NAPLEX QBANK Patient Counseling and Education 2

Question 1

A patient starting warfarin asks about diet. What is the most appropriate counseling point?

Accepted Answer

Keep vitamin K intake consistent rather than eliminating it

Answer

Avoid all foods containing vitamin K entirely

Answer

Double the dose on days you eat leafy greens

Answer

Take warfarin with grapefruit juice to boost effect

Question 2

Which counseling point is correct for a patient prescribed alendronate for osteoporosis?

Accepted Answer

Take with a full glass of water and remain upright for 30 minutes

Answer

Take at bedtime with a snack

Answer

Lie down immediately after dosing

Answer

Take with calcium supplement simultaneously

Question 3

A patient using a metered-dose inhaler with an inhaled corticosteroid should be counseled to do what after each use?

Accepted Answer

Rinse the mouth and spit to prevent oral thrush

Answer

Hold breath for 1 second only

Answer

Swallow extra water with the medication

Answer

Use the inhaler only when symptoms occur

Question 4

Which statement about metformin counseling is most accurate?

Accepted Answer

GI upset is common and improves by taking it with meals

Answer

It commonly causes hypoglycemia as monotherapy

Answer

It must be taken on an empty stomach

Answer

It causes significant weight gain

Question 5

A patient on a transdermal fentanyl patch should be told to do what when applying a new patch?

Accepted Answer

Rotate application sites and avoid external heat

Answer

Apply heat over the patch to speed absorption

Answer

Cut the patch to adjust the dose

Answer

Apply to broken or irritated skin

Question 6

What is the best counseling for a patient prescribed oral tetracycline?

Accepted Answer

Avoid dairy, antacids, and iron near dosing time

Answer

Take with milk for better tolerability

Answer

Take immediately after a calcium supplement

Answer

Always take with an antacid

Question 7

A patient newly started on a statin reports muscle aches. What is the appropriate counseling response?

Accepted Answer

Report muscle pain, tenderness, or dark urine to the provider

Answer

Ignore it as statins never cause muscle problems

Answer

Stop drinking all fluids

Answer

Double the statin dose immediately