2ND ATTEMPT OA D116 EXAM QUESTIONS WITH
ACTUAL VERIFIED ANSWERS | GRADED A+ .
The patient is taking cimetidine 1 g at bedtime, metoprolol 100 mg daily, aspirin 81 mg daily,
and metformin 1 g daily. The patient's vitals are BP 160/90, pulse 110, respirations 12, and
temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still elevated. The patient tells the
APRN she does not want to take another pill because she feels she is taking too many.
Which action should the APRN take next? - correct Answers -change cimetidine to ranitidine
because it decreases the effectiveness of metoprolol
A patient complains of a tension-type headache and describes the pain as moderate but
nonthrobbing. The headaches are brought on by stress and aggravation. The patient typically
takes naproxen to relieve the headaches. After discussing the problem with an advanced practice
registered nurse, the patient asks to be able to take medication in a prophylactic manner.
Which medication should be used for this purpose?Analgesics
Nonsteroidal anti-inflammatories
Ergot alkaloids
Tricyclic antidepressants - correct Answers -Tricyclic antidepressants
First line medication for anti-depressant with pt having panic attack. - correct Answers -SSRI ex
citalopram, fluoxetine, sertraline
first line tx of panic disorder
A patient is admitted to a hospital with symptoms of heart failure that include dyspnea, fatigue,
peripheral edema, and distention of the jugular veins. Further assessment reveals left ventricular
hypertrophy and evidence of a previous myocardial infarction.
Which medication regimen should an advanced practice registered nurse recommend for this
patient?
Digoxin, NSAIDS, and hydrochlorothiazide
1
,Digoxin alone as a first-line drug
Diuretic, ACE inhibitor, and beta-blocker
Calcium channel blocker and antidysrhythmic agent - correct Answers -Diuretic, ACE inhibitor,
and beta-blocker
Which beta blocker doesn't cause asthmatic effects? - correct Answers -2nd generation ex
metoprolol doesn't cause effects.
1st generations do.
a-n beta 1 group
o-q beta 2 group
How does ACE inhibitor pharmacologically effect? - correct Answers -Lowers angiotensin II
level and dilates blood vessels.
Which med is contraindicated with live flu vaccine - correct Answers -methylprednisolone
prednisone causes which lab abnormality due to prolonged use? - correct Answers -
hyperglycemia
A 69-year-old female patient comes to a primary care clinic for her annual wellness visit. During
the assessment, the patient reports having difficulty with bruising and does not know how the
bruises have occurred. The woman's hair and skin are drier than normal, she has had several
nosebleeds recently, and the woman noticed a small cut took a long time to heal. The patient also
admitted her diet was poor lately because she recently retired, and her income does not support
the purchase of fresh fruits and vegetables.
A finger stick glucose level was within normal limits at 82 mg/dL. The following orders are
recommended:
blood work, including CBC, BMP, and HgbA1C
dietitian consult
vitamin C supplement (daily requirement level for patient)
What is the recommended daily requirement for this supplement?
500 mg per day
2
,25 mg per day
250 mg per day
75 mg per day - correct Answers -75 mg per day
An advanced practice registered nurse (APRN) is seeing a 52-year-old patient whose chief
complaint is migraine headaches. The patient reports seeing a herbalist who provided a
supplement for migraine headaches.
The patient is currently taking the following alternative therapies: butterbur, black cohosh,
coenzyme Q10, and echinacea. The patient is not sure which supplement focuses on decreasing
headaches. The APRN is including instructions in the patient education about alternative
therapies and wishes to highlight the one that decreases migraine headaches.
Which alternative therapy should the APRN highlight?
Butterbur
Black cohosh
Coenzyme Q10
Echinacea - correct Answers -Butterbur- used for migraines, allergies and asthma
black cohosh - correct Answers -treats menopause, hot flashes, vaginal dryness, irritability.
Not to be used to decrease hot flashes w tamoxifen or other selective estrogen receptor
modulators
CO-Q10 - correct Answers -Tx for heart failure, muscle injury, vital role in cellular energy.
Faster recovery with heart surgery.
echinacea - correct Answers -stimulate immune function, suppress inflammation, treat viral
infection including flu and common cold.Topically treat wounds, burns, eczema, psoriasis,
herpes simplex.
feverfew - correct Answers -prophylaxis migraine
gingko biloba - correct Answers -increase memory, halt progression of dementia, and decrease
intermittent claudification.
3
, glucosamine and chondriotin - correct Answers -treat osteoarthritis
glucosamine: synthesis of cartilage and synovial fluid.
chondroitin: help keep cartilage hydrated
comfrey - correct Answers -helps wounds and joint pain. Good short term contraindicated on
open skin lesions
kava - correct Answers -relieve anxiety, promote sleep and relax muscles. cause severe liver
injury.
Like diazepam
ma huang - correct Answers -high dose associated w stroke, MI death. Used to increase BP and
stimulate heart and CNS.
If pt taking alosetron (used for IBS to help w severe symtoms of disease). Which med should
they discontinue? - correct Answers -Cimetidine (used to treat ulcers of the stomach and
intestines and prevent them from coming back after healed.
A patient has been on a long-term regimen of NSAIDs and needs a medication that is approved
to prevent gastric ulcers.
Which medication should an advanced practice registered nurse prescribe for this patient?
Metronidazole
Tinidazole
Misoprostol
Ranitidine - correct Answers -Misoprostol
chenodiol is used for severe nausea and vomiting Who should avoid this drug? - correct Answers
-pregnant women
can use Prochlorperazine (compazine), Ondansetron
Metoclopramide
4
ACTUAL VERIFIED ANSWERS | GRADED A+ .
