Description

1. Question: What is a possible result of untreated hypothyroidism during pregnancy?
2. Question: A 38-year old has been diagnosed with hyperthyroidism. Which of the following medications should the clinician prescribe to manage the symptoms associated with tachycardia until the patient becomes euthyroid?
3. Question: A 40-year-old male patient was seen in the clinic yesterday with generalized complaints of fatigue. Blood work revealed a normal complete blood count (CBC) and thyroid stimulating hormone (TSH) with a random (non-fasting) glucose of 202 mg/c1L. The clinician asks the patient to return to the office tomorrow to repeat testing. Which of the following test would confirm a diagnosis of diabetes?
4. Question: Match the drug class to the example drug.
5. Question: An adult patient is seen in the clinic with a heart rate of 62 beats/minute. a blood pressure of 105/62 mm Hg, and a temperature of 96.2°F. The patient appears pale and reports always feeling cold and tired. The provider and patient will discuss tests to rule out what possible cause of these signs and symptoms?
6. Question: A 59-year-old patient with type II diabetes is exhibiting signs of heart failure. Which of the following medications used to treat diabetes is contraindicated in patients with heart failure?
7. Question: According to the American Diabetes Association treatment guidelines, which of the following is the MC goal for diabetic patients?
8. Question: 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?
9. Question: Matching: Match the type of insulin to the example listed:
10. Question: Which lab value is the most sensitive for diagnosing hypothyroidism.
11. Question: Select the option to correctly fill in the blanks: Total daily dose (TDD) of insulin ___ % is basal insulin and the other ___ % is bolus rapid-acting insulin.
12. Question: In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription of the following medications?
13. Question: An older adult patient with type 2 diabetes has a history of severe hypoglycemia. The patients partner asks the provider what Al c level they should strive to achieve. What guideline will the prescriber provide?
14. Question: At what A1C value should insulin be considered?
15. Question: A newly pregnant mother shows understanding of Hypothyroidism in pregnant women by stating. (Select all that apply)
16. Question: Matching: Match the mechanism of action to the correct DM drug class
17. Question: A patient with type i diabetes reports taking propranolol for hypertension. What concern does this information present for the provider?
18. Question: Which medication should be considered prior to starting insulin?
19. Question: A 51-year-old male is seen for a routine diabetic check today. The clinician increases his metformin from 1500mg twice daily to 2000mg twice daily for Al C = 8.1% (up from 7.6% last visit). How long should the clinician wait before adding another agent if there is no reduction in the Al C?
20. Question: After starting a patient with levothyroxine, when should TSH be re-drawn to evaluate drug therapy?
21. Question: Drug resistant tuberculosis (TB) is defined as TB that is resistant to which of the following?
22. Question: Instructions for a patient who is starting nicotine replacement therapy include which of the following?
23. Question: A 28-year-old female tells the Nurse Practitioner that she wants to quit smoking. She has smoked approximately 1 pack per day for the last 10 years. She has tried nicotine replacement in the past without much success and would like to try wellbutrin (Zyban). The medication is contraindicated in which of the following conditions?
24. Question: A patient receiving both beclomethasone (QVar) and albuterol (Proventil) questions the practitioner about why both drugs are needed. What is the Nurse Practitioners best response?
25. Question: Which age group is at much higher risk for toxicity when taking methylxanthines?
26. Question: A 24-year-old female lives with a partner who has been newly diagnosed with tuberculosis (TB). She is healthy and asymptomatic with a negative chest radiograph. The patient is concerned about contracting the disease. what is the Nurse Practitioner’s best response?
27. Question: Mild persistent asthma is classified in children ages 5 to 11 years when the frequency of nighttime symptoms is which of the following?
28. Question: Why is a transdermal nicotine replacement (the patch) an effective choice in tobacco cessation?
29. Question: What is the recommended length of treatment for vareniclme (Chantix)?
30. Question: A patient with severe. chronic COPD uses an inhaled long-acting inhaled β2 agonist (LABA)/glucocorticoid but continues to have frequent exacerbation of symptoms. What change in therapy will the provider discuss with the patient?
31. Question: A patient develops an asthma exacerbation. The patients medication history lists an inhaled glucocorticoid, montelukast, and a short acting 62 agonist as needed via metered-dose inhaler (MDI). The patient’ respiratory rate is 18 breaths/minute, heart rate is 96 beats/minute, and an oxygen saturation is 95%. The provider auscultates mild expiratory wheezes bilaterally. What action will the provider take first?
32. Question: A 5-year-old patient who has been diagnosed with tuberculosis. His treatment would include:
33. Question: A patient who is 24 weeks pregnant and has been diagnosed with tuberculosis (TB). In addition to isoniazid (INH)and rifampin (Rifadin), treatment should include which of the following?
34. Question: A 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
35. Question: A patient with asthma reports daily symptoms requiring a shod-acting 132-agonist for relief. The patient has used oral glucocorticoids three times in the past 3 months and reports awakening at night with symptoms about once a week. The patient’s forced expiratory volume in 1 second (FEW’) is 75% of predicted values. Which regimen does the provider determine is best for this patient?
