Leik - Fnp Review Exam Questions And
Answers A+ Verified 100% Correct Latest
Update 2025 /2026 Guaranteed Pass
Exam
Whichmofmthemfollowingmdrugsminteractmwithmwarfarin/coumadin?
a.mImodiumm(loperamide)
b.mDiltiazemmHydrochloridemSRm(diltiazem)
c.mtrimethoporim-sulfamethoxazolem(Bactrim)
d.msumatriptanm(Imitrex)m-mans-c
Sulfamdrugsmwillminteractmwithmwarfarinm(increasesmthembloodmlevel),mwhich
mresultsminmanmelevationmofmthemINRmandmthemriskmofmbleeding.
ThemfollowingmdrugsmarempotentminhibitorsmofmthemCYP450msystemmexcept:
a.mErythromycinm(Erythrocin)
b.mCimetidinem(Tagamet)
c.mCeftazidimem(Tazicef)
d.mDiltiazemm(Cardizem)m-mans-a
Erythromycinmactsmasminhibitorsmslowmdownmdrugmclearance,mincreasingmdru
gmconcentration.mThismmaymleadmtomdrugmoverdose.
Am57myearmoldmpatientmcomesmtomthemclinicmformhermroutinemphysical.mSh
emhasmnomnewmcomplaints.mThemonlymmedicationmthatmshemtakesmismdigo
xinm(Lanoxin)mformhermatrialmfibrillation.mWhichmofmthemfollowingmelectrolytem
levelsmshouldmbemmonitoredminmthismpatient?
a.mpotassium,mcalcium,mchloride
b.mmagnesium,mcalcium,mchloride
c.mpotassium,mcalcium,mmagnesium
d.mmagnesium,mcalcium,mphosphatem-mans-c
Monitormdigoxinmlevel,mEKG,melectrolytesm(potassium,mmagnesium,mandmcalciu
m)
Am48myearmoldmfemalempatientmcomesmtomthemclinicmtodaymtomdiscussmhe
rmongoingmusemoffmLithium.mShemstatesmthatmshemhasmbegunmfeelingmvery
mtiredmandmfeelsmcoldmduringmthemday.mShemthinksmthatmhermincreasemin
,mLithiummdosemismcausingmhermsymptoms.mWhatmshouldmthemnursempractiti
onermorder?
a.mTSH
b.mCBC
c.mLFT
d.mBUNm-mans-a
Patientsmtakingmlithiummhavemanmincreasedmriskmofmdevelopingmhypothyroidis
mmbymdecreasingmthemproductionmofmT4.mLevothyroxinemreplacementmtherapy
mconcurrentlymwithmlithiummadministrationmespeciallyminmthempresencemofmcli
nicallymovertmhypothyroidism.
Ampatientmhasmrecentlymbeenmprescribedmomeprazolem(Prilosec)mformGERD.
mHemalsomtakesmlisinoprilm(Zestril).mHismPMHmincludesmmigraines,mhypertens
ion,mandmchronicmkidneymdisease.mThemnursempractitionermnotes:
a.mThempatientmshouldmstopmtakingmthemomeprazolem(Prilosec)mduemhismdia
gnosismofmchronicmkidneymdisease.
b.mThempatientmshouldmstopmtakingmomeprazolem(Prilosec)mduemtomdrugmint
eractionmwithmlisinoprilm(Zestril).
c.mThempatientmmaymcontinuemtakingmthemomeprazolem(Prilosec)mbutmshould
mmonitormbloodmpressure.
d.mThempatientmmaymcontinuemtakingmomeprazolem(Prilosec)masmprescribed.
m-mans-a
StudiesmsuggestmthatmPPIsmmaymincreasemthemriskmofmkidneymdisease.mUsi
ngmPPIsmmaymalsomcausemacuteminterstitialmnephritis.mAmpatientmthatmhasm
alreadymbeenmdiagnosedmwithmCKDmshouldmnotmtakemPPIs.
AmpatientmtakingmWarfarinm(Coumadin)mismhavingmabdominalmsurgeryminmon
emmonth.mShemwantsmtomknowmwhenmshemshouldmstopmtakingmhermWarfar
inm(Coumadin).mThemnursempractitionermadvises:
a.mThemdaymbeforemscheduledmsurgery.
b.mDomnotmstopmtakingmWarfarinm(Coumadin)
c.m3mdaysmbeforemsurgery.
d.m7mdaysmbeforemsurgery.m-mans-d
Patientsmshouldmdiscontinuemwarfarinm7mdaysmbeforemsurgery.
