NURS5334 FINAL EXAM PREP 2026 STUDY
GUIDE COMPREHENSIVE SOLUTIONS
◉ A woman who is pregnant tells an NP that she has been taking
sertraline for depression for several years but is worried about the
effects of this drug on her fetus. The NP will consult with this
patient's psychiatrist and will recommend that she. Answer:
continue taking the antidepressant.
◉ To increase the likelihood of successful pharmacotherapy, when
teaching a patient about using a medication, the primary care nurse
practitioner (NP) should:. Answer: encourage the patient to
participate in the choice of the medication.
◉ A woman who takes an angiotensin converting enzyme inhibitor
for hypertension tells her primary care NP that she is trying to get
pregnant. The NP should:. Answer: consider replacing her
angiotensin converting enzyme inhibitor with methyldopa.
◉ The mother of a 3-year-old child who weighs 15 kg tells the NP
that she has liquid acetaminophen at home but does not know what
dose to give her child. The NP should tell the mother:. Answer: to
find out whether she has a preparation made for infants or children.
,◉ A nurse practitioner (NP) is preparing to prescribe a medication
for a 5-year-old child. To determine the correct dose for this child,
the NP should:. Answer: follow the drug manufacturer's
recommendations for medication dosing.
◉ A woman is in the 36th week of pregnancy. The nurse practitioner
(NP) providing prenatal care learns that the woman has a history of
two previous urinary tract infections during this pregnancy. A
dipstick urinalysis in the office today is negative for leukocyte
esterase and nitrites. The NP should:. Answer: encourage the patient
to increase daily water intake and to wear only cotton underwear.
◉ A parent brings a child who has moderate-persistent asthma to
the clinic and tells the primary care NP that none of the child's
medications are working. The parent says, "Everybody tells me
something different. I don't know what to do." The NP suspects that
the parent is not administering the medications appropriately. The
NP should initially:. Answer: perform a careful history of the child's
symptoms and the medications that are given.
◉ When prescribing a medication for a chronic condition, the
primary care NP should tell the patient:. Answer: about the
frequency of clinic visits necessary for the number of refills
authorized.
◉ A patient receives an inhaled corticosteroid to treat asthma. The
patient asks the primary care NP why the drug is given by this route
,instead of orally. The NP should explain that the inhaled form:.
Answer: has fewer systemic side effects.
◉ A patient takes an oral medication that causes gastrointestinal
upset. The patient asks the primary care NP why the drug
information insert cautions against using antacids while taking the
drug. The NP should explain that the antacid may:. Answer: A patient
takes an oral medication that causes gastrointestinal upset. The
patient asks the primary care NP why the drug information insert
cautions against using antacids while taking the drug. The NP should
explain that the antacid may:
◉ A patient is taking drug A and drug B. The primary care NP notes
increased effects of drug B. The NP should suspect that in this case
drug A is a cytochrome P450 (CYP450) enzyme:. Answer: inhibitor
◉ As primary care nurse practitioners (NPs) continue to develop
their role as prescribers of medications, it will be important to:.
Answer: learn from the experiences of physicians and develop
expertise based on evidence-based practice.
◉ An NP is caring for a 70-year-old patient who reports having
seasonal allergies with severe rhinorrhea. Using the Beers criteria,
which of the following medications should the NP recommend for
this patient?. Answer: Loratadine (Claritin)
, ◉ A primary care NP sees a 5-year-old child who is morbidly obese.
The child has an elevated hemoglobin A1c and increased lipid levels.
Both of the child's parents are overweight but not obese, and they
tell the NP that they see nothing wrong with their child. They both
state that it is difficult to refuse their child's requests for soda or ice
cream. The NP should:. Answer: initiate a dialogue with the parents
about the implications of the child's laboratory values.
◉ A woman who is breastfeeding her infant asks the primary care
NP what she can use for headaches while she is nursing. The NP tells
her:. Answer: most over-the-counter medications are safe for the
breastfed infant.
◉ A patient who has asthma and who is known to the primary care
NP calls the NP after hours and asks for a refill of an albuterol
metered-dose inhaler. The patient has not been seen in the clinic for
more than a year. The NP should:. Answer: refill the drug and tell the
patient that an office visit is necessary for further refills.
◉ A patient has recurrent symptoms and tells the primary care NP
that she can't remember to take her medication all the time. The NP
should:. Answer: ask her about her lifestyle, her schedule, and her
understanding of her condition.
