Pharmacotherapeutics for Advanced
Practice Nurse Prescribers 2024-2025.
Questions and Answers. Graded A+
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin
for treatment. Her only other medication is combined oral contraceptives. What
education should she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
2. Both medications are best tolerated if taken on an empty stomach.
3. She should use a back-up method of birth control such as condoms for the rest of the
current pill pack.
4. If she gets nauseated with the medications she should call the office for an antiemetic
prescription. - ANS3
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her
symptoms with the lowest adverse effects she should be prescribed:
1. Low-dose oral estrogen
2. A low-dose estrogen/progesterone combination
3. A vaginal estradiol ring
4. Vaginal progesterone cream - ANS3
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data - ANS2
A first-line drug for abortive therapy in simple migraine is:
1. Sumatriptan (Imitrex)
,2. Naproxen (Aleve)
3. Butorphanol nasal spray (Stadol NS)
4. Butalbital and acetaminophen (Fioricet) - ANS2
A test of cure is recommended after treating chlamydia in which patient population?
1. Men who have sex with men
2. Adolescent females
3. Pregnant patients
4. All of the above - ANS3
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension - ANS2
Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female
who has had a urinary tract infection includes:
1. Increasing her intake of vitamin C-containing orange juice
2. Voiding 10 to 15 minutes after intercourse
3. Avoiding ingesting urinary irritants, such as asparagus
4. All of the above - ANS2
Amber is a 24-year-old patient who has had migraines for 10 years. She reports a
migraine on average of once a month. The migraines are effectively aborted with
naratriptan (Amerge). When refilling Amber's naratriptan, education would include:
1. Naratriptan will interact with antidepressants, including selective serotonin reuptake
inhibitors (SSRIs) and St John's wort, and she should inform any providers she sees
that she has migraines.
, 2. Continue to monitor her headaches, if the migraine is consistently happening around
her menses there is preventive therapy available.
3. Pregnancy is contraindicated when taking a triptan.
4. All of the above - ANS4
Antiretroviral therapy is recommended for HIV-positive patients with:
1. A history of AIDS-defining illness
2. Pregnant women
3. Hepatitis B co-infection
4. All of the above - ANS4
Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require
education regarding the fact that:
1. The most recent partners in the past 60 days should also be treated.
2. Alcohol should not be consumed during and for 1 day after metronidazole is taken.
3. Condoms should be used during intercourse if intravaginal clindamycin cream is
used.
4. Co-treatment for chlamydia is necessary. - ANS2
Compliance with directly observed therapy can be increased by:
1. Convenient clinic times
2. Incentives such as food, clothing, and transportation costs
3. Offering gifts for compliance
4. All of the above - ANS4
Demione is a 24-year-old patient who is 32 weeks pregnant and has tested positive for
syphilis. The best treatment for her would be:
1. IM ceftriaxone
2. IM benzathine penicillin G
Practice Nurse Prescribers 2024-2025.
Questions and Answers. Graded A+
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin
for treatment. Her only other medication is combined oral contraceptives. What
education should she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
2. Both medications are best tolerated if taken on an empty stomach.
3. She should use a back-up method of birth control such as condoms for the rest of the
current pill pack.
4. If she gets nauseated with the medications she should call the office for an antiemetic
prescription. - ANS3
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her
symptoms with the lowest adverse effects she should be prescribed:
1. Low-dose oral estrogen
2. A low-dose estrogen/progesterone combination
3. A vaginal estradiol ring
4. Vaginal progesterone cream - ANS3
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data - ANS2
A first-line drug for abortive therapy in simple migraine is:
1. Sumatriptan (Imitrex)
,2. Naproxen (Aleve)
3. Butorphanol nasal spray (Stadol NS)
4. Butalbital and acetaminophen (Fioricet) - ANS2
A test of cure is recommended after treating chlamydia in which patient population?
1. Men who have sex with men
2. Adolescent females
3. Pregnant patients
4. All of the above - ANS3
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension - ANS2
Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female
who has had a urinary tract infection includes:
1. Increasing her intake of vitamin C-containing orange juice
2. Voiding 10 to 15 minutes after intercourse
3. Avoiding ingesting urinary irritants, such as asparagus
4. All of the above - ANS2
Amber is a 24-year-old patient who has had migraines for 10 years. She reports a
migraine on average of once a month. The migraines are effectively aborted with
naratriptan (Amerge). When refilling Amber's naratriptan, education would include:
1. Naratriptan will interact with antidepressants, including selective serotonin reuptake
inhibitors (SSRIs) and St John's wort, and she should inform any providers she sees
that she has migraines.
, 2. Continue to monitor her headaches, if the migraine is consistently happening around
her menses there is preventive therapy available.
3. Pregnancy is contraindicated when taking a triptan.
4. All of the above - ANS4
Antiretroviral therapy is recommended for HIV-positive patients with:
1. A history of AIDS-defining illness
2. Pregnant women
3. Hepatitis B co-infection
4. All of the above - ANS4
Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require
education regarding the fact that:
1. The most recent partners in the past 60 days should also be treated.
2. Alcohol should not be consumed during and for 1 day after metronidazole is taken.
3. Condoms should be used during intercourse if intravaginal clindamycin cream is
used.
4. Co-treatment for chlamydia is necessary. - ANS2
Compliance with directly observed therapy can be increased by:
1. Convenient clinic times
2. Incentives such as food, clothing, and transportation costs
3. Offering gifts for compliance
4. All of the above - ANS4
Demione is a 24-year-old patient who is 32 weeks pregnant and has tested positive for
syphilis. The best treatment for her would be:
1. IM ceftriaxone
2. IM benzathine penicillin G
