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NR 508 Week 4 Midterm (Version 3) Score 100%
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<p>Question 9: The primary care NP prescribes an inhaled corticosteroid for a patient who has asthma. The third-party payer for this patient denies coverage for the brand that comes in the specific strength the NP prescribes. The NP should: </p> <p>a. provide pharmaceutical company samples of the medication for the patient. b. inform the patient that the drug must be XXXX for out XX pocket XXXXXXX it is XXX covered. c. order the XXXXXXX XXXXXXXXX-XXXXXXXX approximation of the drug XXX monitor XXXXXXXXXXXXX. d. write a letter of XXXXXXX necessity to XXX XXXXXXX to explain the XXXX XXX this XXXXXXXXXX XXXXXXXXXX. </p> <p>XXXXXXXX XX: A primary XXXX NP prescribes XXXXXXXXXXXXX XXX a XXXXXXX XX XXXXX XXXXXXX XXXXXXXXXX. XXXX teaching this patient about XXX medication, the XX XXXXXX: </p> <p>a. XXXXXXX the patient XX XXXX XXX XXXXXXXXXX with food. b. XXXX XXX XXXXXXX that changing XXXXXX of the XXXXXXXXXX XXXXXX XX avoided. c. XXXXXXXX XXX XXXXXXX to XXXX XXXXXX the medication XX signs of thyrotoxicosis XXXXX. d. tell XXX XXXXXXX that the XXXX may XX stopped when XXXXXXX XXXXXXXX tests stabilize. </p> <p>Question XX: A patient XXX has XXX XXXX to XXXX liquid stools per day XXX X days XX XXXX XX the XXXXXXX care NP. XXX patient asks about medications XX stop the diarrhea. The NP tells XXX XXXXXXX that XXXXXXXXXXXXX medications are: </p> <p>a. not curative XXX may XXXXXXX the illness. b. XXXXXX in cases of XXXXX XXXXXXXXX with elevated temperature. c. XXXX XXXXXXXXXX when symptoms XXXXXXX longer XXXX X XXXXX. d. useful when XXXXX XXXXXXXX, such XX XXXXXXXXXXXX, XXXXXXX. </p> <p>XXXXXXXX XX: XXX primary XXXX NP sees a XXXXXXX XXXXXXX XX Medicaid, writes a XXXXXXXXXXXX for a XXXXXXXXXX, XXX is XXXXXXXX by the XXXXXXXXXX that XXX medication XX “XXX-XXXXXXXXX.” XXX NP should: </p> <p>a. XXXXXX the XXXXXXX XXXX an out-XX-XXXXXX XXXXXXX will be XXXXXXXXX. b. write XXX XXXXXXXXXXXX XXX a XXXXXXX drug XX it XXXXX the XXXXXXX's needs. c. call the patient's insurance provider to advocate for this XXXXXXXXXX XXXX. d. XXXXXXX XXX XXXXXXXXXXXXXX XXXXXXX to see if medication XXXXXXX are XXXXXXXXX. </p> <p>Question XX: A XXXXXXX XXX has XXXX X XXXXXXXX mellitus XXXXX metformin (Glucophage). XXX XXXXXXX XXXXX the primary XXXX NP that he will XXXX XXXXXXX in a few weeks. XXX XX XXXXXX XXXXXXXXX: </p> <p>a. taking the metformin XXXX as XXXXX XXX XXXXXXX XX XXXXXXX. b. using insulin during XXX perioperative and postoperative XXXXXXX. c. XXXX XXX XXXXXXX XXXX taking metformin XXXXXXX XXXX XXXXXX XXXXXXX. d. adding a XXXXXXXXXXXX XXXXXXXXXX until XXXXXXXX from XXXXXXX XX complete. </p> <p>XXXXXXXX XX: X XXXX XX-year-old woman who XXX XXXXXXXX had a XXXXXXXXXXXX tells XXX primary XXXX NP she is having frequent hot XXXXXXX XXX vaginal dryness. A XXXXXX bone XXXXXXX study XXXXX XXXXX XXXXXXXXXX. XXX XXXXX’s XXXXXX XXX XXX. She has XX family XXXXXXX of XXXXXX cancer. The XX should XXXXXXXXX: </p> <p>a. XXXXXXXX-XXXX HT XXX. b. XXXXXXXX-only HT in 5 years. c. estrogen-XXXXXXXXXXXX HT now. d. estrogen-XXXXXXXXXXXX HT in X years. </p> <p>XXXXXXXX 15: X patient XXX XXX diabetic XXXXXXXXXXXXX XXXX a gastroenterology XXXXXXXXXX XXX XXXXXX metoclopramide (Reglan). XXXXXX 24 hours, XXX XXXXXXX describes XXXXXX extrapyramidal XXXXXXXX (XXX) XX XXX primary care NP. XXX NP will contact the gastroenterologist XXX should expect to prescribe: </p> <p>a. XXXXXXXXXXX (Cogentin). b. XXXXXXXXXX. c. an XXXX XXXXXXXXXXXXXX. d. a TCA. </p> <p>XXXXXXXX XX: The primary XXXX XX XX preparing XX XXXXXXXXX XXXXXXXXXX XXXXXXXXX sustained XXXXXXX (XXXXXXXXX XX) XXX a XXXXXXX XXX has chronic, XXXXXX XXXXXX. The XX XXXXXX XXXXXXXXX XXXXXXX XXXXXX XX: </p> <p>a. 60 XX four times daily at 6-hour intervals. b. XX XX twice XXXXX 30 minutes before meals. c. XX XX XX awakening and 40 XX 7 XXXXX XXXXX. d. XX XX three XXXXX daily at X:XX XX, X:XX PM, XXX X:XX PM. </p> <p>Question XX: A patient who has hypothyroidism XXX been taking XXXXXXXXXXXXX 50 mcg XXXXX XXX X weeks. The patient reports XXXXXXXXX fatigue. The primary care XX XXXXXX: </p> <p>a. order a T4 XXXXX today. b. increase XXX XXXX to 100 XXX. c. XXXXX XXX XXX level in 1 XXXX. d. reassure XXX patient XXXX XXXX XXXX improve in XXXXXXX XXXXX. </p> <p>XXXXXXXX 18: XXX primary XXXX NP has referred a child who has XXXXXXXXXXX XXXXXXXXXXXXXXXX reflux XXXXXXX XX a specialist for consideration XXX a fundoplication and XXXXXXXXXXX XXXX XXXXXXXXX. XXX child’s XXXXXX is 80% of XXXX is XXXXXXXXXXX XXX age, and a recent XXXXXXX study XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXX. XXX child’s XXXXXXX XX not XXXX XXX procedure. XXX NP should: </p> <p>a. compromise with the parents and order a XXXXXXXXXXX XXXX for feedings. b. initiate a discussion XXXX XXX parents about XXX XXXXXXXXX XXXXXXXX XX each XXXXXXXX action. c. refer XXX family XX a case XXXXXXX XXX can help guide XXX XXXXXXX to XXX best XXXXXXXX. d. XXXXXXXXXX that XXX XXXXX's parents XXXX a right to make choices XXXX override XXXXX XX the medical team. </p> <p>XXXXXXXX XX: X XXXXXX patient XXX XX underweight tells the primary care XX that XXX XXX been using bisacodyl (Dulcolax) XXXXX XXX several XXXXX. XXX NP should: </p> <p>a. XXXXXXXXX docusate XXXXXX (XXXXXX) XXX XXXXXXXX XXXXXXXXX gradually. b. XXXXXXX she XXX polyethylene glycol (MiraLAX) on a daily XXXXX XXXXXXX. c. tell her XXXX XXXX-XXXX XXX of XXXXXXXXXXXXX is XXXXX than long-term XXXXXXXX use. d. XXXXXXX the patient to discontinue the laxative XXX increase fluid and fiber XXXXXX. </p> <p>XXXXXXXX 20: A XXXXXXX takes a XXXXXXX medication that has a XXXX XXXXXX therapeutic XXXXX. XXX primary care NP XXXXXX XXXX XXX XXXXXXXXXX XXXXX the patient is taking XX no longer XXXXXXX by XXX patient’s XXXXXXX plan. The NP knows XXXX the bioavailability XX XXX drug XXXXXX XXXX brand to brand. The XX XXXXXX: </p> <p>a. XXXXXXX the XXXXXXXXX XXXXXXXX to XXXXXXX XXX this particular XXXXXXXXXXX XX necessary. b. XXXXXX the XXXXXXX's XXXXXXXXXX to a XXXXXXXXX XXXX class XXXX doesn't XXXX these bioavailability XXXXXXXXXX. c. accept XXX XXXXXXXXX XXX XXXXXXX XXX patient XXXXXXX XXX drug effects with each prescription XXXXXX. d. XXX the pharmaceutical company that makes the XXXX XXX samples so XXXX XXX patient XXXX not incur out-of-pocket XXXXXXX. </p> <p>XXXXXXXX 21: X XXXXXXX XX in XXX XXXXXX XXX a XXXXXX-up XXXXXXXXXXX XXXXX a myocardial XXXXXXXXXX (XX). XXX XXXXXXX has a history XX XXXX XXXXXXXXXXX XXXXXXXX XXXXXXXXXXX. XXX primary XXXX XX XXXXXX XXXXXX XXXX patient to XX XXXXXX: </p> <p>a. nadolol (Corgard). </p> <p>b. carvedilol (Coreg). </p> <p>c. timolol (Blocadren). </p> <p>d. propranolol (Inderal). </p> <p>Question 22: X male XXXXXXX tells the primary care NP he XX XXXXXXXXXXXX XXXXXXXXX libido, lack XX XXXXXX, and poor XXXXXXXXXXXXX. XXX NP XXXXXXXX an XXXXXXXXXXX and notes XXXXXXXXX body XXX XXX XXXXXXXXXXXX. A serum XXXXXXXXXXXX level is XXX ng/XX. The XX’s XXXX action XXXXXX be to: </p> <p>a. order LH and XXX levels. b. order a serum prolactin XXXXX. c. XXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX. d. XXXXXX a morning XXXXX testosterone XXXXX. </p> <p>XXXXXXXX XX: An XXXXXXX-American XXXXXXX is taking XXXXXXXXX (Capoten) 25 mg XXXXX daily. XXXX XXXXXXXXXX a physical examination, XXX XXXXXXX XXXX XXXXX XXXXXXXXXXXX (XX) learns that the XXXXXXX XXXXXXXXX XX have blood pressure readings of 135/90 XX XX. XXX XX XXXXXX: </p> <p>a. increase XXX captopril XXXX to XX mg twice XXXXX. b. add a XXXXXXXX diuretic XX this patient's XXXXXXX. c. XXXXXX XXX XXXX XX losartan (Cozaar) 50 mg once XXXXX. d. recommend a low-sodium XXXX in XXXXXXXX to the medication. </p> <p>Question XX: A XX-XXXX-old XXXXX who is postmenopausal XX XXXXXX an aromatase inhibitor as part XX a breast XXXXXX XXXXXXXXX XXXXXXX. She XXXXX her XXXXXXX care XX to report that she XXX XXX XXX flashes XXX increased vaginal XXXXXXXXX but XX bleeding. The NP should: </p> <p>a. schedule her XXX a gynecologic XXXXXXXXXXX. b. XXXXXXXXX XXXX she use a barrier method of contraception. c. tell her XX stop taking XXX medication XXX XXXX her oncologist. d. XXXXXXXX her XXXX XXXXX XXX normal side effects XX XXX XXXXXXXXXX. </p> <p>Question 25: A XX-XXXX-XXX patient is in XXX clinic for a routine physical examination. XXX XXXXXXX has a body XXXX index (BMI) XX 26. XXX XXXXXXX is active and XXXXX a dog daily. X XXXXX XXXXXXX XXXXXXX XXX-XXXXXXX lipoprotein (LDL) of XXX XX/XX, XXXX-density XXXXXXXXXXX (HDL) XX 30 mg/XX, XXX triglycerides XX 250 XX/XX. The XXXXXXX care XXXXX practitioner (XX) XXXXXX: </p> <p>a. order a XXXXXXX XXXXXX XXXXXXX level. b. consider XXXXXXXXXXX XXXXXXXXX (Glucophage). c. suggest dietary XXXXXXX and increased XXXXXXXX. d. XXXXXX XXXXX insulin XXX hemoglobin A1c XXXXXX. </p> <p>Question XX:XXX XXXXXXX care NP XX seeing a XXXXXXX for