NURSING EXAMS
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NURSE WISEMAN 2026/2027 MEDICINE
,NURS 615 Exam 4 Review
Pharmacotherapeutics Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
PPI long term consequences -
ANSWER✅✅osteoporosis, B 12 and iron deficiency
Peptic ulcer disease and H-pylori treatment -
ANSWER✅✅Triple therapy: PPI twice a day, Amoxicillin
1gm BID or metronidazole, Clarithromycin 500mg daily
for 7-14 days (10 days to 2 weeks recommended), then
continue with PPI for 8-12 weeks
Step down with GERD - ANSWER✅✅Standard dose
PPI x 8 weeks. If not resolved, double PPI dose for 4-8
weeks. After 4 weeks a lower dose of PPI is tried, if no
relief after 8 weeks daily PPI then refer to GI. Step down
to lowest PPI dose or transition to H2RA blocker if
symptoms are not relieved.
Second line therapy for GERD if first line fails -
ANSWER✅✅quadruple therapy: PPI bid,
, metronidazole, tetracycline, bismuth subsalicylate x 14
days
Step up therapy for GERD - ANSWER✅✅Lifestyle
changes, antacids, H2RA, PPI
Next step if GERD patient is on PPI - ANSWER✅✅If
the patient is already on a once daily PPI, increase to BID.
If no improvement, referral to GI for endoscopy.
Recommendation for travelers diarrhea -
ANSWER✅✅bismuth salicylate
Next step after treating H. Pylori - ANSWER✅✅Take
PPI for 8-12 weeks
Monitoring parameters for chronic long term proton
pump therapy - ANSWER✅✅Anemia, osteoporosis,
iron, B12, calcium, magnesium
How metoclopramide improves GERD symptoms -
ANSWER✅✅It increases lower esophageal tone due to
• Nursing Exam Prep Made Easy — Get
Your Documents Today!
NURSE WISEMAN 2026/2027 MEDICINE
,NURS 615 Exam 4 Review
Pharmacotherapeutics Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
PPI long term consequences -
ANSWER✅✅osteoporosis, B 12 and iron deficiency
Peptic ulcer disease and H-pylori treatment -
ANSWER✅✅Triple therapy: PPI twice a day, Amoxicillin
1gm BID or metronidazole, Clarithromycin 500mg daily
for 7-14 days (10 days to 2 weeks recommended), then
continue with PPI for 8-12 weeks
Step down with GERD - ANSWER✅✅Standard dose
PPI x 8 weeks. If not resolved, double PPI dose for 4-8
weeks. After 4 weeks a lower dose of PPI is tried, if no
relief after 8 weeks daily PPI then refer to GI. Step down
to lowest PPI dose or transition to H2RA blocker if
symptoms are not relieved.
Second line therapy for GERD if first line fails -
ANSWER✅✅quadruple therapy: PPI bid,
, metronidazole, tetracycline, bismuth subsalicylate x 14
days
Step up therapy for GERD - ANSWER✅✅Lifestyle
changes, antacids, H2RA, PPI
Next step if GERD patient is on PPI - ANSWER✅✅If
the patient is already on a once daily PPI, increase to BID.
If no improvement, referral to GI for endoscopy.
Recommendation for travelers diarrhea -
ANSWER✅✅bismuth salicylate
Next step after treating H. Pylori - ANSWER✅✅Take
PPI for 8-12 weeks
Monitoring parameters for chronic long term proton
pump therapy - ANSWER✅✅Anemia, osteoporosis,
iron, B12, calcium, magnesium
How metoclopramide improves GERD symptoms -
ANSWER✅✅It increases lower esophageal tone due to
