Family Nurse Practitioner Test Pharmacology 3

Question 1

A 72-year-old patient is prescribed a benzodiazepine for anxiety. The FNP recognizes this is a Beers Criteria concern because:

Accepted Answer

Older adults are at increased risk for falls, cognitive impairment, and paradoxical agitation

Answer

Benzodiazepines are less effective in elderly patients

Answer

Renal clearance increases with age requiring higher doses

Answer

They cause irreversible memory loss in all patients over 65

Question 2

A patient with an MRSA skin infection requires oral outpatient treatment. Which antibiotic is MOST appropriate?

Accepted Answer

Trimethoprim-sulfamethoxazole (TMP-SMX)

Answer

Cephalexin

Answer

Dicloxacillin

Answer

Amoxicillin-clavulanate

Question 3

The FNP prescribes isotretinoin for a female patient with severe acne. Which MANDATORY program must the patient be enrolled in?

Accepted Answer

iPLEDGE

Answer

REMS

Answer

STEPS

Answer

TOUCH

Question 4

A patient on chronic NSAIDs develops a peptic ulcer. Which is the MOST appropriate gastroprotective co-therapy?

Accepted Answer

Proton pump inhibitor (e.g., omeprazole)

Answer

H2 blocker (e.g., famotidine)

Answer

Antacids

Answer

Misoprostol as first choice

Question 5

Which inhaler medication is used as a RESCUE (quick-relief) agent in asthma?

Accepted Answer

Albuterol (short-acting beta-2 agonist)

Answer

Fluticasone (inhaled corticosteroid)

Answer

Salmeterol (long-acting beta-2 agonist)

Answer

Montelukast (leukotriene modifier)

Question 6

A patient taking amiodarone for arrhythmia asks about thyroid effects. The FNP explains that amiodarone can cause:

Accepted Answer

Both hypothyroidism and hyperthyroidism due to its high iodine content

Answer

Only hypothyroidism

Answer

Only hyperthyroidism

Answer

No thyroid effects at standard doses