NGR 6172 Final Exam Questions With Complete Solutions
A 10-year-old child has chronic constipation. The primary care
NP plans to prescribe a laxative for long-term management. In
addition to pharmacologic therapy, the NP should also
recommend _____ g of fiber per day.
A - 10
B - 15
C - 20
D - 25 Correct Answers B - 15
A 12-year-old patient who is obese develops type 2 diabetes
mellitus. The primary care NP should order:
A - nateglinide (Starlix).
B - glyburide (Micronase).
C - colesevelam (Welchol).
D - metformin (Glucophage). Correct Answers D - metformin
(Glucophage)
A 24-year-old female patient with cancer is being treated with
moderately emetogenic chemotherapy. To control nausea and
vomiting, she has been prescribed aprepitant 125 mg on day 1 of
her treatment, followed by 80 mg daily for days 2 and 3. She
presents today for a routine visit prior to the start of her
chemotherapy. What should the primary care provider include in
the teaching plan for this patient regarding aprepitant use?
A - "Aprepitant can cause severe constipation."
B - "Aprepitant can cause tachycardia and arrythmias."
C - "Aprepitant can reduce the effectiveness of some
contraceptives."
,D - "Aprepitant can reduce the seizure threshold." Correct
Answers C - "Aprepitant can reduce the effectiveness of some
contraceptives."
A 26-year-old woman is started on a new antipsychotic agent for
the treatment of acute mania related to bipolar disorder. At her
follow-up appointment, she complains that she is very tired due
to the sedating effects of the medication. Which of the following
antipsychotics was most likely prescribed?
A - Fluphenazine
B - Thiothixene
C - Quetiapine
D - Haloperidol Correct Answers C - Quetiapine
A 27-year-old patient presents to the urgent care clinic with a
second-degree burn following an accident while cooking. Which
of the following medications is most appropriate for treatment?
A - Sulfacetamide
B - Silver sulfadiazine
C - SMZ/TMP
D - Sulfadiazine Correct Answers B - Silver sulfadiazine
A 29-year-old woman with adult acne wishes to begin treatment
with adapalene. What would be the appropriate action for the
primary care practitioner to take before prescribing this
treatment for her?
A - Tell the patient that she will need to apply a thick layer of
the topical gel three times a day.
B - Tell the patient that results will be noticeable in
approximately 10 days.
,C - Check the patient's hepatic panel before prescribing this
medication.
D - Ensure the patient has a negative pregnancy test before
prescribing this medication. Correct Answers D - Ensure the
patient has a negative pregnancy test before prescribing this
medication
A 32-year-old male is prescribed a tapered Medrol Dosepak for
the treatment of an acute inflammatory condition. When he asks
the provider why the steroid dose must be tapered down over the
course of treatment, the provider should respond with the
following:
A - "Stopping the medication early can result in developing
Medroilitis, an acute, system inflammatory condition due to
HPAA suppression."
B - "To avoid rebound inflammation and adrenal problems, the
initial high dose you start off on needs to be slowly weaned over
the course of therapy."
C - "Stopping the medication suddenly can result in increased
hunger, weight gain, fluid retention, and high blood pressure."
D - "All steroid treatments require tapering due to their
immunosuppressive properties." Correct Answers B - "To avoid
rebound inflammation and adrenal problems, the initial high
dose you start off on needs to be slowly weaned over the course
of therapy."
A 32-year-old man with a history of opioid addiction presents
with cough due to a viral upper respiratory system infection.
Which of the following treatments is appropriate symptomatic
treatment of cough in this patient?
A - Phenylephrine
, B - Guaifenesin/codeine
C - Benzonatate
D - Montelukast Correct Answers C - Benzonatate
A 32-year-old woman reports having approximately five
moderate to severe migraines each month. The primary care
provider is considering prescribing topiramate for migraine
prevention. Which of the following instructions should the
primary care provider include in this patient's medication
teaching?
A - "You will need to use a reliable method of birth control
while taking this medication."
B - "This medication is associated with an increased risk for
blood clots."
C - "You should inject this medication around the umbilicus
weekly."
D - "You should experience an immediate reduction in migraine
frequency." Correct Answers A - "You will need to use a
reliable method of birth control while taking this medication."
A 32-year-old woman with a history of hypothyroidism who is
taking levothyroxine calls the clinic to report that she is 6 weeks
pregnant with her first child. She expresses concern about taking
levothyroxine during her pregnancy. What is the primary care
provider's best response?
A - "You should stop levothyroxine now and resume after you
deliver."
B - "You should stop levothyroxine for the first trimester and
resume once the second trimester begins."
C - "You should continue taking levothyroxine as usual
throughout your pregnancy."
