Question: Rodrigo has been prescribed procainamide after an episode of MI. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:

Answer:
Onset of congestive heart failure

Question: The Drug Enforcement Administration’s primary responsibility includes:

Answer Choices:
Registered manufacturers and prescribers of control 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

Answer:
Registers manufacturers and prescribers of controlled substances
Regulates NP prescribing at the state level

Question: Which fungus causes rose gardener’s disease?

Answer Choices:
A. Candida albicans
B. Cryptococcus neoformans
C. Histoplasma capsulatum
D. Sporothrix schenckii*

Answer:
D

Question: Nurse practitioners starts low dose Risperdal for a 76 year old patient monitoring for Risperdal includes observing for common side effects such as:

Answer Choices:
A. Bradkynesia, akathisia, and agitation
B. Excessive weight gain
C. Hypertension
D. Potentially fatal agranulocytosis

Answer:
A. Bradkynesia, akathisia, and agitation

Question: Adam has type I diabetes and plays baseball for his university. He exhibits knowledge deficit about his insulin and his diagnosis. He should be taught that:

Answer:
A. He should increase his carbohydrate intake during times of exercise.

Question: Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the:

Answer Choices:
A. Risk of life-threatening dermatological reactions
B. Increased incidence of cardiac events when long-acting beta-agonists are used
C. Increased risk of asthma-related deaths when long-acting beta-agonists are used
D. Risk for life-threatening alterations in electrolytes

Answer:
C. Increased risk of asthma-related deaths when long-acting beta-agonists are used

Question: Pharmacokinetic factors that affect prescribing include:

Answer Choices:
No effect
Minimum effective
Concentration bioavailability
Ease of titration

Answer:
C. Bioavailability

Question: Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include: Understanding that obesity is a contraindication to prescribing phentermine Anorexiants may cause tolerance and should only be prescribed for 6 months Patients should be monitored for postural hypotension Renal function should be monitored closely while on anorexiants

Answer:
2. Anorexiants may cause tolerance and should only be prescribed for 6 months

Question: Patients prescribed aspirin therapy require education regarding aspirin toxicity, an early sign of aspirin toxicity is

Answer:
Tinnitus

Question: Infants with congenital hypothyroidism are treated with:

Answer Choices:
A. Levothyroxine
B. Liothyronine
C. Liotrix
D. Methimazole

Answer:
A. Levothyroxine

Question: Instructions for applying a topical antibiotic or antiviral ointment include:

Answer Choices:
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

Answer:
C. Wash hands before and after application of topical antimicrobials

Question: When patients are on chronic long-term proton pump inhibitors the nurse practitioner is required to monitor for

Answer:
Iron deficiency anemia
Vitamin B12
Calcium deficiency

Question: Which layer of the skin contains blood and lymph vessels?

Answer Choices:
A. dermis
B. epidermis
C. follicles
D. hypodermis*

Answer:
D

Question: Patients with allergic rhinitis may benefit from a prescription of:

Answer Choices:
A. Fluticasone (Flonase)
B. Cetirizine (Zyrtec)
C. OTC cromolyn nasal spray (Nasalcrom)
D. Any of the above

Answer:
D. Any of the above

Question: A _______ is used to isolate infected individuals to prevent further transmission of a particular pathogen.

Answer Choices:
A. hospital
B. clinic
C. quarantine
D. isolation ward

Answer:
C

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:
B. Osteoporosis

Question: Nurse practitioner prescribes an initial treatment for the following drug for mild acne:

Answer Choices:
Topical combined antibiotic minocycline
Topical retinoid
Over the counter benzoyl peroxide

Answer:
Over the counter benzoyl peroxide

Question: Electronic Health Records (EHRs):

Answer Choices:
A. Are bring 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

Answer:
B. Allow for all patient data to be centralized in one location for access by multiple providers

Question: John is allergic to sulfa antibiotic he most likely will have a cross sensitivity to? Loop diuretics Sulfonylureas Thiazide diuretics All of the above

Answer:
4. All of the above

Question: Which of the following is the initial compartment a pathogen enters after being engulfed by a macrophage?

Answer Choices:
A. inclusion
B. lysosome
C. phagolysosome
D. phagosome

Answer:
D. phagosome

Question: Benadryl or topic cream used to treat itching, the advanced practice nurse would instruct patients or parents on the use of topical diphenhydramine that:

Answer Choices:
for maximum effectiveness and treating itch combined topical 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

Answer:
Topical diphenhydramine should not be used in children younger than 2

Question: Which cytokine recruits leukocytes to sites of infections?

Answer Choices:
A. chemokine
B. histamine
C. interferons
D. interleukins

Answer:
A. chemokine

Question: Harold, a 42-year-old African American has moderate to persistent asthma the nurse Practitioner would avoid using which of the following medication? Betamethasone, an inhaled corticosteroid Salmeterol, an inhaled long-acting beta-agonist Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier

Answer:
2. Salmeterol, an inhaled long-acting beta-agonist

Question: Which part of the brain controls body temperature?

Answer Choices:
A. brain stem
B. cerebellum
C. hypothalamus
D. thalamus

Answer:
C. hypothalamus

Question: Mast cells and basophils release which chemical moderator?

Answer Choices:
A. defensins
B. histamine
C. interferon
D. leukocidin

Answer:
B. histamine