Question: Dysmenorrhea is one of the most common gynecological complaints in young women. The first line of drug treatment for this disorder is:

Answer Options:
A. Oral contraceptive pills
B. Caffeine
C. NSAIDs
D. Aspirin

Answer: C. NSAIDs

Question: One of the main drug classes used to treat acute pain is NSAIDs. They are used due to which of the following reasons:

Answer Options:
They have less risk for liver damage than acetaminophen.
Inflammation is a common cause of acute pain.
They have minimal GI irritation.
Regulation of blood flow to the kidney is not affected by these drugs.

Answer: Inflammation is a common cause of acute pain.

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

Answer Options:
Iron deficiency anemia
Vitamin B12
Calcium deficiency
Foliam magnesium
Hypokalemia
Elevated uric acid levels

Answer: Iron deficiency anemia, Vitamin B12, Calcium deficiency

Question: The NP is using the step-up approach when caring for a patient with GERD. The step-up from over-the-counter antacids is:

Answer Options:
Histamine 2 receptor antagonist (ranitidine) for four to eight weeks
Prokinetic for 4 to 8 weeks
A proton pump inhibitor for 12 weeks
A cytoprotective drug for two weeks

Answer: Histamine 2 receptor antagonist (ranitidine) for four to eight weeks

Question: Patients prescribed aspirin therapy require education regarding aspirin toxicity. An early sign of aspirin toxicity is:

Answer: Tinnitus

Question: Nurse practitioner prescribes antacids for the treatment of GERD disease to:

Answer Options:
Increase the lower tone
Increase the gastric pH
Inhibit the gastric acid secretion
Increase the serum calcium level

Answer: Increase the gastric pH

Question: Anita presents to the clinic with complaints of headaches off and on for months. She reports she feels like someone is squeezing her head. She occasionally takes acetaminophen for the pain but usually just toughs it out. The NP initiates treatment for tension headaches to:

Answer: The NP initiates treatment for tension headaches

Question: All NSAIDs have an FDA black box warning regarding:

Answer: Cardiovascular type events, ischemia or heart failure

Question: The drug recommended as primary prevention for osteoporosis in men who are over the age of 60 years old is:

Answer Options:
Fosamax
Boniva
Roys
Evista

Answer: Fosamax

Question: Hypoglycemia can result from the action of either insulin or oral hypoglycemia. The APN instructs the patient and family on the signs and symptoms of hypoglycemia, including:

Answer Options:
Fruity breath and rapid respiration
Diarrhea, abdominal pain, weight loss, and hypertension
Dizziness, confusion, diaphoresis, and tachycardia
Easy bruising, cardiac dysrhythmias, and coma

Answer: Dizziness, confusion, diaphoresis, and tachycardia

Question: A patient is taking a non-selective beta blocker with a history of alcohol abuse. The NP teaches the patient that the use of the non-selective beta blocker and alcohol create serious drug interactions with insulin because they:

Answer Options:
Increase blood glucose levels
Produce unexplained diaphoresis
Interfere with the ability of the body to metabolize glucose
Mask the signs and symptoms of altered glucose

Answer: Mask the signs and symptoms of altered glucose

Question: Drugs that are designated Schedule 2 by the Department of Drug Enforcement Agencies:

Answer Options:
Are the known teratogens during pregnancy
May not be refilled, a new prescription must be written
Have lower abuse potential
May be dispensed without a prescription unless regulated by the state

Answer: May not be refilled, a new prescription must be written

Question: Anita presents to the clinic with complaints of headaches off and on for months. The NP prescribes:

Answer: Naproxen