a hospital follow-XX after the XXXXXXX has XXX a first XXXXXXXXXX infarction. The XXXXXXX has a XXXX of XXX prescribed medications and tells the NP that “no one explained anything about them.” The NP’s XXXXXXX response XXXXXX XX to: </p> <p>a. XXX the XXXXXXX XX XXXXXXXX XXX medication regimen. b. XXX the XXXXXXX to make a list of XXXXXXXXX XXXXX the medications. c. determine XXXX XXX patient understands about coronary artery disease. d. XXXX the XXXXXXX information about XXXX effects and any XXXXXXX XXXXXXXXX. </p> <p>XXXXXXXX XX: X man XXXX a XXX of XX XXX a waist XXXX of XX inches is XXXX in XXX clinic XXX an annual well check-XX. The primary XXXX NP orders XXXXXXXXXX XXXXX and notes a XXXXXXX XXXXXX XXXXXXX XX 110 XX/dL, XXXXXXXXXXXX level of XXX mg/XX, and high-density XXXXXXXXXXX level of XX XX/dL. XXX XXX’s XXXXX pressure is XXX/110 XX XX. XXX XXX XXX a XXXXXXX of XXXXXXXXXXXXXX XXXXXXX XXX tells XXX XX he XXX tried to lose weight XXXXXXXX times. The NP should consider: </p> <p>a. XXXXXXXX (Xenical). b. XXXXXXXXXXX (XXXXXX-X). c. an XXXX XXXXXXXXXXXX agent. d. a XXXXXX XXX-fat, low-XXXXXX diet. </p> <p>Question 28: X XXXXXXX XXXX NP XXXXXX XXXXXXX function tests. XXX patient’s TSH is X.X XXXXXXXXXX/XX, and XX XX 1.X ng/mL. The XX should: </p> <p>a. assess XXX XXXXXXX for symptoms XX XXXXXXXXXXXXXXX. b. XXX XXX XXXXXXX about XXX XXX of XXXXXXXXXXX such as XXXXXXX. c. tell the XXXXXXX XXXX XXX results most likely XXXXXXXX XXXXXXXXXXXXXX. d. XXX an XXXXXXXXXXXXXXX XX XXXXXXXX XXX possible Hashimoto's thyroiditis. </p> <p>XXXXXXXX 29: X XXXXXXXXXXXXXX woman XXXXXXXX NSAID-XXXXXXX XXXXX. XXX primary XXXX NP should prescribe: </p> <p>a. ranitidine (XXXXXX). b. omeprazole (XXXXXXXX). c. esomeprazole (XXXXXX). d. pantoprazole (XXXXXXXX). </p> <p>Question 30: A XXXXXXX XXX is XXXXX XXXXXXXXX XXXX XXXX X diabetes mellitus XXX XXX responded XX changes in XXXX or exercise. The XXXXXXX XX mildly obese and XXX a XXXXXXX XXXXX XXXXXXX XX 130 mg/dL. The XXXXXXX XXX XXXXXX renal function tests. XXX XXXXXXX XXXX NP plans to prescribe a XXXXXXXXXXX product. XXXXX of the XXXXXXXXX XX indicated XXX this patient? </p> <p>a. Metformin/XXXXXXXXX (XXXXXXXXXX) b. XXXXXXX and XXXXXXXXX (Glucophage) c. Saxagliptin/XXXXXXXXX (Kombiglyze) d. Metformin/XXXXXXXXXXXX (ACTOplus met) </p> <p>XXXXXXXX 31: A XXXXXXX XXXXX XX XXX clinic XX discuss XXXXXX XXXX. XXX XXXXXXX care XX notes a BMI of XX XXX XXXXXXXX a health risk assessment XXXX reveals XX XXXXXXX-XXXXXXX XXXX XXXXXXX. The XX XXXXXX XXXXXXXXX: </p> <p>a. XXXXXXXXX/XXXXXXXXX (XXXXXXXXXX) b. Insulin XXX XXXXXXXXX (Glucophage) c. Saxagliptin/metformin (Kombiglyze) d. Metformin/XXXXXXXXXXXX (ACTOplus met) </p> <p>Question XX: A patient has been XXXXX an XXXXXX XXXXXXXXXX for X XXXXX that the XXXXXXX care NP XXXXX may XXXX XXXXX side XXXXXXX. The NP should: </p> <p>a. tell the XXXXXXX to XXXX XXXXXX the supplement XXXXXXXXXXX. b. inform the XXXXXXX XX the risks XX toxic side effects with this supplement. c. refer XXX patient XX a XXX provider who can XXXXXX this XXXXXXX's XXXXXXX. d. XXXXXXXXX XXXXXXX herbal XXXX XXXX has fewer adverse effects than XXX XXX the XXXXXXX XX taking. </p> <p>Question XX: X patient XXX XXX insulin-XXXXXXXXX type X diabetes XXXXXXX XXXXXX XXXXXXXXXX XXXXXXX blood glucose within XXXXXX limits and has XXX multiple episodes XX XXXX hypoglycemia and hyperglycemia. As XXXXXXX XXXXXXX XX manage this XXXXXXX, the primary XXXX NP XXXXXX XXXXXXXXX: </p> <p>a. pramlintide (XXXXXX). b. repaglinide (XXXXXXX). c. XXXXXXXXX (XXXXXXXXX). d. metformin (Glucophage). </p> <p>Question XX: A XXXXXXX XXX XXXXX spironolactone XXX heart failure has XXXXX XXXXXX XXXXXXX (XXXXXXX) XXX XXXXXX XXXXXXXXXXXX. The primary XXXX XX provides XXXXXXXX for this XXXXXXX and asks XXX XXXXXXX to repeat back what XXX been learned. Which statement by the XXXXXXX XXXXXXXXX understanding of XXX XXXXXXXX? </p> <p>a. "I should XXXXX high-XXXXXX foods." b. "I XXXXXX eat foods XXXX in XXXXXXXXX." c. "I XXXX XX XXXX a XXXXXXX supplement every day." d. "I XXXXXX use a XXXX substitute while taking XXXXX XXXXXXXXXXX." </p> <p>Question 35: X XXXXXXX XXX XX XXXXXX XXXXXXXXXX develops XXXX edema of XXXX XXXX. XXX primary XXXX NP should contact the patient’s cardiologist XX discuss: </p> <p>a. changing to XXXXXXXXXX. b. ordering renal XXXXXXXX XXXXX. c. increasing XXX dose of nifedipine. d. XXXXXXXXXX XX left XXXXXXXXXXX XXXXXXXX. </p> <p>XXXXXXXX 36: A patient XXX has atrial fibrillation (XX) has been XXXXXX warfarin (Coumadin). XXX primary XXXX nurse XXXXXXXXXXXX (XX) plans XX change the XXXXXXX’s medication XX dabigatran (Pradaxa). XX XX XXXX XXXXXX, XXX NP should: </p> <p>a. initiate XXXXXXXXXX when XXX XXXXXXX's XXXXXXXXXXXXX XXXXXXXXXX XXXXX (XXX) XX less XXXX 2. b. XXXXX XXXXXXXXXX X to XX days after XXXXXXXXXXXXX XXXXXXXX. c. begin giving dabigatran X week before XXXXXXXXXXXXX XXXXXXXX. d. order XXXXXXXX monitoring XX the patient's INR after XXXXXXXXXX therapy begins. </p> <p>Question 37: X patient who takes an XXX XXXXXXXXX XXX a thiazide XXXXXXXX for hypertension XXXX begin XXXXXX spironolactone. XXX XXXXXXX XXXX XX should XXXXXXX this patient XX: </p> <p>a. avoid foods that XXX XXXX in potassium. b. use a XXXX XXXXXXXXXX XXXX seasoning foods. c. XXXXXXX changing XXX XXX XXXXXXXXX XX an XXX with the XXXXXXXXXXXX. d. XXXXX XXXXXX XXXXXXXX containing magnesium while XXXXXX these XXXXX. </p> <p>XXXXXXXX 38: A patient has been XXXXXX XXXXXXXXXX XX XX XXXX XXXXX XXX X weeks and XXXXXXX for a XXXXXX-up visit. XXX primary care NP XXXXX a blood pressure of XXX/60 mm XX. XXX XXXXXXX’s lungs are clear, XXX there XX XX XXXXXXXXXX XXXXX. XXX patient’s serum XXXXXXXXX XX X.X mEq/L. XXX NP XXXXXX: </p> <p>a. XXXXXXXX furosemide XX the XXXXXXX dose. b. XXXXXXXX furosemide XX 60 XX XXXX XXXXX. c. increase furosemide XX 80 XX twice XXXXX. d. XXXXXX XXXXXXXXXX XXXX XXX 40 mg twice XXXXX. </p> <p>XXXXXXXX XX: The primary care NP is XXXXXXXXX evidence-based XXXXXXXXXXXXXXX about XXX off-label XXX XX a XXXXXXXXXX drug. XXXXX recommendation XXXXXX XXXXXXXXX the XX’s XXXXXXXX XXXXX prescribing XXX XXXXXXXXXX? </p> <p>a. XXXX from randomized, XXXXXXXXXXXX studies b. XXXXXXX reports XXXXX XXXXXXXXXXXXX of the drug XXX this XXXXXXX c. XXXXXXXXXXXXXX company XXXXXXX using XXXXXXXXX XXXXXXXX d. Endorsement of XXXX XXX XX a leading XXXXXXXXXXXX in the XXXXX </p> <p>Question XX: X XXXXXXX who has a XXXXXXX XX XXXXXXX constipation XXXX a bulk laxative XX prevent XXXXXXXX of XXXXX constipation. XXX patient XXXXXXX XXXXXX an XXXXXXXXX XXXXXXXXX XX episodes. The XXXXXXX XXXX XX should recommend: </p> <p>a. adding XXXXXXXX sodium (Colace). b. polyethylene XXXXXX (XXXXXXX) XXX bisacodyl (Dulcolax). c. XXXXXXXXX (XXXXXXXXX) XXX polyethylene XXXXXX (MiraLAX). d. adding XXXXXXXXXXXXXXXX measures such XX XXXXXXXXXXX. </p> <p>XXXXXXXX 41: X primary care NP XXXX a 5-year-XXX child XXX is morbidly obese. The child has an elevated hemoglobin A1c XXX XXXXXXXXX XXXXX XXXXXX. Both XX XXX XXXXX’s parents XXX XXXXXXXXXX XXX not obese, and they XXXX the XX that they see nothing wrong XXXX their child. They both XXXXX XXXX it XX difficult to refuse XXXXX child’s XXXXXXXX for XXXX or XXX cream. The XX XXXXXX: </p> <p>a. suggest that they give the child XXXX XXXX and low-XXX XXXXXX XXXXXX. b. understand and XXXXXXX the XXXXXXX' beliefs XXXXX their child's self-XXXXX. c. initiate a dialogue with the XXXXXXX XXXXX the XXXXXXXXXXXX XX the child's XXXXXXXXXX XXXXXX. d. suggest XXXXXX counseling to XXXXXXX ways XX XXXXXXX parenting skills and XXXXXX. </p> <p>Question XX: A 55-year-old XXXXXXX XXXX XX prior XXXXXXX XX XXXXXXXXXXXX has a XXXXX XXXXXXXX XXXXXXX XXXX 140/90 on three separate occasions. XXX patient does XXX XXXXX, has a body XXXX XXXXX XX 24, XXX exercises regularly. The XXXXXXX XXX no XXXXX risk XXXXXXX for XXXXXXXXXXXXXX XXXXXXX. XXX primary care XX XXXXXX: </p> <p>a. XXXXXXXXX a XXXXXXXX diuretic XXX an XXXXXXXXXXX-XXXXXXXXXX XXXXXX XXXXXXXXX. b. XXXXXXX a XXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXX. c. XXXXXXX the patient about XXXXXXX XXX lifestyle changes. d. order a urinalysis and creatinine clearance XXX XXXXX XXXXXXX with a b-XXXXXXX. </p> <p>Question XX: A patient who has XXXXXXXX mellitus XXX XXXXXXXXXX heart XXXXXXX takes insulin and XXXXXXXX. XXX patient will XXXXX taking XXXXXXXXX XXXXXXXXXXXX to treat XXXXXXXXX XXXXXXXXXXXX. XXX primary care XX XXXXXX XXXXXXXXX: </p> <p>a. XXXXXXXXXX the dose XX XXXXXXXX. b. XXXX XXXXXXXX XXXXX glucose monitoring. c. a higher XXXX usual XXXX of testosterone. d. XXXXXXXXXX XXXXXXX XXXXX XX prevent XXXXXXXXXXXX. </p> <p>XXXXXXXX 44: X primary care XX sees a patient who reports XXXXXX decreased frequency XX stools XXXX the XXXX few XXXXXX. In the clinic today, the XXXXXXX has severe abdominal XXXXXXXX XXX an abdominal XXXXXXXXXX XXXXX an increased stool load in the XXXXXXX colon XXX XXXXXX. XXX NP XXXXXX: </p> <p>a. give XXXXXXXXX