Family Nurse Practitioner Test Pharmacology

Question 1

A patient with heart failure and hypertension is started on lisinopril. The FNP should monitor for which MOST common side effect?

Accepted Answer

Dry, nonproductive cough

Answer

Hyperkalemia

Answer

Angioedema

Answer

Renal failure

Question 2

The FNP prescribes metformin for a newly diagnosed type 2 diabetic. Which contraindication should be screened for FIRST?

Accepted Answer

eGFR <30 mL/min/1.73 m²

Answer

HbA1c >9%

Answer

BMI >35

Answer

Age >65 years

Question 3

A patient taking warfarin reports adding daily vitamin K supplements. The FNP anticipates which effect on INR?

Accepted Answer

Decreased INR due to increased clotting factor synthesis

Answer

Increased INR due to bleeding risk

Answer

No effect on INR

Answer

Variable effect depending on warfarin dose

Question 4

Which antibiotic class is MOST appropriate for treating community-acquired pneumonia in a healthy adult without comorbidities?

Accepted Answer

Macrolides (e.g., azithromycin)

Answer

Fluoroquinolones (e.g., levofloxacin)

Answer

Cephalosporins (e.g., ceftriaxone)

Answer

Beta-lactams + macrolide combination

Question 5

A patient on fluoxetine is prescribed tramadol for pain. The FNP's GREATEST concern is:

Accepted Answer

Serotonin syndrome

Answer

QT prolongation

Answer

Opioid respiratory depression

Answer

Drug-induced hepatitis

Question 6

The FNP is initiating a statin in a patient. Which laboratory test should be checked at baseline and periodically?

Accepted Answer

Liver function tests (ALT/AST)

Answer

Renal function (BUN/creatinine)

Answer

Complete blood count

Answer

Thyroid-stimulating hormone