NR 566 FINAL EXAM & VERIFIED
CORRECT ANSWERS 100%
A person with what type of condition should not take echinacea? - correct answer
✔✔Prolonged use should be avoided in those who are immunocompromised including HIV,
cancer, drug therapy for TB, RA, and SLE
Therapeutic effect of coenzyme Q-10 - correct answer ✔✔Antioxidant that serves a vital role in
cellular energy production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? - correct answer ✔✔Categorizes botanical
products (herbal supplements), vitamins, minerals as dietary (food) supplements rather than
drugs. By classifying products as dietary supplements the DSHEA excepts them from undergoing
FDA scrutiny and approval before marketing. DSHEA does impose restrictions with labeling. All
herbal products must be labeled as dietary supplements.
Ginkgo Biloba adverse effects - correct answer ✔✔stomach upset, headache, dizziness, vertigo.
Some reports of spontaneous bleeding. Incorrect ingestion can lead to seizures and fatalities (if
you eat seeds)
Kava adverse effects - correct answer ✔✔can cause severe liver injury (ABSOUTELY
contraindicated in hepatotoxicity.
Patient education about administration/consumption about flaxseed - correct answer
✔✔Flaxseed can reduce absorption of conventional medications so it should be taken 1 hour
before or 2 hours after these drugs
,Therapeutic effect of feverfew (dietary supplement) - correct answer ✔✔Used primarily for
migraine prophylaxis, seasonal allergies, asthma, RA, and psoriasis
St. Johns wort adverse effects - correct answer ✔✔insomnia, vivid dreams, restlessness, anxiety,
agitation, irritability, abdominal pain, dry mouth, headache
Ginger root adverse effects - correct answer ✔✔CNS depression and cardiac dysrhythmias.
Excessive doses can cause GI side effects
Current good manufacturing practices (CGMP) ruling of 2007 - correct answer ✔✔This ruling
ensures that a product contains what the label proclaims - the package contains ingredients that
are listed and does not lack any.
Set of standards to regulate the manufacturing and labeling of dietary supplements set for by
the FDA. Designed to ensure that dietary supplements be devoid of adulterants, contaminants,
and impurities and tha package labels accurately reflect the identity, purity, quality, and strength
of what is inside. In addition, the label should indicate not only active ingredients but also
inactive ingredients. Also mandates that mfr establish quality-control procedures with the
objective of preventing mislabeled, underfilled, or overfilled formulations, variations in tablet
size, color, or potency; and contamination with drugs, bacteria, pesticides, glass, lead, and other
potential contaminants.
Dietary supplement and non-prescription drug consumer protection act of 2006 - correct
answer ✔✔mandates the reporting of serious averse events for non-prescription drugs and
dietary supplements. The following should be reported: deaths, hospitalizations, life-
threatening experiences, persistent or significant disabilities and birth defects
First line treatment for primary, secondary, or early latent syphilis - correct answer
✔✔Benzathine penicillin G 2.4 million units IM once
First line treatment for bacterial vaginosis (BV) - correct answer ✔✔Metronidazole 500 mg PO
BID X 7 days
, First line treatment for genital herpes (first clinical episode) - correct answer ✔✔acyclovir 400
mg PO TID x 7-10 days or acyclovir 200 mg PO 5 times a day for 7-10 days or famciclovir 250 mg
PO TID/day for 7-10 days or valacyclovir 1G PO 2 times/day for 7-10 days
Patient teaching and response to delayed onset of therapeutic effect for dutasteride - correct
answer ✔✔"I cannot donate blood while taking this medication" (men should not donate blood
for at least 6 months after stopping to avoid transmission to women through administration of
blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? - correct answer ✔✔symptom improvement and
increased urinary flow develop rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives - correct answer ✔✔Irregular bleeding
slightly safer than combination but less effective and more likely to cause irregular bleeding,
spotting, amenorrhea, inconsistent cycle lengths, variations in volume and duration of monthly
flow
Outpatient treatment with pelvic inflammatory disease (PID) - correct answer ✔✔doxycycline
100 mg PO BID x 14 days plus either cefoxitin 2 G IM once or ceftriaxone 250 mg IM once with
or without metronidazole 500 mg PO BID x 14 days
Benefits of prescribing medroxyprogesterone acetate - correct answer ✔✔reduces risk of
endometrial cancer
No increase in the risk for cervical, ovarian, or breast cancer
CORRECT ANSWERS 100%
A person with what type of condition should not take echinacea? - correct answer
✔✔Prolonged use should be avoided in those who are immunocompromised including HIV,
cancer, drug therapy for TB, RA, and SLE
Therapeutic effect of coenzyme Q-10 - correct answer ✔✔Antioxidant that serves a vital role in
cellular energy production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? - correct answer ✔✔Categorizes botanical
products (herbal supplements), vitamins, minerals as dietary (food) supplements rather than
drugs. By classifying products as dietary supplements the DSHEA excepts them from undergoing
FDA scrutiny and approval before marketing. DSHEA does impose restrictions with labeling. All
herbal products must be labeled as dietary supplements.