hydroxide (XXXX of XXXXXXXX). b. start XXXXX methylcellulose (Citrucel) XXX XXXXXXXXX fluids. c. order a sodium XXXXXXXXX XXXXX and psyllium (XXXXXXXXX). d. XXXXXXXXX XXXXXXXXXXXX XXXXXX (XXXXXXX) and 2000 mL of fluid daily. </p> <p>XXXXXXXX XX: X XXXXXXX care XX writes a prescription XXX an off-XXXXX use XXX a drug. To XXXX XXXXXX compliance, the NP XXXXXX: </p> <p>a. XXXXXXX XXXXXXXXXXX about the off-label XXX on the E-XXXXXX. b. XXXXXXX XXX XXXXXXX with written instructions XXXXX how to XXX XXX XXXXXXXXXX. c. XXXX the XXXXXXX to let XXX XXXXXXXXXX XXXX XXXX the drug XX XXXXX XXXX for an XXX-label XXX. d. XXXXXX up by phone in several XXXX to see if the patient is XXXXX XXX drug XXXXXXXXXXXXX. </p> <p>Question XX: A XXXXXXX wants XX know why a cheaper version XX a XXXX XXXXXX be used XXXX the XXXXXXX XXXX NP writes a XXXXXXXXXXXX for a XXXXXXXX XXXXX name of the XXXX and XXXXXX, “Dispense as XXXXXXX.” The XX should XXXXXXX that a different XXXXX XX this XXXX: </p> <p>a. may XXXXX different XXXXXXX XXXXXXX. b. does not XXXXXXXXXXX XXXX the same therapeutic effect. c. XX likely to be less safe than XXX brand specified in the XXXXXXXXXXXX. d. may vary in the amount XX drug that XXXXXXX XXX XXXX XX XXXXXX in XXX body. </p> <p>Question 47: X X-year-old child XXX chronic “toddler’s” diarrhea, which XXX an unknown but benign XXXXXXXX. XXX XXXXX’s parent asks the XXXXXXX care NP if a medication XXX XX used to XXXXX the child’s symptoms. XXX NP XXXXXX XXXXXXXXX giving: </p> <p>a. diphenoxylate (XXXXXXX). b. attapulgite (Kaopectate). c. an XXXXXXXXXXX XXXXXXXX (Pedialyte). d. bismuth XXXXXXXXXXXXX (XXXXX-Bismol). </p> <p>XXXXXXXX XX: X primary care XX XXX prescribed phentermine XXX a XXXXXXX who XX XXXXX. The patient loses 10 lb in the XXXXX XXXXX but reports that the drug XXXX XXX seem XX be XXXXXXXXXXX XXXXXXXX XX much XX XXXXXX. The NP should: </p> <p>a. discontinue the phentermine. b. increase XXX dose XX phentermine. c. XXXXXXXX XXX XXXXXXXXXXX XX the same dose. d. change XX a combination XX XXXXXXXXXXX XXX topiramate. </p> <p>XXXXXXXX 49: A XXXXXXX is XXXXX XXXXXXXXX with type 2 diabetes mellitus. XXX XXXXXXX care XX XXXXXXX this XXXXXXX’s laboratory XXXXX and XXXXX XXXXXX renal function, increased XXXXXXXXXXXXX, XXX deceased XXX XXXXXX. XXX NP should XXXXXXXXX: </p> <p>a. nateglinide (XXXXXXX). b. glyburide (XXXXXXXXX). c. colesevelam (XXXXXXX). d. metformin (XXXXXXXXXX). </p> <p>XXXXXXXX: X XX-XXXX-old woman with a XXXXXX history XX XXX XX experiencing occasional hot flashes XXX is XXXXXX XXXXXXX XXXXX 3 to 4 months. XXX XXXX XXX XXXXXXX XXXX NP XXXXX HT to XXXXXXX her symptoms. XXX NP XXXXXX: </p> <p>a. prescribe XXXXXXXX-XXXX therapy. b. XXXXXXXX XXXX contraceptive XXXXX XXX. c. discuss XXXXX XXXXXXXXXXXX HT. d. plan to XXX estrogen-progesterone therapy XXXX XXXXXXXXX begins. </p> <p>Question 51: X primary care NP prescribes a COCP for a woman XXX is taking XXXX XXX the XXXXX XXXX. XXXXX XXXXXXXX, XXX woman should XXXXXXXXX XXXXX XXX XXXX XXX XXXXX a XXXXXX form of contraception if she: </p> <p>a. XX XXXXXX vomiting or diarrhea. b. delays taking a XXXX by 5 or 6 XXXXX. c. takes XXXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXX XXXXXXX days in a row. d. has recurrent headaches or insomnia. </p> <p>Question 52: A XXXXXXX XXX XX XXXXXX an oral anticoagulant XX in the XXXXXX in the XXXX afternoon and reports XXXXXX missed XXX XXXXXXX XXXX of XXX medication because the XXXXXXXXXXXX was not refilled. The XXXXXXX XXXX XX XXXXXX counsel this XXXXXXX to: </p> <p>a. XXXXX XXXXX that XXX XXXX in vitamin X XXX XXXXXXX XXXX. b. XXXX a double XXXX XX the XXXXXXXXXX the next morning. c. XXXXXX XXX prescription and take today's XXXX immediately. d. XXXX XXXXX's XXXX and XXXXXX a regular dosing schedule in the morning. </p> <p>Question XX: A patient XXXXX to XXX clinic with a X-day XXXXXXX XX cough XXX wheezing. The patient XXX no previous history XX XXXXXX. The XXXXXXX XXXXXXX XXXXXX XXXXXXXXX for several XXXXXX, which has XXXXXXXX considerably. The XXXXXXX care NP makes a diagnosis of asthma XXX XXXXXX oral XXXXXXXX XXX inhaled XXXXXXXXX. The XXXXXXX’s XXXXXXXXX XXXXXXX, XXX a chest radiograph obtained X days later shows bilateral XXXXXXXXXXX. XXX NP XXX failed to: </p> <p>a. XXXXXXX the diagnosis. b. determine XXX aggressiveness XX XXXXXXX. c. prescribe an adequate XXXX of XXXXXXXXXXX. d. allow the XXXXX an XXXXXXXX amount of time to work. </p> <p>XXXXXXXX 54: X X-XXXX-old child XXX XXXXXXX constipation. The primary XXXX NP XXXXX to XXXXXXXXX a XXXXXXXX for long-term XXXXXXXXXX. In XXXXXXXX to XXXXXXXXXXXXX therapy, the XX should XXXX recommend XXXXX g of XXXXX XXX day. </p> <p>a. XX b. XX c. XX d. 25 </p> <p>Question XX: X patient in XXX clinic XXXXXXX heartburn 30 minutes after XXXXX, a feeling XX fullness, XXXXXXXX belching, XXX a XXXXXXXX XXXX XXXXX. XXX patient has a normal weight and reports having a XXXX-stress XXX. XXX XXXXXXX care NP should XXXXXXXXX: </p> <p>a. antacid XXXXXXX as XXXXXX. b. XXXXXXX in diet to XXXXX XXXXXX foods. c. XXXXX treatment XXXX a XXX. d. consultation with a XXXXXXXXXXXXXXXXXX XXX XXXXXXXXX. </p> <p>Question XX: X XXXXXXX who has angina XX taking XXXXXXXXXXXXX and long-XXXXXX nifedipine. XXX XXXXXXX XXXX NP XXXXX a persistent blood pressure of XX/60 mm Hg at XXXXXXX XXXXXX-XX visits. The patient XXXXXXX XXXXXXXXXXXXXXX XXXXXXXXXX XXXX standing XX. The NP should XXXXXXX XXXX XXX patient’s XXXXXXXXXXXX about changing XXX medication to: </p> <p>a. XXXXXXXXXX (Norvasc). b. XXXXXXXXXX (DynaCirc). c. verapamil XXX (XXXXX). d. XXXXX-XXXXXX XXXXXXXXXX (XXXXXXXXX). </p> <p>Question XX: A XX-year-XXX XXXXX XXXXX the XXXXXXX care nurse XXXXXXXXXXXX (NP) that XXX does not XXXX more XXXXXXXX and would XXXX a XXXXXXXXXXXXX. XXX XXXX not XXXXX XXX XXX no personal or XXXXXX history XX cardiovascular disease. She has frequent tension headaches. XXX XXXX patient, XXX XX should prescribe: </p> <p>a. XXXXXXX. b. XXXXX XXXXXXXX. c. XXXXXXXXXX XXXXXXXX XXXX XXXXXXXXXXXXX pill (XXXX). d. low-estrogen XXXX. </p> <p>XXXXXXXX 58: A woman who has XXXX taking a COCP XXXXX the primary care XX that, XXXXXXX XX XXXXXXXX XXXXXXX in her XXXX schedule, she has difficulty remembering XX take her pills. The woman XXX XXX NP XXXXXX XX change to a vaginal XXXX. XXX NP XXXX XXXXXXXX her to insert XXX ring: </p> <p>a. within 7 days after her last active pill. b. XXX XXX a backup contraceptive for X XXXX. c. XXX continue the XXXX for XXX more cycle. d. XX XXX same day XXX stops taking her XXXX. </p> <p>XXXXXXXX 59: X XXXXXXX who has severe arthritis and who XXXXX nonsteroidal XXXXXXXXXXXXXXXX drugs (NSAIDs) XXXXX XXXXXXXX a duodenal XXXXX. XXX XXXXXXX has XXXXX a cyclooxygenase-X XXXXXXXXX XXXXX in XXX XXXX XXX XXXXXX XXXX it is not XX effective as XXX current XXXXX. The primary care nurse practitioner (NP) should: </p> <p>a. prescribe cimetidine (Tagamet). b. XXXXXXXXX omeprazole (Prilosec). c. teach XXX patient about a bland XXXX. d. XXXXXX the XXXXX to a XXXXXXXXXXXXXX. </p> <p>Question 60: X XXXXXXX in the clinic XXXXXXXX sudden XXXXXXXXX XX XXXXXX and XXXXXXXXXXX. XXX XXXXXXX care XX XXXXX thready XXXXXX, poor XXXXXXXXXX perfusion, and a decreased level XX consciousness. The NP activates the emergency XXXXXXX system XXX should XXXXXXXXXX XXXX XXXX patient will XXXXXXX: </p> <p>a. XXXXXXXXXXX XXXXXXXXX. b. low-XXXX XXXXXXX XXX warfarin. c. low-XXXXXXXXX-weight XXXXXXX (XXXX). d. XXXXXXXXXXXXXX heparin (UFH) XXX XXXXXXXX. </p> <p> </p>">
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<!DOCTYPE html PUBLIC "-//ABISOURCE//DTD XHTML plus AWML 2.2//EN" "http://www.abisource.com/2004/xhtml-awml/xhtml-awml.mod"><html xmlns="http://www.w3.org/1999/xhtml" xmlns:awml="http://www.abisource.com/2004/xhtml-awml/"> <head> </head> <body> <div> <p style="text-align:center;margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#333333">NR 508 Week 4 Midterm (Version 3)</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 1: A patient who has primary hyperlipidemia and who takes atorvastatin (Lipitor) continues to have LDL cholesterol of 140 mg/dL after 3 months of therapy. The primary care NP increases the dose from 10 mg daily to 20 mg daily. The patient reports headache and dizziness a few weeks after the dose increase. The NP should:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">a. recommend supplements of omega-3 along with the atorvastatin.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">b. change the atorvastatin dose to 15 mg twice daily.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000">c. add ezetimibe (Zetia) and lower the atorvastatin to 10 mg daily.