MARYVILLE NURS 618 POLICY & ADVOCACY EXAM 1| QUESTION AND CORRECT ANSWER 2026 UPDATEWITH COMPLETE SOLUTION

MARYVILLE NURS 612 PRESCRIPTIVE
PRACTICE EXAM 4| QUESTION AND
CORRECT ANSWER 2026 UPDATE WITH
COMPLETE SOLUTION
Question 1
A patient with type 2 diabetes and heart failure presents with edema and
hyperglycemia. Which agent provides both cardiovascular and renal
benefit?

A. SGLT2 inhibitor
B. Metformin
C. Sulfonylurea
D. DPP-4 inhibitor

Correct Answer: A

Rationale: SGLT2 inhibitors improve heart failure outcomes, slow CKD
progression, and aid glycemic control.



Question 2
A patient with acute bacterial prostatitis presents with dysuria and fever.
Which antibiotic is first-line?

A. Ciprofloxacin
B. Amoxicillin
C. Clindamycin
D. Azithromycin

Correct Answer: A

Rationale: Fluoroquinolones are highly effective against common
pathogens causing acute bacterial prostatitis.



Question 3
A patient with chronic pain on high-dose opioids requires rotation. What
ensures safe dosing?

,A. Equianalgesic conversion
B. Double the previous dose
C. Continue same opioid
D. Start at maximum dose

Correct Answer: A

Rationale: Equianalgesic conversion prevents overdose while
maintaining analgesia during opioid rotation.



Question 4
A patient with type 2 diabetes develops neuropathic pain. Which therapy
is first-line?

A. Gabapentin
B. Morphine
C. NSAID
D. Tramadol

Correct Answer: A

Rationale: Gabapentin targets neuropathic pain pathways and has low
abuse potential.



Question 5
A patient with acute migraine and severe nausea requires fast relief.
Which therapy is preferred?

A. Subcutaneous sumatriptan
B. Oral NSAID
C. Oral acetaminophen
D. Oral opioid

Correct Answer: A

Rationale: Subcutaneous sumatriptan bypasses GI absorption, providing
rapid symptom relief.

,Question 6
A patient with chronic heart failure remains symptomatic on ACE
inhibitor and beta-blocker. Which therapy reduces morbidity and
mortality?

A. Aldosterone antagonist
B. Loop diuretic
C. Digoxin
D. Nitrate

Correct Answer: A

Rationale: Aldosterone antagonists improve survival and decrease
hospitalizations in HFrEF.



Question 7
A patient with type 2 diabetes and eGFR 28 mL/min requires therapy.
Which is contraindicated?

A. Metformin
B. DPP-4 inhibitor
C. Sulfonylurea
D. SGLT2 inhibitor

Correct Answer: A

Rationale: Metformin is contraindicated at eGFR <30 due to lactic
acidosis risk.



Question 8
A patient with acute bacterial sinusitis requires empiric therapy. Which is
first-line?

A. Amoxicillin
B. Azithromycin
C. Doxycycline
D. Ciprofloxacin

Correct Answer: A

, Rationale: Amoxicillin effectively treats uncomplicated bacterial sinusitis
caused by S. pneumoniae and H. influenzae.



Question 9
A patient with chronic pain transitioning off opioids requires safe
discontinuation. Which is recommended?

A. Gradual taper
B. Abrupt discontinuation
C. Switch to NSAID only
D. Increase dose

Correct Answer: A

Rationale: Gradual taper prevents withdrawal symptoms and ensures
safe discontinuation.



Question 10
A patient with hypertension and angina is intolerant to beta-blockers.
Which therapy is appropriate?

A. Non-dihydropyridine calcium channel blocker
B. ACE inhibitor
C. Thiazide diuretic
D. Nitrate

Correct Answer: A

Rationale: Non-dihydropyridine CCBs reduce heart rate and myocardial
oxygen demand, improving angina control.



Question 11
A patient with COPD exacerbation and penicillin allergy requires empiric
antibiotics. Which is safe?

A. Doxycycline
B. Amoxicillin
C. Cephalexin
D. Levofloxacin