of ketoconazole. How would you respond?
a. ketoconazole only treats viral infection
b. ketoconazole taken orally has a higher risk of liver injury
c. ketoconazole is only available in topical formulation
d. the discoloration will subside without treatments in the next few days
14. The Beers criteria is utilized with which population of patient
A. Ob/gyn
B. Pediatrics
C. mental health
D. geriatris ?
15. a Pediatrics provider is teaching nursing student to calculate medication doses for children using a formula based on body surface area. which statement nursing student indicates understanding of teaching?
a. This formula can determine medication dosing for a child of any age
b. this formula accounts for pharmacokinetics factors that are different in children
c. this formula helps approximate the first dose other doses should be based on clinical observations
d. using this formula will prevent side effects of medication and children
16. A 6 month old infant is brought into the clinic with rash on the face and eye. That consists of linear erythematous burrows. An older sibling has similar rash on his wrist in between his fingers and appropriate intervention would be?
a. mycitracin ointment
b. Permethrin 5% cream (elimite)?
c. bacitracin ointment
d. ACITRETIN (SORIATANE)
17. Patient on chronic long term corticosteroid therapy, needs education regarding
a. Small amount of alcohol are generally tolerated
b. reporting black tarry stools or abdominal pain
c. receiving all vaccination specially delivered flu vaccine
d. eating high carbohydrate diet with plenty of fluids
18. physiological change in elderly that accounts for small volume of distribution and an increase in plasma concentration of digoxin is
a. decreased total body fat
b. increase total body water
c. increased activity of hepatic enzymes that facilitate drug metabolism
d. decrease rate of elimination due to decreased renal function
19. regarding the most common causes of adverse reaction in older adults which of the following would you find to be decreased in the most common cause of this problem in older adults
a. liver function
b. plasma albumin level
c. body fat content
d. renal function/clearance
20. an infant develop a pruritic following exposure to an allergen. The infant's parent asked the provider about using a topical antihistamine. what information should that provider use to address the parents question
a. anti histamine given by this route are not absorbed as well as in children
b. the child will also need oral medication to achieve effective results
c. applying anti histamine to the skin can cause toxicity in the age group
d. topical medication have fewer side effects than those given by other routes
21. a patient who has congestive heart failure requires a diuretic the patient also has a history of chronic kidney disease with GFR of less than 30ML per minute which drug prescribed for this patient
a. Metolazone
b. Methyclothiazide
c. Furosemide
d. Hydrochlorothiazide
22. Which outcomes should the NP establish for patient with trichomoniasis who is receiving metronidazole?
A. improvement in pain in the back of the testicles
B. decrease in yellow green, odorous vaginal discharge
C. resolution of genital and perianal warts
D. Absence of painful urination and watery discharge
23. a patient is diagnosed with lymphangitis has an allergy to penicillin the allergies are rash. What would you give to this patient?
A. Clindamycin IV
24. which laboratory tests should be done at baseline when initiating a statin therapy
A. platelets
B. urinalysis
C. LFTs LIVER ENZYME
D. TSH
25. The patient is receiving anticoagulant therapy the INR value of the patients today is 1.5 in response to this what will you do
a. the level is within the expected target therapeutic level of anticoagulation
b. the level outside the expected target therapeutic level of anticoagulation, it is too low
c. The level cannot be interpreted without knowing the PT and the INR ratio
d. the level is outside the expected target therapeutic level of anticoagulation it's too high
26. A patient with alcohol abuse disorder is admitted to the hospital for surgery the provider is most concerned when the admission interview determines the patient regularly used to what medication
a. morphine
b. acetaminophen
c. diazepam
d. thiamine
27. which agent is often found as an adulterant in heroin and has led to increase in overdose death
a. spice
b. marijuana
c. fentanyl
d. cathinone’s
28. What are the three main classes of opioid receptors
a. Theta mu Kappa
b. Kappa delta Theta
c. delta mu Theta
d. delta mu Kappa
29. the providers conducting a smoking session class in the community. which effects will be included in the discussion about physiological effect on nicotine( select that all apply)
a. Decrease gastric acid
b. increase blood pressure
c. increased alertness
d. suppression of appetite
e. Suppression of nausea
f. vomiting
30. the patient is taking DEPOMYCIN. The NP should obtain a creatinine phosphokinase level when the patient shows which symptoms
a. Abdominal bloating and diarrhea
b. headache and visual disturbance
c. muscle pain or weakness
d. increase urination and urinary urgency
31. you are taking care of a patient that has an allergy to Bactrim. which of the following medication would not potentially cause a cross hypersensitivity reaction
32. The Primary Health care provider prescribes a medication along with ampicillin to enhance the effectiveness of the antibiotic which medication would enhance the effectiveness of the ampicillin
a. Clavulanic acid
b. Carbamazepine
c. Calcium citrate
d. Acetaminophen
33. which of the following is not an indication for macrolide antibiotic
a. chlamydia
b. whooping cough
c. M. pneumonia
d. Lyme disease
34. treatment of moderate non purulent and Cellulitis include all of the following except
a. Trimethoprim/sulfamethoxazole
b. Doxycycline
c. Nitrofurantoin ?
