Question 1

A patient reports taking antioxidant supplements to help prevent cancer.The primary care NP should:

Accepted Answer

A)  review healthy dietary practices with this patient. 
B)  make sure that the supplements contain large doses of vitamin A. 
C)  tell the patient that antioxidants are especially important for patients who smoke. 
D)  tell the patient that evidence shows antioxidants to be effective in preventing cancer. 
A)  review healthy dietary practices with this patient. 
B)  make sure that the supplements contain large doses of vitamin A. 
C)  tell the patient that antioxidants are especially important for patients who smoke. 
D)  tell the patient that evidence shows antioxidants to be effective in preventing cancer. A

Question 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:

Accepted Answer

A)  recommend a cough preparation that also contains acetaminophen. 
B)  suggest using single-ingredient products to treat each symptom separately. 
C)  recommend a product containing antitussive, antipyretic, and decongestant ingredients. 
D)  tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses. 
A)  recommend a cough preparation that also contains acetaminophen. 
B)  suggest using single-ingredient products to treat each symptom separately. 
C)  recommend a product containing antitussive, antipyretic, and decongestant ingredients. 
D)  tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses. B

Question 3

A primary care NP recommends an over-the-counter medication for a patient who has acid reflux.When teaching the patient about this drug,the NP should tell the patient:

Accepted Answer

A)  to take the dose recommended by the manufacturer. 
B)  not to worry about taking this drug with any other medications. 
C)  to avoid taking other drugs that cause sedation while taking this drug. 
D)  that over-the-counter acid reflux medications are generally safe to take with other medications. 
A)  to take the dose recommended by the manufacturer. 
B)  not to worry about taking this drug with any other medications. 
C)  to avoid taking other drugs that cause sedation while taking this drug. 
D)  that over-the-counter acid reflux medications are generally safe to take with other medications. A

Question 4

A patient who has an upper respiratory infection reports using over-the-counter cold preparations.The primary care NP should counsel this patient to use caution when taking additional over-the-counter medications such as:

Accepted Answer

A)  antipyretics. 
B)  calcium supplements. 
C)  acid reflux medications. 
D)  antioxidant supplements. 
A)  antipyretics. 
B)  calcium supplements. 
C)  acid reflux medications. 
D)  antioxidant supplements.

Question 5

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:

Accepted Answer

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. 
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 6

A primary care NP is performing a previsit health history on a new patient.The patient reports taking vitamins every day.The NP should:

Accepted Answer

A)  ask the patient to bring all vitamin bottles to the clinic appointment. 
B)  recommend natural vitamin products over synthetic vitamin products. 
C)  reassure the patient that vitamins that are high in folic acid are safe to take. 
D)  tell the patient that some vitamins, such as vitamin C, are safe in large doses. 
A)  ask the patient to bring all vitamin bottles to the clinic appointment. 
B)  recommend natural vitamin products over synthetic vitamin products. 
C)  reassure the patient that vitamins that are high in folic acid are safe to take. 
D)  tell the patient that some vitamins, such as vitamin C, are safe in large doses.

Question 7

A patient asks a primary care NP whether over-the-counter drugs are safer than prescription drugs.The NP should explain that over-the-counter drugs are:

Accepted Answer

A)  generally safe when label information is understood and followed. 
B)  safer because over-the-counter doses are lower than prescription doses of the same drug. 
C)  less safe because they are not well regulated by the Food and Drug Administration (FD
A) . 
D)  not extensively tested, so claims made by manufacturers cannot be substantiated. 
A)  generally safe when label information is understood and followed. 
B)  safer because over-the-counter doses are lower than prescription doses of the same drug. 
C)  less safe because they are not well regulated by the Food and Drug Administration (FD
A) . 
D)  not extensively tested, so claims made by manufacturers cannot be substantiated.

Exam 7: Over-the-Counter Medications

A patient reports taking antioxidant supplements to help prevent cancer.The primary care NP should:

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:

A primary care NP recommends an over-the-counter medication for a patient who has acid reflux.When teaching the patient about this drug,the NP should tell the patient:

A patient who has an upper respiratory infection reports using over-the-counter cold preparations.The primary care NP should counsel this patient to use caution when taking additional over-the-counter medications such as:

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 primary care NP is performing a previsit health history on a new patient.The patient reports taking vitamins every day.The NP should:

A patient asks a primary care NP whether over-the-counter drugs are safer than prescription drugs.The NP should explain that over-the-counter drugs are:

Prescriptive Authority and Role Implementation: Tradition vs.Change

Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs)and Physician Assistants

General Pharmacokinetic and Pharmacodynamic Principles

Special Populations: Geriatrics

Special Populations: Pediatrics

Special Populations: Pregnant and Nursing Women

Complementary and Alternative Therapies

Establishing the Therapeutic Relationship

Practical Tips on Writing Prescriptions

Evidence-Based Decision Making and Treatment Guidelines

Design and Implementation of Patient Education

Dermatologic Agents

Eye, Ear, Throat, and Mouth Agents

Upper Respiratory Agents

Asthma and Chronic Obstructive Pulmonary Disease Medications

Hypertension and Miscellaneous Antihypertensive Medications

Coronary Artery Disease and Antianginal Medications

Heart Failure and Digoxin

Beta-Blockers

Calcium Channel Blockers

ACE Inhibitors and Angiotensin Receptor Blockers

Antiarrhythmic Agents

Antihyperlipidemic Agents

Agents that Act on Blood

Antacids and the Management of GERD

Histamine-2 Blockers and Proton Pump Inhibitors

Laxatives

Antidiarrheals

Antiemetics

Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems

Diuretics

Male Genitourinary Agents

Drugs for Urinary Incontinence and Urinary Analgesia

Acetaminophen

Aspirin and Nonsteroidal Antiinflammatory Drugs

Disease-Modifying Antirheumatic Drugs and Immune Modulators

Gout Medications

Osteoporosis Treatment

Muscle Relaxants

Medications for Attention Deficit/Hyperactivity Disorder

Medications for Dementia

Analgesia and Pain Management

Migraine Medications

Antiepileptics

Antiparkinson Agents

Antidepressants

Antianxiety and Insomnia Agents

Antipsychotics

Substance Abuse

Glucocorticoids

Thyroid Medications

Diabetes Mellitus Agents

Contraceptives

Hormone Replacement Therapy

Drugs for Breast Cancer

Principles for Prescribing Antiinfectives

Treatment of Specific Infections and Miscellaneous Antibiotics

Penicillins

Cephalosporins

Tetracyclines

Macrolides

Fluoroquinolones

Aminoglycosides

Sulfonamides

Antitubercular Agents

Antifungals

Antiretroviral Medications

Antiviral and Antiprotozoal Agents

The Immune System and Immunizations

Weight Management

Smoking Cessation

Vitamins and Minerals