Am71myearmoldmpatientmhasmbeenmdiagnosedmwithmstagemIIImcongestivemh
eartmfailure.mWhichmofmthemfollowingmclassmofmmedicationsmmaymcauseman
mexacerbationmofmcongestivemheartmfailure>
a.mThiazolidinediones
b.mNarcotics
c.mNSAIDs
d.mACEmInhibitorsm-mans-a
,Improvedmglycemicmcontrolmdecreasesmthemriskmofmendmorganmdamagemand
mheartmfailureminmpatientsmwithmdiabetes.mThiazolidinedionesmaremverymusefu
lmdrugs,mparticularlymformpatientsmwithmmarkedminsulinmresistancemandmhyper
lipidemia.mHowever,mtheymdomprecipitatemedemamandmheartmfailure.mThemed
emamcanmbemseveremenoughmtomleadmtomdiscontinuationmofmthemdrug,man
dmthemriskmofmheartmfailuremlimitsmthempopulationminmwhichmtheymcanmbe
mused.mTheymcanmbemusedmsafelyminmsomemcardiacmpatientsmbut,masmnot
edminmthemarticle,mtheymshouldmbemavoidedmormusedmwithmcautionminmpati
entsmwithmCHF.mPatientsmtakingmamTZDmwhomsubsequentlymdevelopmedema
mshouldmbemcarefullymevaluatedmformCHF.mNYmHealthmAssociationmClassmII
ImormIVmheartmfailuremshouldmnotmusemTZDs.
Whichmofmthemfollowingmmedicationsmmaymhavemamhighmriskmofmweightmga
in?
a.mBupropionm(Wellbutrin)
b.mMetforminm(Glucophage)
c.mQuetiapinem(Seroquel)
d.mTopiramatem(Topamax)m-mans-c
Highmriskmofmweightmgain,mhighermmortalityminmelderlympatients.mWeightmsh
ouldmbemmonitoredmeverym3mmonths,mmonitormTSHmandmlipids.
Ampatientmismnewlymprescribedmrisedronatem(actonel).mWhatmshouldmthemnur
sempractitionermincludeminmpatientmeducationmregardingmthismmedication?
a.mTakemthemmedicationminmthemeveningmwithmamlargemglassmofmwater.
b.mTakemthemmedicationmuponmwakeningmwithmamlargemglassmofmwater.
c.mTakemthemmedicationmwithmammeal.
d.mTakemthemmedicationm30mminutesmaftermeating.m-mans-b
Risedronatem(actonel)mismambisphosphonatemthatmismusemtomtreatmosteoporis
is/
penia.mPatientsmshouldmbemadvisedmtomtakemrisedronatem(actonel)muponmaw
akeningmwithmamglassmofmwater,mbeforembreakfast.mTheymshouldmnotmliemd
ownmform30mminutesmafterward.mShouldmnotmmixmwithmothermdrugs.
Bisphosphonatesmaremcontraindicatedminmwhichmofmthemfollowingmconditionsm
except:
a.mCKD
b.mGERD
c.mCeliacmDisease
d.mEspohagealmStricturem-mans-c
Osteoporosismismamcomplicationmofmuntreatedmceliacmdisease.mBisphosphonat
es,msuchmasmfosamaxmandmactonel,maremusedmtompreventmormtreatmosteop
orisis/penia.
, Ampatientmhasmbeenmtakingmsimvastatinm(Zocor),m40mmg,mtwomtimesmperm
daymformthempastm2mweeks.mHemreturnsmtomthemclinicmwithmcomplaintsmof
mmusclempainmandmtenderness.mWhichmofmthemfollowingmshouldmthemnurse
mpractitionermdo?
a.mTellmthempatientmthatmitmismnormalmtomhavemthesemsidemeffectsmwhen
mtakingmamnewmmedicationmandmtheymshouldmresolvemwithinm4mweeks.
b.mPrescribem600mmg/daymofmibuprofenmtomimprovempain.
c.mPrescribemphysicalmtherapymform4mweeks.
d.mSendmthempatientmtomthememergencymroommformimmediatemevaluation.m-
mans-d
Thempatientmismpresentingmwithmsignsmofmpotentialmrhabdomyolysis.mThemris
kmofmrhabdomyolysismincreasesmwithmhighmdosemZocorm(80mmg).mRhabdomy
olysismcanmbemlife-
threateningmandmthempatientmneedsmpromptmemergentmevaluation.