d. Clindamycin
35. Her patient who is receiving IV Ciprofloxacin for pneumonia develops diarrhea. Stool cultures positive for C- diff what action will provider take?
a. prescribe metronidazole
b. restrict dairy products
c. increase the dose of ciprofloxacin
d. switch to Gemifloxacin
36. what are the upper acceptable values for cholesterol within the blood
a. total cholesterol level 40mg/dl HDL OF 160MG/DL AND LDL of 200mg/dl
b. tcl 200, HDL 160 AND LDL 40
c. TCL 200, HDL 40, AND LDL 60
d. TCL 40, HDL 200 AND LDL 160
37. Bioconversion of prodrug to its active derivative may be enhanced by an enzyme inducer true or false
38. a patient is being assessed for muscle weakness cramping and leg discomfort. this patient has been taking hydrochlorothiazide. what else would you do for this patient?
A. Administer calcium supplement
B. give a lower dose of medication
C. assess the serum potassium level
D. reduce salt and patients diet
39. 85 year old male patient with no known drug allergies has been diagnosed With community acquired pneumonia. The patient was recently treated with ceftriaxone Rocephin for sinusitis. which of the following information is relevant to related to a risk for drug resistance S. pneumonia infection?
40. Isotretinoin (ACCUTANE) Is a drug employed in the treatment of severe recalcitrant cystic acne which of the following is not adverse effect associated with its use
a. Fetal abnormalities
b. hyponatremia
c. Hypertriglyceridemia
d. conjunctivitis
41. your first line treatment for scabies and five year old would be all of the following except
a. permethrin
b. malathion
c. crotamiton
d. lindane
42. How can the prescriber regular collaboration with pharmacist improve positive outcome for patient (select all that apply)
a. the pharmacist could suggest adequate medication dosing
b. pharmacist have additional information on drug interaction
c. pharmacist have first-hand knowledge of the facility formulary
d. pharmacy can alter prescription when necessary to prevent patient harm
43. prescriptive authority is work related by the State Board of nursing board of medicine
44. what would you prescribe for warfarin overdose
a. aspirin
b. calcium
c. potassium
d. Vitamin K
45. which antibiotic is recommended for the treatment of chlamydia
a. high dose fluoroquinolone
b. high dose Cephalosporin
c. high dose penicillin
d. high dose macrolide
46. a patient is found to have “strawberry spots “ under vagina and cervix. what is the treatment option?
a. Acyclovir
b. Metronidazole
c. Lindane 1% cream
d. Tetracycline
47. The drugs that produces irreversible blockade of platelet adenosine diphosphate P2Y receptors?
A. Eptifibatide
B. Clopidogrel AND Prasugrel
C. Enoxaparin
D. Dabigatran
48. The drug heparin acts in hemostasis by which process?
a. inhibiting thrombin and antithrombin III (AT-III)
b. preventing the conversion of prothrombin to thrombin
c. shortening the fibrin stands to retract the blood clot
d. degrading the fibrin within blood clots
49. as you formulate a plan for a 72 year old patient you recognize that of the following medications. Which is the least likely to cause postural hypotension and the older adult?
