lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
ADVANCED PHARMACOLOGY 2026-2027 FINAL STUDY
GUIDE WITH QUESTIONS AND CORRECT ANSWERS
5) A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each
clinic visit, the nurse's priority assessment would be
a. The nurse should assess blood pressure, body temperature, and vision at each
clinic visit as routine nursing measures in caring for a pediatric patient.
However, the priority assessment would be of height and weight. Monitoring
the growth and development of children taking amphetamines is extremely
important because these drugs have been associated with growth
suppression.
4) A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms
of maternal cocaine use during pregnancy. These signs and symptoms are a result of what
pathophysiological effect of opioid use during pregnancy?
a. Cocaine use during pregnancy has disastrous effects on the fetus; it causes
potent vasoconstriction that reduces placental blood flow by about 50%. This
reduction results in fetal hypoxia and alters the maternal–fetal nutrient
exchange. The deleterious effects on the infant are not primarily a result of
toxins, impaired maternal nutrition, or changes in the process of labor.
3) A school nurse has been teaching high school students about the risks associated with
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
marijuana use. However, the nurse has been met with considerable skepticism on the part
of students, most of whom believe that marijuana is a benign drug. Which of the
following teaching points should the nurse provide?
a. Although smoking marijuana is often thought to be relatively safe compared
with smoking tobacco, the smoke is virtually identical in both cases. Smoking
marijuana involves inhaling larger volumes of smoke and holding the breath
as much as four times longer than with tobacco, which ultimately makes
smoking three to four marijuana joints a day equivalent to smoking one pack
of tobacco cigarettes a day. Marijuana is not considered to highly addictive
and it is not normally associated with a potential for overdose or potentially
fatal drug interactions.
2) A nurse is providing patient education to a 13-year-old girl who was just diagnosed with
type 1 diabetes mellitus. Which of the following statements by the patient will alert the
nurse that special instructions regarding insulin are necessary?
a. Because the patient is on the track team, she will have increased exercise at
various times that will require increased insulin and special instructions
related to hypoglycemia that may come hours after she has ceased exercising.
Walking two blocks every day and walking up stairs would not be considered
increased physical exercise and would not be a factor. Wanting to have her
mother administer the insulin is not uncommon for this age patient, and the
nurse would normally instruct both the mother and the daughter in the
administration of the drug.
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
1) A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD
has been experiencing a depressed mood and a sense of hopelessness. He confides in the
school nurse that he has begun taking his stepfather's antidepressant to improve his mood.
After immediately phoning the boy's stepfather, the nurse learns that the drug in question
is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should
recognize that this combination of drugs creates a serious risk of what health problem?
a. Because of its pressor effects, dextroamphetamine is contraindicated during the
first 14 days after discontinuing monoamine oxidase inhibitor (MAOI) therapy,
because MAOI therapy itself may predispose the patient toward elevated blood
pressure. Therefore, this 14-day washout period for MAOIs must be observed to
prevent hypertensive crisis. This particular combination of drugs does not constitute
a risk for a dysrhythmias, kidney damage, or electrolyte imbalances.
6) A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal
candidiasis. The patient should expect to take medication
a. Once a day
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
7) A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast,
and no breast discharge. The breast tenderness occurs primarily during her menstrual
cycle. The nurse practitioner probably suspects
a. PMS
8) A 21-year-old female has a history of irregular menses. She recently became sexually
active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner
recognizes that most likely this patient would benefit from taking which category of OCs.
a. Monophasic
9) A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother
reports that she gives him Tylenol at least three times a day. Which of the following will
the nurse work with the physician to evaluate?
lOMoAR cPSD| 24220866
ADVANCED PHARMACOLOGY 2026-2027 FINAL STUDY
GUIDE WITH QUESTIONS AND CORRECT ANSWERS
5) A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each
clinic visit, the nurse's priority assessment would be
a. The nurse should assess blood pressure, body temperature, and vision at each
clinic visit as routine nursing measures in caring for a pediatric patient.
However, the priority assessment would be of height and weight. Monitoring
the growth and development of children taking amphetamines is extremely
important because these drugs have been associated with growth
suppression.
4) A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms
of maternal cocaine use during pregnancy. These signs and symptoms are a result of what
pathophysiological effect of opioid use during pregnancy?
a. Cocaine use during pregnancy has disastrous effects on the fetus; it causes
potent vasoconstriction that reduces placental blood flow by about 50%. This
reduction results in fetal hypoxia and alters the maternal–fetal nutrient
exchange. The deleterious effects on the infant are not primarily a result of
toxins, impaired maternal nutrition, or changes in the process of labor.
3) A school nurse has been teaching high school students about the risks associated with
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
marijuana use. However, the nurse has been met with considerable skepticism on the part
of students, most of whom believe that marijuana is a benign drug. Which of the
following teaching points should the nurse provide?
a. Although smoking marijuana is often thought to be relatively safe compared
with smoking tobacco, the smoke is virtually identical in both cases. Smoking
marijuana involves inhaling larger volumes of smoke and holding the breath
as much as four times longer than with tobacco, which ultimately makes
smoking three to four marijuana joints a day equivalent to smoking one pack
of tobacco cigarettes a day. Marijuana is not considered to highly addictive
and it is not normally associated with a potential for overdose or potentially
fatal drug interactions.
2) A nurse is providing patient education to a 13-year-old girl who was just diagnosed with
type 1 diabetes mellitus. Which of the following statements by the patient will alert the
nurse that special instructions regarding insulin are necessary?
a. Because the patient is on the track team, she will have increased exercise at
various times that will require increased insulin and special instructions
related to hypoglycemia that may come hours after she has ceased exercising.
Walking two blocks every day and walking up stairs would not be considered
increased physical exercise and would not be a factor. Wanting to have her
mother administer the insulin is not uncommon for this age patient, and the
nurse would normally instruct both the mother and the daughter in the
administration of the drug.
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
1) A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD
has been experiencing a depressed mood and a sense of hopelessness. He confides in the
school nurse that he has begun taking his stepfather's antidepressant to improve his mood.
After immediately phoning the boy's stepfather, the nurse learns that the drug in question
is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should
recognize that this combination of drugs creates a serious risk of what health problem?
a. Because of its pressor effects, dextroamphetamine is contraindicated during the
first 14 days after discontinuing monoamine oxidase inhibitor (MAOI) therapy,
because MAOI therapy itself may predispose the patient toward elevated blood
pressure. Therefore, this 14-day washout period for MAOIs must be observed to
prevent hypertensive crisis. This particular combination of drugs does not constitute
a risk for a dysrhythmias, kidney damage, or electrolyte imbalances.
6) A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal
candidiasis. The patient should expect to take medication
a. Once a day
, lOMoARcPSD|25701531
lOMoAR cPSD| 24220866
7) A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast,
and no breast discharge. The breast tenderness occurs primarily during her menstrual
cycle. The nurse practitioner probably suspects
a. PMS
8) A 21-year-old female has a history of irregular menses. She recently became sexually
active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner
recognizes that most likely this patient would benefit from taking which category of OCs.
a. Monophasic
9) A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother
reports that she gives him Tylenol at least three times a day. Which of the following will
the nurse work with the physician to evaluate?
