NR 566 FINAL EXAM ADVANCED
PHARMACOLOGY FOR CARE OF THE FAMILY
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED
VERSION LATEST 2026-2027 (VERIFIED
ANSWERS) ALREADY GRADED A+
1. A 72-year-old male with hypertension and benign prostatic hyperplasia (BPH)
reports dizziness upon standing. His current medications include doxazosin and
lisinopril. Which action is most appropriate?
A. Increase lisinopril to improve blood pressure control
B. Add furosemide to reduce fluid overload
C. ** Discontinue doxazosin and consider alternative BPH therapy **
D. Change lisinopril to amlodipine
2. A patient with type 2 diabetes and heart failure with reduced ejection fraction
(HFrEF) is being started on a new medication. Which antihyperglycemic agent has
been shown to reduce cardiovascular death and heart failure hospitalizations?
A. Sitagliptin
B. Pioglitazone
C. ** Empagliflozin **
D. Glimepiride
,3. A 45-year-old female with generalized anxiety disorder has been on paroxetine
for 6 months but reports sexual dysfunction. She has no bipolar disorder history.
Which change is most appropriate?
A. Add bupropion 150 mg daily
B. Switch to fluoxetine without washout
C. ** Switch to buspirone 10 mg three times daily **
D. Increase paroxetine dose to improve efficacy
4. A patient with chronic kidney disease stage 4 (eGFR 25 mL/min) requires
anticoagulation for atrial fibrillation. Which agent is safest?
A. Rivaroxaban
B. Dabigatran
C. ** Apixaban **
D. Warfarin without INR monitoring
5. A 30-year-old woman with migraine desires contraception. She has no aura, no
cardiovascular risk factors. Which contraceptive method is contraindicated?
A. Copper IUD
B. Levonorgestrel-releasing IUD
C. ** Combined oral contraceptive containing ethinyl estradiol/drospirenone **
D. Etonogestrel implant
6. A 68-year-old male with Parkinson’s disease develops hallucinations and
confusion after starting pramipexole. What is the next best step?
A. Add quetiapine
B. Increase carbidopa/levodopa
C. ** Discontinue pramipexole and monitor **
D. Add donepezil
, 7. A 55-year-old female with osteoporosis has been on alendronate for 5 years.
DEXA scan shows stable bone density. What is recommended?
A. Continue alendronate indefinitely
B. Switch to raloxifene
C. ** Consider a drug holiday of 3–5 years **
D. Add teriparatide
8. A patient with COPD and frequent exacerbations is on tiotropium and as-needed
albuterol. Which medication reduces exacerbations and mortality?
A. Theophylline
B. ** Fluticasone/salmeterol **
C. Oral prednisone daily
D. Roflumilast
9. A 28-year-old male with acne vulgaris fails topical benzoyl peroxide and
clindamycin. He has no inflammatory bowel disease. Which oral agent is first-line?
A. Doxycycline
B. Isotretinoin
C. ** Minocycline **
D. Trimethoprim/sulfamethoxazole
10. A patient with gout and CKD stage 3 begins allopurinol. What concomitant
medication requires dose adjustment?
A. Metformin
B. Lisinopril
C. ** Azathioprine **
D. Atorvastatin
PHARMACOLOGY FOR CARE OF THE FAMILY
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED
VERSION LATEST 2026-2027 (VERIFIED
ANSWERS) ALREADY GRADED A+
1. A 72-year-old male with hypertension and benign prostatic hyperplasia (BPH)
reports dizziness upon standing. His current medications include doxazosin and
lisinopril. Which action is most appropriate?
A. Increase lisinopril to improve blood pressure control
B. Add furosemide to reduce fluid overload
C. ** Discontinue doxazosin and consider alternative BPH therapy **
D. Change lisinopril to amlodipine
2. A patient with type 2 diabetes and heart failure with reduced ejection fraction
(HFrEF) is being started on a new medication. Which antihyperglycemic agent has
been shown to reduce cardiovascular death and heart failure hospitalizations?
A. Sitagliptin
B. Pioglitazone
C. ** Empagliflozin **
D. Glimepiride
,3. A 45-year-old female with generalized anxiety disorder has been on paroxetine
for 6 months but reports sexual dysfunction. She has no bipolar disorder history.
Which change is most appropriate?
A. Add bupropion 150 mg daily
B. Switch to fluoxetine without washout
C. ** Switch to buspirone 10 mg three times daily **
D. Increase paroxetine dose to improve efficacy
4. A patient with chronic kidney disease stage 4 (eGFR 25 mL/min) requires
anticoagulation for atrial fibrillation. Which agent is safest?
A. Rivaroxaban
B. Dabigatran
C. ** Apixaban **
D. Warfarin without INR monitoring
5. A 30-year-old woman with migraine desires contraception. She has no aura, no
cardiovascular risk factors. Which contraceptive method is contraindicated?
A. Copper IUD
B. Levonorgestrel-releasing IUD
C. ** Combined oral contraceptive containing ethinyl estradiol/drospirenone **
D. Etonogestrel implant
6. A 68-year-old male with Parkinson’s disease develops hallucinations and
confusion after starting pramipexole. What is the next best step?
A. Add quetiapine
B. Increase carbidopa/levodopa
C. ** Discontinue pramipexole and monitor **
D. Add donepezil
, 7. A 55-year-old female with osteoporosis has been on alendronate for 5 years.
DEXA scan shows stable bone density. What is recommended?
A. Continue alendronate indefinitely
B. Switch to raloxifene
C. ** Consider a drug holiday of 3–5 years **
D. Add teriparatide
8. A patient with COPD and frequent exacerbations is on tiotropium and as-needed
albuterol. Which medication reduces exacerbations and mortality?
A. Theophylline
B. ** Fluticasone/salmeterol **
C. Oral prednisone daily
D. Roflumilast
9. A 28-year-old male with acne vulgaris fails topical benzoyl peroxide and
clindamycin. He has no inflammatory bowel disease. Which oral agent is first-line?
A. Doxycycline
B. Isotretinoin
C. ** Minocycline **
D. Trimethoprim/sulfamethoxazole
10. A patient with gout and CKD stage 3 begins allopurinol. What concomitant
medication requires dose adjustment?
A. Metformin
B. Lisinopril
C. ** Azathioprine **
D. Atorvastatin
