NR 508 Week 4 Mid-Term
Question 12 pts
Osteopenia is diagnosed in a 55-year-old woman who has not had a
period in 15 months. She has a positive family history of breast cancer.
The primary care NP should recommend:
testosterone therapy.
estrogenonly therapy.
nonhormonal drugs for osteoporosis.
estrogenprogesterone therapy for 1 to 2 years.
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Question 22 pts
A woman is in her first trimester of pregnancy. She tells the primary
care nurse practitioner (NP) that she continues to have severe morning
sickness on a daily basis. The NP notes a weight loss of 1 pound from
her previous visit 2 weeks prior. The NP should consult an obstetrician
and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
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Question 32 pts
A 75-year-old patient who has cardiovascular disease reports insomnia
and vomiting for several weeks. The primary care NP orders thyroid
function tests.
The tests show TSH is decreased and T4 is increased. The NP should
consult with an endocrinologist and order:
thyrotropin.
, methimazole.
levothyroxine.
propylthiouracil.
Flag this Question
Question 42 pts
A 55-year-old patient with no prior history of hypertension has a blood
pressure greater than 140/90 on three separate occasions. The patient
does not smoke, has a body mass index of 24, and exercises regularly.
The patient has no known risk factors for cardiovascular disease. The
primary care NP should:
prescribe a thiazide diuretic and an angiotensinconverting enzyme
inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a βblocker.
Flag this Question
Question 52 pts
A patient reports fatigue, weight loss, and dry skin. The primary care
nurse practitioner (NP) orders thyroid function tests. The patient’s
thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1
ng/mL. The NP should refer the patient to an endocrinologist and
prescribe:
methimazole.
liothyronine.
levothyroxine.
propylthiouracil.
Flag this Question
Question 62 pts
,When prescribing a medication for a chronic condition, the
primary care NP should tell the patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the
medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months’ worth of the medication at a
time.
Flag this Question
Question 72 pts
A child who has congenital hypothyroidism takes levothyroxine 75
mcg/day. The child weighs 15 kg. The primary care NP sees the child
for a 3-year-old check-up. The NP should consult with a pediatric
endocrinologist to discuss:
increasing the dose to 90 mcg/day.
decreasing the dose to 30
mcg/day.
stopping the medication and checking TSH and T4 in 4 weeks.
discussing the need for lifetime replacement therapy with the child’s
parents.
Flag this Question
Question 82 pts
A patient who has IBS experiences diarrhea, bloating, and pain but
does not want to take medication. The primary care NP should
recommend:
25 g of fiber each day.
avoiding gluten and lactose in the
diet.
increasing water intake to eight to ten glasses per day.
beginning aerobic exercise, such as running, every
day.
Flag this Question
, Question 92 pts
A woman who uses a transdermal contraceptive calls the primary care
NP to report that while dressing that morning she discovered that the
patch had come off and she was unable to find the patch. The NP
should tell her to apply a new patch and:
take one cycle of COCPs.
take a home pregnancy test.
use condoms for the next 7 days.
contact the clinic if she misses a
period.
Flag this Question
Question 102 pts
A patient has been diagnosed with IBS and tells the primary care NP
that symptoms of diarrhea and cramping are worsening. The patient
asks about possible drug therapy to treat the symptoms. The NP
should prescribe:
mesalamine (Asacol).
dicyclomine (Bentyl).
simethicone (Phazyme).
metoclopramide (Reglan).
Flag this Question
Question 112 pts
A patient wants to know why a cheaper version of a drug cannot be
used when the primary care NP writes a prescription for a specific
brand name of the drug and writes, “Dispense as Written.” The NP
should explain that a different brand of this drug:
may cause different adverse effects.
does not necessarily have the same therapeutic
effect.
is likely to be less safe than the brand specified in the prescription.
Question 12 pts
Osteopenia is diagnosed in a 55-year-old woman who has not had a
period in 15 months. She has a positive family history of breast cancer.
The primary care NP should recommend:
testosterone therapy.
estrogenonly therapy.
nonhormonal drugs for osteoporosis.
estrogenprogesterone therapy for 1 to 2 years.
Flag this Question
Question 22 pts
A woman is in her first trimester of pregnancy. She tells the primary
care nurse practitioner (NP) that she continues to have severe morning
sickness on a daily basis. The NP notes a weight loss of 1 pound from
her previous visit 2 weeks prior. The NP should consult an obstetrician
and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
Flag this Question
Question 32 pts
A 75-year-old patient who has cardiovascular disease reports insomnia
and vomiting for several weeks. The primary care NP orders thyroid
function tests.
The tests show TSH is decreased and T4 is increased. The NP should
consult with an endocrinologist and order:
thyrotropin.
, methimazole.
levothyroxine.
propylthiouracil.
Flag this Question
Question 42 pts
A 55-year-old patient with no prior history of hypertension has a blood
pressure greater than 140/90 on three separate occasions. The patient
does not smoke, has a body mass index of 24, and exercises regularly.
The patient has no known risk factors for cardiovascular disease. The
primary care NP should:
prescribe a thiazide diuretic and an angiotensinconverting enzyme
inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a βblocker.
Flag this Question
Question 52 pts
A patient reports fatigue, weight loss, and dry skin. The primary care
nurse practitioner (NP) orders thyroid function tests. The patient’s
thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1
ng/mL. The NP should refer the patient to an endocrinologist and
prescribe:
methimazole.
liothyronine.
levothyroxine.
propylthiouracil.
Flag this Question
Question 62 pts
,When prescribing a medication for a chronic condition, the
primary care NP should tell the patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the
medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months’ worth of the medication at a
time.
Flag this Question
Question 72 pts
A child who has congenital hypothyroidism takes levothyroxine 75
mcg/day. The child weighs 15 kg. The primary care NP sees the child
for a 3-year-old check-up. The NP should consult with a pediatric
endocrinologist to discuss:
increasing the dose to 90 mcg/day.
decreasing the dose to 30
mcg/day.
stopping the medication and checking TSH and T4 in 4 weeks.
discussing the need for lifetime replacement therapy with the child’s
parents.
Flag this Question
Question 82 pts
A patient who has IBS experiences diarrhea, bloating, and pain but
does not want to take medication. The primary care NP should
recommend:
25 g of fiber each day.
avoiding gluten and lactose in the
diet.
increasing water intake to eight to ten glasses per day.
beginning aerobic exercise, such as running, every
day.
Flag this Question
, Question 92 pts
A woman who uses a transdermal contraceptive calls the primary care
NP to report that while dressing that morning she discovered that the
patch had come off and she was unable to find the patch. The NP
should tell her to apply a new patch and:
take one cycle of COCPs.
take a home pregnancy test.
use condoms for the next 7 days.
contact the clinic if she misses a
period.
Flag this Question
Question 102 pts
A patient has been diagnosed with IBS and tells the primary care NP
that symptoms of diarrhea and cramping are worsening. The patient
asks about possible drug therapy to treat the symptoms. The NP
should prescribe:
mesalamine (Asacol).
dicyclomine (Bentyl).
simethicone (Phazyme).
metoclopramide (Reglan).
Flag this Question
Question 112 pts
A patient wants to know why a cheaper version of a drug cannot be
used when the primary care NP writes a prescription for a specific
brand name of the drug and writes, “Dispense as Written.” The NP
should explain that a different brand of this drug:
may cause different adverse effects.
does not necessarily have the same therapeutic
effect.
is likely to be less safe than the brand specified in the prescription.
