1|Page
NSG 555 EXAM 1 (WILKES) NEWEST 2026 ACTUAL
EXAM TEST BANK| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 1 REVIEW WITH COMPLETE
300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
What are the first-line medications for neuropathic pain? - ANSWER -
Gabapentin and pregabalin.
What is the recommended dosage for gabapentin? - ANSWER - 100-300
mg once daily, with the ability to titrate up.
What should be avoided in cardiac patients when prescribing SNRIs? -
ANSWER - Venlafaxine due to potential EKG changes.
Which tricyclic antidepressants are recommended for neuropathic pain?
- ANSWER - Nortriptyline and desipramine.
What should not be coprescribed with SNRIs? - ANSWER - Tricyclic
Antidepressants (TCAs).
What is the first recommendation of the CDC pain management
guidelines for opioids? - ANSWER - Nonopioid therapies are at least as
effective as opioids for many acute pains.
pg. 1
,2|Page
What should clinicians do when selecting opioids for patients? -
ANSWER - Select immediate-release opioids first, as they are least
likely to lead to addiction.
What is the recommendation regarding opioid dosage for opioid-naïve
patients? - ANSWER - Prescribe the lowest effective dosage.
What should clinicians do if benefits of opioid therapy do not outweigh
risks? - ANSWER - They should not abruptly discontinue opioid therapy
and should optimize nonopioid therapies.
What should clinicians prescribe when opioids are needed for acute
pain? - ANSWER - No greater quantity than needed for the expected
duration of pain.
When should clinicians evaluate benefits and risks with patients starting
opioid therapy? - ANSWER - Within 1-4 weeks of starting therapy or
dosage escalation.
What should clinicians evaluate before and during opioid therapy? -
ANSWER - Risk for opioid-related harms and discuss these risks with
patients.
What strategy should clinicians incorporate into the management plan
for opioid therapy? - ANSWER - Strategies to mitigate risk, including
offering naloxone.
pg. 2
,3|Page
What data should clinicians review to assess a patient's risk for
overdose? - ANSWER - State prescription drug monitoring program
(PDMP) data.
What caution should clinicians take when prescribing opioids and
benzodiazepines? - ANSWER - Use particular caution and consider
whether benefits outweigh risks of concurrent use.
What treatment should clinicians offer to patients with opioid use
disorder? - ANSWER - Evidence-based medications to treat opioid use
disorder, avoiding detoxing on their own.
What are the main symptoms of cataracts? - ANSWER - Gradually
progressive blurred vision, no pain or redness, and lens opacities.
What are common causes of cataracts? - ANSWER - Aging process,
diabetes, smoking, UV exposure, and corticosteroid treatment.
What is the treatment indicated when cataracts affect daily activities? -
ANSWER - Surgery, specifically extraction and lens implant.
What is the main surgical technique for cataract removal? - ANSWER -
Ultrasonic fragmentation (phacoemulsification) of the lens nucleus.
pg. 3
, 4|Page
What is the prognosis for patients undergoing cataract surgery? -
ANSWER - Patients typically recover very well from cataract surgery.
What risk is associated with the use of alpha-blockers in cataract
surgery? - ANSWER - Greatest risk of floppy iris syndrome.
What are the clinical findings of Dry Eye Syndrome? - ANSWER -
Dryness, redness, foreign body sensation, and variable vision.
What is the indication for laser treatments after cataract surgery? -
ANSWER - If the posterior capsule opacifies months to years after the
initial surgery.
What is the primary method of cataract surgery that reduces
postoperative complications? - ANSWER - Performing surgery through
a small incision without the need for sutures.
What is the significance of topical eyedrops in cataract management? -
ANSWER - They may dissolve or prevent cataracts.
