Question 11 

pts
I did not make drugs have a little effect when administered:
Group of answer choices

Orally

Intramuscularly

Intravenously

By inhalation
A
Question 21 pts
What is the first line treatment for hypertension and a male with benign prosthetic
hypertrophy?
Group of answer choices

Beta blockers

Alpha blockers

Calcium channel blockers

Ace inhibitors
B
Question 31 pts
A Nurse Practitioner is caring for a patient with cancer who has been prescribed
dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse
will inform the patient that he or she is taking an oral form of
Group of answer choices

methamphetamine.

cocaine.

marijuana.
nicotine.
C
Question 41 pts
A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is
receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the
following nursing actions will the nurse take to decrease the risk of hypotension and
promote circulation to the fetus?
Group of answer choices

Instruct the patient to lie on her back during the infusion.

Instruct the patient to notify the nurse if she experiences palpitations.

Instruct the patient to limit the amount of her fluid intake during the therapy.

Instruct the patient to lie on her left side during the infusion.
D
Question 51 pts
Lyrica is what controlled substance schedule?
Group of answer choices

C-II

C-III

C-IV

C-V

C-VI
D
Question 61 pts
Which of the following brand-generic combinations is incorrectly matched?
Group of answer choices

Zyprexa-olanzapine
Valium-alprazolam

Klonopin-clonazepam

Desyrel-trazodone

Seroquel-quetiapine
B
Question 71 pts
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to
a 42-year-old patient. When providing education to the patient and his wife, the nurse
should inform the wife about which of the following adverse effects?
Group of answer choices

Low blood pressure

Vaginal burning

Increased heart rate

Reduced desire for sexual activity

B
Question 81 pts
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along
with a local disease flare. The nurse interprets this as an indication of which of the
following?
Group of answer choices

A hypersensitivity reaction

The tumor responding to treatment

Nephrotoxic effects of tamoxifen

Cardiomyopathy
B
Question 91 pts
When planning care for a patient who is receiving filgrastim (Neupogen) for a
nonmyeloid malignancy, the nurse should formulate which of the following patient
outcomes? (Select all that apply.)
Group of answer choices

The patient will not develop an infection.

The patient will not experience bone pain.

The patient will be able to self-administer filgrastim at home.

The patient will not develop febrile neutropenia.

The patient will not retain fluid.

A, B, C & D
Question 101 pts
A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The
medication history reveals that he currently takes antacids on a regular basis. The nurse
will instruct the patient to take
Group of answer choices

antacids during the day and INH only at night.

antacids before meals and INH 1 or 2 hours after meals.

INH before meals and antacids 1 or 2 hours after meals.

antacids not less than 1 hour before or 2 hours after taking INH.
D
Question 111 pts
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive
bladder. On a follow-up visit to the clinic, the nurse will question the patient about which
of the following?
Group of answer choices

Chronic diarrhea
Dental hygiene practices

Headaches

Diet
B
Question 121 pts
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine
(Meridia). After baseline physical data are obtained, the nurse will assess the patient's
childbearing potential. The nurse will inform the patient that during sibutramine therapy
she should
Group of answer choices

abstain from sex.

obtain a pap smear .

use adequate contraception.

take a pregnancy test every month.

C
Question 131 pts
Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors
includes which of the following?
Group of answer choices

complete blood count

lipid profile

blood pressure

Serum fasting glucose level

C
Question 141 pts
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is
prescribed. To help increase bioavailability of the drug, the nurse will encourage the
patient to take the medication
Group of answer choices

with high-fat meals.

with orange juice.

on an empty stomach.

with high-protein meals.

A
Question 151 pts
JC is a 13 year old female to be seen in your clinic today.  You review JC's medication
and realize that which medication is a potential risk of growth suppression in
prepubescent children?
Group of answer choices

Acetaminophen

corticosteroids

Diphenhydramine

Claritin
B
Question 161 pts
A quinolone used to treat a urinary tract infection would be contraindicated in :
Group of answer choices

pregnant patient

a 19 year old female

a patient with hypertension

a patient with pyelonephritis
A
Question 171 pts
A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What
test(s) would the family nurse practitioner monitor?
Group of answer choices

Liver function test and CBC.

ECG.

UA and C&S

Pulmonary function test.

