Advanced pharmacology
for NP Exam 2
2026–2027 || Real Exam Questions
With Verified Correct Solutions ||100%
Guaranteed Pass!! || Latest Version ||
Grade A+
,ACE inhibitors are useful in a variety of disorders. Which Both 1 and 2 are true:
of the following statements is true about both their 1. They are useful to prevent stable angina because they decrease the
usefulness in a particular disorder and the reason for thickening of vascular walls due to decreased modified release.
their use? 2. They are useful to prevent heart failure because they reduce remodeling of
injured myocardial tissues.
Despite good blood pressure control, an NP might Does not produce a dry, hacking cough
change a patient's drug from an ACE inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
While taking an ARB, patients need to avoid certain Both 1 and 2:
over-the-counter drugs without irst consulting the 1. Cimetidine is metabolized by the CYP3A4 isoenzymes
provider because: 2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
Laboratory monitoring for patients on ACE inhibitors or Serum creatinine levels with the drug dosage reduced for values greater than
ARBs should include: 2.5 mg/dL
Jacob has hypertension, for which a calcium channel Decreases the amount of calcium inside the cell
blocker has been prescribed. This drug helps control
blood pressure because it:
Which of the following adverse effects may occur due Edema of the hands and feet
to a dihydropyridine-type calcium channel blocker?
Patient teaching related to amlodipine includes: Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Started at about half the usual dosage
Calcium channel blocker dosages for her should be:
Larry has heart failure, which is being treated with Negative inotropism
digoxin because it exhibits:
Furosemide is added to a treatment regimen for heart Serum potassium
failure that includes digoxin. Monitoring for this
combination includes:
Which of the following create a higher risk for digoxin Administration to older adults because of reduced renal function
toxicity? Both the cause and the reason for it must be
correct.
Serum digoxin levels are monitored for potential Because a reference point is needed to adjust dosage
toxicity. Monitoring should occur:
, Which of the following is true about procainamide and
its dosing schedule?
Rodrigo has been prescribed procainamide after a Onset of congestive heart failure
myocardial infarction. He is monitored for dyspnea,
jugular venous distention, and peripheral edema
because they may indicate:
Amiodarone has been prescribed in a patient with a Take a hot shower or bath if you feel dizzy.
supraventricular dysrhythmia. Patient teaching should
include all of the following EXCEPT:
The NP orders a thyroid panel for a patient on Amiodarone inhibits an enzyme that is important in making thyroid hormone
amiodarone. The patient tells the NP that he does not and can cause hypothyroidism.
have thyroid disease and wants to know why the test
has been ordered. Which is a correct response?
Isosorbide dinitrate is prescribed for a patient with Nitrate tolerance can develop.
chronic stable angina. This drug is administered twice
daily, but the schedule is 7 a.m. and 2 p.m. because:
Art is a 55-year-old smoker who has been diagnosed
with angina and placed on nitrates. He complains of
headaches after using his nitrate. An appropriate reply
might be:
In teaching about the use of sublingual nitroglycerine, To place one tablet under the tongue if chest pain occurs and allow it to
the patient should be instructed: dissolve
Donald has been diagnosed with hyperlipidemia. Based Report muscle weakness or tenderness and dark urine to his provider
on his lipid profile, atorvastatin is prescribed. immediately.
Rhabdomyolysis is a rare but serious adverse response
to this drug. Donald should be told to:
Which of the following diagnostic results would NOT Increased white blood cell count
indicate a problem related to a reductase inhibitor?
Because of the pattern of cholesterol synthesis, In the evening in a single daily dose
reductase inhibitors are given
Niaspan, an extended-release form of niacin, was 1 or 2:
previously prescribed to treat a patient's 1. Statins
hypertriglycerides. However, the FDA withdrew its 2. Fibrates
approval of the drug. Which of the following drugs with
research efficacy should be substituted?
for NP Exam 2
2026–2027 || Real Exam Questions
With Verified Correct Solutions ||100%
Guaranteed Pass!! || Latest Version ||
Grade A+
,ACE inhibitors are useful in a variety of disorders. Which Both 1 and 2 are true:
of the following statements is true about both their 1. They are useful to prevent stable angina because they decrease the
usefulness in a particular disorder and the reason for thickening of vascular walls due to decreased modified release.
their use? 2. They are useful to prevent heart failure because they reduce remodeling of
injured myocardial tissues.
Despite good blood pressure control, an NP might Does not produce a dry, hacking cough
change a patient's drug from an ACE inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
While taking an ARB, patients need to avoid certain Both 1 and 2:
over-the-counter drugs without irst consulting the 1. Cimetidine is metabolized by the CYP3A4 isoenzymes
provider because: 2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels
Laboratory monitoring for patients on ACE inhibitors or Serum creatinine levels with the drug dosage reduced for values greater than
ARBs should include: 2.5 mg/dL
Jacob has hypertension, for which a calcium channel Decreases the amount of calcium inside the cell
blocker has been prescribed. This drug helps control
blood pressure because it:
Which of the following adverse effects may occur due Edema of the hands and feet
to a dihydropyridine-type calcium channel blocker?
Patient teaching related to amlodipine includes: Avoid grapefruit juice as it affects the metabolism of this drug.
Vera, age 70, has isolated systolic hypertension. Started at about half the usual dosage
Calcium channel blocker dosages for her should be:
Larry has heart failure, which is being treated with Negative inotropism
digoxin because it exhibits:
Furosemide is added to a treatment regimen for heart Serum potassium
failure that includes digoxin. Monitoring for this
combination includes:
Which of the following create a higher risk for digoxin Administration to older adults because of reduced renal function
toxicity? Both the cause and the reason for it must be
correct.
Serum digoxin levels are monitored for potential Because a reference point is needed to adjust dosage
toxicity. Monitoring should occur:
, Which of the following is true about procainamide and
its dosing schedule?
Rodrigo has been prescribed procainamide after a Onset of congestive heart failure
myocardial infarction. He is monitored for dyspnea,
jugular venous distention, and peripheral edema
because they may indicate:
Amiodarone has been prescribed in a patient with a Take a hot shower or bath if you feel dizzy.
supraventricular dysrhythmia. Patient teaching should
include all of the following EXCEPT:
The NP orders a thyroid panel for a patient on Amiodarone inhibits an enzyme that is important in making thyroid hormone
amiodarone. The patient tells the NP that he does not and can cause hypothyroidism.
have thyroid disease and wants to know why the test
has been ordered. Which is a correct response?
Isosorbide dinitrate is prescribed for a patient with Nitrate tolerance can develop.
chronic stable angina. This drug is administered twice
daily, but the schedule is 7 a.m. and 2 p.m. because:
Art is a 55-year-old smoker who has been diagnosed
with angina and placed on nitrates. He complains of
headaches after using his nitrate. An appropriate reply
might be:
In teaching about the use of sublingual nitroglycerine, To place one tablet under the tongue if chest pain occurs and allow it to
the patient should be instructed: dissolve
Donald has been diagnosed with hyperlipidemia. Based Report muscle weakness or tenderness and dark urine to his provider
on his lipid profile, atorvastatin is prescribed. immediately.
Rhabdomyolysis is a rare but serious adverse response
to this drug. Donald should be told to:
Which of the following diagnostic results would NOT Increased white blood cell count
indicate a problem related to a reductase inhibitor?
Because of the pattern of cholesterol synthesis, In the evening in a single daily dose
reductase inhibitors are given
Niaspan, an extended-release form of niacin, was 1 or 2:
previously prescribed to treat a patient's 1. Statins
hypertriglycerides. However, the FDA withdrew its 2. Fibrates
approval of the drug. Which of the following drugs with
research efficacy should be substituted?
