A 52-year-old healthy adult says, “I had chickenpox as a kid, so I probably do not need a shingles vaccine.” Which response is most appropriate?

A postmenopausal patient reports vaginal dryness and dyspareunia without another clear cause. Which treatment is most appropriate?

A patient takes levothyroxine every morning with breakfast, calcium, and ferrous sulfate. Her TSH remains above goal. Which change is most appropriate?

A 5-year-old child needs medication therapy for an acute infection. Which prescribing principle is most important?

A 63-year-old woman takes metformin and empagliflozin. She reports vulvovaginal itching and dysuria but no fever or flank pain. Which medication is most likely contributing to her symptoms?

A patient says, “I just want a quick diet pill for a few weeks.” Which APRN response is best?

A 67-year-old woman has osteoporosis, chronic GERD, and a history of esophagitis. Which medication is least appropriate to start first?

A patient calls the clinic because she missed two active combined oral contraceptive pills this week and had unprotected intercourse yesterday. Which recommendation is most appropriate?

A patient nods throughout a medication discussion, but when the APRN asks how the medication will be taken, the patient cannot explain the plan. Which approach is best next time?

A 20-year-old patient is considering depot medroxyprogesterone and asks what to expect if she chooses it. Which counseling point is most appropriate?