Ginkgo Biloba adverse effects - correct answer ✔✔stomach upset, headache, dizziness, vertigo.
Some reports of spontaneous bleeding. Incorrect ingestion can lead to seizures and fatalities (if
you eat seeds)
Kava adverse effects - correct answer ✔✔can cause severe liver injury (ABSOUTELY
contraindicated in hepatotoxicity.
Patient education about administration/consumption about flaxseed - correct answer
✔✔Flaxseed can reduce absorption of conventional medications so it should be taken 1 hour
before or 2 hours after these drugs
,Therapeutic effect of feverfew (dietary supplement) - correct answer ✔✔Used primarily for
migraine prophylaxis, seasonal allergies, asthma, RA, and psoriasis
St. Johns wort adverse effects - correct answer ✔✔insomnia, vivid dreams, restlessness, anxiety,
agitation, irritability, abdominal pain, dry mouth, headache
Ginger root adverse effects - correct answer ✔✔CNS depression and cardiac dysrhythmias.
Excessive doses can cause GI side effects
Current good manufacturing practices (CGMP) ruling of 2007 - correct answer ✔✔This ruling
ensures that a product contains what the label proclaims - the package contains ingredients that
are listed and does not lack any.
Set of standards to regulate the manufacturing and labeling of dietary supplements set for by
the FDA. Designed to ensure that dietary supplements be devoid of adulterants, contaminants,
and impurities and tha package labels accurately reflect the identity, purity, quality, and strength
of what is inside. In addition, the label should indicate not only active ingredients but also
inactive ingredients. Also mandates that mfr establish quality-control procedures with the
objective of preventing mislabeled, underfilled, or overfilled formulations, variations in tablet
size, color, or potency; and contamination with drugs, bacteria, pesticides, glass, lead, and other
potential contaminants.
Dietary supplement and non-prescription drug consumer protection act of 2006 - correct
answer ✔✔mandates the reporting of serious averse events for non-prescription drugs and
dietary supplements. The following should be reported: deaths, hospitalizations, life-
threatening experiences, persistent or significant disabilities and birth defects
First line treatment for primary, secondary, or early latent syphilis - correct answer
✔✔Benzathine penicillin G 2.4 million units IM once
First line treatment for bacterial vaginosis (BV) - correct answer ✔✔Metronidazole 500 mg PO
BID X 7 days
, First line treatment for genital herpes (first clinical episode) - correct answer ✔✔acyclovir 400
mg PO TID x 7-10 days or acyclovir 200 mg PO 5 times a day for 7-10 days or famciclovir 250 mg
PO TID/day for 7-10 days or valacyclovir 1G PO 2 times/day for 7-10 days
Patient teaching and response to delayed onset of therapeutic effect for dutasteride - correct
answer ✔✔"I cannot donate blood while taking this medication" (men should not donate blood
for at least 6 months after stopping to avoid transmission to women through administration of
blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? - correct answer ✔✔symptom improvement and
increased urinary flow develop rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives - correct answer ✔✔Irregular bleeding
slightly safer than combination but less effective and more likely to cause irregular bleeding,
spotting, amenorrhea, inconsistent cycle lengths, variations in volume and duration of monthly
flow
Outpatient treatment with pelvic inflammatory disease (PID) - correct answer ✔✔doxycycline
100 mg PO BID x 14 days plus either cefoxitin 2 G IM once or ceftriaxone 250 mg IM once with
or without metronidazole 500 mg PO BID x 14 days
Benefits of prescribing medroxyprogesterone acetate - correct answer ✔✔reduces risk of
endometrial cancer
No increase in the risk for cervical, ovarian, or breast cancer
