,
,
, 4|Page
c. Illegal according to the standards of nursing
d. Patient abandonment.
Explanation: in this instance, the NP has a difference of opinion with her employer based on her
religious or moral belief about providing emergency contraception. This situation is an example
of an ethical dilemma. Failure to participate in the provision of care to the patient based on the
NP’s beliefs is neither against the law nor a violation of the standards of practice
8) A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red, precisely
defined plaques with silvery scales. Auspitz sings is another common finding. Topical agents
containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may also
be ordered.
9) Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
Explanation: Antidepressant discontinuation syndrome is most often seen in the primary care
office in association with SSRI discontinuation, because SSRIs are the most commonly
prescribed class of antidepressant medications. Interruption of treatment with an anti-depressant
medication is sometimes associated with an antidepressant discontinuation syndrome; in early
reports it was referred to as a “withdrawal reaction. Symptoms of antidepressant discontinuation
syndrome can include flu-like symptoms, insomnia, nausea, imbalance, sensory disturbances,
and hyperarousal. Tapering is recommended by experts.
10) Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the
following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
Explanation: tricyclic antidepressant should not be used by men with benign prostatic
hyperplasia because of the increased risk of urinary retention secondary to the anticholigergic
effects of TCAs.
11) Which of the following is the best response to a woman who has just admitted she is a
victim of spousal abuse?
a. What was if you did to make him angry?
4
,
, 4|Page
c. Illegal according to the standards of nursing
d. Patient abandonment.
Explanation: in this instance, the NP has a difference of opinion with her employer based on her
religious or moral belief about providing emergency contraception. This situation is an example
of an ethical dilemma. Failure to participate in the provision of care to the patient based on the
NP’s beliefs is neither against the law nor a violation of the standards of practice
8) A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red, precisely
defined plaques with silvery scales. Auspitz sings is another common finding. Topical agents
containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may also
be ordered.
9) Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
Explanation: Antidepressant discontinuation syndrome is most often seen in the primary care
office in association with SSRI discontinuation, because SSRIs are the most commonly
prescribed class of antidepressant medications. Interruption of treatment with an anti-depressant
medication is sometimes associated with an antidepressant discontinuation syndrome; in early
reports it was referred to as a “withdrawal reaction. Symptoms of antidepressant discontinuation
syndrome can include flu-like symptoms, insomnia, nausea, imbalance, sensory disturbances,
and hyperarousal. Tapering is recommended by experts.
10) Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the
following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
Explanation: tricyclic antidepressant should not be used by men with benign prostatic
hyperplasia because of the increased risk of urinary retention secondary to the anticholigergic
effects of TCAs.
11) Which of the following is the best response to a woman who has just admitted she is a
victim of spousal abuse?
a. What was if you did to make him angry?
4
