Question 44. 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 45. Question :
A patient with a COPD exacerbation may require:
Doubling of inhaled corticosteroid dose
Systemic corticosteroid burst
Continuous inhaled beta 2 agonists
Question 46. 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 47. 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 48. 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 49. 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 50. 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
Question 51. Question :
He should increase his increase his carbohydrate intake during times of exercise intake during times of exercise.
Each brand of insulin is equal in bioavailability, so buy the least expensive.
Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his diabetes.
Question 52. Question :
Prior to starting antidepressants, patients should have laboratory testing to rule out:
Low estrogen levels
0 of 2.5
Question 53. Question :
What impact does developmental variation in renal function has on prescribing for infants and children?
Lower doses of renally excreted drugs may be prescribed to infants younger than six months
Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion
Renal excretion rates have no impact on prescribing
Parents need to be instructed on whether drugs are renally excreted or not
Question 54. Question :
All diabetic patients with hyperlipidemia should be treated with:
3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors
Fibric acid derivatives