Question: Sadie is a 72-year-old who takes omeprazole for her chronic GERD. Chronic long-term omeprazole use places her at increased risk for:
Answer Options:
A. Megaloblastic anemia
B. Osteoporosis
C. Hypertension
D. Strokes
Correct Answer: B. Osteoporosis
Answer:
Question: The NP should use caution when starting Synthroid for thyroid replacement therapy on a 73-year-old female. The NP should be monitoring for:
Answer Options:
Excessive sedation
Tachycardia and angina
Cold intolerance
Weight gain
Correct Answer: Tachycardia and angina
Answer:
Question: When starting a 40-year-old woman with hypothyroidism on thyroid replacement hormones, the NP would include the following in patient education:
Answer Options:
She should feel symptomatic improvement in one week’s time
Drug-related adverse effects like lethargy and dry skin may occur
Take 4 to 8 weeks to reach euthyroid level
Due to the short half-life of levothyroxine, doses should not be missed
Correct Answer: Take 4 to 8 weeks to reach euthyroid level
Answer:
Question: Infants with congenital hypothyroidism are treated with:
Answer Options:
A. Levothyroxine
B. Liothyronine
C. Liotrix
D. Methimazole
Correct Answer: A. Levothyroxine
Answer:
Question: In addition to methimazole, the NP will treat a symptomatic patient with hyperthyroidism and may need to prescribe:
Answer Options:
Methimazole and Beta blockers
Calcium channel blocker
Correct Answer: Methimazole and Beta blockers
Answer:
Question: Pharmacokinetic factors that affect prescribing include:
Answer Options:
No effect
Minimum effective concentration
Concentration bioavailability
Ease of titration
Correct Answer: Concentration bioavailability
Answer:
Question: The Drug Enforcement Administration’s primary responsibility includes:
Answer Options:
Registers manufacturers and prescribers of controlled substances
Regulates NP prescribing of controlled substances on the state level
Sanctions providers who prescribe drugs off-label
Provides prescriptions with a number they can use for insurance billing
Correct Answer: 1. Registers manufacturers and prescribers of controlled substances
Answer:
Question: Electronic Health Records (EHRs):
Answer Options:
A. Are being discouraged by the Centers for Medicare and Medicaid Services due to cost issues
B. Allow for all patient data to be centralized in one location for access by multiple providers
C. Use macros and templates to individualize care
D. Use standardized software to facilitate interoperability between systems
Correct Answer: B. Allow for all patient data to be centralized in one location for access by multiple providers
Answer:
Question: Prescribing for women during their childbearing years requires constant awareness of the possibility of:
Answer Options:
A. Pregnancy unless the woman is on birth control
B. Risk for silent bacterial or viral infections of the genitalia
C. High risk for developmental disorders in their infants
D. Decreased risk for abuse during this time
Correct Answer: B. Risk for silent bacterial or viral infections of the genitalia
Answer:
Question: The role of the NP in the use of herbal medication is to:
Answer Options:
A. Maintain competence in the prescribing of common herbal remedies
B. Recommend common over-the-counter herbs to patients
C. Educate patients and guide them to appropriate sources of care
D. Encourage patients to not use herbal therapy due to the documented dangers
Correct Answer: C. Educate patients and guide them to appropriate sources of care
Answer: