Question 1 :
An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?
Nondihydropyridine calcium channel blockers
Angiotensin II receptor blockers
Question 2. Question :
Metoclopramide improves GERD symptoms by:
Reducing acid secretion
Increasing gastric pH
Increasing lower esophageal tone
Decreasing lower esophageal tone
Question 3. Question :
Patient education regarding prescribed medication includes:
Instructions written at the high school reading level
Discussion of expected ADRs
How to store leftover medication such as antibiotics
Verbal instructions always in English
Question 4. Question :
If a patient with H. pylori positive PUD fails first-line therapy, the second-line treatment is:
A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days
Testing H. pylori for resistance to common treatment regimens
A PPI plus clarithromycin plus amoxicillin for fourteen days
A PPI and levofloxacin for fourteen days
Question 5. Question :
A patient with a COPD exacerbation may require:
Doubling of inhaled corticosteroid dose
Systemic corticosteroid burst
Continuous inhaled beta 2 agonists
Question 6. Question :
Angela is a black woman who has heard that women of African descent do not need to worry about osteoporosis. What education would you provide Angela about her risk?
She is ; black women do not have much risk of developing osteoporosis due to their dark skin.
Black women are at risk of developing osteoporosis due to their lower calcium intake as a group.
If she doesn’t drink alcohol, her risk of developing osteoporosis is low.
If she has not lost more than 10% of her weight lately, her risk is low.
Question 7. Question :
The role of the nurse practitioner in the use of herbal medication is to:
Maintain competence in the prescribing of common herbal remedies.
Recommend common OTC herbs to patients.
Educate patients and guide them to appropriate sources of care.
Encourage patients to not use herbal therapy due to the documented dangers.
Question 8. Question :
Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the nurse practitioner should assess for:
Decreased renal function
Inability to concentrate
Question 9. Question :
Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the:
Risk of life-threatening dermatological reactions
Increased incidence of cardiac events when long-acting beta-agonists are used
Increased risk of asthma-related deaths when long-acting beta-agonists are used
Risk for life-threatening alterations in electrolytes
Question 10. Question :
Off-Label prescribing is:
Regulated by the FDA
Illegal by NPs in all states (provinces)
Legal if there is scientific evidence for the use
Regulated by the DEA