Ampatientmhasmbeenmdiagnosedmwithmatrialmfibrillation.mThemnursempractition
ermknowsmthatmwhichmofmthemfollowingmmedicationmismnotmconsideredmfirst-
linemdrugmformheartmratemcontrol:
a.mDigoxin
b.mAtenololm(Tenormin)
c.mVerapamilmhydrochloridem(CalanmSR)
d.mMetoprololm(Toprol)m-mans-a
Digoxinmismnotmconsideredmfirst-
linemdrugmformheartmratemcontrolminmpatientsmwithmatrialmfibrillation.mDigoxin
mhasmamverymnarrowmtherapeuticmrange.
Am41myearmoldmpatientmhasmbeenmpresribedmDigoxinm(Lanoxin)mfollowingma
mdiagnosismofmheartmfailuremduemtomleftmventricularmsystolicmdysfunction.mT
hempatientmpresentsmtomthemclinicmtodaymwithmnauseamandmvomiting,mabdo
minalmpain,mandmvisualmchanges.mWhatmdoesmthemnursempractitionermsuspe
ct?
a.mThempatientmismpresentingmwithmampotentialmallergymtomDigoxinm(Lanoxin
)mandmtellsmthempatientmtomfollow-upmwithmhismcardiologist.
b.mSendmthempatientmtomgetmanmuppermendoscopymandmprescribemZofranm
untilmsymptomsmresolve.
c.mTellmthempatientmtomfollow-
upmwithmtheirmcardiologistmformamnewmmedication.
d.mSendmthempatientmtomthememergencymroommformimmediatemevaluation.m-
mans-d
Thempatientmismpresentingmwithmsignsmandmsymptomsmofmacutemdigoxinmov
erdosemandmneedsmdetailedmevaluation.mInitialmsymptomsmaremtypicalmGImco
mplaints,marrhythmias,mconfusion,mandmvisualmchanges.mLabsmthemshouldmbe
Answers A+ Verified 100% Correct Latest
Update 2025 /2026 Guaranteed Pass
Exam
Whichmofmthemfollowingmdrugsminteractmwithmwarfarin/coumadin?
a.mImodiumm(loperamide)
b.mDiltiazemmHydrochloridemSRm(diltiazem)
c.mtrimethoporim-sulfamethoxazolem(Bactrim)
d.msumatriptanm(Imitrex)m-mans-c
Sulfamdrugsmwillminteractmwithmwarfarinm(increasesmthembloodmlevel),mwhich
mresultsminmanmelevationmofmthemINRmandmthemriskmofmbleeding.
ThemfollowingmdrugsmarempotentminhibitorsmofmthemCYP450msystemmexcept:
a.mErythromycinm(Erythrocin)
b.mCimetidinem(Tagamet)
c.mCeftazidimem(Tazicef)
d.mDiltiazemm(Cardizem)m-mans-a
Erythromycinmactsmasminhibitorsmslowmdownmdrugmclearance,mincreasingmdru
gmconcentration.mThismmaymleadmtomdrugmoverdose.
Am57myearmoldmpatientmcomesmtomthemclinicmformhermroutinemphysical.mSh
emhasmnomnewmcomplaints.mThemonlymmedicationmthatmshemtakesmismdigo
xinm(Lanoxin)mformhermatrialmfibrillation.mWhichmofmthemfollowingmelectrolytem
levelsmshouldmbemmonitoredminmthismpatient?
a.mpotassium,mcalcium,mchloride
b.mmagnesium,mcalcium,mchloride
c.mpotassium,mcalcium,mmagnesium
d.mmagnesium,mcalcium,mphosphatem-mans-c
Monitormdigoxinmlevel,mEKG,melectrolytesm(potassium,mmagnesium,mandmcalciu
m)
Am48myearmoldmfemalempatientmcomesmtomthemclinicmtodaymtomdiscussmhe
rmongoingmusemoffmLithium.mShemstatesmthatmshemhasmbegunmfeelingmvery
mtiredmandmfeelsmcoldmduringmthemday.mShemthinksmthatmhermincreasemin
,mLithiummdosemismcausingmhermsymptoms.mWhatmshouldmthemnursempractiti
onermorder?
a.mTSH
b.mCBC
c.mLFT
d.mBUNm-mans-a
Patientsmtakingmlithiummhavemanmincreasedmriskmofmdevelopingmhypothyroidis
mmbymdecreasingmthemproductionmofmT4.mLevothyroxinemreplacementmtherapy
mconcurrentlymwithmlithiummadministrationmespeciallyminmthempresencemofmcli
nicallymovertmhypothyroidism.
