Question: Instructions for applying a topical antibiotic or antiviral ointment include:
Answer Options:
A. Apply thickly to the infected area, spreading the medication well past the borders of the infection
B. If the rash worsens, apply a thicker layer of medication to settle down the infection
C. Wash hands before and after application of topical antimicrobials
D. None of the above
Correct Answer: C. Wash hands before and after application of topical antimicrobials
Answer:
Question: Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to:
Answer Options:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect “hot flash” sensations during the first 2 weeks of therapy
Correct Answer: C. Report muscle weakness or tenderness and dark urine to his provider immediately
Answer:
Question: The nurse practitioner knows that factors that may adversely affect a patient’s adherence to a therapeutic drug regimen include:
Answer Options:
Complexity of the drug regimen
Patient’s perception of the potential adverse effects of the drug
Both a and b
Neither a or b
Correct Answer: Both a and b
Answer:
Question: Benadryl or topical cream used to treat itching, the advanced practice nurse would instruct patients or parents on the use of topical diphenhydramine that:
Answer Options:
For maximum effectiveness and treating itch, combine topical and oral
Topical diphenhydramine is the treatment choice in treating poison ivy or poison oak
Topical diphenhydramine should not be used in children younger than 2
When applying topical diphenhydramine, apply the cream liberally to all areas that itch
Correct Answer: Topical diphenhydramine should not be used in children younger than 2
Answer:
Question: Nurse practitioner prescribes an initial treatment for the following drug for mild acne:
Answer Options:
Topical combined antibiotic minocycline
Topical retinoid
Over the counter benzoyl peroxide
Correct Answer: Over the counter benzoyl peroxide
Answer:
Question: Nicolas is a football player who presents to the clinic with athlete’s foot. Patients with tinea pedis may be treated with:
Answer Options:
A. OTC miconazole cream for 4 weeks
B. Oral ketoconazole for 6 weeks
C. Mupirocin ointment for 2 weeks
D. Nystatin cream for 2 weeks
Correct Answer: A. OTC miconazole cream for 4 weeks
Answer:
Question: Patients with allergic rhinitis may benefit from a prescription of:
Answer Options:
A. Fluticasone (Flonase)
B. Cetirizine (Zyrtec)
C. OTC cromolyn nasal spray (NasalCrom)
D. Any of the above
Correct Answer: D. Any of the above
Answer:
Question: Jacob has hypertension for which a calcium channel blocker (amlodipine) has been prescribed. This drug helps control blood pressure because it:
Answer Options:
A. Decreases the amount of calcium inside the cell
B. Reduces stroke volume
C. Increases the activity of the Na+/K+/ATPase pump indirectly
D. Decreases heart rate
Correct Answer: A. Decreases the amount of calcium inside the cell
Answer:
Question: Tucker has hypertension with good blood pressure control and was prescribed lisinopril two weeks ago. Today, he reports to the NP that he has had a dry cough but denies fever or other symptoms. The NP may change the patient’s medication to Benicar because the angiotensin II receptor blocker is:
Answer Options:
Stronger
Does not produce a dry hacking cough
Has no effect on the renal system
Reduces sodium and water retention
Correct Answer: Does not produce a dry hacking cough
Answer:
Question: Stage C patients usually require a combination of three to four drugs to manage their heart failure. In addition to ACE inhibitors and beta blockers, diuretics may be added. Which of the following statements about diuretics is not true?
Answer Options:
A. Diuretics reduce preload associated with fluid retention.
B. Diuretics can be used earlier than Stage C when the goal is control of hypertension.
C. Diuretics may produce problems with electrolyte imbalances and abnormal glucose and lipid metabolism.
D. Diuretics from the potassium-sparing class should be used when using an ARB.
Correct Answer: D. Diuretics from the potassium-sparing class should be used when using an ARB.
Answer: