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NR 565 - advanced pharmacology Actual midterm
exam 2026 Comprehensive Questions (Frequently
Tested) and Complete Solutions Graded A+
1. What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C: D. Both A and C
2. Why must an NP be cautious when prescribing medications to the elderly population?
A. Due to their diagnosis of dementia.
B.They are high risk for polypharmacy.
C.The elderly population metabolizes medication faster.
D. Prescribe as usual. No difference in elderly patients.: B. They are high risk for polypharmacy.
3. There are several points of education that should be given to a patient taking acetaminophen.
Which of these statements if made by the patient taking acetaminophen is incorrect?
,A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain.": B. "There is no limit to how many
tablets you can take each day."
4. What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers: A. Help identify patients who may be at risk for
overdose
5. The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
C. potential severe side effects, such as fetal harm, suicidality, or near-fatal dysrhythmias.
D. Both A and C: D. Both A and C
, B.
C.
6. Patients with renal and hepatic insufficiency can experience all of the following effects from medications except:
A. Greater peak effects
Longer duration of action
Increased risk for respiratory depression
D. Increased dosages of medications
E. Increased risk of overdose: D. Increased dosages of medications
7. Which of the following is not a guiding principle for prescribers when considering opioid medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treat- ments have been ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.: D. Avoid referring patients to pain specialists
for pain management.
8. The nurse practitioner will educate their patient on which black box warning associated with methadone?
A. Severe hyperventilation
NR 565 - advanced pharmacology Actual midterm
exam 2026 Comprehensive Questions (Frequently
Tested) and Complete Solutions Graded A+
1. What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C: D. Both A and C
2. Why must an NP be cautious when prescribing medications to the elderly population?
A. Due to their diagnosis of dementia.
B.They are high risk for polypharmacy.
C.The elderly population metabolizes medication faster.
D. Prescribe as usual. No difference in elderly patients.: B. They are high risk for polypharmacy.
3. There are several points of education that should be given to a patient taking acetaminophen.
Which of these statements if made by the patient taking acetaminophen is incorrect?
,A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain.": B. "There is no limit to how many
tablets you can take each day."
4. What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers: A. Help identify patients who may be at risk for
overdose
5. The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
C. potential severe side effects, such as fetal harm, suicidality, or near-fatal dysrhythmias.
D. Both A and C: D. Both A and C
, B.
C.
6. Patients with renal and hepatic insufficiency can experience all of the following effects from medications except:
A. Greater peak effects
Longer duration of action
Increased risk for respiratory depression
D. Increased dosages of medications
E. Increased risk of overdose: D. Increased dosages of medications
7. Which of the following is not a guiding principle for prescribers when considering opioid medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treat- ments have been ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.: D. Avoid referring patients to pain specialists
for pain management.
8. The nurse practitioner will educate their patient on which black box warning associated with methadone?
A. Severe hyperventilation