Ampatientmhasmrecentlymbeenmprescribedmomeprazolem(Prilosec)mformGERD.
mHemalsomtakesmlisinoprilm(Zestril).mHismPMHmincludesmmigraines,mhypertens
ion,mandmchronicmkidneymdisease.mThemnursempractitionermnotes:
a.mThempatientmshouldmstopmtakingmthemomeprazolem(Prilosec)mduemhismdia
gnosismofmchronicmkidneymdisease.
b.mThempatientmshouldmstopmtakingmomeprazolem(Prilosec)mduemtomdrugmint
eractionmwithmlisinoprilm(Zestril).
c.mThempatientmmaymcontinuemtakingmthemomeprazolem(Prilosec)mbutmshould
mmonitormbloodmpressure.
d.mThempatientmmaymcontinuemtakingmomeprazolem(Prilosec)masmprescribed.
m-mans-a
StudiesmsuggestmthatmPPIsmmaymincreasemthemriskmofmkidneymdisease.mUsi
ngmPPIsmmaymalsomcausemacuteminterstitialmnephritis.mAmpatientmthatmhasm
alreadymbeenmdiagnosedmwithmCKDmshouldmnotmtakemPPIs.
AmpatientmtakingmWarfarinm(Coumadin)mismhavingmabdominalmsurgeryminmon
emmonth.mShemwantsmtomknowmwhenmshemshouldmstopmtakingmhermWarfar
inm(Coumadin).mThemnursempractitionermadvises:
a.mThemdaymbeforemscheduledmsurgery.
b.mDomnotmstopmtakingmWarfarinm(Coumadin)
c.m3mdaysmbeforemsurgery.
d.m7mdaysmbeforemsurgery.m-mans-d
Patientsmshouldmdiscontinuemwarfarinm7mdaysmbeforemsurgery.
Am71myearmoldmpatientmhasmbeenmdiagnosedmwithmstagemIIImcongestivemh
eartmfailure.mWhichmofmthemfollowingmclassmofmmedicationsmmaymcauseman
mexacerbationmofmcongestivemheartmfailure>
a.mThiazolidinediones
b.mNarcotics
c.mNSAIDs
d.mACEmInhibitorsm-mans-a
,Improvedmglycemicmcontrolmdecreasesmthemriskmofmendmorganmdamagemand
mheartmfailureminmpatientsmwithmdiabetes.mThiazolidinedionesmaremverymusefu
lmdrugs,mparticularlymformpatientsmwithmmarkedminsulinmresistancemandmhyper
lipidemia.mHowever,mtheymdomprecipitatemedemamandmheartmfailure.mThemed
emamcanmbemseveremenoughmtomleadmtomdiscontinuationmofmthemdrug,man
dmthemriskmofmheartmfailuremlimitsmthempopulationminmwhichmtheymcanmbe
mused.mTheymcanmbemusedmsafelyminmsomemcardiacmpatientsmbut,masmnot
edminmthemarticle,mtheymshouldmbemavoidedmormusedmwithmcautionminmpati
entsmwithmCHF.mPatientsmtakingmamTZDmwhomsubsequentlymdevelopmedema
mshouldmbemcarefullymevaluatedmformCHF.mNYmHealthmAssociationmClassmII
ImormIVmheartmfailuremshouldmnotmusemTZDs.
Whichmofmthemfollowingmmedicationsmmaymhavemamhighmriskmofmweightmga
in?
a.mBupropionm(Wellbutrin)
b.mMetforminm(Glucophage)
c.mQuetiapinem(Seroquel)
d.mTopiramatem(Topamax)m-mans-c
Highmriskmofmweightmgain,mhighermmortalityminmelderlympatients.mWeightmsh
ouldmbemmonitoredmeverym3mmonths,mmonitormTSHmandmlipids.
