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NR 508 Advanced Pharmacology Week 1 quiz.docx Questions And Answers

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1. The primary care NP sees a patient covered by Medicaid, writes a prescription for a medication, and is informed by the pharmacist that the medication is “off-formulary.” The NP should: (Points : 2) Question 2.2. A patient asks a primary care nurse practitioner (NP) about using over-the-counter medications to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The NP should: (Points : 2) Question 3.3. A patient has recurrent symptoms and tells the primary care NP that she can’t remember to take her medication all the time. The NP should: (Points : 2) Question 4.4. A woman who began taking a COCP 2 months ago calls the primary care NP to report having nausea every day. She takes a pill at the same time each morning. The NP should tell her to: (Points : 2) Question 5.5. A primary care NP will begin practicing in a state in which the governor has opted out of the federal facility reimbursement requirement. The NP should be aware that this defines how NPs may write prescriptions: (Points : 2) Question 6.6. A parent calls a clinic for advice about giving an over-the-counter cough medicine to a 6-year-old child. The parent tells the NP that the medication label does not give instructions about how much to give a child. The NP should: (Points : 2) Question 7.7. A primary care NP sees a 5-year-old child who is morbidly obese. The child has an elevated hemoglobin A1c and increased lipid levels. Both of the child’s parents are overweight but not obese, and they tell the NP that they see nothing wrong with their child. They both state that it is difficult to refuse their child’s requests for soda or ice cream. The NP should: (Points : 2) Question 8.8. A patient has been using an herbal supplement for 2 years that the primary care NP knows may have toxic side effects. The NP should: (Points : 2) Question 9.9. A primary care NP has prescribed phentermine for a patient who is obese. The patient loses 10 lb in the first month but reports that the drug does not seem to be suppressing appetite as much as before. The NP should: (Points : 2) Question 10.10. A patient asks a primary care NP whether over-the-counter drugs are safer than prescription drugs. The NP should explain that over-the-counter drugs are: (Points : 2) Question 11.11. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of medications, it will be important to: (Points : 2) Question 12.12. A woman who is being treated with radiotherapy for breast cancer asks her primary care nurse practitioner (NP) about using dietary supplements to improve her chance of recovery. The NP should tell her that: (Points : 2) Question 13.13. The primary care nurse practitioner (NP) is using critical thinking skills when: (Points : 2) Question 14.14. CRNAs in most states: (Points : 2) Question 15.15. A patient comes to the clinic and asks the primary care NP about using a newly developed formulation of the drug the patient has been taking for a year. When deciding whether or not to prescribe this formulation, the NP should: (Points : 2) Question 16.16. The primary care NP is prescribing a medication for an off-label use. To help prevent a medication error, the NP should: (Points : 2) Question 17.17. A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should: (Points : 2) Question 18.18. To increase the likelihood of successful pharmacotherapy, when teaching a patient about using a medication, the primary care nurse practitioner (NP) should: (Points : 2) Question 19.19. A primary care NP is developing a clinical practice guideline for management of a patient population in a midsized suburban hospital. The NP should: (Points : 2) Question 20.20. A patient asks a primary care NP why herbal supplements are not regulated by the FDA. The nurse practitioner should tell the patient these products are not regulated by the FDA because they are: (Points : 2) Question 21.21. A woman comes to the clinic to talk about weight reduction. The primary care nurse practitioner (NP) calculates a body mass index (BMI) of 28. The woman’s waist measures 34 inches. The woman tells the NP that she would like to lose 20 lb for her daughter’s wedding in 6 months. The NP should: (Points : 2) Question 22.22. A primary care NP is prescribing a drug for a patient who does not take any other medications. The NP should realize that: (Points : 2) Question 23.23. A patient comes to the clinic reporting dizziness and fatigue associated with nausea and vomiting. The primary care NP suspects anemia and orders a complete blood count. The patient’s hemoglobin is elevated. The NP correctly concludes that the patient is not anemic. The NP has made an error in: (Points : 2) Question 24.24. A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-American woman. When selecting a drug and determining the correct dose, the NP should understand that the knowledge of how age, race, and gender may affect drug excretion is based on an understanding of: (Points : 2) Question 25.25. A patient with chronic back pain that is unrelieved by prescription analgesic medications asks a primary care nurse practitioner (NP) about acupuncture treatments. The NP should tell this patient: (Points : 2)

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