Pharmacotherapeutics For Advanced Practice Nurse
Prescribers Final Exam Questions With Accurate Answers
________ should be monitored when vitamin B12 therapy is started.
1. Serum calcium
2. Serum potassium
3. Ferritin
4. C-reactive protein correct answer 2
A 19-year-old male was started on risperidone. Monitoring for risperidone
includes observing for common side effects, including:
1. Bradykinesia, akathisia, and agitation
2. Excessive weight gain
3. Hypertension
4. Potentially fatal agranulocytosis correct answer 1
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The NP managing his primary health
,care needs to understand the following regarding phenelzine and other
monoamine oxidase inhibitors (MAOIs):
1. He should not be prescribed any serotonergic drug such as sumatriptan
(Imitrex)
2. MAOIs interact with many common foods, including yogurt, sour cream, and
soy sauce
3. Symptoms of hypertensive crisis (headache, tachycardia, sweating correct
answer 4
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data correct answer 2
A comprehensive assessment of a patient should be holistic when trying to
determine competence in drug administration. Which of the following factors
would the NP omit from this type of assessment?
,1. Financial status
2. Mobility
3. Social support
4. Sexual practices correct answer 4
A first-line drug for abortive therapy in simple migraine is:
1. Sumatriptan (Imitrex)
2. Naproxen (Aleve)
3. Butorphanol nasal spray (Stadol NS)
4. Butalbital and acetaminophen (Fioricet) correct answer 2
A genetic variation in how the metabolite of the cancer drug irinotecan SN-38 is
inactivated by the body may lead to:
1. Decreased effectiveness of irinotecan in the treatment of cancer
2. Increased adverse drug reactions, such as neutropenia
, 3. Delayed metabolism of the prodrug irinotecan into the active metabolite SN-38
4. Increased concerns for irinotecan being carcinogenic correct answer 2
A good history of herb and supplement use is critical before prescribing because
approximately ____ % of patients in the United States are using herbal products.
1. 10
2. 5
3. 38
4. 70 correct answer 3
A low-carbohydrate, high-protein diet may:
1. Increase drug-metabolizing enzymes
2. Decrease drug absorption from the GI tract
3. Alter drug binding to plasma proteins
4. Enhance drug elimination correct answer 1
Prescribers Final Exam Questions With Accurate Answers
________ should be monitored when vitamin B12 therapy is started.
1. Serum calcium
2. Serum potassium
3. Ferritin
4. C-reactive protein correct answer 2
A 19-year-old male was started on risperidone. Monitoring for risperidone
includes observing for common side effects, including:
1. Bradykinesia, akathisia, and agitation
2. Excessive weight gain
3. Hypertension
4. Potentially fatal agranulocytosis correct answer 1
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The NP managing his primary health
,care needs to understand the following regarding phenelzine and other
monoamine oxidase inhibitors (MAOIs):
1. He should not be prescribed any serotonergic drug such as sumatriptan
(Imitrex)
2. MAOIs interact with many common foods, including yogurt, sour cream, and
soy sauce
3. Symptoms of hypertensive crisis (headache, tachycardia, sweating correct
answer 4
A challenge faced with antiretroviral therapy (ART) is:
1. Patients abusing ART
2. Drug-resistant mutations of HIV
3. Reduction of transmissibility of HIV
4. Lack of efficacy data correct answer 2
A comprehensive assessment of a patient should be holistic when trying to
determine competence in drug administration. Which of the following factors
would the NP omit from this type of assessment?
,1. Financial status
2. Mobility
3. Social support
4. Sexual practices correct answer 4
A first-line drug for abortive therapy in simple migraine is:
1. Sumatriptan (Imitrex)
2. Naproxen (Aleve)
3. Butorphanol nasal spray (Stadol NS)
4. Butalbital and acetaminophen (Fioricet) correct answer 2
A genetic variation in how the metabolite of the cancer drug irinotecan SN-38 is
inactivated by the body may lead to:
1. Decreased effectiveness of irinotecan in the treatment of cancer
2. Increased adverse drug reactions, such as neutropenia
, 3. Delayed metabolism of the prodrug irinotecan into the active metabolite SN-38
4. Increased concerns for irinotecan being carcinogenic correct answer 2
A good history of herb and supplement use is critical before prescribing because
approximately ____ % of patients in the United States are using herbal products.
1. 10
2. 5
3. 38
4. 70 correct answer 3
A low-carbohydrate, high-protein diet may:
1. Increase drug-metabolizing enzymes
2. Decrease drug absorption from the GI tract
3. Alter drug binding to plasma proteins
4. Enhance drug elimination correct answer 1
