MN 553 ACTUAL 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔Heart failure - ✔✔Beta blockers
---Safe in later parts of pregnancy for treatment of heart failure ---------Ace inhibitors are
contraindicated
✔✔Bisphosphonates - ✔✔-Role of calcium supplements with this: taken sufficient
amounts to provide foundational elements for bone growth
-Iv form used for all but persons with advancing renal dysfunction
✔✔Cholesterol lowering agents - ✔✔Factors to determine type and intensity of
treatment: Coronary artery disease risk level
✔✔Statins - ✔✔Do not prescribe for someone with 3 first- or second- degree family
members with history of muscle issues when started on statins
✔✔Diuretics - ✔✔Aldosterone inhibitors- do not need K supplements
✔✔TSH - ✔✔-Therapeutic values= 0.05 and 3.0 ideally.
-Screening values= up to 10
✔✔Community Acquired pneumonia - ✔✔1 st line choice: azithromycin
✔✔Nicotine gum - ✔✔Instructions: gum should be "parked" in the buccal space
between chewing
✔✔Chantix - ✔✔Tobacco cessation.
--Instructions: neuropsychiatric symptoms may occur
✔✔Syphilis - ✔✔Early latent or tertiary syphilis: Benzathine penicillin G IM
✔✔Tuberculosis - ✔✔Monitoring therapy includes monthly sputum cultures
Goals: completion of recommended therapy
✔✔URI in children - ✔✔Nasal saline spray
✔✔UTI - ✔✔Nonpregnant UTI: 100% cranberry juice or cranberry juice extract may
decrease UTIs in some patients
3 day course of therapy: 24 year old female
, ✔✔Pharmacokinetics in men and woman - ✔✔Higher proportion of body fat so that
lipophilic drugs have relatively greater volumes of distribution
Women: medications that involve binding globulins are impacted by estrogen levels
May difference: percentage of fat differs between genders
✔✔Testosterone replacement - ✔✔Hgb and hct need to be monitored. Levels for
excessive erythrocytosis or abuse= Hgb 17.5 or hct 54%
Exogenous androgens can decrease libido with androgen therapy
✔✔Phosphodiesterase type 5 - ✔✔Don't prescribe to males who have had an acute MI
in last 6months
✔✔Pharmaceuticals for Children Act - ✔✔Establishes a committee that writes
guidelines for pediatric prescribing
✔✔Developmental changes in renal function - ✔✔Lower doses of renally excreted
drugs may be prescribed to infants younger than age 6 months
✔✔Drug distribution in elderly - ✔✔Decreased plasma proteins (Sadie 90-year-old)
✔✔Beers List - ✔✔True except: List of medications or medication classes that should
generally be avoided in persons 65 years or older because they are either ineffective or
they post unnecessarily high risk for older persons and as safe alternative is available
✔✔Acute pain - ✔✔Referred pain is present in a distant site for the pain source and is
based on activation of the same spinal segment as the actual pain site
✔✔Opiates - ✔✔NOT TRUE: opiates stimulate only MU receptors for the control of pain
✔✔Estrogen therapy - ✔✔HRT or ERT max time: 5 years
✔✔ Prescriptive authority - ✔✔Regulated by State Board of nursing for each state
✔✔Prescribing - ✔✔-Using tamper-proof paper for all prescriptions written for controlled
drugs
- Factoring in the cost to the patient of the medication prescribed
- Individualize the drug choice for the specific patient
✔✔First Pass effect - ✔✔Are rapidly metabolized by the liver and may have little if any
desired action
SOLUTIONS RATED A+
✔✔Heart failure - ✔✔Beta blockers
---Safe in later parts of pregnancy for treatment of heart failure ---------Ace inhibitors are
contraindicated
✔✔Bisphosphonates - ✔✔-Role of calcium supplements with this: taken sufficient
amounts to provide foundational elements for bone growth
-Iv form used for all but persons with advancing renal dysfunction
✔✔Cholesterol lowering agents - ✔✔Factors to determine type and intensity of
treatment: Coronary artery disease risk level
✔✔Statins - ✔✔Do not prescribe for someone with 3 first- or second- degree family
members with history of muscle issues when started on statins
✔✔Diuretics - ✔✔Aldosterone inhibitors- do not need K supplements
✔✔TSH - ✔✔-Therapeutic values= 0.05 and 3.0 ideally.
-Screening values= up to 10
✔✔Community Acquired pneumonia - ✔✔1 st line choice: azithromycin
✔✔Nicotine gum - ✔✔Instructions: gum should be "parked" in the buccal space
between chewing
✔✔Chantix - ✔✔Tobacco cessation.
--Instructions: neuropsychiatric symptoms may occur
✔✔Syphilis - ✔✔Early latent or tertiary syphilis: Benzathine penicillin G IM
✔✔Tuberculosis - ✔✔Monitoring therapy includes monthly sputum cultures
Goals: completion of recommended therapy
✔✔URI in children - ✔✔Nasal saline spray
✔✔UTI - ✔✔Nonpregnant UTI: 100% cranberry juice or cranberry juice extract may
decrease UTIs in some patients
3 day course of therapy: 24 year old female
, ✔✔Pharmacokinetics in men and woman - ✔✔Higher proportion of body fat so that
lipophilic drugs have relatively greater volumes of distribution
Women: medications that involve binding globulins are impacted by estrogen levels
May difference: percentage of fat differs between genders
✔✔Testosterone replacement - ✔✔Hgb and hct need to be monitored. Levels for
excessive erythrocytosis or abuse= Hgb 17.5 or hct 54%
Exogenous androgens can decrease libido with androgen therapy
✔✔Phosphodiesterase type 5 - ✔✔Don't prescribe to males who have had an acute MI
in last 6months
✔✔Pharmaceuticals for Children Act - ✔✔Establishes a committee that writes
guidelines for pediatric prescribing
✔✔Developmental changes in renal function - ✔✔Lower doses of renally excreted
drugs may be prescribed to infants younger than age 6 months
✔✔Drug distribution in elderly - ✔✔Decreased plasma proteins (Sadie 90-year-old)
✔✔Beers List - ✔✔True except: List of medications or medication classes that should
generally be avoided in persons 65 years or older because they are either ineffective or
they post unnecessarily high risk for older persons and as safe alternative is available
✔✔Acute pain - ✔✔Referred pain is present in a distant site for the pain source and is
based on activation of the same spinal segment as the actual pain site
✔✔Opiates - ✔✔NOT TRUE: opiates stimulate only MU receptors for the control of pain
✔✔Estrogen therapy - ✔✔HRT or ERT max time: 5 years
✔✔ Prescriptive authority - ✔✔Regulated by State Board of nursing for each state
✔✔Prescribing - ✔✔-Using tamper-proof paper for all prescriptions written for controlled
drugs
- Factoring in the cost to the patient of the medication prescribed
- Individualize the drug choice for the specific patient
✔✔First Pass effect - ✔✔Are rapidly metabolized by the liver and may have little if any
desired action