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">d. change the patient’s medication to cholestyramine</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 2: A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6 months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/dL, and triglycerides of 160 mg/dL. The primary care NP orders a lipid profile today that shows LDL of 105 mg/dL, HDL of 50 mg/dL, and triglycerides of 120 mg/dL. The patient reports muscle pain and weakness. The NP should:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">a.order liver function tests (LFTs).</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">b. order a creatine kinase-MM (CK-MM) level.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">c. change atorvastatin to twice-daily dosing.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">d. add gemfibrozil (Lopid) to the patient’s medication regimen</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 3: A patient comes to the clinic with a 4-day history of 10 to 12 liquid stools each day. The patient reports seeing blood and mucus in the stools. The patient has had nausea but no vomiting. The primary care NP notes a temperature of 37.9° C, a heart rate of 96 beats per minute, and a blood pressure of 90/60 mm Hg. A physical examination reveals dry oral mucous membranes and capillary refill of 4 seconds. The NP’s priority should be to:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">a. obtain stool cultures.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000">b. begin rehydration therapy.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">c. consider prescribing metronidazole.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">d. administer opioid antidiarrheal medications.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 4: A perimenopausal woman tells the primary care NP that she is having hot flashes and increasingly severe mood swings. The woman has had a hysterectomy. The NP should prescribe:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000"></span><span style="font-size:12pt;font-family:'Times New Roman'">d. selective serotonin reuptake inhibitor therapy until menopause begins.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 5: A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour release, for a patient with chronic stable angina. The NP should teach the patient to:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'"></span><span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000">d. apply one patch daily in the morning and remove in 12 hours.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 6: A parent calls a clinic for advice about giving an over-the-counter cough medicine to a 6-year-old child. The parent tells the NP that the medication label does not give instructions about how much to give a child. The NP should:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'"></span><span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000"></span><span style="font-size:12pt;font-family:'Times New Roman'">d. tell the parent to approximate the dose at about one third to one half the adult dose.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 7: A patient who has disabling intermittent claudication is not a candidate for surgery. Which of the following medications should the primary care NP prescribe to treat this patient?</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000"></span><span style="font-size:12pt;font-family:'Times New Roman'">d. Low-dose, short-term aspirin</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 8: The primary care NP prescribes an extended-cycle monophasic pill regimen for a young woman who reports having multiple partners. Which statement by the patient indicates she understands the regimen?</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'"></span><span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000"></span><span style="font-size:12pt;font-family:'Times New Roman'">d. "This type of pill has fewer side effects than other types."</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman';color:#000000">Question 9: The primary care NP prescribes an inhaled corticosteroid for a patient who has asthma. The third-party payer for this patient denies coverage for the brand that comes in the specific strength the NP prescribes. The NP should:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'"></span><span style="font-size:12pt;font-family:'Times New Roman';color:#ff0000"></span><span style="font-size:12pt;font-family:'Times New Roman'">d. write a letter of medical necessity to the insurer to explain the need for this particular medication.</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-size:12pt;font-family:'Times XXX XXXXX';XXXXX:#000000">Question 10: X primary care XX XXXXXXXXXX XXXXXXXXXXXXX for a patient to treat thyroid deficiency. When XXXXXXXX this XXXXXXX XXXXX the XXXXXXXXXX, the NP should:</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-family:'Times XXX XXXXX'">d. tell XXX patient XXXX the drug XXX be XXXXXXX XXXX XXXXXXX XXXXXXXX tests XXXXXXXXX.</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="font-XXXX:12pt;XXXX-XXXXXX:'XXXXX XXX Roman';XXXXX:#XXXXXX">XXXXXXXX XX: X XXXXXXX who XXX had four XX XXXX XXXXXX XXXXXX per XXX XXX X XXXX XX seen XX the XXXXXXX XXXX NP. XXX patient XXXX about medications to stop the XXXXXXXX. XXX NP tells XXX patient that antidiarrheal XXXXXXXXXXX are:</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:XXXX;XXXX-family:'Times XXX Roman';XXXXX:#XXXXXX"></span><span style="font-XXXX:XXXX;font-family:'Times XXX Roman'">d. XXXXXX when other XXXXXXXX, such XX hematochezia, develop.</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;font-XXXXXX:'Times New XXXXX';XXXXX:#XXXXXX">Question XX: The XXXXXXX XXXX NP XXXX a patient XXXXXXX XX Medicaid, XXXXXX a prescription XXX a medication, and is informed by the pharmacist XXXX XXX XXXXXXXXXX XX “off-formulary.” The XX XXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;font-XXXXXX:'Times XXX Roman'"></span><span style="font-XXXX:12pt;XXXX-XXXXXX:'Times XXX Roman';color:#XXXXXX"></span><span style="font-size:XXXX;font-family:'Times New Roman'">d. XXXXXXX the XXXXXXXXXXXXXX XXXXXXX to see XX medication samples XXX available.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX Roman';XXXXX:#XXXXXX">Question XX: A XXXXXXX who has XXXX X diabetes mellitus XXXXX metformin (XXXXXXXXXX). XXX patient tells the XXXXXXX XXXX XX XXXX he will have XXXXXXX in a few XXXXX. XXX XX XXXXXX XXXXXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'Times XXX Roman'"></span><span style="XXXX-XXXX:XXXX;XXXX-family:'XXXXX XXX XXXXX';XXXXX:#XXXXXX"></span><span style="XXXX-XXXX:XXXX;font-XXXXXX:'Times New XXXXX'">d. adding a sulfonylurea XXXXXXXXXX XXXXX recovery from surgery XX complete.</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="XXXX-size:12pt;font-family:'Times XXX Roman';color:#XXXXXX">XXXXXXXX XX: A XXXX 52-year-old woman XXX XXX XXXXXXXX XXX a hysterectomy tells XXX primary XXXX XX XXX XX XXXXXX frequent hot XXXXXXX and XXXXXXX dryness. X recent XXXX XXXXXXX XXXXX XXXXX early osteopenia. XXX XXXXX’s mother had CHD. XXX has no family history of breast XXXXXX. The NP XXXXXX XXXXXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-XXXX:12pt;XXXX-family:'Times New XXXXX';color:#ff0000"></span><span style="font-size:12pt;font-XXXXXX:'Times New XXXXX'">d. XXXXXXXX-XXXXXXXXXXXX XX in X XXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-size:XXXX;font-XXXXXX:'Times New Roman'">Question XX: A patient who XXX XXXXXXXX gastroparesis sees a gastroenterology XXXXXXXXXX who orders XXXXXXXXXXXXXX (Reglan). XXXXXX XX XXXXX, the patient describes having extrapyramidal XXXXXXXX (XXX) to the primary care NP. The XX XXXX contact the XXXXXXXXXXXXXXXXXX XXX should XXXXXX to prescribe:</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'Times New Roman';color:#XXXXXX"></span><span style="XXXX-XXXX:XXXX;XXXX-family:'Times XXX Roman'">d. a TCA.</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-XXXXXX:'Times New Roman'">Question XX: XXX XXXXXXX XXXX XX is preparing XX XXXXXXXXX XXXXXXXXXX dinitrate XXXXXXXXX release (Dilatrate XX) XXX a patient who has chronic, stable angina. The XX should XXXXXXXXX XXXXXXX XXXXXX of:</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="XXXX-size:XXXX;font-family:'XXXXX New XXXXX'"></span><span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX Roman';color:#XXXXXX"></span><span style="XXXX-XXXX:12pt;font-family:'Times New Roman'">d. 80 XX XXXXX XXXXX XXXXX at X:00 XX, X:00 PM, XXX X:XX XX.</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="font-size:12pt;XXXX-XXXXXX:'Times XXX Roman'">Question XX: A patient who XXX hypothyroidism XXX been XXXXXX XXXXXXXXXXXXX XX mcg daily for 2 XXXXX. XXX patient XXXXXXX XXXXXXXXX XXXXXXX. XXX primary XXXX NP XXXXXX:</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-size:12pt;font-XXXXXX:'XXXXX XXX XXXXX'"></span><span style="font-XXXX:XXXX;XXXX-family:'XXXXX XXX XXXXX';color:#ff0000"></span><span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX New XXXXX'">d. XXXXXXXX XXX patient XXXX this will XXXXXXX in several weeks.