Question: Jim presents with heartburn that is minimally relieved with Tums and is diagnosed with GERD. The appropriate first-step therapy for the NP would be to prescribe:

Correct Answer: Omeprazole twice a day

Answer:

Question: Lifestyle and changes first step in treatment of GERD and Foods that may aggravate would be avoided which is

Answer Options:
Eggs
Tomatoes
Oatmeal
Chicken

Correct Answer: Tomatoes

Answer:

Question: The pain management contract is appropriate for which of the following cases:

Answer Options:
Patients with a history of chemical dependency
Patients with a complex drug regimen
All patients with pain and need for short-term use of opioids
Patients who have a history of taking opioids periodically without any issues

Correct Answer: Patients with a history of chemical dependency

Answer:

Question: The Pain Management Contract is appropriate for:

Answer Options:
Patients with cancer who are taking morphine
Patients with chronic pain who will require long-term use of opiates
Patients who have a complex drug regimen
Patients who see multiple providers for pain control

Correct Answer: 2. Patients with chronic pain who will require long-term use of opiates

Answer:

Question: Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:

Answer Options:
A. Washing their hands after applying the gel
B. Wearing occlusive clothing while using the gel
C. Exposure to estrogens while using the gel
D. Skin-to-skin contact with pregnant women while using the gel

Correct Answer: D. Skin-to-skin contact with pregnant women while using the gel

Answer:

Question: An appropriate drug for the treatment of depression with anxiety would be:

Correct Answer: Lexapro

Answer:

Question: A patient with anxiety and depression may respond to:

Answer Options:
Buspar and SSR
Correct Answer: Buspar and SSR
Question 39a:
Question: A patient who is prescribed Zyprexa should be monitored for:

Answer Options:

Insomnia
Hypertension

Correct Answer: Insomnia

Answer:

Question: Patients who are prescribed olanzapine (Zyprexa) should be monitored for:

Answer Options:
A. Insomnia
B. Weight gain
C. Hypertension
D. Galactorrhea

Correct Answer: A. Insomnia

Answer:

Question: Nurse practitioners start low dose Risperdal for a 76-year-old patient. Monitoring for Risperdal includes observing for common side effects such as:

Answer Options:
Bradykinesia, akathisia, and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis

Correct Answer: Bradykinesia, akathisia, and agitation

Answer:

Question: A 19-year-old male was started on risperidone. Monitoring for risperidone includes observing for:

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

Correct Answer: A. Bradykinesia, akathisia, and agitation

Answer:

Question: In choosing a benzodiazepine to treat anxiety, the prescriber needs to be aware of the possibility of dependence. The benzodiazepine with the greatest likelihood of rapidly developing dependence is:

Answer Options:
A. Chlordiazepoxide (Librium)
B. Clonazepam (Klonopin)
C. Alprazolam (Xanax)
D. Oxazepam (Serax)

Correct Answer: C. Alprazolam (Xanax)

Answer:

Question: The ongoing monitoring for patients over age 65 years taking alendronate (Fosamax) or any other bisphosphonate is:

Answer Options:
A. Annual DEXA scans
B. Annual Vitamin D level
C. Annual renal function evaluation
D. Electrolytes every 3 months

Correct Answer: C. Annual renal function evaluation

Answer:

Question: Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to be monitored for:

Answer Options:
A. Depression
B. Hypertension
C. Weight loss
D. Cataracts

Correct Answer: A. Depression

Answer:

Question: The factor that has the greatest effect on males developing male sexual characteristics is:

Answer Options:
Cultural beliefs
Effective male role models
Adequate intake of estrogen
Androgen production

Correct Answer: Androgen production

Answer: