The primary care NP sees a 4-year-old child who has persistent asthma episodes for a well-child visit in October. The child recently completed a 7-day course of oral steroids. The NP plans to give the child flu vaccine and should:
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Question 3 of 64
The parents of a 2-month-old infant ask the primary care nurse practitioner (NP) if they can immunize their child by giving one or two immunizations per month instead of following the recommended immunization schedule for vaccines at 2, 4, 6, 12, and 15 months of age. The NP should:
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Question 4 of 64
The time required for the amount of drug in the body to decrease by 50% is called:
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Question 5 of 64
A client has a new prescription for lisinopril. Which of the following findings should be reported to the provider by the nurse?
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Question 6 of 64
A client has a new prescription for nitroglycerin. Which of the following instructions should the nurse include in the discharge teaching?
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Question 7 of 64
The U.S. Food and Drug Administration ensures that generic drugs:
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Question 8 of 64
Anticholinergic effects in the elderly may lead to:
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Question 9 of 64
A client has a new prescription for verapamil. Which of the following instructions should the nurse include?
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Question 10 of 64
Off-label prescribing is:
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Question 11 of 64
A healthcare professional is assessing a client who has been taking digoxin. Which of the following findings should the healthcare professional report to the provider?
Drugs that may require lower doses in the elderly include:
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Question 15 of 64
Risks to the fetus in the third trimester include:
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Question 16 of 64
Drugs that require patient monitoring under REMS include:
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Question 17 of 64
A 24-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of opioid medication to treat his pain. He is at risk for a __ adverse drug reaction when he no longer requires the opioids.
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Question 18 of 64
Drugs that are safe to use in children include:
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Question 19 of 64
A healthcare professional is assessing a client who has a new prescription for levothyroxine. Which of the following findings should the healthcare professional report to the provider?
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Question 20 of 64
A client has a new prescription for enalapril. Which of the following instructions should the nurse include?
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Question 21 of 64
An NP prescribes an oral elixir medication for a child who is to take 1 tsp PO bid. When counseling the child's parents about administering this drug, the NP should tell them to:
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Question 22 of 64
A patient will begin taking two drugs that are both protein-bound. The primary care NP should:
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Question 23 of 64
Drugs that may require higher doses in women than in men include:
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Question 24 of 64
A healthcare professional is assessing a client who has a new prescription for warfarin. Which of the following findings should the healthcare professional report to the provider?
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Question 25 of 64
Drugs that are affected by genetic polymorphisms of TPMT include:
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Question 26 of 64
A healthcare professional is assessing a client who has a new prescription for furosemide. Which of the following findings should the healthcare professional report to the provider?
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Question 27 of 64
A female patient who is 8 weeks pregnant is seen by a primary care nurse practitioner (NP) after a routine prenatal screen was positive for human immunodeficiency virus (HIV). A CD4 cell count is 750 cells/mm. The NP should:
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Question 28 of 64
Drugs that require therapeutic drug monitoring include:
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Question 29 of 64
A healthcare professional is assessing a client who has a new prescription for enalapril. Which of the following findings should the professional report to the provider?
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Question 30 of 64
Therapeutic drug levels are drawn when a drug reaches steady state. Drugs reach steady state:
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Question 31 of 64
A client has a new prescription for alendronate. Which of the following instructions should the nurse include?
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Question 32 of 64
Over-the-counter drugs that may cause adverse effects include:
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Question 33 of 64
A client has a new prescription for lisinopril. Which of the following instructions should the nurse include?
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Question 34 of 64
An adolescent girl reports having heavy menstrual periods. Her hemoglobin is consistently on the low end of the normal range. The primary care NP should prescribe:
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Question 35 of 64
Risk factors for misuse of controlled substances include:
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Question 36 of 64
Strategies to prevent drug abuse include:
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Question 37 of 64
A nurse is assessing a client who is taking hydrocodone. Which of the following findings should the nurse report to the provider?
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Question 38 of 64
A client is taking haloperidol. Which of the following findings should the nurse report to the provider?
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Question 39 of 64
Drugs that should be avoided in men with a history of prostate cancer include:
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Question 40 of 64
In every state, prescriptive authority for NPs includes the ability to write prescriptions:
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Question 41 of 64
A patient has been taking trimethoprim-sulfamethoxazole (TMP/SMX) for 14 days. The patient calls the primary care nurse practitioner (NP) to report fever, rash, and enlarged lymph nodes. The NP should suspect:
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Question 42 of 64
Signs that a drug may be counterfeit include:
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Question 43 of 64
A client has a new prescription for digoxin. Which of the following instructions should the nurse include during discharge teaching?
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Question 44 of 64
Drugs that are commonly used off-label include:
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Question 45 of 64
A woman who takes an angiotensin converting enzyme inhibitor for hypertension tells her primary care NP that she is trying to get pregnant. The NP should:
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Question 46 of 64
When educating a client with a new prescription for nitroglycerin, which of the following instructions should the nurse include?
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Question 47 of 64
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
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Question 48 of 64
A client has a new prescription for sertraline. Which of the following instructions should the nurse include?
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Question 49 of 64
A client has a new prescription for amlodipine. Which of the following instructions should the nurse include?
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Question 50 of 64
A client is taking levothyroxine for hypothyroidism. Which of the following findings should indicate to the healthcare provider that the client is experiencing levothyroxine toxicity?
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Question 51 of 64
A client has a new prescription for metoprolol. Which of the following instructions should the nurse include?
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Question 52 of 64
A client has been prescribed ciprofloxacin and is receiving discharge teaching. Which of the following instructions should be included by the healthcare provider?
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Question 53 of 64
An NP learns that a 90-year-old patient is chronically constipated and has frequent problems with acid reflux. The NP notes a weight loss of 20 pounds in the previous 6 months. Which of the following drugs that this patient is taking is cause for concern?
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Question 54 of 64
When teaching a client who has a new prescription for metformin, which of the following instructions should the nurse include?
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Question 55 of 64
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of the prescription. This is considered a loading dose. A loading dose:
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Question 56 of 64
A healthcare professional is assessing a client who is taking digoxin. Which of the following findings should the healthcare professional report to the provider?
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Question 57 of 64
Which of the following statements about bioavailability is true?
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Question 58 of 64
Management of tolerance includes:
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Question 59 of 64
Strategies to improve adherence to medication regimes include:
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Question 60 of 64
A client has a new prescription for phenytoin. Which of the following instructions should the nurse include?
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Question 61 of 64
A healthcare professional is assessing a client who has been taking furosemide. Which of the following findings should the healthcare professional report to the provider?
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Question 62 of 64
Infants and young children are at higher risk of ADRs due to:
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Question 63 of 64
A client who has been taking prednisone is being assessed by a nurse. Which of the following findings should the nurse report to the provider?
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Question 64 of 64
Herbal products that should be avoided when a patient is taking warfarin include:
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