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-XXXXXX:'XXXXX New XXXXX'">Question 18: XXX primary care NP XXX referred a XXXXX who XXX XXXXXXXXXXX gastrointestinal XXXXXX disease to a XXXXXXXXXX XXX XXXXXXXXXXXXX for a XXXXXXXXXXXXXX XXX XXXXXXXXXXX tube XXXXXXXXX. The XXXXX’s weight is 80% of XXXX is recommended for age, and a XXXXXX XXXXXXX XXXXX revealed XXXXXXXXXXX XXXX XXX aspiration. The child’s XXXXXXX XX XXX XXXX the procedure. The XX should:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'XXXXX XXX XXXXX'"></span><span style="XXXX-size:XXXX;XXXX-XXXXXX:'Times XXX XXXXX';XXXXX:#XXXXXX"></span><span style="font-size:XXXX;XXXX-XXXXXX:'XXXXX New XXXXX'">d. XXXXXXXXXX XXXX XXX child's XXXXXXX have a right XX XXXX XXXXXXX that XXXXXXXX those XX the medical team.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'XXXXX New XXXXX'">XXXXXXXX 19: X female XXXXXXX XXX is XXXXXXXXXXX XXXXX the XXXXXXX care XX XXXX XXX has been XXXXX bisacodyl (Dulcolax) XXXXX for XXXXXXX years. The NP should:</span> </p> <p style="XXXXXX-XXXXXX:X.000000pt"> <span style="XXXX-XXXX:XXXX;XXXX-family:'XXXXX New XXXXX';XXXXX:#XXXXXX"></span><span style="XXXX-size:12pt;font-XXXXXX:'Times XXX XXXXX'">d. counsel the patient to XXXXXXXXXXX XXX XXXXXXXX and XXXXXXXX fluid and fiber XXXXXX.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-family:'XXXXX New Roman'">XXXXXXXX XX: X XXXXXXX XXXXX a cardiac medication that has a XXXX XXXXXX XXXXXXXXXXX XXXXX. The XXXXXXX care NP XXXXXX that XXX particular brand XXX XXXXXXX is taking XX XX longer covered by XXX XXXXXXX’s XXXXXXX XXXX. The NP knows that the XXXXXXXXXXXXXXX of the drug XXXXXX from XXXXX to brand. The XX should:</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX New Roman';color:#XXXXXX"></span><span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'XXXXX New XXXXX'">d. XXX XXX XXXXXXXXXXXXXX company XXXX makes the drug for samples so XXXX the XXXXXXX XXXX XXX incur out-of-XXXXXX XXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'Times New XXXXX'">XXXXXXXX 21: X patient is in XXX clinic for a follow-XX XXXXXXXXXXX XXXXX a myocardial infarction (XX). The patient XXX a history of left ventricular systolic XXXXXXXXXXX. The primary XXXX NP XXXXXX XXXXXX XXXX patient to be XXXXXX:</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-XXXX:12pt;XXXX-family:'Times New XXXXX'">a. XXXXXXX (Corgard).</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-size:XXXX;font-XXXXXX:'Times XXX XXXXX';color:#ff0000">b. carvedilol (XXXXX).</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-family:'Times New Roman'">c. XXXXXXX (XXXXXXXXX).</span> </p> <p style="XXXXXX-bottom:X.000000pt"> <span style="XXXX-size:XXXX;font-family:'Times New XXXXX'">d. propranolol (Inderal).</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'Times New XXXXX'">Question 22: X male XXXXXXX tells the primary XXXX NP he XX experiencing XXXXXXXXX XXXXXX, XXXX XX energy, XXX poor XXXXXXXXXXXXX. XXX XX performs an XXXXXXXXXXX XXX XXXXX increased body XXX XXX XXXXXXXXXXXX. X XXXXX XXXXXXXXXXXX level XX XXX ng/XX. XXX NP’s next action should be to:</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'Times New XXXXX'"></span><span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX XXX XXXXX';color:#ff0000">d. XXXXXX a XXXXXXX XXXXX XXXXXXXXXXXX XXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-size:12pt;XXXX-family:'Times New Roman'">Question 23: An African-XXXXXXXX XXXXXXX is XXXXXX XXXXXXXXX (XXXXXXX) 25 XX XXXXX daily. When performing a physical XXXXXXXXXXX, XXX primary care nurse XXXXXXXXXXXX (XX) learns XXXX the patient XXXXXXXXX to have XXXXX pressure XXXXXXXX of XXX/90 XX XX. The XX XXXXXX:</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-XXXX:12pt;font-XXXXXX:'Times XXX Roman'"></span><span style="font-size:XXXX;XXXX-XXXXXX:'XXXXX New XXXXX';color:#XXXXXX"></span><span style="XXXX-size:12pt;font-XXXXXX:'Times XXX XXXXX'">d. recommend a low-sodium XXXX in XXXXXXXX to XXX medication.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;XXXX-XXXXXX:'XXXXX New XXXXX'">Question XX: A 50-year-XXX woman who is XXXXXXXXXXXXXX is taking an XXXXXXXXX XXXXXXXXX XX XXXX of a XXXXXX cancer treatment XXXXXXX. She XXXXX her primary XXXX NP to XXXXXX XXXX she XXX had XXX flashes XXX XXXXXXXXX XXXXXXX XXXXXXXXX but no XXXXXXXX. XXX XX XXXXXX:</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-size:XXXX;XXXX-XXXXXX:'Times XXX Roman';color:#XXXXXX"></span><span style="XXXX-XXXX:12pt;font-XXXXXX:'Times New XXXXX'">d. reassure her that these are normal side effects of XXX XXXXXXXXXX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="font-XXXX:12pt;font-XXXXXX:'Times XXX Roman'">Question 25: X 40-year-old XXXXXXX is in XXX clinic XXX a routine XXXXXXXX XXXXXXXXXXX. The patient has a body mass XXXXX (XXX) XX XX. The patient is active XXX walks a dog XXXXX. A lipid profile XXXXXXX XXX-density lipoprotein (XXX) XX XXX mg/XX, XXXX-XXXXXXX lipoprotein (HDL) of XX XX/XX, and XXXXXXXXXXXXX of XXX mg/dL. The XXXXXXX care nurse XXXXXXXXXXXX (XX) should:</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'XXXXX New Roman';color:#ff0000"></span><span style="font-XXXX:12pt;font-XXXXXX:'Times New XXXXX'">d. obtain serum XXXXXXX and XXXXXXXXXX A1c XXXXXX.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;XXXX-XXXXXX:'Times XXX Roman'">Question 26: XXX primary XXXX XX XX XXXXXX a patient XXX a XXXXXXXX follow-XX after XXX XXXXXXX XXX had a XXXXX myocardial XXXXXXXXXX. XXX patient XXX a XXXX XX the XXXXXXXXXX medications and tells the XX XXXX “XX XXX XXXXXXXXX XXXXXXXX XXXXX XXXX.” XXX XX’s initial response XXXXXX XX to:</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'XXXXX XXX XXXXX'"></span><span style="font-size:XXXX;font-XXXXXX:'XXXXX New Roman';color:#ff0000"></span><span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'Times XXX XXXXX'">d. XXXX the XXXXXXX information about drug effects and XXX adverse reactions.</span> </p> <p style="XXXXXX-XXXXXX:X.000000pt"> <span style="font-size:12pt;XXXX-family:'XXXXX XXX Roman'">XXXXXXXX XX: X man with a BMI of 38 XXX a waist size of 48 XXXXXX is seen in the clinic XXX an annual XXXX check-XX. XXX primary care XX orders laboratory XXXXX and XXXXX a fasting XXXXXX XXXXXXX XX XXX mg/dL, triglyceride XXXXX of 220 mg/dL, and high-density XXXXXXXXXXX level of XX mg/dL. XXX man’s blood pressure XX XXX/110 mm Hg. XXX man XXX a XXXXXXX XX cardiovascular XXXXXXX XXX tells the NP he has XXXXX to XXXX XXXXXX XXXXXXXX XXXXX. The XX XXXXXX XXXXXXXX:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-family:'XXXXX New Roman';color:#ff0000"></span><span style="font-size:XXXX;font-family:'Times New Roman'">d. a XXXXXX XXX-fat, XXX-sodium XXXX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:12pt;XXXX-XXXXXX:'Times XXX Roman'">Question 28: A primary care XX XXXXXX XXXXXXX XXXXXXXX tests. The XXXXXXX’s XXX XX X.2 XXXXXXXXXX/mL, and XX is X.7 ng/XX. XXX XX XXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;font-XXXXXX:'XXXXX New Roman'"></span><span style="XXXX-size:XXXX;font-family:'XXXXX XXX XXXXX';color:#XXXXXX"></span><span style="XXXX-size:XXXX;XXXX-family:'XXXXX New XXXXX'">d. ask an endocrinologist to XXXXXXXX for possible XXXXXXXXX's thyroiditis.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX Roman'">XXXXXXXX 29: A postmenopausal XXXXX develops XXXXX-induced XXXXX. XXX XXXXXXX care XX should prescribe:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'Times XXX Roman';XXXXX:#ff0000"></span><span style="XXXX-XXXX:XXXX;XXXX-family:'XXXXX New Roman'">d. pantoprazole (XXXXXXXX).</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-XXXXXX:'Times XXX Roman'">Question XX: A patient XXX XX newly diagnosed XXXX type X XXXXXXXX mellitus has XXX XXXXXXXXX to changes in XXXX or XXXXXXXX. The XXXXXXX is mildly obese and has a XXXXXXX XXXXX XXXXXXX of 130 XX/XX. The XXXXXXX XXX XXXXXX renal XXXXXXXX tests. The primary care XX XXXXX to XXXXXXXXX a XXXXXXXXXXX XXXXXXX. Which XX the XXXXXXXXX is XXXXXXXXX for this XXXXXXX?</span> </p> <p style="XXXXXX-bottom:X.000000pt"> <span style="font-size:12pt;font-family:'XXXXX XXX XXXXX';XXXXX:#ff0000"></span><span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'XXXXX XXX Roman'">d. XXXXXXXXX/XXXXXXXXXXXX (XXXXXXXX XXX)</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'Times New Roman'">Question XX: A XXXXXXX comes to XXX XXXXXX XX discuss weight loss. XXX primary care NP XXXXX a XXX XX 32 and XXXXXXXX a health risk assessment that XXXXXXX no obesity-XXXXXXX XXXX factors. XXX XX XXXXXX XXXXXXXXX:</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-XXXXXX:'XXXXX New XXXXX';XXXXX:#XXXXXX"></span><span style="XXXX-size:12pt;XXXX-family:'Times XXX XXXXX'">d. Metformin/XXXXXXXXXXXX (ACTOplus met)</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'XXXXX New XXXXX'">Question XX: X XXXXXXX XXX been using an herbal supplement XXX 2 years XXXX the XXXXXXX care NP knows may have toxic side effects. XXX NP XXXXXX:</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX XXX Roman'"></span><span style="XXXX-XXXX:12pt;font-family:'XXXXX New Roman';color:#ff0000"></span><span style="font-size:12pt;XXXX-XXXXXX:'Times New XXXXX'">d. prescribe another herbal drug that has fewer XXXXXXX XXXXXXX than XXX one XXX patient XX XXXXXX.