Advanced Pharmacology NSG 533 Exam Prep Test Bank /
NSG 533 Exams 1, 2, and 3 Review Test Bank Latest 2026-
2027 / Wilkes NSG 533 Exam Prep 2026 (A Review of 290
Latest exam Questions and Correct Answers)
Potential risks associated with the use of oral contraceptives include all of the
following except:
A. Venous thromboembolism
B. Hypertension
C. Gallbladder disease
D. Breast cancer - ANSWER-D. Breast cancer
Which of the following is considered to be an absolute contraindication to the use
of COCs?
A. Smoking 10 cigarettes per day
B. History of migraine headache disorder without aura
C. Postpartum 2 weeks following delivery
D. Uterine fibroids - ANSWER-C. Postpartum 2 weeks following delivery
A 22-year-old pregnant woman complains of pain following a severe ankle sprain.
Ice and acetaminophen 650 mg orally every 6 hours are not relieving her pain. She
rates her pain as 7 out of 10 on a visual analog scale. She is 32 weeks pregnant.
Which of the following is the best recommendation for her pain at this point?
A. Acetaminophen 2 g orally every 4 hours regularly
B. Acetaminophen 1 g orally every 6 hours as needed
1
,C. Codeine 15 to 30 mg orally every 4 hours as needed
D. Glucosamine 500 mg orally three times daily for 5 days
E. Ibuprofen 400 mg four times daily as needed - ANSWER-C. Codeine 15-30 mg
orally every 4 hours as needed
Which one of the following is a first-line recommendation for the treatment
bacterial mastitis in a breast-feeding woman with moderate symptoms?
A. Vancomycin 250 mg orally four times daily for 10 days
B. Fluconazole 200 mg orally once daily for 14 days
C. Cephalexin 500 mg orally four times daily for 10 to 14 days
D. Topical bacitracin ointment twice daily for 14 days
E. No antibiotic is usually recommended - ANSWER-C. Cephalexin 500 mg
orally four times daily for 10 -14 days.
Which of the following maternal treatments has not been associated with a
reduction of adverse pregnancy outcomes?
A. Ceftriaxone for gonorrhea
B. Metronidazole for trichomoniasis
C. Azithromycin for chlamydia
D. Penicillin G benzathine for syphilis
E. Oral acyclovir starting at 36 weeks gestation for herpes prevention - ANSWER-
B. Metronidazole for trichomoniasis
Which of the following regimens is the most appropriate tocolytic at 30 weeks of
pregnancy?
2
,A. Dexamethasone 2 mg IM every 24 hours for 48 hours
B. Nifedipine 10 mg orally every 20 minutes three times, then 10 mg every 6 hours
for 48 hours
C. Magnesium sulphate 2 g IV, then 1 g/h for 48 hours
D. Amoxicillin 1 g orally once, then 250 mg every 8 hours for 24 hours
E. Indomethacin 25 mg orally every 6 hours for 5 days - ANSWER-B. Nifedipine
10 mg Orally every 20 minutes three times, than 10 mg every 6 hours for 48 hours.
Which of the following statements is true?
A. Antibiotics carry more risks than urinary tract infections during pregnancy.
B. Antihypertensive agents carry more risks of fetal malformations than
hypertension.
C. Heparins carry more risks of fetal complications than warfarin.
D. Antiepileptic agents carry more risks of fetal malformation than epilepsy.
E. Propylthiouracil displays more risks of fetal malformations than
hyperthyroidism. - ANSWER-D. Antieileptic agents carry more risks of fetal
malformation than epilepsy
Which of the following women should not be started on group B streptococcus
antibiotic prophylaxis?
A. Preterm premature rupture of membranes, 30 weeks, first pregnancy, and GBS
status
unknown
B. Onset of labor, 34 weeks, second pregnancy, GBS status unknown, and negative
status at previous delivery
3
, C. Onset of labor, 38 weeks, third pregnancy, and second baby had GBS neonatal
infection
D. Rupture of membranes, 39 weeks, first pregnancy, and negative GBS status at
36 weeks
E. Onset of labor, 40 weeks, first pregnancy, and positive urine culture for GBS -
ANSWER-D. Rupture of membranes, 39 weeks, first pregnancy, and negative
GBS status at 36 weeks
Chose the correct statement:
A. Lithium is associated with an increased risk of cardiac malformations when
used between the 5th and 10th weeks of pregnancy
B. Newer antipsychotics are not well studied and should be avoided during
pregnancy
C. Valproic acid is the treatment of choice for rapid cycling bipolar disorders
during pregnancy
D. Lithium has been associated with neonatal hypotonia (floppy infant syndrome)
when used during the first trimester of pregnancy
E. Lithium pharmacokinetics is changed during pregnancy which leads usually to
doses reductions during the second and third trimesters. - ANSWER-A. Lithium is
associated with an increased risk of cardiac malformations when used between the
5th and 10th weeks of pregnancy.
MM gave birth this morning to a healthy 3.2 kg baby at 39 weeks gestation. She
has been treated for a bipolar disease for several years. Her medication was not
changed or adjusted during pregnancy. She would like to breast-feed. What would
be the appropriate recommendation?
