Family Nurse Practitioner Test Pharmacology 2

Question 1

A patient with atrial fibrillation is started on digoxin. The FNP should counsel the patient to report which EARLY sign of toxicity?

Accepted Answer

Nausea, vomiting, and visual disturbances

Answer

Chest pain

Answer

Shortness of breath

Answer

Edema

Question 2

The FNP prescribes an oral fluoroquinolone. Which patient education point is MOST critical?

Accepted Answer

Avoid antacids within 2 hours of the dose and report tendon pain immediately

Answer

Take with a full glass of milk

Answer

Expect pink discoloration of urine

Answer

Avoid sunlight for 48 hours only

Question 3

A patient with hypothyroidism is also started on cholestyramine. The FNP should advise that levothyroxine be taken:

Accepted Answer

At least 4 hours before or after cholestyramine

Answer

With cholestyramine to improve absorption

Answer

At bedtime to avoid interactions

Answer

Every other day to reduce binding

Question 4

Which medication used for type 2 diabetes is associated with the highest risk of hypoglycemia?

Accepted Answer

Glipizide (sulfonylurea)

Answer

Metformin (biguanide)

Answer

Sitagliptin (DPP-4 inhibitor)

Answer

Empagliflozin (SGLT-2 inhibitor)

Question 5

A patient taking allopurinol for gout asks about alcohol use. The FNP explains that:

Accepted Answer

Alcohol raises uric acid levels and can trigger gout flares, undermining treatment

Answer

Allopurinol interacts with alcohol to cause flushing

Answer

Moderate alcohol is safe and does not affect uric acid

Answer

Red wine specifically is protective against gout

Question 6

The FNP is treating an uncomplicated UTI in a non-pregnant woman. Which antibiotic is preferred as FIRST-LINE according to current guidelines?

Accepted Answer

Nitrofurantoin or trimethoprim-sulfamethoxazole

Answer

Ciprofloxacin

Answer

Amoxicillin-clavulanate

Answer

Cephalexin