1. The primary care NP sees a patient covered by Medicaid, writes a prescription for a
medication, and is informed by the pharmacist that the medication is “off-formulary.” The NP
should: (Points : 2)
inform the patient that an out-of-pocket expense will be necessary.
write the prescription for a generic drug if it meets the patient’s needs.
call the patient’s insurance provider to advocate for this particular drug.
contact the pharmaceutical company to see if medication samples are available.
Question 2.2. A patient asks a primary care nurse practitioner (NP) about using over-the-
counter medications to treat an upper respiratory infection with symptoms of cough, fever,
and nasal congestion. The NP should: (Points : 2)
recommend a cough preparation that also contains acetaminophen.
suggest using single-ingredient products to treat each symptom separately.
recommend a product containing antitussive, antipyretic, and decongestant
ingredients.
tell the patient that over-the-counter medications are usually not effective in
manufacturer-recommended doses.
Question 3.3. A patient has recurrent symptoms and tells the primary care NP that she can’t
remember to take her medication all the time. The NP should: (Points : 2)
give her shortened regimens of the drug to facilitate compliance.
provide written information about her condition and the medication.
administer the medication in the clinic to ensure that she takes the drug.
ask her about her lifestyle, her schedule, and her understanding of her condition.
Question 4.4. A woman who began taking a COCP 2 months ago calls the primary care NP to
report having nausea every day. She takes a pill at the same time each morning. The NP
should tell her to: (Points : 2)
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