1
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,Question 6: A parent calls a clinic for advice about giving an over-the-counter cough medicine to
a 6-year-old child. The parent tells the NP that the medication label does not give instructions
about how much to give a child. The NP should:
a. order a prescription antitussive medication for the child.
b. ask the parent to identify all of the ingredients listed on the medication label.
c. calculate the dose for the active ingredient in the over-the-counter preparation.
d. tell the parent to approximate the dose at about one third to one half the adult dose.
Question 7: A patient who has disabling intermittent claudication is not a candidate for surgery.
Which of the following medications should the primary care NP prescribe to treat this patient?
a. Cilostazol (Pletal)
b. Warfarin (Coumadin)
c. Pentoxifylline (Trental)
d. Low-dose, short-term aspirin
Question 8: The primary care NP prescribes an extended-cycle monophasic pill regimen for a
young woman who reports having multiple partners. Which statement by the patient indicates
she understands the regimen?
a. "I have to take a pill only every 3 months."
b. "I should expect to have only four periods each year."
c. "I will need to use condoms for only 7 more days."
d. "This type of pill has fewer side effects than other types."
, Question 9: The primary care NP prescribes an inhaled corticosteroid for a patient who has
asthma. The third-party payer for this patient denies coverage for the brand that comes in the
specific strength the NP prescribes. The NP should:
a. provide pharmaceutical company samples of the medication for the patient.
b. inform the patient that the drug must be paid for out of pocket because it is not covered.
c. order the closest formulary-approved approximation of the drug and monitor effectiveness.
d. write a letter of medical necessity to the insurer to explain the need for this particular
medication.
Question 10: A primary care NP prescribes levothyroxine for a patient to treat thyroid
deficiency. When teaching this patient about the medication, the NP should:
a. counsel the patient to take the medication with food.
b. tell the patient that changing brands of the medication should be avoided.
c. instruct the patient to stop taking the medication if signs of thyrotoxicosis occur.
d. tell the patient that the drug may be stopped when thyroid function tests stabilize.
Question 11: A patient who has had four to five liquid stools per day for 4 days is seen by the
primary care NP. The patient asks about medications to stop the diarrhea. The NP tells the
patient that antidiarrheal medications are:
a. not curative and may prolong the illness.
b. useful in cases of acute infection with elevated temperature.
c. most beneficial when symptoms persist longer than 2 weeks.
d. useful when other symptoms, such as hematochezia, develop.
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,Question 6: A parent calls a clinic for advice about giving an over-the-counter cough medicine to
a 6-year-old child. The parent tells the NP that the medication label does not give instructions
about how much to give a child. The NP should:
a. order a prescription antitussive medication for the child.
b. ask the parent to identify all of the ingredients listed on the medication label.
c. calculate the dose for the active ingredient in the over-the-counter preparation.
d. tell the parent to approximate the dose at about one third to one half the adult dose.
Question 7: A patient who has disabling intermittent claudication is not a candidate for surgery.
Which of the following medications should the primary care NP prescribe to treat this patient?
a. Cilostazol (Pletal)
b. Warfarin (Coumadin)
c. Pentoxifylline (Trental)
d. Low-dose, short-term aspirin
Question 8: The primary care NP prescribes an extended-cycle monophasic pill regimen for a
young woman who reports having multiple partners. Which statement by the patient indicates
she understands the regimen?
a. "I have to take a pill only every 3 months."
b. "I should expect to have only four periods each year."
c. "I will need to use condoms for only 7 more days."
d. "This type of pill has fewer side effects than other types."
, Question 9: The primary care NP prescribes an inhaled corticosteroid for a patient who has
asthma. The third-party payer for this patient denies coverage for the brand that comes in the
specific strength the NP prescribes. The NP should:
a. provide pharmaceutical company samples of the medication for the patient.
b. inform the patient that the drug must be paid for out of pocket because it is not covered.
c. order the closest formulary-approved approximation of the drug and monitor effectiveness.
d. write a letter of medical necessity to the insurer to explain the need for this particular
medication.
Question 10: A primary care NP prescribes levothyroxine for a patient to treat thyroid
deficiency. When teaching this patient about the medication, the NP should:
a. counsel the patient to take the medication with food.
b. tell the patient that changing brands of the medication should be avoided.
c. instruct the patient to stop taking the medication if signs of thyrotoxicosis occur.
d. tell the patient that the drug may be stopped when thyroid function tests stabilize.
Question 11: A patient who has had four to five liquid stools per day for 4 days is seen by the
primary care NP. The patient asks about medications to stop the diarrhea. The NP tells the
patient that antidiarrheal medications are:
a. not curative and may prolong the illness.
b. useful in cases of acute infection with elevated temperature.
c. most beneficial when symptoms persist longer than 2 weeks.
d. useful when other symptoms, such as hematochezia, develop.
