Fundamentals
Final Exam Review — 98 Questions & Answers
1. Which adverse effect is associated with long term use of proton pump inhibitors
(PPIs)?
Answer: Osteoporosis
2. Which of the following actions can help minimize the risk of fractures
associated with long-term use of proton pump inhibitors (PPIs)?
Answer: Encouraging adequate intake and Vitamin D
3. A pregnant patient with type 2 diabetes is considering using Exenatide (incretin
mimetics) for glycemic control. What advice should the healthcare provider give
regarding Exenatide use during pregnancy?
Answer: Exenatide should be avoided during pregnancy
4. What is the primary mechanism of action of sucralfate in treating ulcers?
Answer: Creating a protective barrier against acid and pepsin
5. Which leukotriene receptor antagonist is primarily metabolized by hepatic
cytochrome P450 enzymes?
Answer: Zafirlukast
6. Why is it necessary to demonstrate the administration of inhaled drugs to
patients?
Answer: To ensure proper usage
7. A patient with heart failure is interested in using coenzyme Q-10 as a
supplement. What should the nurse practitioner inform the patient regarding the
effectiveness of coenzyme Q-10 for heart failure?
Answer: Coenzyme Q-10 has been shown to improve cardiac function in
patients with heart failure
, 8. A pregnant woman in her second trimester seeks advice regarding the use of
dietary supplements. Which supplement should she avoid due to its potential
uterine stimulant effects?
Answer: Feverfew
9. Which adverse effect is commonly associated with probiotic use?
Answer: GI upset
10. What is the preferred route of administration for long-term control of asthma
with glucocorticoids?
Answer: Inhalation
11. A patient with renal impairment requires gout prophylaxis. Which medication
should be used with caution in this patient?
Answer: Allopurinol
12. What is the primary mechanism of action of loop diuretics like furosemide
leading to their diuretic effects?
Answer: Blockade of sodium and chloride reabsorption
13. A patient presents with a bottle of herbal supplement and asks the nurse
practitioner about its efficacy in reducing menopausal symptoms. The label on the
bottle claims 'energizes and rejuvenates.' According to labeling regulations, which
of the following statements would be appropriate to explain to the patient?
Answer: The supplement is not intended to diagnose, treat, cure or prevent
any disease
14. Which of the following is an example of a leukotriene receptor antagonist used
in the management of asthma?
Answer: Montelukast
15. Which condition warrants continuous treatment with proton pump inhibitors
until symptoms resolve?