Ampatientmismnewlymprescribedmrisedronatem(actonel).mWhatmshouldmthemnur
sempractitionermincludeminmpatientmeducationmregardingmthismmedication?
a.mTakemthemmedicationminmthemeveningmwithmamlargemglassmofmwater.
b.mTakemthemmedicationmuponmwakeningmwithmamlargemglassmofmwater.
c.mTakemthemmedicationmwithmammeal.
d.mTakemthemmedicationm30mminutesmaftermeating.m-mans-b
Risedronatem(actonel)mismambisphosphonatemthatmismusemtomtreatmosteoporis
is/
penia.mPatientsmshouldmbemadvisedmtomtakemrisedronatem(actonel)muponmaw
akeningmwithmamglassmofmwater,mbeforembreakfast.mTheymshouldmnotmliemd
ownmform30mminutesmafterward.mShouldmnotmmixmwithmothermdrugs.
Bisphosphonatesmaremcontraindicatedminmwhichmofmthemfollowingmconditionsm
except:
a.mCKD
b.mGERD
c.mCeliacmDisease
d.mEspohagealmStricturem-mans-c
Osteoporosismismamcomplicationmofmuntreatedmceliacmdisease.mBisphosphonat
es,msuchmasmfosamaxmandmactonel,maremusedmtompreventmormtreatmosteop
orisis/penia.
, Ampatientmhasmbeenmtakingmsimvastatinm(Zocor),m40mmg,mtwomtimesmperm
daymformthempastm2mweeks.mHemreturnsmtomthemclinicmwithmcomplaintsmof
mmusclempainmandmtenderness.mWhichmofmthemfollowingmshouldmthemnurse
mpractitionermdo?
a.mTellmthempatientmthatmitmismnormalmtomhavemthesemsidemeffectsmwhen
mtakingmamnewmmedicationmandmtheymshouldmresolvemwithinm4mweeks.
b.mPrescribem600mmg/daymofmibuprofenmtomimprovempain.
c.mPrescribemphysicalmtherapymform4mweeks.
d.mSendmthempatientmtomthememergencymroommformimmediatemevaluation.m-
mans-d
Thempatientmismpresentingmwithmsignsmofmpotentialmrhabdomyolysis.mThemris
kmofmrhabdomyolysismincreasesmwithmhighmdosemZocorm(80mmg).mRhabdomy
olysismcanmbemlife-
threateningmandmthempatientmneedsmpromptmemergentmevaluation.
Ampatientmhasmbeenmdiagnosedmwithmatrialmfibrillation.mThemnursempractition
ermknowsmthatmwhichmofmthemfollowingmmedicationmismnotmconsideredmfirst-
linemdrugmformheartmratemcontrol:
a.mDigoxin
b.mAtenololm(Tenormin)
c.mVerapamilmhydrochloridem(CalanmSR)
d.mMetoprololm(Toprol)m-mans-a
Digoxinmismnotmconsideredmfirst-
linemdrugmformheartmratemcontrolminmpatientsmwithmatrialmfibrillation.mDigoxin
mhasmamverymnarrowmtherapeuticmrange.
Am41myearmoldmpatientmhasmbeenmpresribedmDigoxinm(Lanoxin)mfollowingma
mdiagnosismofmheartmfailuremduemtomleftmventricularmsystolicmdysfunction.mT
hempatientmpresentsmtomthemclinicmtodaymwithmnauseamandmvomiting,mabdo
minalmpain,mandmvisualmchanges.mWhatmdoesmthemnursempractitionermsuspe
ct?
a.mThempatientmismpresentingmwithmampotentialmallergymtomDigoxinm(Lanoxin
)mandmtellsmthempatientmtomfollow-upmwithmhismcardiologist.
b.mSendmthempatientmtomgetmanmuppermendoscopymandmprescribemZofranm
untilmsymptomsmresolve.
c.mTellmthempatientmtomfollow-
upmwithmtheirmcardiologistmformamnewmmedication.
d.mSendmthempatientmtomthememergencymroommformimmediatemevaluation.m-
mans-d
Thempatientmismpresentingmwithmsignsmandmsymptomsmofmacutemdigoxinmov
erdosemandmneedsmdetailedmevaluation.mInitialmsymptomsmaremtypicalmGImco
mplaints,marrhythmias,mconfusion,mandmvisualmchanges.mLabsmthemshouldmbe