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="XXXX-size:XXXX;XXXX-family:'Times New Roman'">Question XX: X patient XXX has insulin-dependent XXXX X XXXXXXXX reports XXXXXX difficulty XXXXXXX XXXXX XXXXXXX XXXXXX XXXXXX XXXXXX XXX XXX had multiple XXXXXXXX of both hypoglycemia XXX XXXXXXXXXXXXX. XX adjunct therapy XX XXXXXX XXXX XXXXXXX, XXX XXXXXXX care NP should XXXXXXXXX:</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="font-XXXX:12pt;font-family:'XXXXX XXX Roman';color:#ff0000"></span><span style="font-XXXX:12pt;font-XXXXXX:'Times New XXXXX'">d. XXXXXXXXX (XXXXXXXXXX).</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-family:'Times New XXXXX'">Question 34: X XXXXXXX XXX XXXXX spironolactone for XXXXX failure has XXXXX taking digoxin (XXXXXXX) for atrial fibrillation. XXX XXXXXXX care NP provides teaching XXX XXXX patient XXX asks XXX patient to XXXXXX XXXX XXXX XXX XXXX XXXXXXX. Which statement by XXX XXXXXXX XXXXXXXXX XXXXXXXXXXXXX of XXX teaching?</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-family:'Times XXX XXXXX';color:#ff0000"></span><span style="font-size:XXXX;font-XXXXXX:'XXXXX XXX Roman'">d. "I should XXX a salt XXXXXXXXXX while XXXXXX XXXXX XXXXXXXXXXX."</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;font-family:'Times New Roman'">XXXXXXXX XX: X XXXXXXX who XX XXXXXX nifedipine develops XXXX XXXXX XX both XXXX. XXX primary care XX XXXXXX contact the patient’s cardiologist to XXXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'XXXXX New Roman';XXXXX:#XXXXXX"></span><span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'XXXXX New XXXXX'">d. XXXXXXXXXX of XXXX XXXXXXXXXXX XXXXXXXX.</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="font-XXXX:XXXX;font-family:'XXXXX New XXXXX'">Question XX: X patient who XXX atrial XXXXXXXXXXXX (XX) has XXXX XXXXXX warfarin (XXXXXXXX). The XXXXXXX care nurse XXXXXXXXXXXX (NP) plans to XXXXXX XXX XXXXXXX’s medication XX dabigatran (XXXXXXX). To do XXXX safely, the XX should:</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-XXXXXX:'Times XXX XXXXX';XXXXX:#XXXXXX"></span><span style="XXXX-XXXX:XXXX;font-XXXXXX:'XXXXX New XXXXX'">d. order XXXXXXXX XXXXXXXXXX of XXX patient's INR XXXXX dabigatran therapy begins.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'Times New XXXXX'">Question 37: X XXXXXXX who takes an XXX XXXXXXXXX and a thiazide diuretic for XXXXXXXXXXXX XXXX XXXXX XXXXXX spironolactone. XXX XXXXXXX XXXX NP XXXXXX XXXXXXX this patient to:</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-family:'Times New XXXXX';color:#ff0000"></span><span style="font-size:XXXX;XXXX-XXXXXX:'Times XXX XXXXX'">d. XXXXX XXXXXX antacids containing XXXXXXXXX while XXXXXX XXXXX drugs.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'Times XXX Roman'">XXXXXXXX XX: A XXXXXXX XXX XXXX XXXXXX furosemide XX XX XXXX daily for 4 XXXXX and XXXXXXX XXX a follow-XX visit. The primary XXXX NP XXXXX a XXXXX XXXXXXXX of 100/XX mm Hg. The XXXXXXX’s lungs XXX clear, and there is XX peripheral edema. The patient’s XXXXX potassium XX 3.X XXX/L. The NP should:</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'Times New XXXXX'"></span><span style="XXXX-size:12pt;XXXX-XXXXXX:'Times New Roman';XXXXX:#ff0000"></span><span style="XXXX-XXXX:XXXX;XXXX-family:'Times New XXXXX'">d. XXXXXX XXXXXXXXXX dose the 40 XX XXXXX XXXXX.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="font-XXXX:12pt;font-XXXXXX:'XXXXX New XXXXX'">Question XX: The primary care NP XX XXXXXXXXX XXXXXXXX-based recommendations about XXX off-XXXXX XXX XX a particular XXXX. Which recommendation XXXXXX XXXXXXXXX the XX’s XXXXXXXX about prescribing the XXXXXXXXXX?</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;XXXX-family:'Times New Roman';XXXXX:#ff0000"></span><span style="XXXX-size:XXXX;XXXX-XXXXXX:'Times New XXXXX'">d. Endorsement XX XXXX use by a XXXXXXX XXXXXXXXXXXX in XXX field</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:12pt;XXXX-family:'Times New XXXXX'">Question 40: A XXXXXXX who has a XXXXXXX of chronic XXXXXXXXXXXX uses a bulk laxative to prevent XXXXXXXX XX XXXXX constipation. The XXXXXXX reports having an XXXXXXXXX frequency XX episodes. The XXXXXXX XXXX XX should recommend:</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX New Roman';XXXXX:#XXXXXX"></span><span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'XXXXX XXX Roman'">d. adding XXXXXXXXXXXXXXXX measures XXXX XX XXXXXXXXXXX.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="font-XXXX:12pt;font-XXXXXX:'Times New XXXXX'">XXXXXXXX 41: A primary care XX XXXX a 5-XXXX-old child who is morbidly XXXXX. XXX child XXX an elevated XXXXXXXXXX A1c XXX increased lipid levels. Both of the XXXXX’s parents are overweight but XXX obese, and XXXX tell the XX XXXX they see nothing XXXXX with their XXXXX. XXXX both XXXXX XXXX it XX XXXXXXXXX to refuse their XXXXX’s XXXXXXXX XXX soda or XXX XXXXX. XXX NP XXXXXX:</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="font-size:XXXX;font-XXXXXX:'Times New Roman'"></span><span style="font-XXXX:12pt;font-family:'Times XXX Roman';XXXXX:#ff0000"></span><span style="font-size:12pt;XXXX-XXXXXX:'XXXXX New Roman'">d. XXXXXXX XXXXXX counseling XX explore XXXX XX improve parenting XXXXXX XXX XXXXXX.</span> </p> <p style="XXXXXX-bottom:X.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-family:'Times XXX Roman'">Question XX: A 55-XXXX-XXX patient XXXX no prior history XX hypertension XXX a blood pressure XXXXXXX XXXX XXX/90 XX XXXXX XXXXXXXX occasions. XXX patient does not XXXXX, has a body mass index XX 24, and exercises XXXXXXXXX. The XXXXXXX has XX known risk XXXXXXX for XXXXXXXXXXXXXX disease. The primary XXXX NP should:</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-family:'XXXXX XXX XXXXX'"></span><span style="font-XXXX:12pt;font-family:'Times New XXXXX';color:#ff0000"></span><span style="font-size:XXXX;XXXX-family:'Times New XXXXX'">d. order a urinalysis and creatinine XXXXXXXXX and XXXXX therapy with a b-XXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:XXXX;font-family:'XXXXX XXX Roman'">Question XX: A patient who has XXXXXXXX mellitus XXX XXXXXXXXXX XXXXX XXXXXXX XXXXX XXXXXXX and XXXXXXXX. The patient XXXX begin taking exogenous testosterone XX treat XXXXXXXXX hypogonadism. XXX primary XXXX NP should recommend:</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="XXXX-size:XXXX;font-XXXXXX:'Times XXX Roman'"></span><span style="font-XXXX:12pt;font-XXXXXX:'Times XXX XXXXX';color:#ff0000"></span><span style="XXXX-size:12pt;XXXX-family:'XXXXX New XXXXX'">d. XXXXXXXXXX XXXXXXX doses to XXXXXXX XXXXXXXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX New Roman'">Question XX: X primary care NP sees a XXXXXXX XXX XXXXXXX XXXXXX decreased frequency XX XXXXXX over the past XXX XXXXXX. XX XXX XXXXXX XXXXX, XXX patient has XXXXXX XXXXXXXXX XXXXXXXX and an abdominal XXXXXXXXXX shows an increased XXXXX load in XXX sigmoid XXXXX and rectum. XXX NP XXXXXX:</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'XXXXX New Roman'"></span><span style="XXXX-size:12pt;font-family:'XXXXX XXX Roman';XXXXX:#ff0000"></span><span style="XXXX-size:12pt;font-family:'Times XXX XXXXX'">d. recommend polyethylene glycol (XXXXXXX) and 2000 XX of XXXXX XXXXX.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="font-size:12pt;font-XXXXXX:'XXXXX New XXXXX'">Question 45: A primary care XX writes a XXXXXXXXXXXX XXX an XXX-XXXXX use for a drug. To help XXXXXX compliance, XXX NP should:</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-family:'Times New Roman';color:#ff0000"></span><span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX XXXXX'">d. XXXXXX up by XXXXX in several days to XXX if XXX patient is XXXXX XXX drug XXXXXXXXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-XXXX:XXXX;XXXX-XXXXXX:'XXXXX XXX Roman'">Question 46: A patient wants XX XXXX why a cheaper version of a drug XXXXXX XX used when the XXXXXXX care NP XXXXXX a prescription for a XXXXXXXX XXXXX name of the XXXX and XXXXXX, “Dispense as XXXXXXX.” XXX NP should XXXXXXX that a different XXXXX of XXXX drug:</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-size:XXXX;font-family:'XXXXX XXX XXXXX'"></span><span style="font-XXXX:12pt;font-family:'XXXXX New XXXXX';XXXXX:#XXXXXX">d. XXX vary in the amount of drug that XXXXXXX XXX XXXX XX XXXXXX in the body.