Medications: Lithium 900 mg orally at bedtime; citalopram 20 mg orally daily in
the morning; lorazepam 1 mg orally at bedtime as needed (takes it twice weekly)
4
NSG 533 Exams 1, 2, and 3 Review Test Bank Latest 2026-
2027 / Wilkes NSG 533 Exam Prep 2026 (A Review of 290
Latest exam Questions and Correct Answers)
Potential risks associated with the use of oral contraceptives include all of the
following except:
A. Venous thromboembolism
B. Hypertension
C. Gallbladder disease
D. Breast cancer - ANSWER-D. Breast cancer
Which of the following is considered to be an absolute contraindication to the use
of COCs?
A. Smoking 10 cigarettes per day
B. History of migraine headache disorder without aura
C. Postpartum 2 weeks following delivery
D. Uterine fibroids - ANSWER-C. Postpartum 2 weeks following delivery
A 22-year-old pregnant woman complains of pain following a severe ankle sprain.
Ice and acetaminophen 650 mg orally every 6 hours are not relieving her pain. She
rates her pain as 7 out of 10 on a visual analog scale. She is 32 weeks pregnant.
Which of the following is the best recommendation for her pain at this point?
A. Acetaminophen 2 g orally every 4 hours regularly
B. Acetaminophen 1 g orally every 6 hours as needed
1
,C. Codeine 15 to 30 mg orally every 4 hours as needed
D. Glucosamine 500 mg orally three times daily for 5 days
E. Ibuprofen 400 mg four times daily as needed - ANSWER-C. Codeine 15-30 mg
orally every 4 hours as needed
Which one of the following is a first-line recommendation for the treatment
bacterial mastitis in a breast-feeding woman with moderate symptoms?
A. Vancomycin 250 mg orally four times daily for 10 days
B. Fluconazole 200 mg orally once daily for 14 days
C. Cephalexin 500 mg orally four times daily for 10 to 14 days
D. Topical bacitracin ointment twice daily for 14 days
E. No antibiotic is usually recommended - ANSWER-C. Cephalexin 500 mg
orally four times daily for 10 -14 days.
Which of the following maternal treatments has not been associated with a
reduction of adverse pregnancy outcomes?
A. Ceftriaxone for gonorrhea
B. Metronidazole for trichomoniasis
C. Azithromycin for chlamydia
D. Penicillin G benzathine for syphilis
E. Oral acyclovir starting at 36 weeks gestation for herpes prevention - ANSWER-
B. Metronidazole for trichomoniasis
Which of the following regimens is the most appropriate tocolytic at 30 weeks of
pregnancy?
2
,A. Dexamethasone 2 mg IM every 24 hours for 48 hours
B. Nifedipine 10 mg orally every 20 minutes three times, then 10 mg every 6 hours
for 48 hours
C. Magnesium sulphate 2 g IV, then 1 g/h for 48 hours
D. Amoxicillin 1 g orally once, then 250 mg every 8 hours for 24 hours
E. Indomethacin 25 mg orally every 6 hours for 5 days - ANSWER-B. Nifedipine
10 mg Orally every 20 minutes three times, than 10 mg every 6 hours for 48 hours.
Which of the following statements is true?
A. Antibiotics carry more risks than urinary tract infections during pregnancy.
B. Antihypertensive agents carry more risks of fetal malformations than
hypertension.
C. Heparins carry more risks of fetal complications than warfarin.
D. Antiepileptic agents carry more risks of fetal malformation than epilepsy.
E. Propylthiouracil displays more risks of fetal malformations than
hyperthyroidism. - ANSWER-D. Antieileptic agents carry more risks of fetal
malformation than epilepsy
Which of the following women should not be started on group B streptococcus
antibiotic prophylaxis?
A. Preterm premature rupture of membranes, 30 weeks, first pregnancy, and GBS
status
unknown
B. Onset of labor, 34 weeks, second pregnancy, GBS status unknown, and negative
status at previous delivery
3
, C. Onset of labor, 38 weeks, third pregnancy, and second baby had GBS neonatal
infection
D. Rupture of membranes, 39 weeks, first pregnancy, and negative GBS status at
36 weeks
E. Onset of labor, 40 weeks, first pregnancy, and positive urine culture for GBS -
ANSWER-D. Rupture of membranes, 39 weeks, first pregnancy, and negative
GBS status at 36 weeks
Chose the correct statement:
A. Lithium is associated with an increased risk of cardiac malformations when
used between the 5th and 10th weeks of pregnancy
B. Newer antipsychotics are not well studied and should be avoided during
pregnancy
C. Valproic acid is the treatment of choice for rapid cycling bipolar disorders
during pregnancy
D. Lithium has been associated with neonatal hypotonia (floppy infant syndrome)
when used during the first trimester of pregnancy
E. Lithium pharmacokinetics is changed during pregnancy which leads usually to
doses reductions during the second and third trimesters. - ANSWER-A. Lithium is
associated with an increased risk of cardiac malformations when used between the
5th and 10th weeks of pregnancy.
MM gave birth this morning to a healthy 3.2 kg baby at 39 weeks gestation. She
has been treated for a bipolar disease for several years. Her medication was not
changed or adjusted during pregnancy. She would like to breast-feed. What would
be the appropriate recommendation?
Medications: Lithium 900 mg orally at bedtime; citalopram 20 mg orally daily in
the morning; lorazepam 1 mg orally at bedtime as needed (takes it twice weekly)
4
