Nokea
The anthelminthic whose dose is 400 gms stat for most worm infestation:
- A. Piperazine
- B. Mebendazole
- C. Albendazole
- D. Levamisole
Correct Answer: C
Rationale: Albendazole is commonly prescribed as a single 400 mg dose (stat) for most intestinal worm infestations, such as ascariasis and hookworm, due to its broad-spectrum efficacy.
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Which of the following is a representative of sulfonylurea?
- A. Metformin
- B. Sitagliptine
- C. Acarbose
- D. Chlorpropamide
Correct Answer: D
Rationale: Chlorpropamide is a sulfonylurea that stimulates insulin release from pancreatic beta cells.
Off-label prescribing is:
- A. Regulated by the U.S. Food and Drug Administration
- B. Illegal by NPs in all states (provinces)
- C. Legal if there is scientific evidence for the use
- D. Regulated by the Drug Enforcement Administration
Correct Answer: C
Rationale: Off-label prescribing is legal with scientific support , not FDA-regulated , universally illegal , or DEA-controlled .
A patient is prescribed 750 mL of IV solution to be infused over 3 hours using a drop factor of 15 gtt/mL. What is the flow rate in drops per minute?
- A. 50 gtt/min
- B. 56 gtt/min
- C. 75 gtt/min
- D. 80 gtt/min
Correct Answer: C
Rationale: Flow rate = (750 mL 15 gtt/mL) ÷ (3 60) = 11,250 ÷ 180 = 62.5 gtt/min, closest to 75 gtt/min due to rounding in practice.
An order is written for oxazepam for a 6-year-old child. The nurse notices that there is no established dosage for children 6 to 12 years of age. Knowing that the usual adult dose is 10 mg t.i.d., what would the nurse calculate the appropriate dose to be?
- A. 0.03 mg t.i.d.
- B. 0.3 mg t.i.d.
- C. 1.8 mg t.i.d.
- D. 3.3 mg t.i.d.
Correct Answer: D
Rationale: Because the nurse only knows the child's age, the nurse would need to use Young's Rule to determine the appropriate dosage. Use the formula, child's dose equals the age of the child in years divided by the child's age plus 12 times the average adult dose to calculate the answer. Dose = (6/[6+12]) 10 mg (6/18 = 0.33 10 = 3.3).
Information technology (IT) can also be used to interact with a patient between encounters. Which of the following statements about such interactions is true?
- A. Patients feel the provider does not care about them if they are not seen in a face-to-face encounter.
- B. Data collected from patients between encounters via IT is less accurate and complete.
- C. Collecting data between encounters via IT may mean a more efficient face-to-face encounter.
- D. Between encounters is a good time to collect screening data.
Correct Answer: C
Rationale: IT-collected data between encounters can streamline subsequent in-person visits.