1.
Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess
... [Show More] for:
A. Hypokalemia
B. Impotence
C. Decreased renal function
D. Inability to concentrate
2.
Carbamazepine has a Black Box warning recommending testing for the HLA-B*1502 allele in patients with
Asian ancestry prior to starting therapy due to:
C. Increased risk for Stevens-Johnson syndrome in Asian patients with HLA-B*1502 allele
3.
Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin).
Education when prescribing Vicodin includes:
A.It is OK to double the dose of Vicodin if the pain is severe
B.Vicodin is not habit forming
C.He should not take any other acetaminophen-containing medications
D.Vicodin may cause diarrhea; increase his fluid intake
4.
Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:
A.Gout may worsen with therapy
B.Febuxostat may cause severe diarrhea
C.He should consume a high-calcium diet
D.He will need frequent CBC monitoring
5.
The drug recommended as primary prevention of osteoporosis in women over the age of 70 years:
Aldendronate (fosamax)
6.
Pregnant patients with asthma may safely use throughout their pregnancy.
Inhaled corticosteroids (budesonide)
7.
Selective estrogen receptor modifiers (SERMS) treat osteoporosis by selectively:
Estrogen agonists/antagonists
Increase BMD by decreasing bone turnover. similar to estrogen.
Raloxifene (Evista) only one on the market
8.
Josie is a 5 year old who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea.
She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV
fluids, her exam warrants the use of an antinausea medication. Which of the following would be the
appropriate drug to order for Josie?
A.
Prochlorperazine (Compazine)
B.
Meclizine (Antivert)
C.
Promethazine (Phenergan)
D.
Ondansetron (Zofran)
9.
Infants with reflux are initially treated with:
A) Histamine2 receptor antagonist (ranitidine)
B) Proton pump inhibitor (omeprazole)
C)Anti-reflux maneuvers (elevate the head of the bed)
D) Prokinetic (metoclopramide)
10.
The action of “gliptins” is different from other antidiabetic agents because they:
A.
Have a low risk for hypoglycemia
B.
Are not associated with weight gain
C.
Close ATP-dependent potassium channels in the beta cell
D.
Act on the incretin system to indirectly increase insulin production
11.
Treatment of a patient with prescription with hypothyroidism and cardiovascular disease consists of:
levothyroxine
12.
Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:
A.
Zolpidem should be taken just before going to bed
B.
Zolpidem may cause dry mouth and constipation
C.
Patients may need to double the dose for effectiveness
D.
They should stop drinking alcohol at least 30 minutes before taking zolpidem
13.
Heart failure is a chronic condition that can be adequately managed in primary care. However, consultation
with or referral to a cardiologist is appropriate when:
A. Symptoms markedly worsen or the patient becomes hypotensive and has syncope
B. There is evidence of progressive renal insufficiency or failure
C. The patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic
D. Any of the above
14.
Which of the following describes off label prescribing?
-It is regulated by the Federal Food and Drug Administration.
-It is illegal for nurse practitioners to prescribe off label in all states and provinces
-It is legal if there is scientific evidence for its use.
-It is regulated by the Drug Enforcement Administration (DEA)
It is regulated by the Federal Food and Drug Administration.
15.
Ethnic differences have been found in drug:
B. Hepatic metabolism
16.
Despite good blood pressure control, a Nurse Practitioner (NP) might change a patient’s drug from an ACEI to
an angiotensin II receptor blocker (ARB) ….why???
·Because the ARB does not produce a dry, hacky cough
17.
The elderly are at high risk of ADRs due to:
D. Age-related decrease in renal function
18.
Insulin preparations are divided into categories based on onset, duration, and intensity of action following
subcutaneous inject. Which of the following insulin preparations has the shortest onset and duration of action?
A.
Insulin lispro
B.
Insulin glulisine
C.
Insulin glargine
D.
Insulin detemir
B.
Insulin glulisine
19.
The FDA regulates
Food and medications sold to the public
20.
Precautions that should be taken when prescribing controlled substances include:
B.
Using tamper-proof paper for all prescriptions written for controlled drugs
21.
The tricyclic antidepressants should be prescribed cautiously in patients with:
A. Eczema
B. Asthma
C. Diabetes
D. Heart disease
22.
Sitagliptin has been approved for
A. Monotherapy in once daily doses
B. Combination therapy with Metformin
both A & B
23.
What chemicals promote the spread of pain locally?
(P. 1452) substance P, neurokinin A, and calcitonin gene-related peptide are released from peripheral pain
receptors and promote the spread of pain locally
24.
Drugs that are designated Schedule II by the DEA:
B.
May not be refilled; a new prescription must be written
25.
Patients who are prescribed olanzapine (Zyprexa) should be monitored for:
A.
Insomnia
B.
Weight gain
C.
Hypertension
D.
Galactorrhea
B.
Weight gain
26.
Long-term use of PPIs may lead to:
Hip fractures in at risk persons
27.
The time required for the amount of a drug in the body to decrease by 50%.
Half-life
28.
Asians from Eastern Asia are known to be fast acetylators. Fast acetylators:
D. Require higher doses of drugs metabolized by acetylization to achieve efficacy
29.
Maintenance of an Isometric ST-segment during exercise is the response of?
A normal heart (Maintenance of an Isometric ST-segment during exercise is the response of a normal heart. )
30.
The sensitivity of a routine ETT is effort dependent. What physiological changes occur during effort in the
routine ETT?
Increased coronary flow and increased systolic blood pressure (The physiological changes that occur during
effort in the routine ETT are increased coronary flow and increased systolic blood pressure.)
31.
The diagnostic accuracy of stress testing is decreased among women compared to men for what reasons?
Women usually have single vessel or non-obstructive disease (The diagnostic accuracy of stress testing is
decreased among women compared to men because women usually have single vessel or non-obstructive
disease.)
32.
Ter What do you know regarding ischemia that is confined to only the posterior and or lateral segments of the
left ventricle? m
Definitio Difficult to detect by ETT (Ischemia that is confined to only the posterior and or lateral segments of
the left ventricle is difficult to detect by ETT, but that does not mean that ETT cannot detect ischemia limited
to these functional areas of the heart. ) n
33.
Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a patient with a
recent history of a holistic murmur best auscultated at the left steral boarder. The patient has no history of
cardiac surgeries. He asks you what might be the main advantages of adding Doppler Flow for this particular
patient. You know from your readings that there are several reasons to add Doppler Flow and below are listed
more than one correct reason. Your best response for this specific case, however, would be that Doppler Flow
studies would be of what additive value during the echocardiogram study?
Detect and evaluate blood shunting from a septal defect (Your best response for this specific case, however,
would be that Doppler Flow studies would detect and evaluate blood shunting from a septal defect.)
34.
Your patient cannot sit on a bicycle and has difficulties walking a treadmill with limited capacity for
exercising. Still, you know that the ETT is the preferred test for CAD. You consider adding a pharmacological
agent to get to maximum heart rate. What agent would be the most commonly used agent to assist in an ETT?
Dobutamine (The pharmacological agent most commonly used to assist in an ETT is dobutamine.)
35.
Medicare covers inpatient hospital services under which part of the Medicare insurance?
Part A (Medicare covers inpatient hospital services under Part A. )
36.
Medicare hospital insurance (Part A) is funded through what system?
Federal payroll taxes (Medicare Part A is funded through federal payroll taxes. )
37.
Your patient has a maximum age-predicted heart rate of 180. During the exercise he reaches a heart rate of 140
and then states he can no longer exercise. You see evidence of ischemic changes on the ECG. This would be
predictive of what condition?
Significant CAD (This scenario is predictive of significant CAD.)
38.
Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST-segment. What
do you need to know about these changes..............................................................................CONTINUED.......................................................................DOWNLOAD FOR BEST SCORES [Show Less]