Question 1
Juanita had a deep vein thrombosis (DVT) and was on heparin in the
hospital and was discharged on warfarin. She asks her primary care
provider NP why she was getting both medications while in the
hospital. The best response is to:
Question options:
1/
Contact the hospitalist as this is not the normal guideline for prescribing these two
1
medications and she may have had a more complicated case.
poi
Explain that warfarin is often started while a patient is still on heparin because nt
warfarin takes a few days to reach effectiveness.
Encourage the patient to contact the Customer Service department at the hospital as
this was most likely a medication error during her admission.
Draw anticoagulation studies to make sure she does not have dangerously high
bleeding times.
0/
1
Question 2
poi
nt
Which of the following create a higher risk for digoxin toxicity? Both the
cause and the reason for it must be correct.
Question options:
Older adults because of reduced renal function
Administration of aldosterone antagonist diuretics because of decreased
potassium levels
Taking an antacid for gastroesophageal reflux disease because it increases
the absorption of digoxin
Doses between 0.25 and 0.5 mg/day
Question 1/1
3 point
Ray has been diagnosed with hypertension and an angiotensin-converting
enzyme inhibitor is determined to be needed. Prior to prescribing this drug,
the NP should assess for:
Question options:
Hypokalemia
Impotence
Decreased renal function
Inability to concentrate
, Question 4 point
Robert, age 51 years, has been told by his primary care provider (PCP) to
take an aspirin a day. Why would this be recommended?
Question options:
He has arthritis and this will help with the inflammation and pain.
Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
He has a history of GI bleed, and one aspirin a day is a safe dosage.
Kyle has Crohn’s disease and has a documented folate
deficiency. Drug therapy for folate deficiency anemia is:
Question options:
Quest 1/1
Oral folic acid 1 to 2 mg per day
ion 5 point
Oral folic acid 1 gram per day
IM folate weekly for at least 6 months
Oral folic acid 400 mcg daily
Quest 1/1
ion 6 point
Pernicious anemia is treated with:
Question options:
Folic acid supplements
Thiamine supplements
Vitamin B12
Iron
Question 1/1
7 point
Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and
her ferritin is 15 ng/mL. Initial treatment for her anemia would be:
Question options:
18 mg/day of iron supplementation
6 mg/kg per day of iron supplementation
325 mg ferrous sulfate per day
325 mg ferrous sulfate tid
Questi 1/1
on 8 Education of patients who are taking warfarin includes point
discussing their diet. Instructions include:
Question options:
Avoiding all vitamin K-containing foods