and answers verified to pass 2026
Which vitamin B deficiency is associated with cheilosis, glossitis, vascularization of the cornea, and itchy
dermatitis of the scrotum and vulva? - correct answer ✔Riboflavin (Vitamin B2)
A patient who is known to be a heavy drinker is brought to the emergency department with ataxia and
confusion. The patient cannot remember the events of the previous day. The examination reveals
nystagmus, and the patient reports having double vision.
Which vitamin should the provider order for this patient? - correct answer ✔IV Thiamine (Vitamin B1)
Alcoholics who are malnourished have a form of thiamine deficiency called Wernike-Korsakoff
syndrome: nystagmus, diplopia, ataxia, confusion, and short-term memory loss
A patient appears malnourished. The patient's folic acid levels are low, and vitamin B12 levels are
normal.
What should this patient's treatment include? - correct answer ✔A diet high in folic acid
A patient is admitted to the hospital. The patient's initial laboratory results reveal megaloblastic anemia.
The patient complains of tingling of the hands and appears confused.
What should the provider suspect in this patient? - correct answer ✔Vitamin B12 deficiency
When neurologic deficits are present more common to be a vitamin B12 deficiency over folic acid
deficiency
A patient will begin taking immunosuppressant drugs for rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? - correct answer ✔Echinacea
, Stimulates the immune system and compromises the effectiveness of immunosuppressive drugs
A patient admitted to the emergency department with abdominal pain tells the provider he has been
taking kava.
Which action should be the provider's priority at this time? - correct answer ✔Review liver function
studies
Kava can cause severe liver injury
A patient who will begin combination estrogen-progestin therapy (EPT) for menopause asks the nurse
why she cannot take an estrogen-only preparation. The patient has not had a hysterectomy, has a
slightly increased risk of cardiovascular disease, and has mild osteopenia.
What response from the provider about progestin is correct? - correct answer ✔"Progestin decreases
your risk of endometrial cancer"
In pts who STILL HAVE A UTERUS, progestin is necessary to reduce risk of endometrial carcinoma
An adolescent female patient with multiple sexual partners asks a nurse about birth control methods.
The patient tells the nurse she tried oral contraceptives once but often forgot to take her pills.
The nurse should recommend discussing which contraceptive method with the provider? - correct
answer ✔DMPA (Depo-Provera) and condoms
IUD not indicated for her because pts with multiple sexual partners who use IUDs are at a greater risk
for STDs
An adult male patient will begin androgen therapy for testicular failure.
Which statement by the patient indicates understanding of the treatment regimen? - correct answer
✔"My lipido may improve while I am taking this medication"