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

Early digoxin toxicity classically presents with GI symptoms (nausea, vomiting) and yellow-green visual halos before more serious cardiac arrhythmias occur.

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

Fluoroquinolones chelate with divalent cations in antacids reducing absorption, and carry a Black Box Warning for tendinopathy and tendon rupture.

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

Cholestyramine binds levothyroxine in the GI tract and significantly impairs its absorption, requiring a 4-hour separation.

Question 4

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

Accepted Answer

Glipizide (sulfonylurea)

Answer

Sulfonylureas stimulate insulin secretion regardless of blood glucose levels, making hypoglycemia their primary adverse effect.

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

Alcohol, especially beer and spirits, increases uric acid production and decreases renal excretion, worsening gout control.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Pharmacology 2