A 65-year-old woman presents for a follow-up examina on a er a new pa ent visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medica on. Her mother died at age 40 from a heart a ack. The
fas ng lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addi on to
star ng Therapeu c Lifestyle Changes, the nurse prac oner should start the pa ent on:
1.bile acid sequestrant.
2. a sta n drug.
3. a cholesterol absorp on inhibitor.
4. low-dose aspirin. -correct answers A sta n drug
The most commonly prescribed medica on for mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). -correct answers ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
,3. itching in the vaginal area.
4. molluscum contagiosum. -correct answers postcoital bleeding
The nurse prac oner prescribes amitriptyline (Elavil) for a pa ent with neuropathic pain
secondary to diabetes mellitus. On follow-up, the pa ent complains of urine reten on and dry
mouth. The prac oner would:
1. discon nue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discon nue amitriptyline and begin gabapen n (Neuron n). -correct answers discon nue
amitriptyline and begin gabapen n (neuron n)
A 17-year-old male with rheumatoid arthri s is being treated with an NSAID and omeprazole
(Prilosec). The pa ent complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1. associated with the omeprazole.
2. related to the underlying condi on.
3. the result of the NSAID.
4. caused by viral gastroenteri s. -correct answers associated with the omeprazole
The medica on of choice for the ini al treatment of juvenile rheumatoid arthri s is:
1. acetaminophen.
2. prednisone.
3. aspirin.
, 4. ibuprofen. -correct answers ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for
a follow-up examina on a er a recent hospitaliza on. It is most important to con nue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dips cks. -correct answers hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse prac oner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the pa ent o en has no money to buy food, despite income from
social security and a coal miner's pension. The nurse prac oner suspects abuse. Which of the
following is the nurse prac oner obligated to do next?
1. Report the case to the proper authori es.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the informa on to risk management.
4. Call the pa ent's family and inquire about the concerns. -correct answers report the case to
proper authori es
In most cases, the first manifesta on of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorienta on in me and place.
4. decrease in long-term memory. -correct answers decrease in short-term memory
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medica on. Her mother died at age 40 from a heart a ack. The
fas ng lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addi on to
star ng Therapeu c Lifestyle Changes, the nurse prac oner should start the pa ent on:
1.bile acid sequestrant.
2. a sta n drug.
3. a cholesterol absorp on inhibitor.
4. low-dose aspirin. -correct answers A sta n drug
The most commonly prescribed medica on for mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). -correct answers ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
,3. itching in the vaginal area.
4. molluscum contagiosum. -correct answers postcoital bleeding
The nurse prac oner prescribes amitriptyline (Elavil) for a pa ent with neuropathic pain
secondary to diabetes mellitus. On follow-up, the pa ent complains of urine reten on and dry
mouth. The prac oner would:
1. discon nue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discon nue amitriptyline and begin gabapen n (Neuron n). -correct answers discon nue
amitriptyline and begin gabapen n (neuron n)
A 17-year-old male with rheumatoid arthri s is being treated with an NSAID and omeprazole
(Prilosec). The pa ent complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1. associated with the omeprazole.
2. related to the underlying condi on.
3. the result of the NSAID.
4. caused by viral gastroenteri s. -correct answers associated with the omeprazole
The medica on of choice for the ini al treatment of juvenile rheumatoid arthri s is:
1. acetaminophen.
2. prednisone.
3. aspirin.
, 4. ibuprofen. -correct answers ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for
a follow-up examina on a er a recent hospitaliza on. It is most important to con nue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dips cks. -correct answers hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine,
but the nurse prac oner notes that she has poor hygiene and bruises on her trunk. The
neighbor is concerned that the pa ent o en has no money to buy food, despite income from
social security and a coal miner's pension. The nurse prac oner suspects abuse. Which of the
following is the nurse prac oner obligated to do next?
1. Report the case to the proper authori es.
2. Tell the neighbor to check on the woman daily and report back.
3. Document the data and report the informa on to risk management.
4. Call the pa ent's family and inquire about the concerns. -correct answers report the case to
proper authori es
In most cases, the first manifesta on of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorienta on in me and place.
4. decrease in long-term memory. -correct answers decrease in short-term memory
