1. A primary care NP sees a patient who reports a 2-week history of nasal congestion and
runny nose. The NP performs a history and learns that the nasal
... [Show More] discharge has changed from
yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial
pain. To treat this patient, the NP should: (Points : 2)
order azithromycin daily for 5 days.
prescribe cefdinir twice daily for 10 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
recommend symptomatic treatment because this is probably a viral infection.
Question 2.2. A patient has confirmed Rocky Mountain spotted fever, and the infectious
disease specialist is treating the patient with doxycycline 100 mg orally for 7 days. The
patient comes to the clinic for follow-up care with the primary care NP at the end of therapy
and reports continued fever, headache, and myalgia. The NP will consult with the infectious
disease specialist and order: (Points : 2)
7 more days of doxycycline.
erythromycin 250 mg four times daily for 7 days.
amoxicillin 500 mg three times daily for 10 to 14 days.
hospital admission for intravenous chloramphenicol.
Question 3.3. An adult patient has cellulitis. The patient is a single parent with health
insurance who works and is attending classes at a local university. To treat this infection, the
primary care nurse practitioner (NP) should prescribe: (Points : 2)
cefdinir (Omnicef).
cephalexin (Keflex).
cefadroxil (Duricef).
ceftriaxone (Rocephin).
Question 4.4. A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute
exacerbation of COPD. Before initiating therapy, the primary care NP should order: (Points : 2)
liver function tests (LFTs).
coagulation studies.
an electrocardiogram (ECG).
a creatinine clearance test.
Question 5.5. When prescribing TMP/SMX to children, the primary care NP should recall that:
(Points : 2)
dosing is based on the trimethoprim component of the drug.
TMP/SMX should not be prescribed for children younger than 2 years.
folic acid supplements must be given to children who take this medication.
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ADVANCED PHARMACOLOGY WEEK 5
the medication should be given three or four times per day because of rapid
metabolism.
Question 6.6. A 5-year-old child who has no previous history of otitis media is seen in clinic
with a temperature of 100° F. The primary care NP visualizes bilateral erythematous,
nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with
toys in the examination room. The NP should: (Points : 2)
prescribe azithromycin once daily for 5 days.
prescribe amoxicillin twice daily for 10 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
initiate antibiotic therapy if the child’s condition worsens.
Question 7.7. The primary care NP is preparing to prescribe sildenafil for a man who has
erectile dysfunction. The NP should remember to tell this patient: (Points : 2)
to avoid oral nitrates while taking this medication.
that the drug may cause penile aching.
to use a condom if his sexual partner is pregnant.
dyspepsia may occur and may warrant discontinuation of the drug.
Question 8.8. A woman has a Chlamydia infection. Before initiating treatment with a
tetracycline antibiotic, the primary care nurse practitioner (NP) should: (Points : 2)
perform a pregnancy test.
obtain baseline liver function and renal function tests.
check her bilirubin and serum amylase levels.
tell her she must stop using oral contraceptive pills.
Question 9.9. A patient is taking levofloxacin to treat sinusitis. The patient calls the primary
care NP to report pain just above the heel of the right foot. The NP should: (Points : 2)
change to ofloxacin.
change to ciprofloxacin.
discontinue the levofloxacin.
reassure the patient that this is a common side effect.
Question 10.10. A patient comes to the clinic with a history of fever of 102° F for several
days, poor appetite, and cough. A sputum culture is pending, but Gram stain indicates a
bacterial infection. The primary care nurse practitioner (NP) should: (Points : 2)
begin empirical antibiotic therapy.
use a broad-spectrum antibiotic for initial treatment. [Show Less]