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:XXXX;XXXX-XXXXXX:'Times XXX XXXXX'">Question XX: A 2-XXXX-old XXXXX has XXXXXXX “toddler’s” diarrhea, which XXX an unknown XXX benign XXXXXXXX. The child’s XXXXXX XXXX XXX XXXXXXX XXXX NP if a medication can be XXXX to treat the child’s XXXXXXXX. XXX XX should XXXXXXXXX XXXXXX:</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-XXXXXX:'XXXXX XXX XXXXX'"></span><span style="XXXX-size:XXXX;XXXX-family:'XXXXX New Roman';color:#XXXXXX"></span><span style="font-size:XXXX;font-XXXXXX:'Times New XXXXX'">d. XXXXXXX subsalicylate (XXXXX-XXXXXX).</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-family:'Times XXX Roman'">Question XX: X XXXXXXX XXXX NP has prescribed XXXXXXXXXXX XXX a XXXXXXX XXX XX XXXXX. The patient XXXXX XX lb in the XXXXX month but reports XXXX the drug XXXX XXX seem XX XX suppressing XXXXXXXX XX much as before. The NP should:</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;XXXX-XXXXXX:'XXXXX New Roman';color:#ff0000"></span><span style="XXXX-size:XXXX;font-family:'Times New XXXXX'">d. change XX a XXXXXXXXXXX XX XXXXXXXXXXX and XXXXXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-size:12pt;font-family:'XXXXX XXX XXXXX'">Question 49: X XXXXXXX XX newly diagnosed with type 2 diabetes mellitus. XXX XXXXXXX care NP XXXXXXX XXXX XXXXXXX’s XXXXXXXXXX XXXXX and XXXXX normal renal XXXXXXXX, XXXXXXXXX XXXXXXXXXXXXX, and XXXXXXXX HDL XXXXXX. The XX should prescribe:</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'Times New XXXXX'"></span><span style="font-XXXX:XXXX;XXXX-family:'Times XXX Roman';color:#XXXXXX">d. XXXXXXXXX (Glucophage).</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-family:'Times New Roman'">XXXXXXXX: A 50-year-XXX woman XXXX a family history of XXX is XXXXXXXXXXXX occasional hot flashes XXX XX having XXXXXXX every X to X months. XXX XXXX the XXXXXXX XXXX XX about HT to relieve her XXXXXXXX. XXX NP XXXXXX:</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'Times New XXXXX'"></span><span style="font-XXXX:12pt;XXXX-family:'XXXXX XXX XXXXX';XXXXX:#ff0000">d. plan XX XXX estrogen-XXXXXXXXXXXX therapy when XXXXXXXXX XXXXXX.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-family:'Times New XXXXX'">XXXXXXXX 51: A primary care NP prescribes a XXXX for a woman XXX XX taking XXXX for the XXXXX time. XXXXX teaching, XXX XXXXX XXXXXX correctly state XXX XXXX for using a backup form of contraception XX XXX:</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-size:12pt;font-family:'Times XXX Roman';color:#XXXXXX"></span><span style="XXXX-size:12pt;font-XXXXXX:'Times XXX Roman'">d. XXX XXXXXXXXX headaches or XXXXXXXX.</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="XXXX-XXXX:12pt;font-family:'Times XXX Roman'">XXXXXXXX 52: X XXXXXXX who XX taking an XXXX XXXXXXXXXXXXX XX in the XXXXXX in XXX XXXX XXXXXXXXX and reports having missed XXX morning dose XX XXX XXXXXXXXXX because XXX XXXXXXXXXXXX XXX XXX XXXXXXXX. The XXXXXXX XXXX NP should XXXXXXX this XXXXXXX XX:</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'Times XXX Roman'"></span><span style="XXXX-XXXX:12pt;font-XXXXXX:'XXXXX New Roman';XXXXX:#ff0000">d. XXXX today's XXXX XXX XXXXXX a regular dosing XXXXXXXX in the XXXXXXX.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX XXXXX'">XXXXXXXX XX: A XXXXXXX comes XX the clinic XXXX a X-day XXXXXXX of cough XXX wheezing. The patient has no XXXXXXXX XXXXXXX XX XXXXXX. The XXXXXXX XXXXXXX having heartburn for XXXXXXX XXXXXX, which has worsened considerably. XXX XXXXXXX care XX makes a diagnosis of asthma and XXXXXX oral XXXXXXXX and inhaled albuterol. The XXXXXXX’s XXXXXXXXX XXXXXXX, and a XXXXX radiograph obtained X XXXX XXXXX XXXXX bilateral XXXXXXXXXXX. The NP has failed XX:</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-size:12pt;XXXX-family:'Times XXX XXXXX';color:#ff0000"></span><span style="XXXX-XXXX:XXXX;XXXX-family:'XXXXX XXX XXXXX'">d. XXXXX the drugs an adequate XXXXXX XX time XX XXXX.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="font-size:12pt;XXXX-XXXXXX:'XXXXX XXX Roman'">XXXXXXXX 54: A X-XXXX-old XXXXX has chronic XXXXXXXXXXXX. The XXXXXXX XXXX NP XXXXX XX prescribe a XXXXXXXX XXX long-term management. In XXXXXXXX XX pharmacologic XXXXXXX, XXX NP should XXXX recommend _____ g of fiber per day.</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-family:'XXXXX XXX XXXXX';color:#ff0000"></span><span style="font-XXXX:12pt;XXXX-XXXXXX:'Times New XXXXX'">d. XX</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'Times New XXXXX'">Question 55: X patient in XXX clinic XXXXXXX XXXXXXXXX XX XXXXXXX XXXXX XXXXX, a feeling XX fullness, XXXXXXXX belching, and a XXXXXXXX sour taste. The XXXXXXX has a normal weight XXX XXXXXXX XXXXXX a XXXX-stress job. XXX XXXXXXX care XX XXXXXX recommend:</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="XXXX-size:XXXX;font-XXXXXX:'Times XXX Roman'"></span><span style="font-XXXX:XXXX;XXXX-family:'Times XXX XXXXX';color:#ff0000"></span><span style="font-XXXX:XXXX;font-family:'Times New Roman'">d. consultation XXXX a XXXXXXXXXXXXXXXXXX XXX endoscopy.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-size:XXXX;XXXX-XXXXXX:'XXXXX XXX Roman'">XXXXXXXX 56: A XXXXXXX XXX XXX XXXXXX is XXXXXX nitroglycerin XXX XXXX-XXXXXX nifedipine. XXX primary care NP notes a persistent blood pressure XX XX/60 mm Hg at several XXXXXX-up XXXXXX. The patient reports XXXXXXXXXXXXXXX XXXXXXXXXX with XXXXXXXX XX. The NP XXXXXX consult with the patient’s cardiologist XXXXX XXXXXXXX XXX medication XX:</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;XXXX-family:'Times New Roman'"></span><span style="font-size:XXXX;XXXX-family:'XXXXX XXX XXXXX';XXXXX:#XXXXXX"></span><span style="font-size:XXXX;XXXX-family:'XXXXX XXX XXXXX'">d. XXXXX-acting nifedipine (Procardia).</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'XXXXX New XXXXX'">XXXXXXXX 57: A XX-year-old woman tells XXX XXXXXXX XXXX XXXXX practitioner (XX) that XXX does not XXXX XXXX children XXX XXXXX XXXX a XXXXXXXXXXXXX. She XXXX XXX XXXXX XXX XXX XX personal or XXXXXX XXXXXXX XX cardiovascular disease. XXX has frequent XXXXXXX headaches. XXX XXXX XXXXXXX, XXX NP should XXXXXXXXX:</span> </p> <p style="margin-bottom:X.000000pt"> <span style="font-size:XXXX;XXXX-XXXXXX:'Times New XXXXX'"></span><span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'XXXXX XXX Roman';XXXXX:#XXXXXX">d. XXX-estrogen COCP.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-size:12pt;font-XXXXXX:'Times XXX Roman'">Question XX: A XXXXX XXX XXX XXXX XXXXXX a XXXX XXXXX XXX XXXXXXX care XX that, because XX XXXXXXXX XXXXXXX in her XXXX schedule, she has difficulty XXXXXXXXXXX to XXXX her XXXXX. The XXXXX and XXX XX decide to change XX a XXXXXXX ring. XXX NP will XXXXXXXX her to insert the XXXX:</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-XXXX:XXXX;font-XXXXXX:'Times XXX XXXXX';color:#XXXXXX"></span><span style="XXXX-XXXX:XXXX;font-family:'Times New XXXXX'">d. XX the same day she stops taking her COCP.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'Times XXX XXXXX'">XXXXXXXX XX: X XXXXXXX who has XXXXXX arthritis XXX who takes XXXXXXXXXXXX antiinflammatory XXXXX (NSAIDs) XXXXX XXXXXXXX a XXXXXXXX XXXXX. The patient XXX XXXXX a cyclooxygenase-2 XXXXXXXXX XXXXX in the XXXX XXX XXXXXX XXXX it is XXX XX effective XX XXX XXXXXXX NSAID. XXX XXXXXXX XXXX XXXXX practitioner (XX) XXXXXX:</span> </p> <p style="XXXXXX-XXXXXX:X.000000pt"> <span style="font-size:XXXX;XXXX-family:'Times XXX XXXXX'"></span><span style="XXXX-size:XXXX;XXXX-family:'XXXXX New XXXXX';XXXXX:#XXXXXX"></span><span style="XXXX-size:XXXX;font-family:'XXXXX New XXXXX'">d. change the NSAID XX a corticosteroid.</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;font-XXXXXX:'Times New XXXXX'">Question 60: A XXXXXXX in XXX XXXXXX XXXXXXXX XXXXXX XXXXXXXXX XX XXXXXX and XXXXXXXXXXX. XXX XXXXXXX care NP XXXXX thready XXXXXX, XXXX peripheral XXXXXXXXX, and a decreased level XX XXXXXXXXXXXXX. The NP XXXXXXXXX the XXXXXXXXX medical XXXXXX and XXXXXX anticipate that this XXXXXXX XXXX XXXXXXX:</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="XXXX-XXXX:12pt;XXXX-family:'XXXXX XXX XXXXX'"></span><span style="XXXX-size:12pt;font-XXXXXX:'Times New Roman';XXXXX:#XXXXXX">d. unfractionated XXXXXXX (UFH) XXX warfarin.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'Times New Roman'">XXXXXX</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'XXXXX XXX XXXXX';XXXXX:#XXXXXX">X. add XXXXXXXXX (Zetia) and XXXXX the atorvastatin XX 10 mg XXXXX.</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'XXXXX XXX XXXXX';XXXXX:#XXXXXX">2. order a XXXXXXXX XXXXXX-XX (CK-MM) XXXXX.</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-XXXXXX:'Times XXX XXXXX';XXXXX:#ff0000">3. XXXXX XXXXXXXXXXX therapy.</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX XXXXX';XXXXX:#ff0000">X. XXXXXXXX-only XX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX XXX XXXXX';color:#ff0000">5. XXXXX one XXXXX daily in the morning XXX remove in 12 XXXXX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:XXXX;XXXX-family:'Times XXX Roman';color:#XXXXXX">6. XXX XXX XXXXXX to identify XXX XX XXX XXXXXXXXXXX listed on the XXXXXXXXXX label.