What are early clinical findings of cataracts observable with an
ophthalmoscope? - ANSWER - Lens opacities can be seen, and the
retina becomes increasingly difficult to visualize.
pg. 4
NSG 555 EXAM 1 (WILKES) NEWEST 2026 ACTUAL
EXAM TEST BANK| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 1 REVIEW WITH COMPLETE
300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
What are the first-line medications for neuropathic pain? - ANSWER -
Gabapentin and pregabalin.
What is the recommended dosage for gabapentin? - ANSWER - 100-300
mg once daily, with the ability to titrate up.
What should be avoided in cardiac patients when prescribing SNRIs? -
ANSWER - Venlafaxine due to potential EKG changes.
Which tricyclic antidepressants are recommended for neuropathic pain?
- ANSWER - Nortriptyline and desipramine.
What should not be coprescribed with SNRIs? - ANSWER - Tricyclic
Antidepressants (TCAs).
What is the first recommendation of the CDC pain management
guidelines for opioids? - ANSWER - Nonopioid therapies are at least as
effective as opioids for many acute pains.
pg. 1
,2|Page
What should clinicians do when selecting opioids for patients? -
ANSWER - Select immediate-release opioids first, as they are least
likely to lead to addiction.
What is the recommendation regarding opioid dosage for opioid-naïve
patients? - ANSWER - Prescribe the lowest effective dosage.
What should clinicians do if benefits of opioid therapy do not outweigh
risks? - ANSWER - They should not abruptly discontinue opioid therapy
and should optimize nonopioid therapies.
What should clinicians prescribe when opioids are needed for acute
pain? - ANSWER - No greater quantity than needed for the expected
duration of pain.
When should clinicians evaluate benefits and risks with patients starting
opioid therapy? - ANSWER - Within 1-4 weeks of starting therapy or
dosage escalation.
What should clinicians evaluate before and during opioid therapy? -
ANSWER - Risk for opioid-related harms and discuss these risks with
patients.
What strategy should clinicians incorporate into the management plan
for opioid therapy? - ANSWER - Strategies to mitigate risk, including
offering naloxone.
pg. 2
,3|Page
What data should clinicians review to assess a patient's risk for
overdose? - ANSWER - State prescription drug monitoring program
(PDMP) data.
What caution should clinicians take when prescribing opioids and
benzodiazepines? - ANSWER - Use particular caution and consider
whether benefits outweigh risks of concurrent use.
What treatment should clinicians offer to patients with opioid use
disorder? - ANSWER - Evidence-based medications to treat opioid use
disorder, avoiding detoxing on their own.
What are the main symptoms of cataracts? - ANSWER - Gradually
progressive blurred vision, no pain or redness, and lens opacities.
What are common causes of cataracts? - ANSWER - Aging process,
diabetes, smoking, UV exposure, and corticosteroid treatment.
What is the treatment indicated when cataracts affect daily activities? -
ANSWER - Surgery, specifically extraction and lens implant.
What is the main surgical technique for cataract removal? - ANSWER -
Ultrasonic fragmentation (phacoemulsification) of the lens nucleus.
pg. 3
, 4|Page
What is the prognosis for patients undergoing cataract surgery? -
ANSWER - Patients typically recover very well from cataract surgery.
What risk is associated with the use of alpha-blockers in cataract
surgery? - ANSWER - Greatest risk of floppy iris syndrome.
What are the clinical findings of Dry Eye Syndrome? - ANSWER -
Dryness, redness, foreign body sensation, and variable vision.
What is the indication for laser treatments after cataract surgery? -
ANSWER - If the posterior capsule opacifies months to years after the
initial surgery.
What is the primary method of cataract surgery that reduces
postoperative complications? - ANSWER - Performing surgery through
a small incision without the need for sutures.
What is the significance of topical eyedrops in cataract management? -
ANSWER - They may dissolve or prevent cataracts.
What are early clinical findings of cataracts observable with an
ophthalmoscope? - ANSWER - Lens opacities can be seen, and the
retina becomes increasingly difficult to visualize.
pg. 4
