MN 553 CORE EXAM TEST 2026 QUESTIONS AND
SOLUTIONS GRADED A+
✔✔What is the role of calcium supplements when patients take bisphosphonates?
Question options:
They must be restricted to allow the medication to work.
They must be taken in sufficient amounts to provide foundational elements for bone
growth.
They must be taken at the same time as the bisphosphonates.
They only work with bisphosphonates if daily intake is restricted. - ✔✔They must be
taken in sufficient amounts to provide foundational elements for bone growth.
✔✔Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection
(UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI.
The correct answer to give her would be:
Question options:
Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
There is no evidence that cranberry juice helps prevent UTIs.
Cranberry juice only works to prevent UTIs in children. - ✔✔100% cranberry juice or
cranberry juice extract may decrease UTIs in some patients.
✔✔Patient education regarding taking iron replacements includes:
Question options:
Doubling the dose if they miss a dose to maintain therapeutic levels
Taking the iron with milk or crackers if it upsets their stomach
Iron is best taken on an empty stomach with juice
Antacids such as Tums may help the upset stomach caused by iron therapy - ✔✔Iron is
best taken on an empty stomach with juice
✔✔The benefits to the patient of having an Advanced Practice Registered Nurse
(APRN) prescriber include:
Question options:
,Nurses know more about Pharmacology than other prescribers because they take it
both in their basic nursing program and in their APRN program.
Nurses care for the patient from a holistic approach and include the patient in decision
making regarding their care.
APRNs are less likely to prescribe narcotics and other controlled substances.
APRNs are able to prescribe independently in all states, whereas a physician's assistant
needs to have a physician supervising their practice. - ✔✔Nurses care for the patient
from a holistic approach and include the patient in decision making regarding their care.
✔✔Azithromycin dosing requires that the first day's dosage be twice those of the other 4
days of the prescription. This is considered a loading dose. A loading dose:
Question options:
Rapidly achieves drug levels in the therapeutic range
Requires four- to five-half-lives to attain
Is influenced by renal function
Is directly related to the drug circulating to the target tissues - ✔✔Rapidly achieves drug
levels in the therapeutic range
✔✔Which of the following holds true for the pharmacokinetics of women?
Question options:
Gastric emptying is faster than that of men.
Organ blood flow is the same as that of men.
Evidence is strong concerning renal differences in elimination.
Medications that involve binding globulins are impacted by estrogen levels. -
✔✔Medications that involve binding globulins are impacted by estrogen levels.
✔✔Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for
her URI would include:
Question options:
Amoxicillin
Diphenhydramine
, Pseudoephedrine
Nasal saline spray - ✔✔Nasal saline spray
✔✔Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also
takes aspirin four or more times a day for arthritis pain. What are the symptoms of
aspirin toxicity for which she would need to be evaluated?
Question options:
Tinnitus
Diarrhea
Hearing loss
Photosensitivity - ✔✔Tinnitus
✔✔The first-line drug choice for a previously healthy adult patient diagnosed with
community-acquired pneumonia would be:
Question options:
Ciprofloxacin
Azithromycin
Amoxicillin
Doxycycline - ✔✔Azithromycin
✔✔Alterations in drug metabolism among Asians may lead to:
Question options:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher doses - ✔✔Slower metabolism of
antidepressants, requiring lower doses
✔✔Jamison has been prescribed citalopram (Celexa) to treat his depression. Education
regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants
work would be:
Question options:
SOLUTIONS GRADED A+
✔✔What is the role of calcium supplements when patients take bisphosphonates?
Question options:
They must be restricted to allow the medication to work.
They must be taken in sufficient amounts to provide foundational elements for bone
growth.
They must be taken at the same time as the bisphosphonates.
They only work with bisphosphonates if daily intake is restricted. - ✔✔They must be
taken in sufficient amounts to provide foundational elements for bone growth.
✔✔Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection
(UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI.
The correct answer to give her would be:
Question options:
Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
There is no evidence that cranberry juice helps prevent UTIs.
Cranberry juice only works to prevent UTIs in children. - ✔✔100% cranberry juice or
cranberry juice extract may decrease UTIs in some patients.
✔✔Patient education regarding taking iron replacements includes:
Question options:
Doubling the dose if they miss a dose to maintain therapeutic levels
Taking the iron with milk or crackers if it upsets their stomach
Iron is best taken on an empty stomach with juice
Antacids such as Tums may help the upset stomach caused by iron therapy - ✔✔Iron is
best taken on an empty stomach with juice
✔✔The benefits to the patient of having an Advanced Practice Registered Nurse
(APRN) prescriber include:
Question options:
,Nurses know more about Pharmacology than other prescribers because they take it
both in their basic nursing program and in their APRN program.
Nurses care for the patient from a holistic approach and include the patient in decision
making regarding their care.
APRNs are less likely to prescribe narcotics and other controlled substances.
APRNs are able to prescribe independently in all states, whereas a physician's assistant
needs to have a physician supervising their practice. - ✔✔Nurses care for the patient
from a holistic approach and include the patient in decision making regarding their care.
✔✔Azithromycin dosing requires that the first day's dosage be twice those of the other 4
days of the prescription. This is considered a loading dose. A loading dose:
Question options:
Rapidly achieves drug levels in the therapeutic range
Requires four- to five-half-lives to attain
Is influenced by renal function
Is directly related to the drug circulating to the target tissues - ✔✔Rapidly achieves drug
levels in the therapeutic range
✔✔Which of the following holds true for the pharmacokinetics of women?
Question options:
Gastric emptying is faster than that of men.
Organ blood flow is the same as that of men.
Evidence is strong concerning renal differences in elimination.
Medications that involve binding globulins are impacted by estrogen levels. -
✔✔Medications that involve binding globulins are impacted by estrogen levels.
✔✔Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for
her URI would include:
Question options:
Amoxicillin
Diphenhydramine
, Pseudoephedrine
Nasal saline spray - ✔✔Nasal saline spray
✔✔Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also
takes aspirin four or more times a day for arthritis pain. What are the symptoms of
aspirin toxicity for which she would need to be evaluated?
Question options:
Tinnitus
Diarrhea
Hearing loss
Photosensitivity - ✔✔Tinnitus
✔✔The first-line drug choice for a previously healthy adult patient diagnosed with
community-acquired pneumonia would be:
Question options:
Ciprofloxacin
Azithromycin
Amoxicillin
Doxycycline - ✔✔Azithromycin
✔✔Alterations in drug metabolism among Asians may lead to:
Question options:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher doses - ✔✔Slower metabolism of
antidepressants, requiring lower doses
✔✔Jamison has been prescribed citalopram (Celexa) to treat his depression. Education
regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants
work would be:
Question options:
