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Leik - FNP Review Test Questions and Answers
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Leik - FNP Review Test Questions and Answers
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Leik - FNP Review Test Questions and AnswersA 33 year old, obese patient with a history of diabetes, hypertension, and migraines comes to
the clinic for a check-up. She recently found out that she was 12 weeks pregnant with her
third child. What medications would the nurse practitioner discontinue immediatly?
a. Metformin
b. Methyldopa
c. Losartan (Cozaar)
d. Sumatriptan (Imatrex) CORRECT ANS-c
ACE/ARBS contraindicated in pregnancy. Usage of ACE inhibitors and ARBs during the second
and third trimesters of pregnancy also causes serious problems, though of a different type.
Used later in pregnancy, these drugs cause serious kidney problems in the baby, including
impaired renal function or kidney failure
Which of the following are preferred hypertensive drug treatments in patients with diabetes
except?
a. Losartan (Cozaar)
b. Benazepril (Lotensin)
c. Atenolol
d. Valsartan (Diovan) CORRECT ANS-c
ACE/ARBS are preferred drugs for hypertension in diabetics and for patients with CKD.
, Leik - FNP Review Test Questions and Answers
A postpartum mother has come to the clinic to assess her blood pressure that was a concern
during her pregnancy. Which of the following questions is important for the nurse practitioner
to ask before starting a treatment plan?
a. "How are you managing your hypertension at home?"
b. "Are you breastfeeding or bottle feeding?"
c. "Have you been diagnosed with postpartum depression?"
d. "What is your diet like?" CORRECT ANS-b
A nurse practitioner needs to find out if a patient is breastfeeding before prescribing a
medication as many medications are excreted in breast milk. ACE/ARBS should be avoided in
breast feeding mothers.
The most commonly reported side effect of Verapamil (Calan) is:
a. Fatigue
b. Muscle aches
c. Constipation
d. Irritability CORRECT ANS-c
the most common complaint of verapamil (calan), a CCB, is constipation. 25% of patients
report constipation.
What is the initial therapy for a patient with hypertension and coexisting benign prostatic
hyperplasia?
, Leik - FNP Review Test Questions and Answers
a. Beta-blockers
b. CCB
c. Alpha-blockers
d. ACEI CORRECT ANS-c
Alpha blockers are the initial therapy for symptomatic BPH. (Terazosin/hytrin or
Doxazosin/cardura)
Which class of medications may cause permanent discoloration of teeth and skeletal defects if
taken by children younger than 9?
a. Macrolides
b. Tetracyclines
c. Fluoroquinolones
c. Cephlasporins CORRECT ANS-b
Skeletal defects can occur if taken during last half of pregnancy, in infancy, or children less
than 9. May be used after the age of 13, as all permanent teeth have erupted.
A patient is beginning treatment with Doxycycline for Lyme disease. The nurse practitioner
know that:
a. Severe sunburns can occur.
b. Safe to use in pregnancy.
c. Should be taken with food.
, Leik - FNP Review Test Questions and Answers
d. Does not interfere with oral contraceptive pills. CORRECT ANS-a
Photosensitivity reaction occurs with minimal sunlight exposure; avoid or minimize sunlight
exposure; use sunblock, wide-brim hats, and sunglasses. AVOID in pregnancy, should be taken
on an EMPTY stomach, and can interfere with oral contraceptive pills.
What category are most macrolides considered in pregnancy?
a. A
b. B
c. C
d. D CORRECT ANS-b
Most macrolides are category B EXCEPT clarithyromycin and telithromycin (both are C - AVOID
IN PREGNANCY).
A patient has been diagnosed with pharyngitis. She has had a severe reaction penicillin, which
required hospitalization. Which of the following antibiotic should also be avoided as a result
of this reaction except?
a. Augmentin (Amoxicillin/clavulanic acid)
b. Cephalexin (Keflex)
c. Azithromycin
d. Ceftriazone (Rocephin) CORRECT ANS-c
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