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Nurse Prescribers Pharmacotherapeutics for Advanced Practice, Exams of Nursing

American Institute of Medical TechnologyNursing

A comprehensive set of questions and answers related to nurse prescribers' pharmacotherapeutics for advanced practice. It covers a wide range of topics, including the treatment of urinary tract infections, estrogen therapy, management of bacterial vaginosis, trichomonas infection, migraine, hiv/aids, and cholesterol-lowering medications. The document aims to equip nurse practitioners with the necessary knowledge and skills to effectively manage various clinical scenarios encountered in advanced practice. The questions and answers are structured in a way that allows for a thorough understanding of the pharmacological principles, treatment goals, monitoring requirements, and patient education aspects associated with these healthcare topics. This resource can be valuable for nurse practitioners, nursing students, and healthcare professionals seeking to enhance their knowledge and competence in pharmacotherapeutics for advanced nursing practice.

Typology: Exams

2024/2025

Available from 10/02/2024

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Nurse Prescribers Pharmacotherapeutics
for Advanced Practice questions with
complete answers.
Patricia has been prescribed doxycycline for a chlamydia infection. She
is healthy and her only medication is an oral combined contraceptive.
Patricia's education would include:
1. Use a back-up method of birth control (condom) until her next
menses.
2. Doxycycline may cause tendonitis and she should report any joint
pain.
3. Her partner will need treatment if her infection doesn't clear with
the doxycycline.
4. Doxycycline is used for one-dose treatment of STIs; take the whole
prescription at once. - Answer 1
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for Advanced Practice questions with

complete answers.

Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and her only medication is an oral combined contraceptive. Patricia's education would include:

  1. Use a back-up method of birth control (condom) until her next menses.
  2. Doxycycline may cause tendonitis and she should report any joint pain.
  3. Her partner will need treatment if her infection doesn't clear with the doxycycline.
  4. Doxycycline is used for one-dose treatment of STIs; take the whole prescription at once. - Answer 1

for Advanced Practice questions with

complete answers.

When prescribing metronidazole (Flagyl) to treat bacterial vaginosis, patient education would include:

  1. Metronidazole is safe in the first trimester of pregnancy.
  2. Consuming alcohol in any form may cause a severe reaction.
  3. Sexual partners need concurrent therapy.
  4. Headaches are a sign of a serious adverse reaction and need immediate evaluation. - Answer 2 The treatment goals when treating urinary tract infection (UTI) include:
  5. Eradication of infecting organism

for Advanced Practice questions with

complete answers.

  1. Levofloxacin - Answer 2 Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:
  2. Azithromycin
  3. Trimethoprim/sulfamethoxazole
  4. Ceftriaxone
  5. Ciprofloxacin - Answer 4

for Advanced Practice questions with

complete answers.

Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

  1. Azithromycin
  2. Trimethoprim/sulfamethoxazole
  3. Amoxicillin
  4. Ciprofloxacin - Answer 3 Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?
  5. Juanita, a 28-year-old pregnant woman

for Advanced Practice questions with

complete answers.

  1. Ciprofloxacin - Answer 3 Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:
  2. Symptom resolution in 48 hours
  3. Follow-up urine culture at completion of therapy
  4. "Test of cure" urinary analysis at completion of therapy
  5. Follow-up urine culture 2 months after completion of therapy - Answer 1 Monitoring for a child who has had a urinary tract infection is:

for Advanced Practice questions with

complete answers.

  1. Symptom resolution in 48 hours
  2. Follow-up urine culture at completion of therapy
  3. "Test of cure" urinary analysis at completion of therapy
  4. Follow-up urine culture 2 months after completion of therapy - Answer 2 Monitoring for a pregnant woman who has had a urinary tract infection is:
  5. Symptom resolution in 48 hours
  6. Follow-up urine culture at completion of therapy

for Advanced Practice questions with

complete answers.

Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:

  1. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
  2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
  3. There is no evidence that cranberry juice helps prevent UTIs.
  4. Cranberry juice only works to prevent UTIs in children. - Answer 2 When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red, itchy rash consistent with a hypersensitivity reaction.

for Advanced Practice questions with

complete answers.

He now has athlete's foot again. What would be a good choice of antifungal for Sam?

  1. Miconazole (Micatin) powder
  2. Ketoconazole (Nizoral) cream
  3. Terbinafine (Lamisil) cream
  4. Griseofulvin (Grifulvin V) suspension - Answer 3 When prescribing topical penciclovir (Denavir) for the treatment of herpes labialis (cold sores) patient education would include:
  5. Spread penciclovir liberally all over lips and area surrounding lips.

for Advanced Practice questions with

complete answers.

  1. Topical diphenhydramine should not be used in children younger than age 2 years.
  2. When applying topical diphenhydramine, apply the cream liberally to all areas that itch. - Answer 3 Absolute contraindications to estrogen therapy include:
  3. History of any type of cancer
  4. Clotting disorders
  5. History of tension headaches
  6. Orthostatic hypotension - Answer 2

for Advanced Practice questions with

complete answers.

Women who have migraines with an aura should not be prescribed estrogen because of:

  1. The interaction between triptans and estrogen, limiting migraine therapy choices
  2. An increased incidence of migraines with the use of estrogen
  3. An increased risk of stroke occurring with estrogen use
  4. Patients with migraines may be prescribed estrogen without any concerns - Answer 3 A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for treatment. Her only other medication is combined oral contraceptives. What education should she receive regarding her medications?

for Advanced Practice questions with

complete answers.

  1. A low-dose estrogen/progesterone combination
  2. A vaginal estradiol ring
  3. Vaginal progesterone cream - Answer 3 The goals of treatment when prescribing for sexually transmitted infections include:
  4. Treatment of infection
  5. Prevention of disease spread
  6. Prevention of long-term sequelae from the infection

for Advanced Practice questions with

complete answers.

  1. All of the above - Answer 4 The drug of choice for treatment of primary or secondary syphilis is:
  2. Ceftriaxone IM
  3. Benzathine penicillin G IM
  4. Oral azithromycin
  5. Oral ciprofloxacin - Answer 2 The drug of choice for treatment of early latent or tertiary syphilis is:
  6. Ceftriaxone IM

for Advanced Practice questions with

complete answers.

Treatment for suspected gonorrhea is:

  1. Ceftriaxone 250 mg IM x 1
  2. Ceftriaxone 2 grams IM x 1
  3. Ciprofloxacin 500 mg PO x 1
  4. Doxycycline 100 mg bid x 7 days - Answer 1 When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with:
  5. Azithromycin 1 gram PO x 1

for Advanced Practice questions with

complete answers.

  1. Amoxicillin 500 mg PO x 1
  2. Ciprofloxacin 500 mg PO x 1
  3. Penicillin G 2.4 million units IM x 1 - Answer 1 Ongoing monitoring is essential after treating for gonorrhea. The patient should be rescreened for gonorrhea and chlamydia in:
  4. 4 weeks
  5. 3 to 6 weeks
  6. 3 to 6 months
  7. 1 year - Answer 3