LATEST VERSIONS A & B 2026 ALL STUDY QUESTIONS
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The parents of a child with asthma ask the provider why their child cannot use oral
corticosteroids more often, because they are so effective. The provider will base the discussion
with the parents on what fact concerning oral corticosteroids? - Answer>>> Chronic
glucocorticoid use can inhibit physical growth
A medication prescribed for a neonate is eliminated primarily by hepatic metabolism. What
action will the prescriber take to minimize risk to the infant? - Answer>>> Prescribe a dose that
is relatively lower than an adult dose when adjusted for body surface area
An infant developed a pruritic rash following exposure to an allergen. The infant's parents ask
the provider about using a topical antihistamine. What information should the provider use to
address the parents' question? - Answer>>> Applying an antihistamine to the skin can cause
toxicity in this age group.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset of a
pruritic, dull red, maculopapular rash on the chest and neck. Which action is most important for
the provider to take to minimize this patient's risk for injury? - Answer>>> Discontinue the
ampicillin.
An older adult patient is admitted to the hospital for treatment of an exacerbation of a chronic
illness. Admission laboratory work reveals an extremely low serum drug level of the drug used
to treat this condition. The patient's renal and hepatic function tests are normal. What might the
provider suspect as a likely cause of this finding? - Answer>>> Nonadherence to the medical
regimen
An older adult patient with a history of forgetfulness will need to take multiple drugs after
discharge from the hospital. What provider action will most successfully promote medication
,adherence in a forgetful patient? - Answer>>> Schedule medications to be taken at the same
times as much as possible
A provider obtains a drug history from an older adult who is a new patient. Of the multiple
medications taken, which two, taken together, create a reason for concern? - Answer>>>
Amitriptyline and diphenhydramine
Which prescriber action will have the greatest impact on the patient's commitment to adherence
to any type of medication therapy? - Answer>>> Providing medication education that the patient
can easily understand
A patient with a recent onset of nephrosclerosis has been taking an angiotensin-converting
enzyme (ACE) inhibitor and a thiazide diuretic. The patient's initial blood pressure was 148/100
mm Hg. After 1 month of drug therapy, the patient's blood pressure is 130/90 mm Hg. What
action will the provider take to address the patient's blood pressure? - Answer>>> Add a calcium
channel blocker to this patient's drug regimen
A patient with chronic hypertension is admitted to the hospital. During the admission
assessment, the nurse notes a heart rate of 96 beats/minute, a blood pressure of 150/90 mm Hg
bibasilar crackles, 2+ pitting edema of the ankles, and distention of the jugular veins. What will
the provider order in response to this assessment data? - Answer>>> Furosemide
Which patient statement suggests to the provider that the patient's nonadherence with their
medication plan is related to dissatisfaction with the therapy? - Answer>>> "I've been taking this
medication for well over a week and I lost only a half a pound."
A patient receiving heparin postoperatively to prevent deep vein thrombosis has a blood pressure
of 90/50 mm Hg and a heart rate of 110 beats/minute. The patient's most recent aPTT is greater
than 90 seconds. The patient reports lumbar pain. The provider will order what interventions
initially? - Answer>>> Protamine sulfate, Discontinue heparin
A patient arrives in the emergency department after becoming dehydrated. Based on the patient's
history, the provider determines that isotonic dehydration has occurred. Which solution will be
ordered to treat this patient? - Answer>>> 0.9% sodium chloride in sterile water
, A patient arrives in the emergency department reporting muscle weakness and drowsiness. The
nurse notes a heart rate of 80 beats/minute, a respiratory rate of 18 breaths/minute, and a blood
pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal rhythm. The provider will
be most concerned about the patient's use of what medication? - Answer>>> Antacids
While performing an admission assessment on a patient, the nurse learns that the patient is taking
furosemide, digoxin, and spironolactone. A diet history reveals the use of salt substitutes. The
patient appears confused and dyspneic and reports tingling of hands and feet. Which action will
the provider take to provide effective patient care? - Answer>>> Prescribe both an
electrocardiogram and serum electrolyte levels
A patient collapses after running a marathon on a hot day and is brought to the emergency
department to be treated for dehydration. The provider will prescribe which therapy? -
Answer>>> Intravenous hypotonic fluids administered in stages
How can the prescriber's regular collaboration with a pharmacist improve positive outcomes for
patients? - Answer>>> Pharmacists have additional information on drug interactions. The
pharmacist can suggest adequate medication dosing. Pharmacists have firsthand knowledge of
the facility formulary.
Which statements made by the prescriber demonstrate an understanding of effective medication
education? - Answer>>> "This medication needs to be stored in the refrigerator. "Take 3 tablets
daily: 1 with breakfast, 1 with lunch, and one with dinner." "You need to take the medication as
we discussed until all the tablets are gone." "Call the office immediately if you begin
experiencing any itching, headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder asks why blood
tests are required on a regular basis. Which provider responses demonstrate an understanding of
why the patient requires a variety of laboratory tests? - Answer>>> "We need to monitor how
your thyroid is functioning." "We need to monitor kidney function while you are on this drug.
This medication can cause you to lose sodium, so we need to measure sodium levels."
When prescribing lovastatin, what will a provider advise to decrease the risk of developing
muscle toxicity? - Answer>>> Substitute grapefruit juice with orange juice