◉ A patient who has chronic pain and who takes oxycodone
(Percodan) calls the clinic to ask for a refill of the medication. The
primary care NP notes that the medication refill is not due for 2
GUIDE COMPREHENSIVE SOLUTIONS
◉ A woman who is pregnant tells an NP that she has been taking
sertraline for depression for several years but is worried about the
effects of this drug on her fetus. The NP will consult with this
patient's psychiatrist and will recommend that she. Answer:
continue taking the antidepressant.
◉ To increase the likelihood of successful pharmacotherapy, when
teaching a patient about using a medication, the primary care nurse
practitioner (NP) should:. Answer: encourage the patient to
participate in the choice of the medication.
◉ A woman who takes an angiotensin converting enzyme inhibitor
for hypertension tells her primary care NP that she is trying to get
pregnant. The NP should:. Answer: consider replacing her
angiotensin converting enzyme inhibitor with methyldopa.
◉ The mother of a 3-year-old child who weighs 15 kg tells the NP
that she has liquid acetaminophen at home but does not know what
dose to give her child. The NP should tell the mother:. Answer: to
find out whether she has a preparation made for infants or children.
,◉ A nurse practitioner (NP) is preparing to prescribe a medication
for a 5-year-old child. To determine the correct dose for this child,
the NP should:. Answer: follow the drug manufacturer's
recommendations for medication dosing.
◉ A woman is in the 36th week of pregnancy. The nurse practitioner
(NP) providing prenatal care learns that the woman has a history of
two previous urinary tract infections during this pregnancy. A
dipstick urinalysis in the office today is negative for leukocyte
esterase and nitrites. The NP should:. Answer: encourage the patient
to increase daily water intake and to wear only cotton underwear.
◉ A parent brings a child who has moderate-persistent asthma to
the clinic and tells the primary care NP that none of the child's
medications are working. The parent says, "Everybody tells me
something different. I don't know what to do." The NP suspects that
the parent is not administering the medications appropriately. The
NP should initially:. Answer: perform a careful history of the child's
symptoms and the medications that are given.
◉ When prescribing a medication for a chronic condition, the
primary care NP should tell the patient:. Answer: about the
frequency of clinic visits necessary for the number of refills
authorized.
◉ A patient receives an inhaled corticosteroid to treat asthma. The
patient asks the primary care NP why the drug is given by this route
,instead of orally. The NP should explain that the inhaled form:.
Answer: has fewer systemic side effects.
◉ A patient takes an oral medication that causes gastrointestinal
upset. The patient asks the primary care NP why the drug
information insert cautions against using antacids while taking the
drug. The NP should explain that the antacid may:. Answer: A patient
takes an oral medication that causes gastrointestinal upset. The
patient asks the primary care NP why the drug information insert
cautions against using antacids while taking the drug. The NP should
explain that the antacid may:
◉ A patient is taking drug A and drug B. The primary care NP notes
increased effects of drug B. The NP should suspect that in this case
drug A is a cytochrome P450 (CYP450) enzyme:. Answer: inhibitor
◉ As primary care nurse practitioners (NPs) continue to develop
their role as prescribers of medications, it will be important to:.
Answer: learn from the experiences of physicians and develop
expertise based on evidence-based practice.
◉ An NP is caring for a 70-year-old patient who reports having
seasonal allergies with severe rhinorrhea. Using the Beers criteria,
which of the following medications should the NP recommend for
this patient?. Answer: Loratadine (Claritin)
, ◉ A primary care NP sees a 5-year-old child who is morbidly obese.
The child has an elevated hemoglobin A1c and increased lipid levels.
Both of the child's parents are overweight but not obese, and they
tell the NP that they see nothing wrong with their child. They both
state that it is difficult to refuse their child's requests for soda or ice
cream. The NP should:. Answer: initiate a dialogue with the parents
about the implications of the child's laboratory values.
◉ A woman who is breastfeeding her infant asks the primary care
NP what she can use for headaches while she is nursing. The NP tells
her:. Answer: most over-the-counter medications are safe for the
breastfed infant.
◉ A patient who has asthma and who is known to the primary care
NP calls the NP after hours and asks for a refill of an albuterol
metered-dose inhaler. The patient has not been seen in the clinic for
more than a year. The NP should:. Answer: refill the drug and tell the
patient that an office visit is necessary for further refills.
◉ A patient has recurrent symptoms and tells the primary care NP
that she can't remember to take her medication all the time. The NP
should:. Answer: ask her about her lifestyle, her schedule, and her
understanding of her condition.
◉ A patient who has chronic pain and who takes oxycodone
(Percodan) calls the clinic to ask for a refill of the medication. The
primary care NP notes that the medication refill is not due for 2
