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A 16-year-old female presents to a clinic to discuss contraception. She would like
to start an oral contraceptive and has no contraindications for estrogen. She also
asks an advanced practice registered nurse (APRN) if there is anything she can
take to help with her acne.Which FDA-approved medication will specifically
manage both issues?
- answer-NO Norethindrone
NO Levonorgestrel
NO Desogestrel
YES Drospirenone
Incorrect. This is a second-generation combined oral contraceptive that does not
work as both an oral contraceptive and acne control.
A 20-year-old patient with cancer is admitted to a medical surgical floor with
diarrhea. The stool cultures return positive for Clostridium difficile.
Which antibiotic should be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin
- answer-Metronidazole
A 21-year-old patient accompanied by a parent comes to a clinic for an emergency
visit with an advanced practice registered nurse (APRN) following a seizure. Upon
interviewing the patient and the parent, the APRN determines that the seizure is
classified by marked impairment of consciousness and is followed by a period of
central nervous system (CNS) depression.
,Which type of seizure is this patient experiencing?
- answer-Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures consist of a sudden muscle contraction that lasts for
just one second.
Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion.
This type of seizure can include muscle stiffness, loss of consciousness, and body
jerking.
A 26-year-old patient presents with sneezing, itching of the eyes and nose, and
rhinorrhea. It is determined that the patient has mild seasonal allergies. The patient
leads an active lifestyle and wants to take something that does not cause
drowsiness.
Which oral antihistamine should an advanced practice registered nurse
recommend?
- answer-NO Promethazine
YES Fexofenadine
Diphenhydramine
Hydroxyzine
Incorrect. This drug is used to treat sleeplessness and would not be a good
candidate for this patient due to causing drowsiness. Correct! This is a second-
generation antihistamine that has low to no potential to cause drowsiness.
A 30-year-old patient presents to a primary care clinic with a history of anxiety.
The advanced practice registered nurse reviews the mechanism of action by which
many neuropharmacological agents act and decides to prescribe citalopram.
What is the mechanism of action of this medication?
- answer-YES Influences receptor activity on target cells
Correct! This medication influences the activity in the receptors, and it targets
cells.
A 30-year-old patient with a diagnosis of paranoid schizophrenia has been living in
a long-term mental health institute. The patient is getting ready to be discharged
into a group-home setting that has no medical personnel on site. The patient has
,been noncompliant with taking oral medication in the past and is in need of an
antipsychotic.
A case manager is working on a plan to help the patient stay compliant with
medication.
Which method should be used to meet this goal?
Reminder phone call
Home health
Monthly injections
Automatic pill box
- answer-Monthly injections
A 32-year-old female is discussing contraceptive options with an advanced
practice registered nurse (APRN). The patient is currently taking an oral
contraceptive pill and has no contraindications to estrogen therapy. She tells the
APRN that she is happy with the pill because it helps her skin but really does not
like having to take something every day. She is planning on getting pregnant in 10-
12 months when she is done with her graduate degree.
Which recommendation should the APRN make for this patient?
Sub-dermal etonogestrel implant
Intrauterine device
Vaginal contraceptive ring
Continue oral contraceptive pill
- answer-Vaginal contraceptive ring
A 32-year-old female presents to an advanced practice registered nurse (APRN)
with severe nausea and vomiting during pregnancy and requires pharmaceutical
therapy. The APRN knows that some medication solutions should be avoided
during pregnancy.
Which medication falls into this category?
Metoclopramide
Chenodiol
Prochlorperazine
Ondansetron
- answer-Chenodiol
A 34-year-old patient comes to a clinic complaining of pain in the left shoulder.
The advanced practice registered nurse (APRN) assesses the patient and notices
, that the patient has a limited range of motion in the shoulder due to swelling. The
APRN determines that the patient should be prescribed a medication that treats
peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen
- answer-
A 34-year-old patient comes to a clinic complaining of pain in the left shoulder.
The advanced practice registered nurse (APRN) assesses the patient and notices
that the patient has a limited range of motion in the shoulder due to swelling. The
APRN determines that the patient should be prescribed a medication that treats
peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen
- answer-Naproxen
A 35-year-old female who is a nonsmoker is happy with her combined oral
hormonal contraceptive; however, she often forgets to take her pills and would like
to discuss other options. She would also prefer to avoid any contraceptive that
must be inserted into her body.
Which medication should be recommended for this patient?
Spermicide
Transdermal patch
Subdermal implant
Vaginal IUD
- answer-Transdermal patch
A 35-year-old mother who is currently breastfeeding her four-month-old baby
comes to a clinic for an evaluation of a sinus infection. The advanced practice
registered nurse needs to prescribe medication that does not pass across the
membrane into the breast milk.