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ATI PHARMACOLOGY – FNP RETAKE EXAM/PHARMACOLOGY ATI FNP RETAKE EXAM
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ATI PHARMACOLOGY – FNP RETAKE EXAM/PHARMACOLOGY ATI FNP RETAKE EXAM
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ATI PHARMACOLOGY – FNP RETAKEEXAM/PHARMACOLOGY ATI FNP
RETAKE EXAM 2022-2023
68 year-old male of hispanic descent has recently been discharged from hospital with
dx of stroke secondary to VTE, DVT, and type 2 DM. Medications are listed on dc note
as warfarin 5mg every Mon/Wed/Fri/Sun. metformin 1g BID and ASA 325mg daily.
Which is correct INR value for this pt?
A. INR 1.5-2.5
B. INR 2.0- 3.0
C. INR 2.5-3.5
D. INR 3.0-4.0 -CORRECT ANSWER-- B. INR 2.0-3.0
Goal INR of stroke pt is 2.0-3.0. This is most common INR value and also true for AFIB
Elderly pt with hx of severe mitral regurgitation has surgery for placement of a prosthetic
mitral valve. Which is the correct IBR value?
A. INR 1.5-2.5
B. INR 2.0-3.0
C. INR 2.5-3.5
D. INR 3.0-4.0 -CORRECT ANSWER-- C. INR 2.5-3.5
ACC/AHA guidelines for anticoagulation of pts with prosthetic valves suggest INR of
2.5-3.5. They are at higher risk of blood clots because of prosthetic valves
Which of the following is an adverse effect from nondihydropyridine CCBs?
A. Hyperkalemia
B. Hypertriglyceridemia
C. Hyperuricemia
D. Constipation -CORRECT ANSWER-- D. Constipation
Constipation affects up to 25% of pts on nondihydropyridine CCBs (verapamil,
diltiazem). It can be severe in elderly. Important for pt to take a soluble fiber daily,
increase fiber intake, walk daily, and ensure adequate fluid intake.
,When starting elderly pt on Synthroid, the NP must keep in mind the rationale for
beginning with a lower dose because:
A. CNS effects
B. Cardiac effects
C. Renal effects
D. Hepatic effects -CORRECT ANSWER-- B. Cardiac effects
Synthroid should be started on the lowest dose in the elderly because of cardiac effects
including palpitations, tachycardia, anxiety, irritability, elevated BP, flushing and
insomnia
55 yr old woman withRA sees NP. She has taken ibuprofen twice daily for many years.
All of the following organ systems are at risk for damage from chronic NSAID use
except:
A. Cardiovascular
B. MSK
C. Hematopoietic
D. Integumentary -CORRECT ANSWER-- B. MSK
MSK is not damaged by NSAIDs. NSAIDs are used to treat muscle and joint pain.
Systems adversely affects by NSAIDs includ CV, hematopoietic (because ASA affects
platelets) and integumentary (e.g. Stevens-Johnson Syndrome)
Pt newly diagnosed with DM reports severe hives and swollen lips after taking Bactrim
for a bladder infection 2 months ago. Which of the following statements is correct?
A. Pt cannot take any pills in the sulfonylurea class
B. Pt can take some of the pills in the sulfonylurea class
C. Pt can take any of the pills in the sulfonylurea class
D. None of the above -CORRECT ANSWER-- C. Pt can take any of the pills in the
sulfonylurea class
Evidence does not support existence of cross-reactivity between sulfonamide
antimicrobials (e.g. sulfamethoxazole) and nonantimicrobial sulfonamides (e.g.
furosemide, thiazide diuretics, sulfonylurea hypoglycemics, protease inhibitors)
This is due to the differences in their sulfa metabolites. The exception is sulfasalazine, a
DMARD which can cause cross reaction
Elderly pt presents with a new onset of sleepiness, weight gain of 10 lbs in a month,
xerosis, and anomia. Free T4 is 0.8ng/dL, TSH is 7.2mU/L and MMSE has score of 28.
Which medication will the NP prescribe?
A. Levothyroxine (Synthroid)
B. Propylthiouracil (Tapazole)
C. Memantine (Namenda)
D. Carbidopa-levadopa (Sinemet) -CORRECT ANSWER-- B. Levothyroxine (Synthroid)
, Pt presents with signs of subclinical hypothyroidism - free T4 is normal and the TSH is
elevated. Normal free T4 ranges from 0.8 to 1.8 and a normal TSH range is 0.4-
4.0mU/L. Pt may be stated on a low dose of levothyroxine (usually 25mcg/day)
Propylthiouracil (PTU) is used for HYPER thyroidism
(signs include insomnia, tachycardia, increased BP and weight loss.
Memantine - used for dementia in Alzheimer's disease.
Carbidopa-levodopa (sinemet) is tx for Parkinson's disease
Which of the following SSRIs is most likely to cause erectile dysfunction?
A. Paroextine (Paxil)
B. Escitalopram (Lexapro)
C. Venlafaxine (Effexor)
D. Amitriptyline (Elavil) -CORRECT ANSWER-- A. Paroxetine (Paxil)
Ecsitalopram is also an SSRI but more likely to caused serotonin syndrome
Venlafaxine (Effexor) is a SNRI
Amitriptyline is a TCA
A young adult with myasthenia gravis is diagnosed with pertussis. Which abx is
contradindicated in a patient with this condition?
A. Erythyromycin
B. Doxycycline
C. Clarithromycin
D. Azithromycin -CORRECT ANSWER-- A. Erythromycin
Erythromycin and teluithromycin are contraindicated in patients with myasthenia gravis
because of potential respiratory collapse. ABX that are safe to prescribe for a patient
with MG are pertussis are aszithromycin and clarithromycin. Doxycycline is not
indicated for the tx of pertussis.
A possible side effects from the use of nifedipine (Procardia XL) is
A. Hyperuricemia & hypoglycemia
B. Hyperkalemia and angioedema
C. Edema of the ankles and headache
D. Dry hacking cough -CORRECT ANSWER-- C. Edema of the ankles and headache
Common side effects of calcium channel blockers such as nifedipine include edema of
the ankles, dizziness, headaches, flushing, and weakne4ss.
ACE inhibitors tend to have side effects of angioedema and a dry hacking cough
Diuretics can cause hypokalemia and hyperuricemia
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