Pharmacotherapeutics for Advanced Practice
Nurse Prescribers Exam Test 2.
Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and her only
B B B B B B B B B B B B B B
medication is an oral combined contraceptive. Patricia's education would include:
B B B B B B B B B B
1. Use a back-up method of birth control (condom) until her next menses.
B B B B B B B B B B B B
2. Doxycycline may cause tendonitis and she should report any joint pain.
B B B B B B B B B B B
3. Her partner will need treatment if her infection doesn't clear with the doxycycline.
B B B B B B B B B B B B B
4. Doxycycline is used for one-dose treatment of STIs; take the whole prescription at once. - ANS >> 1
B B B B B B B B B B B B B B B B B B
When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient education would include:
B B B B B B B B B B B
1. Metronidazole is safe in the first trimester of pregnancy.
B B B B B B B B B
2. Consuming alcohol in any form may cause a severe reaction.
B B B B B B B B B B
3. Sexual partners need concurrent therapy.
B B B B B
4. Headaches are a sign of a serious adverse reaction and need immediate evaluation. - ANS >> 2
B B B B B B B B B B B B B B B B B
The treatment goals when treating urinary tract infection (UTI) include:
B B B B B B B B B
1. Eradication of infecting organism
B B B B
2. Relief of symptoms
B B B
3. Prevention of recurrence of the UTI
B B B B B B
4. All of the above - ANS >> 4
B B B B B B B B
Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of
B B B B B B B B B B B B B B B B B
antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice
B B B B B B B B B B B B B B B
for her would be:
B B B B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Levofloxacin - ANS >> 2
B B B B B
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug
B B B B B B B B B B B B B B B B B
Ballergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:
B B B B B B B B B B B B B B B B
,1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Ciprofloxacin - ANS >> 4
B B B B B
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary
B B B B B B B B B B B B B B B B
Btract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI
B B B B B B B B B B B B B B B
Bwould be: B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Amoxicillin
B
4. Ciprofloxacin - ANS >> 3
B B B B B
Which of the following patients may be treated with a 3-day course of therapy for their urinary tract
B B B B B B B B B B B B B B B B B
infection?
B
1. Juanita, a 28-year-old pregnant woman
B B B B B
2. Sally, a 16-year-old healthy adolescent
B B B B B
3. Jamie, a 24-year-old female
B B B B
4. Suzie, a 26-year-old diabetic - ANS >> 3
B B B B B B B B
Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and
B B B B B B B B B B B B B B B B
has no drug allergies. Appropriate initial therapy for her UTI would be:
B B B B B B B B B B B B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Ciprofloxacin - ANS >> 3
B B B B B
Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:
B B B B B B B B B B B B B B
1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture 2 months after completion of therapy - ANS >> 1
B B B B B B B B B B B B B
Monitoring for a child who has had a urinary tract infection is:
B B B B B B B B B B B
, 1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture 2 months after completion of therapy - ANS >> 2
B B B B B B B B B B B B B
Monitoring for a pregnant woman who has had a urinary tract infection is:
B B B B B B B B B B B B
1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture every 2 weeks until delivery - ANS >> 4
B B B B B B B B B B B B
Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had
B B B B B B B B B B B B B B
a urinary tract infection includes:
B B B B B
1. Increasing her intake of vitamin C-containing orange juice
B B B B B B B B
2. Voiding 10 to 15 minutes after intercourse
B B B B B B B
3. Avoiding ingesting urinary irritants, such as asparagus
B B B B B B B
4. All of the above - ANS >> 2
B B B B B B B B
Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is
B B B B B B B B B B B B B B B B
asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give
B B B B B B B B B B B B B B B B B
her would be:
B B B
1. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
B B B B B B B B B B B
2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
B B B B B B B B B B B B B
3. There is no evidence that cranberry juice helps prevent UTIs.
B B B B B B B B B B
4. Cranberry juice only works to prevent UTIs in children. - ANS >> 2
B B B B B B B B B B B B B
When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red, itchy rash consistent
B B B B B B B B B B B B B B B
with a hypersensitivity reaction. He now has athlete's foot again. What would be a good choice of
B B B B B B B B B B B B B B B B B
antifungal for Sam?
B B B
1. Miconazole (Micatin) powder
B B B
2. Ketoconazole (Nizoral) cream
B B B
3. Terbinafine (Lamisil) cream
B B B
Nurse Prescribers Exam Test 2.
Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and her only
B B B B B B B B B B B B B B
medication is an oral combined contraceptive. Patricia's education would include:
B B B B B B B B B B
1. Use a back-up method of birth control (condom) until her next menses.
B B B B B B B B B B B B
2. Doxycycline may cause tendonitis and she should report any joint pain.
B B B B B B B B B B B
3. Her partner will need treatment if her infection doesn't clear with the doxycycline.
B B B B B B B B B B B B B
4. Doxycycline is used for one-dose treatment of STIs; take the whole prescription at once. - ANS >> 1
B B B B B B B B B B B B B B B B B B
When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient education would include:
B B B B B B B B B B B
1. Metronidazole is safe in the first trimester of pregnancy.
B B B B B B B B B
2. Consuming alcohol in any form may cause a severe reaction.
B B B B B B B B B B
3. Sexual partners need concurrent therapy.
B B B B B
4. Headaches are a sign of a serious adverse reaction and need immediate evaluation. - ANS >> 2
B B B B B B B B B B B B B B B B B
The treatment goals when treating urinary tract infection (UTI) include:
B B B B B B B B B
1. Eradication of infecting organism
B B B B
2. Relief of symptoms
B B B
3. Prevention of recurrence of the UTI
B B B B B B
4. All of the above - ANS >> 4
B B B B B B B B
Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of
B B B B B B B B B B B B B B B B B
antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice
B B B B B B B B B B B B B B B
for her would be:
B B B B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Levofloxacin - ANS >> 2
B B B B B
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug
B B B B B B B B B B B B B B B B B
Ballergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:
B B B B B B B B B B B B B B B B
,1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Ciprofloxacin - ANS >> 4
B B B B B
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary
B B B B B B B B B B B B B B B B
Btract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI
B B B B B B B B B B B B B B B
Bwould be: B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Amoxicillin
B
4. Ciprofloxacin - ANS >> 3
B B B B B
Which of the following patients may be treated with a 3-day course of therapy for their urinary tract
B B B B B B B B B B B B B B B B B
infection?
B
1. Juanita, a 28-year-old pregnant woman
B B B B B
2. Sally, a 16-year-old healthy adolescent
B B B B B
3. Jamie, a 24-year-old female
B B B B
4. Suzie, a 26-year-old diabetic - ANS >> 3
B B B B B B B B
Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and
B B B B B B B B B B B B B B B B
has no drug allergies. Appropriate initial therapy for her UTI would be:
B B B B B B B B B B B B
1. Azithromycin
B
2. Trimethoprim/sulfamethoxazole
B
3. Ceftriaxone
B
4. Ciprofloxacin - ANS >> 3
B B B B B
Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:
B B B B B B B B B B B B B B
1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture 2 months after completion of therapy - ANS >> 1
B B B B B B B B B B B B B
Monitoring for a child who has had a urinary tract infection is:
B B B B B B B B B B B
, 1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture 2 months after completion of therapy - ANS >> 2
B B B B B B B B B B B B B
Monitoring for a pregnant woman who has had a urinary tract infection is:
B B B B B B B B B B B B
1. Symptom resolution in 48 hours
B B B B B
2. Follow-up urine culture at completion of therapy
B B B B B B B
3. "Test of cure" urinary analysis at completion of therapy
B B B B B B B B B
4. Follow-up urine culture every 2 weeks until delivery - ANS >> 4
B B B B B B B B B B B B
Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had
B B B B B B B B B B B B B B
a urinary tract infection includes:
B B B B B
1. Increasing her intake of vitamin C-containing orange juice
B B B B B B B B
2. Voiding 10 to 15 minutes after intercourse
B B B B B B B
3. Avoiding ingesting urinary irritants, such as asparagus
B B B B B B B
4. All of the above - ANS >> 2
B B B B B B B B
Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is
B B B B B B B B B B B B B B B B
asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give
B B B B B B B B B B B B B B B B B
her would be:
B B B
1. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
B B B B B B B B B B B
2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
B B B B B B B B B B B B B
3. There is no evidence that cranberry juice helps prevent UTIs.
B B B B B B B B B B
4. Cranberry juice only works to prevent UTIs in children. - ANS >> 2
B B B B B B B B B B B B B
When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red, itchy rash consistent
B B B B B B B B B B B B B B B
with a hypersensitivity reaction. He now has athlete's foot again. What would be a good choice of
B B B B B B B B B B B B B B B B B
antifungal for Sam?
B B B
1. Miconazole (Micatin) powder
B B B
2. Ketoconazole (Nizoral) cream
B B B
3. Terbinafine (Lamisil) cream
B B B