A
Question 181 pts
Which step in the clotting cascade allows prothrombin to be converted to thrombin?
Group of answer choices

Activation of factor X to factor Xa

Activation of factor IX to factor X

Activation of factor XII to factor XIIa

Activation of factor XI to factor XIa

A
Question 191 pts
Amoxicillin is to be administered from a multiple dose container. After water is added for
reconstitution, the well shaken oral suspension will yield 250mg/5mL. If the prescribed
child's dose is 100mg bid, how many mL should be administered per dose?
Group of answer choices

1.75 mLs

2 mLs
3.25 mLs

4 mLs

None of the above

B
Question 201 pts
A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath
and was subsequently diagnosed with a pulmonary embolism in the emergency
department. The patient has been started on an intravenous heparin infusion. How does
this drug achieve therapeutic effect?
Group of answer choices

By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa

By inhibiting the action of vitamin K at its sites of action

By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis

By inactivating clotting factors and thus stopping the coagulation cascade

D
Question 211 pts
A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is
perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL.
The nurse will interpret these manifestations as
Group of answer choices

common adverse effects of magnesium sulfate.

magnesium sulfate toxicity.

a hypersensitivity reaction to magnesium sulfate.

an idiosyncratic reaction from the magnesium sulfate.

B
Question 221 pts
Which of the following medication classes should be avoided and men with BPH
Group of answer choices

Fluoroquinolones

Alpha blockers

Nasal decongestants

Beta blockers
C
Question 231 pts
A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous
leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the
patient for which of the following?
Group of answer choices

Diabetes mellitus

Hypertension

Leukopenia

Hypoglycemia

  C
Question 241 pts
The nurse recognizes that the potential for teratogenic drug effects is not static
throughout the prenatal and postnatal periods. The potential for teratogenic effects is
highest during
Group of answer choices

breast-feeding of the neonate.

the first 2 months of pregnancy.

the two to 3 weeks prior to delivery.

the second trimester.
B
Question 251 pts
The Nurse Practitioner notices a cold sore on a patient's upper lip and requests
medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse
would first
Group of answer choices

clean the area to be treated and then pat it dry.

assess the area and make sure that there are no open lesions or abrasions.

put gloves on to protect herself.

prepare the applicator for drug administration.

B
Question 261 pts
An NP is seeing a child who weights 25 pounds, 2 oz and needs a medication.  The NP
learns  that the recommended dosing for this drug is 30-35 mg per kg per day in three
divided doses.  The NP should order 
Group of answer choices

110 mg daily

110 mg tid

330 mg once a day

330 mg tid
B
Question 271 pts
Which of the following medications is most likely to cause weight gain?
Group of answer choices

mirtazapine
nefazodone

escitalopram

bupropion

venlafaxine
C
Question 281 pts
Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung
cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has
been prescribed filgrastim (Neupogen). Which of the nurse's following assessment
questions most directly addresses a common adverse effect of filgrastim?
Group of answer choices

"Have you noticed any bleeding in your gums or cheeks?"

"Do you feel like you're having any pain in your bones?"

"Are you experiencing any waves of cool, clammy skin?"

"Have you had any shortness of breath lately?"

B
Question 291 pts
Combination OCs prevent pregnancy primarily by:
Group of answer choices

Suppressing ovulation.

Decreasing fallopian tube motility

Causing inflammation of the endometrium.

Thinning of cervical mucus.

A
Question 301 pts
A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing
treatment options with his care team. What aspect of the patient's condition would
contraindicate the use of cyclophosphamide for the treatment of leukemia?
Group of answer choices

The patient has a diagnosis of type 2 diabetes and takes oral antihyperglycemics.

The patient has had a history of nonadherence to medical treatment.

The patient's bone marrow function is significantly depressed.

The patient has decreased renal function.

C
Question 311 pts
Which test should the NP order for monitoring effectiveness of the patient receiving
heparin?
Group of answer choices

Arterial blood gas levels

PTT

Complete blood count

Hemoglobin level
B
Question 321 pts
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV
heparin and reports bleeding from her gums. The nurse checks the patient's laboratory
test results and finds that she has a very high aPTT. The nurse anticipates that which of
the following drugs may be ordered?
Group of answer choices

Coumadin

Alteplase
Ticlopidine

Protamine sulfate
D
Question 331 pts
A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving
terbutaline (Brethine) to control preterm labor. Which of the following assessment
parameters should the nurse prioritize?
Group of answer choices

Maternal body temperature

Fetal heart rate (FHR)

Correct fetal position

Fetal blood pressure

B
Question 341 pts
Which of the following combination medications does not contain a progestin combined
with estrogen?
Group of answer choices

Prempro

Femhrt

Premarin

Climara Pro

Activella
C
Question 351 pts
An immunocompromised cancer patient has developed cryptococcal meningitis and
been admitted to the intensive care unit for treatment with amphotericin B. How should
the nurse most safely administer this drug?
Group of answer choices

Hang the drug by piggyback with lactated Ringer's and infuse over several hours to
minimize the risk of infusion reaction

Infuse the drug over 2 to 4 hours into a central line using an infusion pump

Flush the patient's central line with normal saline and infuse the amphotericin B by
intravenous push over 5 to 7 minutes.