A 10-year-old child has chronic constipation. The primary care
NP plans to prescribe a laxative for long-term management. In
addition to pharmacologic therapy, the NP should also
recommend _____ g of fiber per day.
A - 10
B - 15
C - 20
D - 25 Correct Answers B - 15
A 12-year-old patient who is obese develops type 2 diabetes
mellitus. The primary care NP should order:
A - nateglinide (Starlix).
B - glyburide (Micronase).
C - colesevelam (Welchol).
D - metformin (Glucophage). Correct Answers D - metformin
(Glucophage)
A 24-year-old female patient with cancer is being treated with
moderately emetogenic chemotherapy. To control nausea and
vomiting, she has been prescribed aprepitant 125 mg on day 1 of
her treatment, followed by 80 mg daily for days 2 and 3. She
presents today for a routine visit prior to the start of her
chemotherapy. What should the primary care provider include in
the teaching plan for this patient regarding aprepitant use?
A - "Aprepitant can cause severe constipation."
B - "Aprepitant can cause tachycardia and arrythmias."
C - "Aprepitant can reduce the effectiveness of some
contraceptives."
,D - "Aprepitant can reduce the seizure threshold." Correct
Answers C - "Aprepitant can reduce the effectiveness of some
contraceptives."
A 26-year-old woman is started on a new antipsychotic agent for
the treatment of acute mania related to bipolar disorder. At her
follow-up appointment, she complains that she is very tired due
to the sedating effects of the medication. Which of the following
antipsychotics was most likely prescribed?
A - Fluphenazine
B - Thiothixene
C - Quetiapine
D - Haloperidol Correct Answers C - Quetiapine
A 27-year-old patient presents to the urgent care clinic with a
second-degree burn following an accident while cooking. Which
of the following medications is most appropriate for treatment?
A - Sulfacetamide
B - Silver sulfadiazine
C - SMZ/TMP
D - Sulfadiazine Correct Answers B - Silver sulfadiazine
A 29-year-old woman with adult acne wishes to begin treatment
with adapalene. What would be the appropriate action for the
primary care practitioner to take before prescribing this
treatment for her?
A - Tell the patient that she will need to apply a thick layer of
the topical gel three times a day.
B - Tell the patient that results will be noticeable in
approximately 10 days.
,C - Check the patient's hepatic panel before prescribing this
medication.
D - Ensure the patient has a negative pregnancy test before
prescribing this medication. Correct Answers D - Ensure the
patient has a negative pregnancy test before prescribing this
medication
A 32-year-old male is prescribed a tapered Medrol Dosepak for
the treatment of an acute inflammatory condition. When he asks
the provider why the steroid dose must be tapered down over the
course of treatment, the provider should respond with the
following:
A - "Stopping the medication early can result in developing
Medroilitis, an acute, system inflammatory condition due to
HPAA suppression."
B - "To avoid rebound inflammation and adrenal problems, the
initial high dose you start off on needs to be slowly weaned over
the course of therapy."
C - "Stopping the medication suddenly can result in increased
hunger, weight gain, fluid retention, and high blood pressure."
D - "All steroid treatments require tapering due to their
immunosuppressive properties." Correct Answers B - "To avoid
rebound inflammation and adrenal problems, the initial high
dose you start off on needs to be slowly weaned over the course
of therapy."
A 32-year-old man with a history of opioid addiction presents
with cough due to a viral upper respiratory system infection.
Which of the following treatments is appropriate symptomatic
treatment of cough in this patient?
A - Phenylephrine
, B - Guaifenesin/codeine
C - Benzonatate
D - Montelukast Correct Answers C - Benzonatate
A 32-year-old woman reports having approximately five
moderate to severe migraines each month. The primary care
provider is considering prescribing topiramate for migraine
prevention. Which of the following instructions should the
primary care provider include in this patient's medication
teaching?
A - "You will need to use a reliable method of birth control
while taking this medication."
B - "This medication is associated with an increased risk for
blood clots."
C - "You should inject this medication around the umbilicus
weekly."
D - "You should experience an immediate reduction in migraine
frequency." Correct Answers A - "You will need to use a
reliable method of birth control while taking this medication."
A 32-year-old woman with a history of hypothyroidism who is
taking levothyroxine calls the clinic to report that she is 6 weeks
pregnant with her first child. She expresses concern about taking
levothyroxine during her pregnancy. What is the primary care
provider's best response?
A - "You should stop levothyroxine now and resume after you
deliver."
B - "You should stop levothyroxine for the first trimester and
resume once the second trimester begins."
C - "You should continue taking levothyroxine as usual
throughout your pregnancy."
