Test banks

• A pregnant patient discusses nutrition and vitamin supplements with her provider. Which statement by the patient indicates an understanding of the use of nutrition and supplements during pregnancy?

   “Excessive amounts of vitamin A can cause birth defects in my baby.”
• what is the range of vitamin A does pregnant women need to take?

  400-800
• A patient who is malnourished reports difficulty seeing at night. The provider will order a laboratory test that checks for a deficiency of which fat-soluble vitamin?

  Vitamin A (retinol)
• A patient who uses nutritional therapy to manage an elevated cholesterol level reports experiencing flushing after taking these supplements. The provider will question the patient concerning intake of which vitamin?

  Niacin
• The provider prescribes iron supplements to treat a patient’s anemia. The provider advises the patient to take the iron with which food to facilitate absorption?

  orange juice
• A patient who recently immigrated from a third world country is thin and malnourished. The provider notes that the patient has loose and missing teeth, gingivitis, and bleeding gums as well as multiple sores and ecchymoses. What vitamin deficiency does the provider suspect?

  Ascorbic acid (Vitamin C)
• A patient’s physical assessment reveals cheilosis, glossitis, vascularization of the cornea, and pruritic dermatitis of the scrotum and vulva. The provider will test for which vitamin

  deficiency?

  Riboflavin (B2)
• A patient with severe alcohol use disorder is brought to the emergency department with ataxia, double-vision, and confusion. The examination reveals nystagmus. Which vitamin will the provider prescribe?

  IV Thiamine
• A patient with a body mass index (BMI) of 28 is prescribed orlistat. Which statement by the patient indicates understanding of the teaching provided by the provider?

  I will need to take a multivitamin containing a fat-soluble every day
• The provider prescribes orlistat for a patient with a body mass index of 30. Which statement by the patient indicates an understanding of this drug’s actions?

  I can take a bulk-forming laxative to reduce the incidence of incontinence
• A patient takes orlistat, warfarin, and levothyroxine What action will the provider take based on this medication history?

  Instruct the pt to take the levothyroxine at least 4 hours before taking the orlistat
• A female patient with type 1 diabetes and obesity is prescribed lorcaserin to help with weight loss. What statement will the provide include when teaching this patient about lorcaserin?

  You will need to check your blood glucose levels more often
• A patient is prescribed phentermine and topiramate to help with weight loss. When the patient asks why topiramate is necessary, how will the provider respond?

  Topiramate helps produce feelings of satiety to augment the drug effects
• A patient has a 3% weight loss after taking phentermine and topiramate for 6 months. What action will the provider take in response to the weight loss?

  Taper off the drug
• A patient admitted to the emergency department with abdominal pain tells the provider he has been taking kava. Which action will the provider take based on this information?

  order liver function tests
• A patient with postoperative hemorrhage admits taking, but not reporting, multiple dietary supplements. Which dietary supplement does the provider identify as a likely contributor to the patient’s bleeding?

  Ginkgo biloba
• A patient is prescribed an immunosuppressant for rheumatoid arthritis (RA). The prescriber will caution this patient to avoid which dietary supplement?

  Echinacea
• A patient is prescribed medication for hyperlipidemia. The patient asks about using flaxseed supplements to increase fiber. What response will the provider give this patient?

  be sure to take flaxseed 1 hour before taking your prescribed meds
• A patient uses St. John’s wort in addition to regular prescription drugs. Which effect of this dietary supplement would most concern the provider?

  its tendency to accelerate the metabolism of some drugs
• A pregnant patient asks about the risks and benefits of using ginger root to treat morning sickness during pregnancy. After a discussion with the provider, which patient’s statement indicates a need for further teaching?

