NR-508 Midterm
nonhormonal drugs for osteoporosis CORRECT ANS: Osteopenia is diagnosed in a 55-year-old woman
who has not had a period in 15 months. She has a positive family history of breast cancer. The primary
care NP should recommend
testosterone therapy.
estrogen-only therapy.
nonhormonal drugs for osteoporosis.
estrogen-progesterone therapy for 1 to 2 years.
Ondansetron (Zofran) CORRECT ANS: A woman is in her first trimester of pregnancy. She tells the
primary care nurse practitioner (NP) that she continues to have severe morning sickness on a daily basis.
The NP notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should consult an
obstetrician and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
,Methimazole CORRECT ANS: A 75-year-old patient who has cardiovascular disease reports insomnia and
vomiting for several weeks. The primary care NP orders thyroid function tests. The tests show TSH is
decreased and T4 is increased. The NP should consult with an endocrinologist and order:
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
perform a careful cardiovascular physical assessment. CORRECT ANS: A 55-year-old patient with no prior
history of hypertension has a blood pressure greater than 140/90 on three separate occasions. The
patient does not smoke, has a body mass index of 24, and exercises regularly. The patient has no known
risk factors for cardiovascular disease. The primary care NP should:
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a β-blocker.
levothyroxine CORRECT ANS: A patient reports fatigue, weight loss, and dry skin. The primary care nurse
practitioner (NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40
microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist and prescribe:
,methimazole.
liothyronine.
levothyroxine.
propylthiouracil.
about the frequency of clinic visits necessary for the number of refills authorized. CORRECT ANS: When
prescribing a medication for a chronic condition, the primary care NP should tell the patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months' worth of the medication at a time.
stopping the medication and checking TSH and T4 in 4 weeks. CORRECT ANS: A child who has congenital
hypothyroidism takes levothyroxine 75 mcg/day. The child weighs 15 kg. The primary care NP sees the
child for a 3-year-old check-up. The NP should consult with a pediatric endocrinologist to discuss:
increasing the dose to 90 mcg/day.
decreasing the dose to 30 mcg/day.
, stopping the medication and checking TSH and T4 in 4 weeks.
discussing the need for lifetime replacement therapy with the child's parents.
25 g of fiber each day CORRECT ANS: A patient who has IBS experiences diarrhea, bloating, and pain but
does not want to take medication. The primary care NP should recommend:
25 g of fiber each day.
avoiding gluten and lactose in the diet.
increasing water intake to eight to ten glasses per day.
beginning aerobic exercise, such as running, every day.
use condoms for the next 7 days. CORRECT ANS: A woman who uses a transdermal contraceptive calls
the primary care NP to report that while dressing that morning she discovered that the patch had come
off and she was unable to find the patch. The NP should tell her to apply a new patch and:
take one cycle of COCPs.
take a home pregnancy test.
use condoms for the next 7 days.
contact the clinic if she misses a period.
nonhormonal drugs for osteoporosis CORRECT ANS: Osteopenia is diagnosed in a 55-year-old woman
who has not had a period in 15 months. She has a positive family history of breast cancer. The primary
care NP should recommend
testosterone therapy.
estrogen-only therapy.
nonhormonal drugs for osteoporosis.
estrogen-progesterone therapy for 1 to 2 years.
Ondansetron (Zofran) CORRECT ANS: A woman is in her first trimester of pregnancy. She tells the
primary care nurse practitioner (NP) that she continues to have severe morning sickness on a daily basis.
The NP notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should consult an
obstetrician and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
,Methimazole CORRECT ANS: A 75-year-old patient who has cardiovascular disease reports insomnia and
vomiting for several weeks. The primary care NP orders thyroid function tests. The tests show TSH is
decreased and T4 is increased. The NP should consult with an endocrinologist and order:
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
perform a careful cardiovascular physical assessment. CORRECT ANS: A 55-year-old patient with no prior
history of hypertension has a blood pressure greater than 140/90 on three separate occasions. The
patient does not smoke, has a body mass index of 24, and exercises regularly. The patient has no known
risk factors for cardiovascular disease. The primary care NP should:
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a β-blocker.
levothyroxine CORRECT ANS: A patient reports fatigue, weight loss, and dry skin. The primary care nurse
practitioner (NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40
microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist and prescribe:
,methimazole.
liothyronine.
levothyroxine.
propylthiouracil.
about the frequency of clinic visits necessary for the number of refills authorized. CORRECT ANS: When
prescribing a medication for a chronic condition, the primary care NP should tell the patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months' worth of the medication at a time.
stopping the medication and checking TSH and T4 in 4 weeks. CORRECT ANS: A child who has congenital
hypothyroidism takes levothyroxine 75 mcg/day. The child weighs 15 kg. The primary care NP sees the
child for a 3-year-old check-up. The NP should consult with a pediatric endocrinologist to discuss:
increasing the dose to 90 mcg/day.
decreasing the dose to 30 mcg/day.
, stopping the medication and checking TSH and T4 in 4 weeks.
discussing the need for lifetime replacement therapy with the child's parents.
25 g of fiber each day CORRECT ANS: A patient who has IBS experiences diarrhea, bloating, and pain but
does not want to take medication. The primary care NP should recommend:
25 g of fiber each day.
avoiding gluten and lactose in the diet.
increasing water intake to eight to ten glasses per day.
beginning aerobic exercise, such as running, every day.
use condoms for the next 7 days. CORRECT ANS: A woman who uses a transdermal contraceptive calls
the primary care NP to report that while dressing that morning she discovered that the patch had come
off and she was unable to find the patch. The NP should tell her to apply a new patch and:
take one cycle of COCPs.
take a home pregnancy test.
use condoms for the next 7 days.
contact the clinic if she misses a period.