A. Furosemide
B. Amitriptyline (endep, amitril ?
C. Lisinopril (prinvial, Zesril
D. Clonidine (catapres, Kapvay, nexiclon
50. A pregnant patient who developed hypertension at 28 weeks gestational age. what medication do you anticipate giving?
a. Methyldopa
b. Any of the medication listed here maybe prescribed to a pregnant patient with gestational HTN
c. Nifedipine
d. Labetalol
51. Which of the following group of antibiotic has a beta-lactam ring in the molecular structure
a. Fluroquinolones
b. Macrolides
c. Cephalosporins
d. Sulfonamides
e. Tetrcyclines
52. By what mechanism does Losartan 50 milligram PO daily promote vasodilation?
a. It blocks the action of angiotensin ll
b. it promotes the release of aldosterone
c. it inhibits calcium influx into the cardiac smooth muscle cell
d. it promotes prostaglandin synthesis
53. the patient is taking an Alpha 1 blocker, Doxazosin 1mg. Of which potential dangerous side effects should the patient be made aware?
a. Increased urinary flow rate
b. decreased heart rate
c. increased urinary output
d. orthostatic hypotension
54. a patient taking an angiotensin converting enzyme (ACE)inhibitor to treat hypertension tells the provider that she wants to become pregnant what responses will the provider give to the patient
A. let's discuss using methyldopa instead of the ACE Inhibitor while you are pregnant
B. controlling your blood pressure or decrease your risk of preeclampsia
C. it will be safe to continue taking the ACE inhibitor during your pregnancy
D. we need to consider changing you to an angiotensin receptor blocker during pregnancy
55. which of the following terms best describes the mechanism of action of metropolol
a. Alpha l antagonist effect
b. Beta1 selective
c. nonselective beta with alpha blocking
d. nonselective alpha blocker
56. which of the following best classifieds aminoglycoside, macrolides and Clindamycin
a. folic acid synthesis inhibitor
b. cell wall inhibitor
c. protein synthesis inhibitor
d. Mycolic acid synthesis inhibitor OK
57. which of the following is most likely an intervention for otitis media
a. immunoglobulins
b. aspirin
c. amoxicillin
d. corticosteroids
58. which of the following drug classes should be avoided in peptic ulcer disease
a. avoid proton pump inhibitors
b. avoid diuretics
c. avoid antibiotics
d. avoid NSAIDs
59. which antibiotics bind to the 50S subunit of the bacterial ribosomes and could most likely result in development of pseudomembranous colitis
A. amoxicillin
B. tetracycline
C. Clindamycin
D. Vancomycin
60. which of the following medication of drug classes is commonly indicated for in managing gestational hypertension. For emergency treatment in gestational hypertension, IV hydralazine, labetalol and oral nifedipine can be used.
61. Which of the following drug treatment strategies associated with peptic ulcer disease
A. opioid
B. antibiotics amoxicillin and clarithromycin
C. corticosteroids
D. hormonal therapy
62. which of the following groups of people are at risk of early hypertension
a. African Americans
b. adolescents and young adults
c. Mexican American culture
d. Mediterranean population
e. old females
63. Which of the following disease or disorder are most likely treated with ACE inhibitors?
a. Hyperthyroidism
b. pulmonary hypertension
c. Cushing syndrome
d. angina
e. chronic kidney disease (with or without diabetes)?????
64. Opiates are used mainly to treat moderate to severe pain. Which of the following is not true about this drugs?
a. All opiate are scheduled drugs which require a DEA license to prescribe
b. Most of the adverse effects of opiates are related to mu receptor stimulation
c. Opiate stimulate only mu receptor for the control of pain
d. Naloxone is an antagonist to opiates
65. Which of the following drug correctly match its clinical use?
a. Naltrexone is used as an appetite stimulant
b. methadone is for opiate toxicity
c. Naloxone is used for opioid overdose
d. Morphine is used for mild pain
66. A patient comes to your clinic having taken undermined amount of heroin. The drug of choice for heroin overdoses is? Naolxone/Narcan
67. A patient ask you how drug works…..
a. it inhibits the absorption of dietary cholesterol in the small intestine
b. system needs to be re system to increase the acceleration of dietary cholesterol
c. it binds to bile in the intestinal tract forming an insoluble complex that is excreted in the feces.
d. it inhabits hydroxymethylgulutaryl-coenzyme A (HMG-CoA) reductase to reduce the biosynthesis of cholesterol liver
68. Which of the following is not unexpected adverse effect of niacin
A. hyperglycemia
B. itching
C. Atrhralgias
D. flushing [Show Less]