NR 568 Advanced
Gerontology Primary Care
NR 568 Week 8 Final Exam with
correct answers and explanations
Secure your A+ success for NR 568 Week 8 Final Exam with our exam resources,
designed specifically for Chamberlain University’s Advanced Pharmacology for Adult-
Gerontology Primary Care Nurse Practitioner course. Packed with high-yield content,
accurate answers, and detailed rationales, this comprehensive resource helps you boost
your exam preparation confidence. Our this exam resource is your key to success in NR
568 final exam preparation. Download now and take the next step toward becoming a
confident, competent NP!
, 1.
How does hormone therapy aid osteoporosis?
Answer: Estrogen therapy decreases bone resorption and helps maintain bone density.
Explanation: Estrogen slows osteoclast activity, reducing bone loss after menopause and lowering fracture risk.
2. When should progestin be used for hormone replacement therapy?
Answer: Progestin should be used in women with an intact uterus.
Explanation: Estrogen alone can overstimulate the endometrium, increasing the risk of endometrial cancer. Progestin protects the
uterine lining.
3. When should progestin NOT be used for hormone replacement therapy?
Answer: Progestin is not needed after hysterectomy.
Explanation: Without a uterus, there is no risk of endometrial hyperplasia from estrogen therapy.
4. When should local estrogen be used?
Answer: Local estrogen is used for vaginal dryness, itching, and painful intercourse.
Explanation: Vaginal estrogen delivers medication directly to affected tissues with minimal systemic effects.
5. When should systemic estrogen be used?
Answer: Systemic estrogen is used for hot flashes, night sweats, and osteoporosis prevention.
Explanation: Systemic therapy treats whole-body menopausal symptoms rather than just local vaginal symptoms.
6. What is the purpose of peri-menopausal estrogen therapy?
Answer: To reduce vasomotor symptoms and regulate menstrual changes.
Explanation: Estrogen stabilizes hormonal fluctuations occurring during the transition to menopause.
7. Which form of estrogen therapy has fewer ADRs?
Answer: Transdermal estrogen patches.
Explanation: Transdermal delivery bypasses first-pass liver metabolism, lowering risks such as clot formation.
8. What medication is used for osteoporosis, osteopenia, and HRT?
Answer: Raloxifene.
Explanation: Raloxifene is a selective estrogen receptor modulator (SERM) that improves bone density without stimulating breast or
uterine tissue.
9. How to change patient from one OC to another?
Answer: Start the new pack immediately after finishing the old pack.
Explanation: No gap prevents ovulation and maintains contraceptive protection.
10. When is the best time in cycle to start new OC?
Answer: First day of menses or first Sunday after menstruation starts.
Explanation: Starting during menstruation ensures the patient is not pregnant and provides quicker contraceptive effectiveness.
Gerontology Primary Care
NR 568 Week 8 Final Exam with
correct answers and explanations
Secure your A+ success for NR 568 Week 8 Final Exam with our exam resources,
designed specifically for Chamberlain University’s Advanced Pharmacology for Adult-
Gerontology Primary Care Nurse Practitioner course. Packed with high-yield content,
accurate answers, and detailed rationales, this comprehensive resource helps you boost
your exam preparation confidence. Our this exam resource is your key to success in NR
568 final exam preparation. Download now and take the next step toward becoming a
confident, competent NP!
, 1.
How does hormone therapy aid osteoporosis?
Answer: Estrogen therapy decreases bone resorption and helps maintain bone density.
Explanation: Estrogen slows osteoclast activity, reducing bone loss after menopause and lowering fracture risk.
2. When should progestin be used for hormone replacement therapy?
Answer: Progestin should be used in women with an intact uterus.
Explanation: Estrogen alone can overstimulate the endometrium, increasing the risk of endometrial cancer. Progestin protects the
uterine lining.
3. When should progestin NOT be used for hormone replacement therapy?
Answer: Progestin is not needed after hysterectomy.
Explanation: Without a uterus, there is no risk of endometrial hyperplasia from estrogen therapy.
4. When should local estrogen be used?
Answer: Local estrogen is used for vaginal dryness, itching, and painful intercourse.
Explanation: Vaginal estrogen delivers medication directly to affected tissues with minimal systemic effects.
5. When should systemic estrogen be used?
Answer: Systemic estrogen is used for hot flashes, night sweats, and osteoporosis prevention.
Explanation: Systemic therapy treats whole-body menopausal symptoms rather than just local vaginal symptoms.
6. What is the purpose of peri-menopausal estrogen therapy?
Answer: To reduce vasomotor symptoms and regulate menstrual changes.
Explanation: Estrogen stabilizes hormonal fluctuations occurring during the transition to menopause.
7. Which form of estrogen therapy has fewer ADRs?
Answer: Transdermal estrogen patches.
Explanation: Transdermal delivery bypasses first-pass liver metabolism, lowering risks such as clot formation.
8. What medication is used for osteoporosis, osteopenia, and HRT?
Answer: Raloxifene.
Explanation: Raloxifene is a selective estrogen receptor modulator (SERM) that improves bone density without stimulating breast or
uterine tissue.
9. How to change patient from one OC to another?
Answer: Start the new pack immediately after finishing the old pack.
Explanation: No gap prevents ovulation and maintains contraceptive protection.
10. When is the best time in cycle to start new OC?
Answer: First day of menses or first Sunday after menstruation starts.
Explanation: Starting during menstruation ensures the patient is not pregnant and provides quicker contraceptive effectiveness.
