,vomiting. The primary care NP notes a temperature of 37.9° C, a heart rate of 96 beats per
minute, and a blood pressure of 90/60 mm Hg. A physical examination reveals dry oral mucous
membranes and capillary refill of 4 seconds. The NP’s priority should be to:
a. obtain stool cultures.
b. begin rehydration therapy.
c. consider prescribing metronidazole.
d. administer opioid antidiarrheal medications.
Question 4: A perimenopausal woman tells the primary care NP that she is having hot flashes
and increasingly severe mood swings. The woman has had a hysterectomy. The NP should
prescribe:
a. estrogen-only HT.
b. estrogen-progesterone HT.
c. low-dose oral contraceptive therapy.
d. selective serotonin reuptake inhibitor therapy until menopause begins.
Question 5: A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour release,
for a patient with chronic stable angina. The NP should teach the patient to:
a. change the patch four times daily.
b. use the patch as needed for angina pain.
c. use two patches daily and change them every 12 hours.
d. apply one patch daily in the morning and remove in 12 hours.
, 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."
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