Predictor_Study_Guide_2.docx
1
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UPDATED
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
7. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-
old female?
a. Sumatriptan
(Imitrex) b. propranolol
(Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
8. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and .
9. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
,Predictor_Study_Guide_2.docx
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LATEST
UPDATED
a. Question her further
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
10. A 35-year old female with a history of mitral valve prolapse is scheduled for routine
dental cleaning. According to the 2007 American Association’s guideline for
endocarditis prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental
procedure
b.
11. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
12. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The
nurse practitioner should
a. start aggressive antibiotic therapy
13. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
14. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
,Predictor_Study_Guide_2.docx
3
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UPDATED
b. peripheral artery insufficiency
15. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
16. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option
for this patient?
a. prescribe an anti-fungal powder for application
between her toes and in her shoes and a topical
prescription strength anti-fungal cream for other
affected areas. Monitor for a secondary bacterial
infection.
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
, Predictor_Study_Guide_2.docx
4
LATEST
UPDATED
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary
bacterial infection.
17. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal
if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
18. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today
with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before prescribing
it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for
him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
19. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
1
LATEST
UPDATED
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
7. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-
old female?
a. Sumatriptan
(Imitrex) b. propranolol
(Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
8. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and .
9. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
,Predictor_Study_Guide_2.docx
2
LATEST
UPDATED
a. Question her further
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
10. A 35-year old female with a history of mitral valve prolapse is scheduled for routine
dental cleaning. According to the 2007 American Association’s guideline for
endocarditis prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental
procedure
b.
11. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
12. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The
nurse practitioner should
a. start aggressive antibiotic therapy
13. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
14. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
,Predictor_Study_Guide_2.docx
3
LATEST
UPDATED
b. peripheral artery insufficiency
15. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
16. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option
for this patient?
a. prescribe an anti-fungal powder for application
between her toes and in her shoes and a topical
prescription strength anti-fungal cream for other
affected areas. Monitor for a secondary bacterial
infection.
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
, Predictor_Study_Guide_2.docx
4
LATEST
UPDATED
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary
bacterial infection.
17. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal
if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
18. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today
with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before prescribing
it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for
him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
19. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
