NUR 635 Final GCU 400 Questions and correct
answers Review/ NUR 635 Advanced Pharmacology
Final Exam 2026-2027 Latest Practice Questions with
Correct Answers (Test Bank 1)
Reviewing a patient's culture and sensitivity results, the NP determines the patient
has a protozoal infection when an obligate, anaerobic bacteria is found. Which
medication would the NP prescribe?
A) Ciprofloxacin
B) Metronidazole
C) Doxycycline
D) Azithromycin
-ANSWER- B) Metronidazole
After diagnosing a patient with chlamydia, the NP starts the patient on
azithromycin 500 mg orally. The NP advises the patient that her 2nd dose of 250
mg is for:
A) This time tomorrow and continue once daily for 5-7 days
B) In 12 hours
C) In 24 hours only
D) Not needed; only one dose is required
-ANSWER- A) This time tomorrow and continue once daily for 5-7 days
Several days after prescribing clindamycin, your patient calls and reports diarrhea.
The NP responds by:
A) Advising the patient to discontinue the medication
B) Prescribing an anti-diarrheal
C) Recommending probiotics
D) Advising to continue the medication and increase fluids
-ANSWER- A) Advising the patient to discontinue the medication
A 16-year-old presents to the clinic for treatment of her acne. The NP prescribes
which medication?
A) Oral isotretinoin
1
,B) Combination antibiotic and topical
C) Oral corticosteroid
D) Single-agent topical only
-ANSWER- B) Combination antibiotic and topical
A teenager comes to the clinic with complaint of headache. The NP suspects
minocycline may be causing the symptoms due to its risk of:
A) Migraine
B) Pseudotumor cerebri (increased intracranial pressure)
C) Tension headache
D) Sinusitis
-ANSWER- B) Pseudotumor cerebri (increased intracranial pressure)
Which treatment is appropriate for a patient with new onset of cluster headaches?
A) Sumatriptan orally
B) 100% oxygen for 15-30 minutes
C) Ibuprofen
D) Propranolol
-ANSWER- B) 100% oxygen for 15-30 minutes
When should the NP expect to see clinical improvement after starting antibiotic
therapy for a pneumonia patient?
A) 12-24 hours
B) 2-3 days
C) 5-7 days
D) 10-14 days
-ANSWER- B) 2-3 days
A 4-year-old comes in with ear pain and on exam, the TM is erythematous,
bulging, and non-mobile. Vital signs are: BP 112/62, P 122, RR 16, T 102.5. The
NP decides to proceed with:
A) Watchful waiting
B) Start the patient on amoxicillin or Augmentin
C) Refer to ENT
D) Prescribe ear drops only
-ANSWER- B) Start the patient on amoxicillin or Augmentin
A 6-year-old is seen next, with the same symptoms as the previous 4-year-old
patient but with no fever. The NP recommends which treatment for this patient?
A) Amoxicillin
2
,B) Augmentin
C) Start the patient on lidocaine drops to help with ear pain
D) Refer to ENT
-ANSWER- C) Start the patient on lidocaine drops to help with ear pain
A patient with newly diagnosed open-angle glaucoma was recently prescribed
timolol. The NP expresses concern about this medication based on which history
reported by the patient?
A) Hypertension
B) Asthma
C) Diabetes
D) Hyperlipidemia
-ANSWER- B) Asthma
First-line treatment for mild acne includes:
A) Benzoyl peroxide
B) Topical retinoid
C) Topical combination therapy
D) Any of the above
-ANSWER- D) Any of the above
Treatment for moderate acne includes:
A) Benzoyl peroxide and antibiotics/retinoid
B) Oral antibiotics
C) Topical combination therapy
D) Any of the above
-ANSWER- D) Any of the above
Which oral antibiotic does the NP choose to prescribe for the patient with moderate
acne?
A) Doxycycline, Minocycline, Tetracycline, or Erythromycin
B) Amoxicillin
C) Cephalexin
D) Azithromycin
-ANSWER- A) Doxycycline, Minocycline, Tetracycline, or Erythromycin
A 34-year-old female comes to the clinic complaining of dysuria, frequency, and
urgency. Which additional information does the NP need prior to deciding on a
treatment plan?
A) Is the infection in the upper or lower urinary tract?
3
, B) Does the patient have any history of predisposing factors?
C) Is the patient pregnant?
D) All of the above
-ANSWER- D) All of the above
A 34-year-old female comes to the clinic complaining of dysuria, frequency, and
urgency. She has a lower UTI, no predisposing factors, and a history of UTI
approximately 6 months ago. The NP chooses which treatment plan for the patient?
A) Short-course therapy or single-dose therapy
B) 7-day antibiotic course
C) 14-day antibiotic course
D) Referral to urology
-ANSWER- A) Short-course therapy or single-dose therapy
What short-course therapy would you prescribe for a 34-year-old female who isn't
pregnant with a UTI?
A) Trimethoprim/sulfamethoxazole (Bactrim) for 3 days
B) Ciprofloxacin for 7 days
C) Nitrofurantoin for 5 days
D) Amoxicillin for 10 days
-ANSWER- A) Trimethoprim/sulfamethoxazole (Bactrim) for 3 days
Which aminoglycoside would the NP prescribe for a patient diagnosed with
conjunctivitis?
A) Gentamicin
B) Neomycin
C) Tobramycin
D) Amikacin
-ANSWER- B) Neomycin
A patient previously on antibiotics reports 10-20 watery stools per day. The NP
starts which treatment to resolve the symptoms?
A) Metronidazole
B) Vancomycin
C) Ciprofloxacin
D) Rifaximin
-ANSWER- B) Vancomycin
A skin culture shows an active infection of MRSA. Which medication does the NP
know is effective in treating this type of bacteria?
