PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSE PRESCRIBERS QUESTIONS WITH
ANSWERS
1.Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and
her only medication is an oral combined contraceptive. Patricia's education would
include:
1. Use a back-up method of birth control (condom) until her next menses.
2. Doxycycline may cause tendonitis and she should report any joint pain.
3. Her partner will need treatment if her infection doesn't clear with the doxy- cycline.
4. Doxycycline is used for one-dose treatment of STIs; take the whole prescrip- tion at
once.: 1
2.When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient
education would include:
1. Metronidazole is safe in the first trimester of pregnancy.
2. Consuming alcohol in any form may cause a severe reaction.
3. Sexual partners need concurrent therapy.
4. Headaches are a sign of a serious adverse reaction and need immediate
evaluation.: 2
3.The treatment goals when treating urinary tract infection (UTI) include:
1. Eradication of infecting organism
2. Relief of symptoms
3. Prevention of recurrence of the UTI
4. All of the above: 4
4.Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile,
with no use of antibiotics in the previous 6 months and no drug allergies. An
appropriate first-line antibiotic choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
1/
18
,3. Ceftriaxone
4. Levofloxacin: 2
5.Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile,
and her only drug allergy is sulfa, which gives her a rash. An appro- priate first-line
antibiotic choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin: 4
6.Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed
with a lower urinary tract infection (UTI). She is healthy with no drug allergies.
Appropriate first-line therapy for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Amoxicillin
4. Ciprofloxacin: 3
7.Which of the following patients may be treated with a 3-day course of therapy
for their urinary tract infection?
1. Juanita, a 28-year-old pregnant woman
2. Sally, a 16-year-old healthy adolescent
3. Jamie, a 24-year-old female
4. Suzie, a 26-year-old diabetic: 3
8.Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is
generally healthy and has no drug allergies. Appropriate initial therapy for
her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin: 3
9.Monitoring for a healthy, nonpregnant adult patient being treated for a urinary
tract infection is:
2/
18
, 1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture 2 months after completion of therapy: 1
10.Monitoring for a child who has had a urinary tract infection is:
1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture 2 months after completion of therapy: 2
11.Monitoring for a pregnant woman who has had a urinary tract infection is:
1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture every 2 weeks until delivery: 4
12.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: 2
13.Lisa is a healthy nonpregnant adult woman who recently had a urinary tract
infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of
the UTI. The correct answer to give her would be:
1. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
3. There is no evidence that cranberry juice helps prevent UTIs.
4. Cranberry juice only works to prevent UTIs in children.: 2
14.When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red,
itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again.
What would be a good choice of antifungal for Sam?
1. Miconazole (Micatin) powder
2. Ketoconazole (Nizoral) cream
3/
18
PRACTICE NURSE PRESCRIBERS QUESTIONS WITH
ANSWERS
1.Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and
her only medication is an oral combined contraceptive. Patricia's education would
include:
1. Use a back-up method of birth control (condom) until her next menses.
2. Doxycycline may cause tendonitis and she should report any joint pain.
3. Her partner will need treatment if her infection doesn't clear with the doxy- cycline.
4. Doxycycline is used for one-dose treatment of STIs; take the whole prescrip- tion at
once.: 1
2.When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient
education would include:
1. Metronidazole is safe in the first trimester of pregnancy.
2. Consuming alcohol in any form may cause a severe reaction.
3. Sexual partners need concurrent therapy.
4. Headaches are a sign of a serious adverse reaction and need immediate
evaluation.: 2
3.The treatment goals when treating urinary tract infection (UTI) include:
1. Eradication of infecting organism
2. Relief of symptoms
3. Prevention of recurrence of the UTI
4. All of the above: 4
4.Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile,
with no use of antibiotics in the previous 6 months and no drug allergies. An
appropriate first-line antibiotic choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
1/
18
,3. Ceftriaxone
4. Levofloxacin: 2
5.Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile,
and her only drug allergy is sulfa, which gives her a rash. An appro- priate first-line
antibiotic choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin: 4
6.Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed
with a lower urinary tract infection (UTI). She is healthy with no drug allergies.
Appropriate first-line therapy for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Amoxicillin
4. Ciprofloxacin: 3
7.Which of the following patients may be treated with a 3-day course of therapy
for their urinary tract infection?
1. Juanita, a 28-year-old pregnant woman
2. Sally, a 16-year-old healthy adolescent
3. Jamie, a 24-year-old female
4. Suzie, a 26-year-old diabetic: 3
8.Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is
generally healthy and has no drug allergies. Appropriate initial therapy for
her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin: 3
9.Monitoring for a healthy, nonpregnant adult patient being treated for a urinary
tract infection is:
2/
18
, 1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture 2 months after completion of therapy: 1
10.Monitoring for a child who has had a urinary tract infection is:
1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture 2 months after completion of therapy: 2
11.Monitoring for a pregnant woman who has had a urinary tract infection is:
1. Symptom resolution in 48 hours
2. Follow-up urine culture at completion of therapy
3. "Test of cure" urinary analysis at completion of therapy
4. Follow-up urine culture every 2 weeks until delivery: 4
12.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: 2
13.Lisa is a healthy nonpregnant adult woman who recently had a urinary tract
infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of
the UTI. The correct answer to give her would be:
1. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
3. There is no evidence that cranberry juice helps prevent UTIs.
4. Cranberry juice only works to prevent UTIs in children.: 2
14.When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red,
itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again.
What would be a good choice of antifungal for Sam?
1. Miconazole (Micatin) powder
2. Ketoconazole (Nizoral) cream
3/
18
