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

Consistency of vitamin K intake matters more than avoidance, since sudden changes alter INR.

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

Alendronate must be taken with water on an empty stomach, staying upright to prevent esophageal irritation.

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

Rinsing the mouth after an inhaled corticosteroid reduces the risk of oral candidiasis.

Question 4

Which statement about metformin counseling is most accurate?

Accepted Answer

GI upset is common and improves by taking it with meals

Answer

Metformin frequently causes GI side effects that are minimized by taking it with food.

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

Heat increases fentanyl release and risk of overdose, and sites should be rotated to prevent irritation.

NAPLEX QBANK Practice Test