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

ACE inhibitors like lisinopril commonly cause a dry cough due to accumulation of bradykinin in the airways.

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

Metformin is contraindicated with significant renal impairment (eGFR <30) due to risk of lactic acidosis from drug accumulation.

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

Vitamin K is a cofactor for clotting factor synthesis; supplementing it antagonizes warfarin's anticoagulant effect, lowering the INR.

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

IDSA/ATS guidelines recommend macrolide monotherapy as first-line for outpatient CAP in previously healthy patients with no antibiotic use in the past 3 months.

Question 5

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

Accepted Answer

Serotonin syndrome

Answer

Tramadol inhibits serotonin reuptake; combined with SSRIs like fluoxetine, this dramatically increases the risk of serotonin syndrome.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Pharmacology