Questions and Verified Answers
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1. The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin)
Answer> discontinue amitriptyline and begin gabapentin (neurontin)
2. A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.
These symptoms are most likely:
1. associated with the omeprazole.
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2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis
Answer> associated with the omeprazole
3. The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen
Answer> ibuprofen
4. A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks
Answer> hemoglobin levels
5. A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene and
bruises on her trunk. The neighbor is concerned that the patient often has no money to
,3. Document the data and report the information to risk management.
4. Call the patient's family and inquire about the concerns
Answer> report the case to proper authorities
A 65-year-old woman presents for a follow-up examination after a new
patient visit. She has not seen a healthcare provider for several years. She is a smoker
and her hypertension is now adequately controlled with medication. Her mother died
at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL,
HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the
nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin
Answer> A statin drug
7. The most commonly prescribed medication for mild systemic lupus erythe- matosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan)
Answer> ibuprofen (advil)
8. The most common sign of cervical cancer is:
1. postcoital bleeding.
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9. In most cases, the first manifestation of Alzheimer's disease is:
1. impaired judgment.
2. decrease in short-term memory.
3. disorientation in time and place.
4. decrease in long-term memory
Answer> decrease in short-term memory
10. The optimal treatment for latent tuberculosis is:
1. rifampin (Rifadin) for 5 months.
2. isoniazid (Nydrazid) for 9 months.
3. pyrazinamide for 6 months.
4. ethambutol for 6 months
Answer> osioniazid (nydrazid) for 9 months
11. Unilateral spontaneous serous or serosanguineous discharge from a sin- gle duct
of a breast is most often caused by:
1. intraductal papilloma.
2. mucinous breast lesions.
3. Paget's disease.
4. ductal carcinoma in situ
Answer> intraductal papilloma
12. A young child with asthma presents for follow-up evaluation. After nu- merous