SUCCESSMAESTRO STUVIA
,SUCCESSMAESTRO STUVIA
FULL TEST BANK FOR FAMILY NURSE
PRACTITIONER CERTIFICATION INTENSIVE
REVIEW, FOURTH EDITION BY MARIA T.
CODINA LEIK GRADED A+ |2024/25 NEWEST
VERIFIED UPDATE
Multiple Choice:
1. ______________ medications are among the most
commonly used medications by women in the first
trimester of pregnancy.
A) Antiepileptic drugs
B) Antibiotics
C) Antihypertensives
D) Opioids ANS: B) Antibiotics
27-year old male with lupus has a eGFR of 48 and Ā1C
of 7.2%, newly diagnosed with T2DM.
1) What medication is first choice in this patient?
ANS: 1) Metformin (can be given as long as the GFT is >
45, monitor closely)
,SUCCESSMAESTRO STUVIA
35-year old female with newly diagnosed impaired
fasting glucose and Ā1C of 5.9%
1) What medication is first-line?
2) What if she is contemplating pregnancy? ANS:
1) Metformin
2) Metformin is OK in pregnancy
35-year old obese male with hx of T2DM is on the max
dose of Metformin. His Ā1C is 7.6 (goal < 7%). He
desires weight loss and is needle-phobic.
1) What medication class should be considered
2) Which med class(es) should be avoided? ANS:
1) SGLT-2 inhibitor (canagliflozin - Invokana,
empagliflozin - Jardiance)
2)Sulfonylureas (a/w weight gain)
GLP-1, insulin (injectables)
82-year old male with T2DM is currently on max dose of
Metformin. His Ā1C is 7.9%.
1) What is your plan at this visit for his Ā1C? ANS:
1) A reasonable Ā1C goal for his age is <8%. Review
lifestyle modifications and decrease carb intake
, SUCCESSMAESTRO STUVIA
A 19-year old college student (otherwise healthy,
nonsmoker) was diagnosed with community-acquired
pneumonia by CXR a couple days ago. She has been
taking amoxillin with clavulanate 875 mg BID for the
past 48 hours. She returns today for a follow-up
appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR
24/min, Ó2 sats 92%.
Her vitals today: BP 130/80, HR 100, T 102.2, RR
24/min, Ó2 sats 94%.
How would you manager her today?
A) Repeat CXR, CBC, and start levofloxacin
B) Start azithromycin 5-day pack
C) Continue with amoxicillin-clavulanate for another 24
hours
D) Stop amoxicillin-clavulanate and start doxcycline 100
mg BID x 7 days ANS: D) Stop amoxicillin-
clavulanate and start doxycycline 100 mg BID x 7 days
She most likely has an atypical pathogen (mycoplasma
pneumoniae or chlamydophila pneumoniae), which
should be treated with a macrolide or doxycycline
,SUCCESSMAESTRO STUVIA
FULL TEST BANK FOR FAMILY NURSE
PRACTITIONER CERTIFICATION INTENSIVE
REVIEW, FOURTH EDITION BY MARIA T.
CODINA LEIK GRADED A+ |2024/25 NEWEST
VERIFIED UPDATE
Multiple Choice:
1. ______________ medications are among the most
commonly used medications by women in the first
trimester of pregnancy.
A) Antiepileptic drugs
B) Antibiotics
C) Antihypertensives
D) Opioids ANS: B) Antibiotics
27-year old male with lupus has a eGFR of 48 and Ā1C
of 7.2%, newly diagnosed with T2DM.
1) What medication is first choice in this patient?
ANS: 1) Metformin (can be given as long as the GFT is >
45, monitor closely)
,SUCCESSMAESTRO STUVIA
35-year old female with newly diagnosed impaired
fasting glucose and Ā1C of 5.9%
1) What medication is first-line?
2) What if she is contemplating pregnancy? ANS:
1) Metformin
2) Metformin is OK in pregnancy
35-year old obese male with hx of T2DM is on the max
dose of Metformin. His Ā1C is 7.6 (goal < 7%). He
desires weight loss and is needle-phobic.
1) What medication class should be considered
2) Which med class(es) should be avoided? ANS:
1) SGLT-2 inhibitor (canagliflozin - Invokana,
empagliflozin - Jardiance)
2)Sulfonylureas (a/w weight gain)
GLP-1, insulin (injectables)
82-year old male with T2DM is currently on max dose of
Metformin. His Ā1C is 7.9%.
1) What is your plan at this visit for his Ā1C? ANS:
1) A reasonable Ā1C goal for his age is <8%. Review
lifestyle modifications and decrease carb intake
, SUCCESSMAESTRO STUVIA
A 19-year old college student (otherwise healthy,
nonsmoker) was diagnosed with community-acquired
pneumonia by CXR a couple days ago. She has been
taking amoxillin with clavulanate 875 mg BID for the
past 48 hours. She returns today for a follow-up
appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR
24/min, Ó2 sats 92%.
Her vitals today: BP 130/80, HR 100, T 102.2, RR
24/min, Ó2 sats 94%.
How would you manager her today?
A) Repeat CXR, CBC, and start levofloxacin
B) Start azithromycin 5-day pack
C) Continue with amoxicillin-clavulanate for another 24
hours
D) Stop amoxicillin-clavulanate and start doxcycline 100
mg BID x 7 days ANS: D) Stop amoxicillin-
clavulanate and start doxycycline 100 mg BID x 7 days
She most likely has an atypical pathogen (mycoplasma
pneumoniae or chlamydophila pneumoniae), which
should be treated with a macrolide or doxycycline