Place the patient on a constant infusion of amphotericin B at a rate determined by the

patient's body weight.
B
Question 361 pts
What is the best initial treatment plan for a sleep disorder in the older adult patient?
Group of answer choices

Medicate with amitriptyline (Elavil).

Medicate with trazodone (Desyrel).

Decrease noise and light in the environment

 Discuss the importance of naps daily.

C
Question 371 pts
A patient is receiving long-term clindamycin therapy for a life-threatening infection. The
nurse will begin by monitoring this drug therapy by obtaining
Group of answer choices

blood glucose levels daily for 1 week.

establishing the patient's auditory abilities.

a baseline complete blood count.

liver enzymes weekly until the drug therapy is completed.
C
Question 381 pts
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following
complaints by this patient most likely indicated a need for this drug?
Group of answer choices

"My urine is extremely concentrated lately and it smells strong."

"To be honest, I find that I can't get an erection for the past few months."

"My urine's been cloudy for the last little while and it burns when I go to the bathroom."

"Lately, I have to get up three or four times a night to go to the bathroom."

D
Question 391 pts
Autonomic Drugs are often using topical form for what purpose?
Group of answer choices

To control blood pressure

To shrink mucous membranes

To treat congestive heart failure

To treat respiratory conditions

B
Question 401 pts
A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child.
The nurse should
Group of answer choices

have the parent gently force the child's mouth open.

give the drug in a pill form.

involve the child in a play therapy session, and then tell the child that the medicine is
candy.

offer the child a flavored ice chip or ice pop prior to administering the drug.
D
Question 411 pts
Ms. LW is on hyrdroxychloroquine (Plaquenil) for rheumatoid arthritis.  Certain tests are
recommended before a patient starts this medication.  Which of the following is NOT
recommended before starting Hydroxychoroquine (Plaquenil)?
Group of answer choices

Comprehensive Eye Exam

CBC (Complete Blood Count)

Liver Function profile

24 hour urine
A
Question 421 pts
Terazosin (Hytrin) is classified under which of the following drug class: 
Group of answer choices

beta blockers

tricyclic blockers

alpha blockers

calcium channel blockers

C
Question 431 pts
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurse should
Group of answer choices
teach the boy about the fact that he will feel much better after he takes his medications.

have the mother hold the child firmly and sooth him while the drugs are administered.

offer a choice between liquid and chewable medications, if possible.

insert a central intravenous line.

C
Question 441 pts
Off-label prescribing is
Group of answer choices

illegal

regulated by the FDA

common and necessary

based on state legislation

for investigational purposes

C
Question 451 pts
A 13-year-old female took a weight loss drug that activated the sympathetic nervous
system. Which of the following assessment findings would the nurse expect?
Group of answer choices

Decreased myocardial contraction

Decreased heart rate

Increased cardiac conduction

Increased intranodal conduction time

C
Question 461 pts
A patient is experiencing side effects of drowsiness, confusion, and dry mouth. Which
medication is the most likely culprit?
Group of answer choices

nortriptyline

fluoxetine

citalopram

duloxetine

venlafaxine
A
Question 471 pts
Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago
and who is scheduled to begin chemotherapy. He reports to the nurse that he read
about the need for erythropoietin in an online forum for cancer patients and wants to
explore the use of epoetin alfa with his oncologist. Which of the following facts should
underlie the nurse's response to Mr. Lepp?
Group of answer choices

Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or

chemotherapy.

Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of
chemotherapy and continue indefinitely.

The potential benefits of epoetin alfa must be weighed carefully against the potential
adverse effects in cancer patients.

Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after
he was diagnosed.
C
Question 481 pts
Gold compounds are contraindicated in patients with all of the following conditions
except:
Group of answer choices

Hepatic disease

Renal disease

Blood dyscrasias

Rheumatoid arthritis
D
Question 491 pts
Trazadone is commonly used off-label for which of the following?
Group of answer choices

depression

hypertension

anxiety

insomnia

ADHD
D