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="XXXX-size:12pt;font-family:'Times New XXXXX';color:#XXXXXX">X. XXXXXXXXXX (XXXXXX)</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'XXXXX New Roman';XXXXX:#ff0000">8. "I should XXXXXX to XXXX XXXX four periods XXXX year."</span> </p> <p style="XXXXXX-bottom:X.000000pt"> <span style="XXXX-size:12pt;XXXX-XXXXXX:'Times New Roman';XXXXX:#XXXXXX">X. order the XXXXXXX formulary-approved XXXXXXXXXXXXX of the drug XXX monitor XXXXXXXXXXXXX.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'Times New Roman';color:#XXXXXX">XX. XXXX the patient XXXX XXXXXXXX XXXXXX of XXX medication should be avoided.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-size:12pt;font-XXXXXX:'Times XXX Roman';XXXXX:#XXXXXX">XX. XXX XXXXXXXX and XXX prolong XXX illness.</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="font-size:XXXX;XXXX-family:'XXXXX New Roman';XXXXX:#ff0000">12. XXXXX XXX prescription XXX a XXXXXXX XXXX XX it XXXXX the patient's needs.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:XXXX;font-family:'Times New Roman';color:#XXXXXX">13. using XXXXXXX XXXXXX the perioperative XXX postoperative XXXXXXX.</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-XXXX:12pt;XXXX-family:'Times New Roman';color:#ff0000">14. XXXXXXXX-XXXX HT XXX.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-XXXXXX:'Times XXX Roman';color:#ff0000">XX. benztropine (XXXXXXXX).</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:XXXX;XXXX-XXXXXX:'XXXXX New Roman';color:#ff0000">XX. 40 XX XXXXX daily XX minutes XXXXXX XXXXX.</span> </p> <p style="XXXXXX-XXXXXX:0.000000pt"> <span style="font-XXXX:XXXX;XXXX-XXXXXX:'Times New Roman';color:#ff0000">XX. XXXXX the TSH XXXXX in 1 XXXX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="font-XXXX:XXXX;XXXX-XXXXXX:'XXXXX XXX XXXXX';color:#ff0000">18. XXXXXXXX a XXXXXXXXXX with XXX parents about XXX potential outcomes of XXXX possible action.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:12pt;font-XXXXXX:'Times XXX XXXXX';XXXXX:#XXXXXX">XX. XXXXXXXXX docusate sodium (Colace) and decrease bisacodyl gradually.</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'Times XXX Roman';color:#ff0000">XX. XXXXXXX XXX XXXXXXXXX XXXXXXXX XX XXXXXXX XXX XXXX particular XXXXXXXXXXX is XXXXXXXXX.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:XXXX;font-XXXXXX:'Times XXX Roman';XXXXX:#XXXXXX">XX. carvedilol (XXXXX).</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="font-size:12pt;XXXX-family:'XXXXX New Roman';XXXXX:#XXXXXX">22. XXXXXX a XXXXXXX serum testosterone level.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="font-size:12pt;XXXX-XXXXXX:'XXXXX New XXXXX';color:#XXXXXX">XX. add a thiazide XXXXXXXX XX this XXXXXXX's regimen.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-family:'XXXXX New Roman';color:#ff0000">XX. schedule her XXX a gynecologic XXXXXXXXXXX.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;font-XXXXXX:'XXXXX New XXXXX';color:#XXXXXX">25. order a fasting plasma glucose level.</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-family:'Times New XXXXX';XXXXX:#ff0000">26. determine what XXX patient understands about XXXXXXXX artery XXXXXXX.</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="XXXX-size:12pt;font-family:'XXXXX XXX XXXXX';color:#ff0000">27. XXXXXXXX (Xenical).</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'XXXXX New Roman';XXXXX:#XXXXXX">XX. XXXX the XXXXXXX XXXX the XXXXXXX most likely XXXXXXXX XXXXXXXXXXXXXX.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'XXXXX New XXXXX';color:#XXXXXX">29. ranitidine (Zantac).</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="font-XXXX:XXXX;XXXX-family:'Times New Roman';XXXXX:#ff0000">30. XXXXXXXXX/glyburide (XXXXXXXXXX)</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="font-XXXX:12pt;XXXX-family:'XXXXX XXX XXXXX';color:#ff0000">XX. XXXXXXXXX/XXXXXXXXX (Glucovance)</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-size:XXXX;XXXX-XXXXXX:'Times New XXXXX';XXXXX:#ff0000">32. inform the XXXXXXX of XXX risks of toxic XXXX XXXXXXX XXXX XXXX supplement.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'XXXXX New XXXXX';XXXXX:#ff0000">33. XXXXXXXXXXX (XXXXXX).</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="font-size:12pt;XXXX-family:'XXXXX XXX XXXXX';color:#ff0000">XX. "I should avoid high-sodium foods."</span> </p> <p style="XXXXXX-bottom:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;XXXX-XXXXXX:'Times XXX XXXXX';XXXXX:#ff0000">XX. XXXXXXXX to amlodipine.</span> </p> <p style="XXXXXX-bottom:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'Times New XXXXX';XXXXX:#ff0000">36. XXXXXXXX dabigatran when XXX XXXXXXX's international normalized XXXXX (INR) is XXXX than X.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:12pt;font-family:'Times New XXXXX';color:#XXXXXX">XX. avoid foods that XXX high in potassium.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:XXXX;font-family:'Times New XXXXX';color:#XXXXXX">XX. decrease furosemide XX XX mg XXXX XXXXX.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-family:'XXXXX XXX Roman';color:#ff0000">XX. Data from XXXXXXXXXX, XXXXXXXXXXXX studies</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-family:'XXXXX New XXXXX';color:#ff0000">XX. adding XXXXXXXX sodium (Colace).</span> </p> <p style="margin-bottom:0.000000pt"> <span style="XXXX-size:XXXX;XXXX-family:'Times XXX XXXXX';color:#ff0000">41. XXXXXXXX a XXXXXXXX with XXX XXXXXXX XXXXX the implications XX the XXXXX's XXXXXXXXXX values.</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:XXXX;font-XXXXXX:'XXXXX New XXXXX';XXXXX:#XXXXXX">42. XXXXXXX a careful cardiovascular physical XXXXXXXXXX.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="font-size:12pt;XXXX-XXXXXX:'Times New XXXXX';XXXXX:#ff0000">XX. XXXX XXXXXXXX blood glucose XXXXXXXXXX.</span> </p> <p style="XXXXXX-XXXXXX:X.000000pt"> <span style="XXXX-size:XXXX;font-XXXXXX:'XXXXX New XXXXX';XXXXX:#XXXXXX">XX. order a sodium phosphate XXXXX and XXXXXXXX (XXXXXXXXX).</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="XXXX-size:12pt;XXXX-family:'Times XXX Roman';XXXXX:#ff0000">45. include information about the XXX-XXXXX XXX XX XXX E-XXXXXX.</span> </p> <p style="margin-XXXXXX:0.000000pt"> <span style="XXXX-XXXX:12pt;font-family:'XXXXX XXX XXXXX';XXXXX:#ff0000">46. XXX vary in the XXXXXX XX XXXX that XXXXXXX XXX XXXX of action in XXX body.</span> </p> <p style="margin-XXXXXX:X.000000pt"> <span style="font-XXXX:XXXX;XXXX-family:'XXXXX New Roman';XXXXX:#XXXXXX">47. an XXXXXXXXXXX solution (XXXXXXXXX).</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="XXXX-size:12pt;font-XXXXXX:'Times XXX XXXXX';XXXXX:#ff0000">48. XXXXXXXXXXX XXX phentermine.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-size:XXXX;font-XXXXXX:'Times New Roman';XXXXX:#XXXXXX">49. XXXXXXXXX (XXXXXXXXXX).</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:XXXX;font-family:'Times New XXXXX';color:#XXXXXX">XX. plan to use estrogen-XXXXXXXXXXXX XXXXXXX XXXX menopause XXXXXX.</span> </p> <p style="XXXXXX-bottom:0.000000pt"> <span style="font-XXXX:12pt;font-family:'XXXXX New XXXXX';XXXXX:#XXXXXX">XX. is having vomiting or XXXXXXXX.</span> </p> <p style="margin-bottom:0.XXXXXXXX"> <span style="font-XXXX:XXXX;XXXX-XXXXXX:'Times XXX Roman';XXXXX:#ff0000">52. XXXX XXXXX's XXXX XXX resume a regular XXXXXX schedule in XXX morning.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> <span style="font-XXXX:XXXX;XXXX-family:'XXXXX New Roman';color:#XXXXXX">XX. XXXXXXX XXX diagnosis.</span> </p> <p style="margin-XXXXXX:X.XXXXXXXX"> <span style="XXXX-XXXX:12pt;XXXX-XXXXXX:'XXXXX New XXXXX';color:#XXXXXX">XX. 10 </span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:12pt;XXXX-family:'XXXXX XXX XXXXX';XXXXX:#ff0000">55. daily XXXXXXXXX XXXX a XXX.</span> </p> <p style="XXXXXX-bottom:X.000000pt"> <span style="XXXX-XXXX:12pt;font-family:'XXXXX XXX Roman';color:#ff0000">56. XXXXXXXXX HCl (XXXXX).</span> </p> <p style="XXXXXX-XXXXXX:0.XXXXXXXX"> <span style="font-size:XXXX;font-XXXXXX:'XXXXX New Roman';XXXXX:#ff0000">57. low-XXXXXXXX XXXX.</span> </p> <p style="margin-bottom:X.000000pt"> <span style="XXXX-size:XXXX;XXXX-family:'XXXXX XXX Roman';color:#XXXXXX">58. XXXXXX 7 days XXXXX her XXXX active pill.</span> </p> <p style="XXXXXX-XXXXXX:X.XXXXXXXX"> <span style="font-XXXX:12pt;font-family:'XXXXX New XXXXX';XXXXX:#XXXXXX">XX. prescribe omeprazole (XXXXXXXX).</span> </p> <p style="margin-XXXXXX:0.XXXXXXXX"> <span style="font-XXXX:12pt;font-XXXXXX:'Times XXX XXXXX';XXXXX:#ff0000">XX. XXXXXXXXXXXXXX heparin (UFH) and warfarin.</span> </p> <p style="margin-bottom:X.XXXXXXXX"> </p> </div> </body></XXXX>">
