NR-508 Midterm Exam Review –
2026/2027 Updated Questions, Answers &
Rationales
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. - correct answer-about the frequency of clinic visits necessary for the
number of refills authorized.
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. - correct answer-levothyroxine
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. -
correct answer-perform a careful cardiovascular physical assessment.
,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). - correct answer-Ondansetron (Zofran)
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. - correct answer-Methimazole
, A patient in the clinic reports frequent episodes of bloating, abdominal pain, and
loose stools to the primary care nurse practitioner (NP). An important question
the NP should ask about the abdominal pain is:
the relation of the pain to stools.
what time of day the pain occurs.
whether the pain is sharp or diffuse.
the age of the patient when the pain began. - correct answer-the relation of the
pain to stools
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. - correct answer-nonhormonal
drugs for osteoporosis
2026/2027 Updated Questions, Answers &
Rationales
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. - correct answer-about the frequency of clinic visits necessary for the
number of refills authorized.
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. - correct answer-levothyroxine
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. -
correct answer-perform a careful cardiovascular physical assessment.
,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). - correct answer-Ondansetron (Zofran)
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. - correct answer-Methimazole
, A patient in the clinic reports frequent episodes of bloating, abdominal pain, and
loose stools to the primary care nurse practitioner (NP). An important question
the NP should ask about the abdominal pain is:
the relation of the pain to stools.
what time of day the pain occurs.
whether the pain is sharp or diffuse.
the age of the patient when the pain began. - correct answer-the relation of the
pain to stools
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. - correct answer-nonhormonal
drugs for osteoporosis
