ATI PN PHARMACOLOGY PROCTORED TEST BANK ACTUAL EXAM 350 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI PN PHARMACOLOGY PROCTORED 2023-2024

TEST BANK ACTUAL EXAM 350 REAL EXAM

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

A patient who has mild to moderate migraine headaches has severe

nausea and vomiting with each episode. For the best treatment of this

patient, the primary care NP should prescribe: - ANSWER- triptan nasal

spray.

A patient who has migraine headaches usually has two to three severe

migraines each month. The patient has been using a triptan nasal spray

but reports little relief and is concerned about missing so many days of

work. The primary care NP should consider: - ANSWER- an injectable

triptan plus an oral corticosteroid.

A patient who experiences migraines characterized by unilateral motor

and sensory symptoms tells the primary care NP that despite abortive

therapy with a triptan, the frequency of episodes has increased to three

or four times each month. The NP - ANSWER- prescribe an

anticonvulsant such as topiramate.

A patient who is diagnosed with migraine headaches has a history of

cardiovascular disease and hypertension. The NP should prescribe: -

ANSWER- cyproheptadine (Periactin).

A patient reports frequent headaches to the primary NP. The patient

describes the headaches as unilateral and moderate in intensity,

accompanied by nausea, vomiting, and photophobia. There is no aura,

and the headaches generally last 24 to 48 hours. The NP should: -

ANSWER- recognize these as classic migraines and order sumatriptan

(Imitrex).

Paige has a history of chronic migraines and would benefit from

preventative medication. Education regarding migraine preventive

medication includes: - ANSWER- The goal of treatment is to reduce

migraine occurrence by 50%

A first-line drug for abortive therapy in simple migraine is: - ANSWERNaproxen (Aleve)

Vicky, age 56 years, comes to clinic requesting a refill of her Fiorinal

(aspirin and butalbital) that she takes for migraines. She has been taking

this medication for over 2 years for migraine and states one dose usually

works to abort her migraine. What is the best care for her? - ANSWERAssess how often she is using Fiorinal and refill medication

When prescribing ergotamine suppositories (Wigraine) to treat acute

migraine, patient education would include: - ANSWER- They may need

premedication with an antinausea medication

Migraines in pregnancy may be safely treated with: - ANSWERAcetaminophen with codeine (Tylenol #3)

Xi, a 54-year-old female, has a history of migraine that does not respond

well to OTC migraine medication. She is asking to try Maxalt

(rizatriptan) because it works well for her friend. Appropriate decision

making would be: - ANSWER- Prescribe Maxalt and arrange to have

her observed in the clinic or urgent care with the first dose

Kelly is a 14 year old who presents to clinic with a classic migraine. She

says she is having a headache two to three times a month. The initial

plan would be: - ANSWER- Prescribe NSAIDs as abortive therapy and

have her keep a headache diary to identify her triggers

Jayla is a 9 year old who has been diagnosed with migraines for almost 2

years. She is missing up to a week of school each month. Her headache

diary confirms she averages four or five migraines per month. Which of

the following would be appropriate? - ANSWER- Prescribe propranolol

(Inderal) to be taken daily for at least 3 months

Amber is a 24 year old who has had migraines for 10 years. She reports

a migraine on average of once a month. The migraines are effectively

aborted with naratriptan (Amerge). When refilling Amber's naratriptan

education would include: - ANSWER- A.Naratriptan will interact with

antidepressants, including SSRIs and St John's Wort, and she should

inform any providers she sees that she has migraines

B.

Continue to monitor her headaches, if the migraine is consistently

happening around her menses there is preventive therapy available

C.

Pregnancy is contraindicated when taking a triptan

When prescribing for migraine, patient education includes: - ANSWERStress reduction and regular sleep are integral to migraine treatment

Juanita presents to clinic with a complaint of headaches off and on for

months. She reports they feel like someone is "squeezing" her head. She

occasionally takes Tylenol for the pain, but usually just "toughs it out."

Initial treatment for tension headache includes asking her to keep a

headache diary and a prescription for: - ANSWER- Naproxen (Aleve)

Nonpharmacologic therapy for tension headaches includes: - ANSWERA. Biofeedback

B. Stress management

C.Massage therapy

James has been diagnosed with cluster headaches. Appropriate acute

therapy would be: - ANSWER- Oxygen 100% for 15 to 30 minutes

Preventative therapy for cluster headaches includes: - ANSWERErgotamine nightly before bed

When prescribing any headache therapy, appropriate use of medications

needs to be discussed to prevent medication-overuse headaches. The

clinical characteristics of medication-overuse headaches include: -

ANSWER- Headaches recur when medication wears off