PMHNP CERTIFICATION EXAM

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PMHNP CERTIFICATION EXAM

(ACTUAL TEST VERIFIED A+)

Question : Digoxin levels need to be monitored closely

when the following medication is started:

• Loratadine
• Diphenhydramine
• Ipratropium
• Albuterol

Correct answer: Albuterol

Question : Patients with pheochromocytoma should avoid

which of the following classes of drugs because of the possibility of developing hypertensive crisis?

• Expectorants
• Beta-2-agonists
• Antitussives
• Antihistamines

Correct answer: Beta-2-agonists

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Question : Harold, a 42-year-old African American, has

moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?

• Betamethasone, an inhaled corticosteroid
• Salmeterol, an inhaled long-acting beta-agonist
• Albuterol, a short-acting beta-agonist
• Montelukast, a leukotriene modifier

Correct answer: Salmeterol, an inhaled long-acting beta-

agonist

Question : Long-acting beta-agonists (LTBAs) received a

Black Box Warning from the U.S. Food and Drug

Administration due to the:

• Risk of life-threatening dermatological reactions
• Increased incidence of cardiac events when LTBAs are

used

• Increased risk of asthma-related deaths when LTBAs

are used

• Risk for life-threatening alterations in electrolytes

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Correct answer: Increased risk of asthma-related deaths

when LTBAs are used

Question : The bronchodilator of choice for patients

taking propranolol is:

• Albuterol
• Pirbuterol
• Formoterol
• Ipratropium

Correct answer: Ipratropium

Question : James is a 52-year-old overweight smoker

taking theophylline for his persistent asthma. He tells his provider he is going to start the Atkin's diet for weight

loss. The appropriate response would be:

• Congratulate him on making a positive change in his

life.

• Recommend he try stopping smoking instead of the

Atkin's diet.

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• Schedule him for regular testing of serum theophylline

levels during his diet due to increased excretion of theophylline.

• Decrease his theophylline dose because a high-protein

diet may lead to elevated theophylline levels.

Correct answer: Recommend he try stopping smoking

instead of the Atkin's diet.

Question : Li takes theophylline for his persistent asthma

and calls the office with a complaint of nausea, vomiting,

and headache. The best advice for him would be to:

• Reassure him this is probably a viral infection and

should be better soon

• Have him seen the same day for an assessment and

theophylline level

• Schedule him for an appointment in 2 to 3 days, which

he can cancel if he is better

• Order a theophylline level at the laboratory for him

Correct answer: Schedule him for an appointment in 2 to

• days, which he can cancel if he is better