4
answers Review/ NUR 635 Advanced Pharmacology
Final Exam 2026-2027 Latest Practice Questions with
Correct Answers (Test Bank 1)
Reviewing a patient's culture and sensitivity results, the NP determines the patient
has a protozoal infection when an obligate, anaerobic bacteria is found. Which
medication would the NP prescribe?
A) Ciprofloxacin
B) Metronidazole
C) Doxycycline
D) Azithromycin
-ANSWER- B) Metronidazole
After diagnosing a patient with chlamydia, the NP starts the patient on
azithromycin 500 mg orally. The NP advises the patient that her 2nd dose of 250
mg is for:
A) This time tomorrow and continue once daily for 5-7 days
B) In 12 hours
C) In 24 hours only
D) Not needed; only one dose is required
-ANSWER- A) This time tomorrow and continue once daily for 5-7 days
Several days after prescribing clindamycin, your patient calls and reports diarrhea.
The NP responds by:
A) Advising the patient to discontinue the medication
B) Prescribing an anti-diarrheal
C) Recommending probiotics
D) Advising to continue the medication and increase fluids
-ANSWER- A) Advising the patient to discontinue the medication
A 16-year-old presents to the clinic for treatment of her acne. The NP prescribes
which medication?
A) Oral isotretinoin
1
,B) Combination antibiotic and topical
C) Oral corticosteroid
D) Single-agent topical only
-ANSWER- B) Combination antibiotic and topical
A teenager comes to the clinic with complaint of headache. The NP suspects
minocycline may be causing the symptoms due to its risk of:
A) Migraine
B) Pseudotumor cerebri (increased intracranial pressure)
C) Tension headache
D) Sinusitis
-ANSWER- B) Pseudotumor cerebri (increased intracranial pressure)
Which treatment is appropriate for a patient with new onset of cluster headaches?
A) Sumatriptan orally
B) 100% oxygen for 15-30 minutes
C) Ibuprofen
D) Propranolol
-ANSWER- B) 100% oxygen for 15-30 minutes
When should the NP expect to see clinical improvement after starting antibiotic
therapy for a pneumonia patient?
A) 12-24 hours
B) 2-3 days
C) 5-7 days
D) 10-14 days
-ANSWER- B) 2-3 days
A 4-year-old comes in with ear pain and on exam, the TM is erythematous,
bulging, and non-mobile. Vital signs are: BP 112/62, P 122, RR 16, T 102.5. The
NP decides to proceed with:
A) Watchful waiting
B) Start the patient on amoxicillin or Augmentin
C) Refer to ENT
D) Prescribe ear drops only
-ANSWER- B) Start the patient on amoxicillin or Augmentin
A 6-year-old is seen next, with the same symptoms as the previous 4-year-old
patient but with no fever. The NP recommends which treatment for this patient?
A) Amoxicillin
2
,B) Augmentin
C) Start the patient on lidocaine drops to help with ear pain
D) Refer to ENT
-ANSWER- C) Start the patient on lidocaine drops to help with ear pain
A patient with newly diagnosed open-angle glaucoma was recently prescribed
timolol. The NP expresses concern about this medication based on which history
reported by the patient?
A) Hypertension
B) Asthma
C) Diabetes
D) Hyperlipidemia
-ANSWER- B) Asthma
First-line treatment for mild acne includes:
A) Benzoyl peroxide
B) Topical retinoid
C) Topical combination therapy
D) Any of the above
-ANSWER- D) Any of the above
Treatment for moderate acne includes:
A) Benzoyl peroxide and antibiotics/retinoid
B) Oral antibiotics
C) Topical combination therapy
D) Any of the above
-ANSWER- D) Any of the above
Which oral antibiotic does the NP choose to prescribe for the patient with moderate
acne?
A) Doxycycline, Minocycline, Tetracycline, or Erythromycin
B) Amoxicillin
C) Cephalexin
D) Azithromycin
-ANSWER- A) Doxycycline, Minocycline, Tetracycline, or Erythromycin
A 34-year-old female comes to the clinic complaining of dysuria, frequency, and
urgency. Which additional information does the NP need prior to deciding on a
treatment plan?
A) Is the infection in the upper or lower urinary tract?
3
, B) Does the patient have any history of predisposing factors?
C) Is the patient pregnant?
D) All of the above
-ANSWER- D) All of the above
A 34-year-old female comes to the clinic complaining of dysuria, frequency, and
urgency. She has a lower UTI, no predisposing factors, and a history of UTI
approximately 6 months ago. The NP chooses which treatment plan for the patient?
A) Short-course therapy or single-dose therapy
B) 7-day antibiotic course
C) 14-day antibiotic course
D) Referral to urology
-ANSWER- A) Short-course therapy or single-dose therapy
What short-course therapy would you prescribe for a 34-year-old female who isn't
pregnant with a UTI?
A) Trimethoprim/sulfamethoxazole (Bactrim) for 3 days
B) Ciprofloxacin for 7 days
C) Nitrofurantoin for 5 days
D) Amoxicillin for 10 days
-ANSWER- A) Trimethoprim/sulfamethoxazole (Bactrim) for 3 days
Which aminoglycoside would the NP prescribe for a patient diagnosed with
conjunctivitis?
A) Gentamicin
B) Neomycin
C) Tobramycin
D) Amikacin
-ANSWER- B) Neomycin
A patient previously on antibiotics reports 10-20 watery stools per day. The NP
starts which treatment to resolve the symptoms?
A) Metronidazole
B) Vancomycin
C) Ciprofloxacin
D) Rifaximin
-ANSWER- B) Vancomycin
A skin culture shows an active infection of MRSA. Which medication does the NP
know is effective in treating this type of bacteria?
4