36. Question: Which of the following medications is a long acting Beta-2 Receptor Agonist (B2RA)?
37. Question: Which of the following is a risk factor for a fatal asthma attack?
38. Question: The nurse practitioner has prescribed albuterol (Proventil) for a new patient diagnosed with mild asthma. Which of the following statements is true?
39. Question: Which of the following patients is at increased risk for developing fatal hepatitis with isoniazid (INH) use?
40. Question: A 20-year-old male asthmatic presents to the clinic for a routine annual exam. The nurse practitioner inquires about his asthma control and he reports that his symptoms occur less than twice a week, he is asymptomatic between exacerbations and he only had 1 nighttime attack last month. The patient’s peak expiratory flow (PEF) is 85% of predicted. How should the Nurse Practitioner classify his asthma?
41. Question: Which of the following is true regarding Long-Acting Beta Agonists (LABAs)?
42. Question: Which H2 receptor antagonist is most likely to have drug interactions due to the CYP450 enzyme system?
43. Question: A patient has been taking psyllium two to three times daily for several days but has not passed a stool. What initial action will the prescriber take when the patient reports abdominal pain?
44. Question: A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the provider recognize as most effective for this patient’s condition?
45. Question: A patient reports a 6-month history of daily episodes of recurrent. crampy abdominal pain followed by diarrhea that usually relieves the pain. The patient undergoes a colonoscopy, for which the findings are normal. What will the provider discuss with the patient?
46. Question: Which of the following antidiarrheals is an absorbent preparation that acts locally in the bowel?
47. Question: A patient newly diagnosed with peptic ulcer disease (PUD) reports taking low-dose aspirin (ASA) for prevention of cardiovascular disease. The medical history determines that the patient drinks 2 to 3 cups of coffee each day. eats three meals a day. and has a glass of wine with dinner 3 or 4 nights per week. The provider will counsel this patient to what lifestyle action?
48. Question: A patient with gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PRI). What information will the provider include when teaching the patient about this drug?
49. Question: Which of the following is the best choice to treat vomiting due to gastroparesis?
50. Question: Which medications have been safely used to treat constipation in infants? (Select all that apply)
51. Question: Which of the following antidiarrheals is contraindicated in children during or after chicken pox infection or flu-like illness?
52. Question: Which antidiarrheal is associated with gray/black stools and black tongue?
53. Question: A patient takes nonsteroidal anti-inflammatory drugs (NSAIDs) (or arthritis. What can the provider prescribe to prevent ulcers?
54. Question: In addition to lifestyle modifications. which of the following is the recommended initial management of moderate to severe GERD?
55. Question: A patient with peptic ulcer disease and H. Pylori is otherwise healthy. The patient does not smoke and states drinking 1 or 2 glasses of wine with meals each week. Which drugs will the provider prescribe?
56. Question: Which of the following medications has a Black Box Warning due to the risk of developing tardive dyskinesia?
57. Question: What is the preferred medication for constipation white breastteeding?
58. Question: If a pregnant woman requires a cytoprotecfive agent due to high risk of gastric ulcers, which of the following medications would be appropriate to use?
59. Question: A patient with a history of peptic ulcer disease takes ranitidine and sucralfate. The patient reports that discomfort is usually controlled but that symptoms occasionally flare up. What action will the provider take to address the patient’s concern’?
60. Question: Which antidiarreal may be used to decrease the risk of traveler’s diarrhea according to the CDC?
61. Question: What should the prescriber suggest prior to initiating a laxative medication?
62. Question: Which of the following vitamin or mineral deficiencies is associated with long-term proton pump inhibitor use?
63. Question: Which of the following immunizations is considered an attenuated vaccine?
64. Question: A provider prescribing vaccinations to a child with an immune deficiency disorder will avoid ordering which vaccination?
65. Question: True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
66. Question: Which of the following statements regarding the Tdap vaccine is true?
67. Question: A 3-year-old child who has asthma is in the clinic for a well-child checkup. The nurse notes that the child is up to date for the DTaP, hepatitis A, hepatitis B, and the MMR vaccines but has only had one each of the Hib, the rotavirus, and the PCV13 vaccines. Which vaccine will the provider prescribe for this child?
68. Question: A 2-month-old infant presents with a low-grade fever, runny nose, and severe bursts of coughing resulting in transient cyanosis. When taking a history, the provider will specifically inquire about the vaccination history for which condition?
69. Question: A 1-year-old child receives the MMR vaccine. The next day. the child’s parent calls to report that the child has a temperature of 102.8°F. What action will the provider take?
70. Question: An 11-year-old boy received all childhood immunizations before attending kindergarten. Which vaccines will the provider recommended for this child at his current age? (Select all that apply.)
71. Question: A 17-year-old male presents to the emergency department for evaluation of a bat bite to his hand. He has not been previously vaccinated for rabies. Post exposure prophylaxis should include which of the following”,
72. Question: Which of the following patients are can receive the Hepatitis B virus (HBV) vaccine?
73. Question: Review the following prescription to identify the Incorrect Item on the proscription. You can assume provider information is correct.
74. Question: Review the following prescription to identify the incorrect Item on the prescription. You can assume provider information is correct.
75. Question: Review the following prescription to identify the incorrect item on the prescription You can assume provider information is correct.