1. a patient who has taken a progestin-only oral contraceptive for 3 months reports
mid- cycle spotting and irregular menstrual cycles. What action will the provider
take?
a. reassure the patient that this is normal with this form of contraception
2. how will the provider initiate contraception with intramuscular
medroxyprogesterone acetate?
a. schedule an appointment for her to receive the injection in 3 weeks when
her period starts
3. after purchasing a 1-year supply of 28-day-cycle oral contraception, a patient
calculates that her period will begin during her upcoming honeymoon. what will the
prescriber suggest?
a. discard the inert pills and start a new pack during the honeymoon
4. when changing a patient’s combination oral contraceptive (OC) to a
different combination product, what advice will the provider give the
patient?
a. change products at the beginning of her next cycle
5. an adolescent female patient with multiple sexual partners has difficulty adhering to
her daily oral contraceptive schedule. which contraceptive product will the provider
recommend?
a. medroxyprogesterone acetate
6. a provider in a family planning clinic is teaching a class on intrauterine devices
(IUD). which patient should be advised against using and IUD for contraception?
a. a woman with multiple sex partners
7. a prescriber provides teaching to a patient about the risks and benefits of estrogen
therapy (ET) in the peri-menopausal period. Which statement by the patient
indicates understanding of the teaching?
a. Estrogen therapy is the most effective drug for suppression of
menopausal symptoms
8. a patient with type 1 diabetes recently became pregnant. what blood glucose
testing schedule will the provider recommend during the pregnancy?
a. six or seven times a day
9. what method will the provider consider the most reliable measure for assessing
a patients diabetes control over the preceding 3-month period?
a. glycosylated hemoglobin level (A1C)
10. insulin glargine is prescribed by the provider for a hospitalized patient with type
1 diabetes. when will the provider order this medication to be administered?
a. once daily at bedtime
11. a patient is admitted to the hospital and is prescribed levothyroxine. assessment
data shows that the patient also takes warfarin. the provider will make what
medication dosage-related change?
a. reducing warfarin
12. a provider teaches a patient who has been diagnosed with hypothyroidism about a
new prescription for levothyroxine. which statement by the patient indicates a need
for further teaching?
a. if I take calcium supplements, I may need to decrease my dose of levothyroxine