Nurse Prescribers Chapter 24, Chapter 44, Chapter 47,
Chapter 35 Questions With Complete Solutions
A 19-year-old female is a nasal Staph aureus carrier and is
placed on 5 days of rifampin for treatment. Her only other
medication is combined oral contraceptives. What education
should she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral
contraceptive by at least an hour.
2. Both medications are best tolerated if taken on an empty
stomach.
3. She should use a back-up method of birth control such as
condoms for the rest of the current pill pack.
4. If she gets nauseated with the medications she should call the
office for an antiemetic prescription. Correct Answers 3
A 56-year-old woman is complaining of vaginal dryness and
dyspareunia. To treat her symptoms with the lowest adverse
effects she should be prescribed:
1. Low-dose oral estrogen
2. A low-dose estrogen/progesterone combination
3. A vaginal estradiol ring
,4. Vaginal progesterone cream Correct Answers 3
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 Answers 2
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 Answers 2
A test of cure is recommended after treating chlamydia in which
patient population?
1. Men who have sex with men
2. Adolescent females
3. Pregnant patients
,4. All of the above Correct Answers 3
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension Correct Answers 2
Along with an antibiotic prescription, lifestyle education for a
nonpregnant adult female who has had a urinary tract infection
includes:
1. Increasing her intake of vitamin C-containing orange juice
2. Voiding 10 to 15 minutes after intercourse
3. Avoiding ingesting urinary irritants, such as asparagus
4. All of the above Correct Answers 2
Amber is a 24-year-old patient who has had migraines for 10
years. She reports a migraine on average of once a month. The
migraines are effectively aborted with naratriptan (Amerge).
When refilling Amber's naratriptan, education would include:
1. Naratriptan will interact with antidepressants, including
selective serotonin reuptake inhibitors (SSRIs) and St John's
, wort, and she should inform any providers she sees that she has
migraines.
2. Continue to monitor her headaches, if the migraine is
consistently happening around her menses there is preventive
therapy available.
3. Pregnancy is contraindicated when taking a triptan.
4. All of the above Correct Answers 4
Antiretroviral therapy is recommended for HIV-positive patients
with:
1. A history of AIDS-defining illness
2. Pregnant women
3. Hepatitis B co-infection
4. All of the above Correct Answers 4
Besides prescribing antimicrobial therapy, patients with
bacterial vaginosis require education regarding the fact that:
1. The most recent partners in the past 60 days should also be
treated.
2. Alcohol should not be consumed during and for 1 day after
metronidazole is taken.