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Chapter 72: Smoking Cessation Test Bank

Chapter 72: Smoking Cessation Test Bank

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Chapter 72: Smoking Cessation
Test Bank
MULTIPLE CHOICE
1.   A patient who smokes reports repeated attempts to quit smoking using a nicotine replacement patch. The patient says, “I always do well for a few weeks and then I just start smoking again.” The primary care nurse practitioner (NP) should prescribe:
a.

nortriptyline.

b.

Nicorette gum.

c.

a Nicotrol inhaler.

d.

varenicline (Chantix).

2.   An adolescent patient has recently begun smoking and reports a habit of fewer than five or six cigarettes per day. The patient does not want to quit smoking now but plans to do so after college. The primary care nurse practitioner should:
a.

prescribe varenicline (Chantix).

b.

recommend a nicotine transdermal patch.

c.

refer the patient to a smoking cessation program.

d.

begin a discussion about the negative effects of smoking.

3.   A primary care NP has been working with a young woman who wants to quit smoking before she begins having children. She has made several attempts to quit using nicotine replacement therapy and is feeling discouraged. She does not want to take medication at this time. The NP should:
a.

discuss the effects of smoking on fetal development.

b.

ask her to write down any factors that triggered her relapses.

c.

give her information about the long-term effects of smoking.

d.

convince her that taking medication will be essential in her case.

4.   A patient reports smoking two or more packs of cigarettes per day and expresses a desire to quit smoking. The primary care NP learns that the patient smokes heavily during breaks at work and during the evening but with no established schedule. The NP should recommend:
a.

bupropion (Wellbutrin).

b.

nicotine replacement gum or nasal spray.

c.

a high-dose 24-hour nicotine patch.

d.

intensive smoking cessation counseling.

5.   A patient who is using a nicotine patch for smoking cessation is in the clinic for a follow-up examination. The primary care NP notes a heart rate of 96 beats per minute and a blood pressure of 140/90 mm Hg. The patient reports feeling dizzy and complains of ringing in both ears. The NP should suspect:
a.

nicotine withdrawal symptoms.

b.

that the patient has been smoking.

c.

hypersensitivity reaction to the nicotine patch.

d.

minor cardiovascular effects of the nicotine patch.

6.   A patient has been using a nicotine patch for several weeks and uses the 15 mg/16 hour patch. The patient reports having frequent continual cravings for cigarettes, especially on awakening in the morning. The primary care NP should:
a.

prescribe varenicline (Chantix).

b.

prescribe bupropion (Wellbutrin).

c.

change to a 21 mg/24 hour nicotine patch.

d.

suggest adding nicotine nasal spray for cravings.

7.   A patient has been using a nicotine nasal spray for 4 months, one to two doses every hour while awake and as needed for cravings. The patient reports that the cravings have stopped and that one dose per hour is generally sufficient. The primary care NP should recommend:
a.

changing to Nicorette gum as needed.

b.

using a low-dose 16-hour patch for 2 weeks.

c.

continuing one dose per hour for 2 more months and then discontinuing.

d.

beginning one dose every 2 hours for 1 week and then one dose every 4 hours.


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