NSG 555 EXAM 3 (WILKES) NEWEST 2026 ACTUAL
EXAM TEST BANK| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 3 REVIEW WITH COMPLETE
250 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
First line abortive tx for mild to moderate migraines – ANSWER -
NSAIDs
Abortive tx for moderate migraines – ANSWER - ASA + acetaminophen
+ caffeine
-overuse if frequent
First line tx for moderate - severe migraines abortive tx – ANSWER -
Sumatriptan, rizatriptan, zolmitriptan, eletriptan, almotriptan,
naratriptan, frovatriptan
-selective 5-HT1B/1D agonists
-abort attacks via vasoconstriction & trigeminal inhibition
Second line tx for abortive migraine tx – ANSWER - dihydroergotamine
(DHE)
-more side effects
-contraindicated with vascular dz or pregnancy
pg. 1
,Abortive tx for migraines, nonvasoconstrictive, suitable for patients with
vascular conditions – ANSWER - gepants
-rimegepant (Nurtec)
-ubrogepant (Ubrelvy)
Abortive tx for migraines, also nonvasoconstrictive, may cause sedation
- avoid driving after use – ANSWER - Lasmiditan
Abortive tx for migraines adjustive therapy for n/v
-may enhance analgesic absorption – ANSWER - metoclopramide
prochlorperazine
NOT recommended for abortive tx for migraines – ANSWER - Opioids
and butalbital-containing medications
Contraindications for triptans – ANSWER - -history of ischemic heart dz
-stroke
-TIA
-PVD
-uncontrolled HTN
-hemiplegic migraine
Caution for triptans – ANSWER - caution with serotonergic agents
pg. 2
,-avoid other triptans or ergot within 24 hours
If triptan ineffective – ANSWER - try different triptan or nonoral form
-consider gepants or ditans if triptan contraindicated
First line preventive migraine therapy – ANSWER - Beta blockers
-propronol
-metoprolol
-atenolol
Useful in coexisting HTN, anxiety
Avoid in asthma
Alternative preventive therapy for migraines – ANSWER - ARBs -
candesartan
well-tolerated
mild antihypertensive effect
Preventive migraine therapy– ANSWER - topiramate
-causes weight loss and cognitive side effects
Divalproex
-teratogenic
-wt gain
pg. 3
, Preventive therapy for migraines useful for comorbid depression,
insomnia, chronic pain – ANSWER - TCAs
amitriptyline
nortriptyline
anticholinergic SE
Preventive migraine tx – ANSWER - Botox
FDA-approved for chronic migraine of 15 headaches days or more per
month
When to consider prophylaxis migraine tx – ANSWER - -migraines
occur once or more weekly
OR
-4 or more days monthly
-attacks are severe, disabling, or poorly controlled with abortive tx
-coexisting conditions may benefit (anxiety, depression, HTN)
Dementia diagnosis – ANSWER - Chronic, acquired decline in two or
more cognitive domains, including:
-memory
-language
-visuospatial skills
-executive function
pg. 4
EXAM TEST BANK| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 3 REVIEW WITH COMPLETE
250 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
First line abortive tx for mild to moderate migraines – ANSWER -
NSAIDs
Abortive tx for moderate migraines – ANSWER - ASA + acetaminophen
+ caffeine
-overuse if frequent
First line tx for moderate - severe migraines abortive tx – ANSWER -
Sumatriptan, rizatriptan, zolmitriptan, eletriptan, almotriptan,
naratriptan, frovatriptan
-selective 5-HT1B/1D agonists
-abort attacks via vasoconstriction & trigeminal inhibition
Second line tx for abortive migraine tx – ANSWER - dihydroergotamine
(DHE)
-more side effects
-contraindicated with vascular dz or pregnancy
pg. 1
,Abortive tx for migraines, nonvasoconstrictive, suitable for patients with
vascular conditions – ANSWER - gepants
-rimegepant (Nurtec)
-ubrogepant (Ubrelvy)
Abortive tx for migraines, also nonvasoconstrictive, may cause sedation
- avoid driving after use – ANSWER - Lasmiditan
Abortive tx for migraines adjustive therapy for n/v
-may enhance analgesic absorption – ANSWER - metoclopramide
prochlorperazine
NOT recommended for abortive tx for migraines – ANSWER - Opioids
and butalbital-containing medications
Contraindications for triptans – ANSWER - -history of ischemic heart dz
-stroke
-TIA
-PVD
-uncontrolled HTN
-hemiplegic migraine
Caution for triptans – ANSWER - caution with serotonergic agents
pg. 2
,-avoid other triptans or ergot within 24 hours
If triptan ineffective – ANSWER - try different triptan or nonoral form
-consider gepants or ditans if triptan contraindicated
First line preventive migraine therapy – ANSWER - Beta blockers
-propronol
-metoprolol
-atenolol
Useful in coexisting HTN, anxiety
Avoid in asthma
Alternative preventive therapy for migraines – ANSWER - ARBs -
candesartan
well-tolerated
mild antihypertensive effect
Preventive migraine therapy– ANSWER - topiramate
-causes weight loss and cognitive side effects
Divalproex
-teratogenic
-wt gain
pg. 3
, Preventive therapy for migraines useful for comorbid depression,
insomnia, chronic pain – ANSWER - TCAs
amitriptyline
nortriptyline
anticholinergic SE
Preventive migraine tx – ANSWER - Botox
FDA-approved for chronic migraine of 15 headaches days or more per
month
When to consider prophylaxis migraine tx – ANSWER - -migraines
occur once or more weekly
OR
-4 or more days monthly
-attacks are severe, disabling, or poorly controlled with abortive tx
-coexisting conditions may benefit (anxiety, depression, HTN)
Dementia diagnosis – ANSWER - Chronic, acquired decline in two or
more cognitive domains, including:
-memory
-language
-visuospatial skills
-executive function
pg. 4