The patient is taking cimetidine 1 g at bedtime, metoprolol 100 mg daily, aspirin 81 mg daily,
and metformin 1 g daily. The patient's vitals are BP 160/90, pulse 110, respirations 12, and
temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still elevated. The patient tells the
APRN she does not want to take another pill because she feels she is taking too many.
Which action should the APRN take next? - correct Answers -change cimetidine to ranitidine
because it decreases the effectiveness of metoprolol
A patient complains of a tension-type headache and describes the pain as moderate but
nonthrobbing. The headaches are brought on by stress and aggravation. The patient typically
takes naproxen to relieve the headaches. After discussing the problem with an advanced practice
registered nurse, the patient asks to be able to take medication in a prophylactic manner.
Which medication should be used for this purpose?Analgesics
Nonsteroidal anti-inflammatories
Ergot alkaloids
Tricyclic antidepressants - correct Answers -Tricyclic antidepressants
First line medication for anti-depressant with pt having panic attack. - correct Answers -SSRI ex
citalopram, fluoxetine, sertraline
first line tx of panic disorder
A patient is admitted to a hospital with symptoms of heart failure that include dyspnea, fatigue,
peripheral edema, and distention of the jugular veins. Further assessment reveals left ventricular
hypertrophy and evidence of a previous myocardial infarction.
Which medication regimen should an advanced practice registered nurse recommend for this
patient?
Digoxin, NSAIDS, and hydrochlorothiazide
1
,Digoxin alone as a first-line drug
Diuretic, ACE inhibitor, and beta-blocker
Calcium channel blocker and antidysrhythmic agent - correct Answers -Diuretic, ACE inhibitor,
and beta-blocker
Which beta blocker doesn't cause asthmatic effects? - correct Answers -2nd generation ex
metoprolol doesn't cause effects.
1st generations do.
a-n beta 1 group
o-q beta 2 group
How does ACE inhibitor pharmacologically effect? - correct Answers -Lowers angiotensin II
level and dilates blood vessels.
Which med is contraindicated with live flu vaccine - correct Answers -methylprednisolone
prednisone causes which lab abnormality due to prolonged use? - correct Answers -
hyperglycemia
A 69-year-old female patient comes to a primary care clinic for her annual wellness visit. During
the assessment, the patient reports having difficulty with bruising and does not know how the
bruises have occurred. The woman's hair and skin are drier than normal, she has had several
nosebleeds recently, and the woman noticed a small cut took a long time to heal. The patient also
admitted her diet was poor lately because she recently retired, and her income does not support
the purchase of fresh fruits and vegetables.
A finger stick glucose level was within normal limits at 82 mg/dL. The following orders are
recommended:
blood work, including CBC, BMP, and HgbA1C
dietitian consult
vitamin C supplement (daily requirement level for patient)
What is the recommended daily requirement for this supplement?
500 mg per day
2
,25 mg per day
250 mg per day
75 mg per day - correct Answers -75 mg per day
An advanced practice registered nurse (APRN) is seeing a 52-year-old patient whose chief
complaint is migraine headaches. The patient reports seeing a herbalist who provided a
supplement for migraine headaches.
The patient is currently taking the following alternative therapies: butterbur, black cohosh,
coenzyme Q10, and echinacea. The patient is not sure which supplement focuses on decreasing
headaches. The APRN is including instructions in the patient education about alternative
therapies and wishes to highlight the one that decreases migraine headaches.
Which alternative therapy should the APRN highlight?
Butterbur
Black cohosh
Coenzyme Q10
Echinacea - correct Answers -Butterbur- used for migraines, allergies and asthma
black cohosh - correct Answers -treats menopause, hot flashes, vaginal dryness, irritability.
Not to be used to decrease hot flashes w tamoxifen or other selective estrogen receptor
modulators
CO-Q10 - correct Answers -Tx for heart failure, muscle injury, vital role in cellular energy.
Faster recovery with heart surgery.
echinacea - correct Answers -stimulate immune function, suppress inflammation, treat viral
infection including flu and common cold.Topically treat wounds, burns, eczema, psoriasis,
herpes simplex.
feverfew - correct Answers -prophylaxis migraine
gingko biloba - correct Answers -increase memory, halt progression of dementia, and decrease
intermittent claudification.
3
, glucosamine and chondriotin - correct Answers -treat osteoarthritis
glucosamine: synthesis of cartilage and synovial fluid.
chondroitin: help keep cartilage hydrated
comfrey - correct Answers -helps wounds and joint pain. Good short term contraindicated on
open skin lesions
kava - correct Answers -relieve anxiety, promote sleep and relax muscles. cause severe liver
injury.
Like diazepam
ma huang - correct Answers -high dose associated w stroke, MI death. Used to increase BP and
stimulate heart and CNS.
If pt taking alosetron (used for IBS to help w severe symtoms of disease). Which med should
they discontinue? - correct Answers -Cimetidine (used to treat ulcers of the stomach and
intestines and prevent them from coming back after healed.
A patient has been on a long-term regimen of NSAIDs and needs a medication that is approved
to prevent gastric ulcers.
Which medication should an advanced practice registered nurse prescribe for this patient?
Metronidazole
Tinidazole
Misoprostol
Ranitidine - correct Answers -Misoprostol
chenodiol is used for severe nausea and vomiting Who should avoid this drug? - correct Answers
-pregnant women
can use Prochlorperazine (compazine), Ondansetron
Metoclopramide
4
