,
, NU 636 QUIZ 7 | QUESTIONS AND
ANSWERS | 2026 UPDATE | 100% CORRECT
– HERZING.
SECTION 1: HEADACHE & MIGRAINE MANAGEMENT
Q1. You are seeing a 31-year-old female who comes in with a
complaint of a nagging, daily headache which usually reaches a pain
intensity of 5-6/10. She has a history of migraine headaches for
which she takes Excedrin Migraine on average 2-3 times a month.
Based on this patient's chronic daily headache and migraine
headache history, which of the following medications would be a
reasonable agent for the advanced practice nurse to choose for
treatment?
A. Losartan (Cozaar)
B. Divalproex (Depakote)
C. Topiramate (Topamax)
D. Verapamil (Calan)
Correct Answer: C. Topiramate (Topamax)
Rationale: Topiramate has strong evidence supporting its use in the
prevention of both chronic migraines and chronic daily headaches . It
modulates voltage-gated sodium channels and enhances GABA activity.
While Divalproex is also effective, its side effect profile (weight gain, liver
toxicity, teratogenicity) makes it less ideal for a woman of childbearing age.
Losartan and verapamil have emerging evidence but are not first-line
therapies .
Q2. The advanced practice nurse is considering preventive
treatment for a patient with chronic migraines. Which of the
, NU 636 QUIZ 7 | QUESTIONS AND
ANSWERS | 2026 UPDATE | 100% CORRECT
– HERZING.
SECTION 1: HEADACHE & MIGRAINE MANAGEMENT
Q1. You are seeing a 31-year-old female who comes in with a
complaint of a nagging, daily headache which usually reaches a pain
intensity of 5-6/10. She has a history of migraine headaches for
which she takes Excedrin Migraine on average 2-3 times a month.
Based on this patient's chronic daily headache and migraine
headache history, which of the following medications would be a
reasonable agent for the advanced practice nurse to choose for
treatment?
A. Losartan (Cozaar)
B. Divalproex (Depakote)
C. Topiramate (Topamax)
D. Verapamil (Calan)
Correct Answer: C. Topiramate (Topamax)
Rationale: Topiramate has strong evidence supporting its use in the
prevention of both chronic migraines and chronic daily headaches . It
modulates voltage-gated sodium channels and enhances GABA activity.
While Divalproex is also effective, its side effect profile (weight gain, liver
toxicity, teratogenicity) makes it less ideal for a woman of childbearing age.
Losartan and verapamil have emerging evidence but are not first-line
therapies .
Q2. The advanced practice nurse is considering preventive
treatment for a patient with chronic migraines. Which of the