  Ginger Root can decrease risk of bleeding
• A patient diagnosed with Parkinson disease (PD) begins treatment with levodopa/carbidopa. After several months of therapy, the patient reports no change in symptoms. The provider will implement what action?

  order test to reevaluate the patient's dx
• A patient who takes levodopa/carbidopa for Parkinson disease reports periods of lost drug effect lasting from minutes to several hours with no relationship to the timing of drug administration. What course of action will the provider take?

  prescribe a COMT inhibitor, such as entacapone
• When selecting a dopamine agonist for a patient with Parkinson disease, the provider identifies which side effect associated with pramipexole as being less likely to occur than with other dopamine agonists?

  sleep attacks
• A patient has been newly diagnosed with Parkinson disease. Before beginning therapy with pramipexole, the provider will ask the patient which assessment question in order to minimize risk for injury?

  Do you have any hx of alcohol abuse or compulsive behaviors?
• A hospitalized patient newly diagnosed with Parkinson disease is prescribed apomorphine but develops medication-related nausea and vomiting. What drug will the provider prescribe to manage these side effects effectively?

  Trimethobenzamide
• The provider prescribes bromocriptine for a patient who takes levodopa/carbidopa. Afterward, the patient becomes agitated and has frequent nightmares. What action will the provider take to manage the patient’s symptoms?

  reduce the dose of bromocriptine
• An infant is prescribed a central nervous system (CNS) drug. The parents are concerned that the child exhibits unusual drowsiness and sedation. The provider explains these effects based on an understanding of which difference in the physiology of infants and adults?

  BBB
• A patient reports stopping baclofen the day before being admitted to the hospital. The provider instructs the hospital staff to monitor the patient for which withdrawal effects?

  hallucinations
• When a patient with a lower back injury begins experiencing muscle spasms, the provider orders cyclobenzaprine 10 mg three times a day. What information will the provider include when teaching this patient about this drug?

  you may experience blurred vision, dry mouth, or constipation
• A provider is considering prescribing tizanidine for patient who is experiencing localized muscle spasms after an injury. What information in the patient’s health history will be concerning enough to the provider to warrant selecting a different drug?

  hx of hepatitis
• A provider has prescribed dantrolene for the following patients. Which patient will the provider monitor most closely for risk of injury?

  55 year old women wit MS
• A patient with cerebral palsy has severe muscle spasticity and muscle weakness which makes it difficult to take anything by mouth. The provider will prescribe and educate the patient on which medication for home therapy?

  Baclofen
• A patient with cerebral palsy who has been receiving baclofen for 3 months is admitted to the hospital for evaluation of new-onset seizures. What assessment question will the provider ask to help identify the most likely cause of these seizures?

  have you missed any doses of baclofen?
• A provider provides teaching for a patient with a newly diagnosed partial complex seizure disorder who will begin therapy with an antiepileptic drug (AED). Which statement by the patient indicates to the provider an understanding of the teaching?

  I may need to try several drugs before finding one is effective
• A patient who has been taking an antiepileptic drug for several weeks reports little change in seizure frequency, what action will the provider take to provide effective care?

  write an order for serum drug levels
• A provider counsels a patient who is prescribed phenytoin for epilepsy. Which statement by the patient indicates understanding of the teaching?

  i should brush and floss my teeth regularily
• A patient who takes phenytoin for seizures asks the provider for a prescription for oral contraceptives. What recommendation will the provider make to help assure the effectiveness of the contraception method?

  she should consider a different form of BC while taking pheytoin
• A patient with a seizure disorder is admitted to the hospital after an increase in seizure frequency. The prescriber considers adding carbamazepine 100 mg twice daily to the patient’s medication regimen, but notes that the patient is already taking lamotrigine 375 mg twice daily. What changes will the prescriber make to the patient’s medication regimen?

  increase the lamotrigine dose to 500mg twice daily
• The patient who is on memantine therapy has a slight elevation in the creatinine clearance. What action will the provider take in response to this laboratory result?

  reduce the dose of memantine
• The spouse of a patient with Alzheimer disease asks the provider for more information about the rivastigmine transdermal patch that is being used. After the discussion with the provider, which statement by the spouse indicates a need for further explanation?

  we only need to change the patch every 2 weeks