APEA APEA Pharmacology Review Questions and Answers 2

Question 1

A patient is prescribed levothyroxine. The NP should instruct the patient to take this medication:

Accepted Answer

30-60 minutes before breakfast on an empty stomach

Answer

With breakfast to improve absorption

Answer

At bedtime with a snack

Answer

With calcium supplements for best absorption

Question 2

Which medication requires monitoring for hyperkalemia when combined with an ACE inhibitor in a heart failure patient?

Accepted Answer

Spironolactone

Answer

Furosemide

Answer

Carvedilol

Answer

Digoxin

Question 3

A patient with asthma requires an antihypertensive. Which class is contraindicated due to risk of bronchospasm?

Accepted Answer

Non-selective beta-blockers

Answer

ACE inhibitors

Answer

Thiazide diuretics

Answer

Calcium channel blockers

Question 4

Which drug-drug interaction occurs when a patient takes sildenafil with a nitrate, requiring the NP to avoid co-prescription?

Accepted Answer

Severe hypotension

Answer

Increased nitrate toxicity

Answer

Reduced erectile efficacy

Answer

Cardiac arrhythmia

Question 5

A patient on lithium therapy presents with tremor, polyuria, and confusion. These signs suggest which complication?

Accepted Answer

Lithium toxicity

Answer

Lithium-induced hypothyroidism

Answer

Nephrogenic diabetes insipidus only

Answer

Serotonin syndrome

Question 6

When prescribing clindamycin, the NP must counsel the patient about which potentially life-threatening adverse effect?

Accepted Answer

Clostridioides difficile colitis

Answer

Stevens-Johnson syndrome

Answer

Agranulocytosis

Answer

Anaphylaxis