NR 566 Final Exam Prep – Advanced Pharmacology – (2026)
Actual Questions & Answers (Chamberlain)
Original exam-preparation questions. These questions are written for study and are not represented as leaked, confidential, or verbatim live-exam
questions.
ASSESS → PRIORITIZE → INTERVENE → EVALUATE
1. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
■ ✓ Sedation
• Severe hyperglycemia in every patient
• Permanent hearing loss
• Marked hypokalemia
Correct answer: Sedation
2. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
3. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
■ ✓ Tardive dyskinesia
• Nephrolithiasis
• Ototoxicity
• Hypothyroidism
Correct answer: Tardive dyskinesia
4. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
• They permanently cure urinary retention
• They increase bone density
Correct answer: They can worsen dry mouth, constipation and cognitive effects
,5. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
■ ✓ Review individual risks, benefits, indication and duration
• Assume it is risk-free
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
Correct answer: Review individual risks, benefits, indication and duration
6. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Severe hyperglycemia in every patient
• Permanent hearing loss
• Marked hypokalemia
■ ✓ Sedation
Correct answer: Sedation
7. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
8. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Nephrolithiasis
• Ototoxicity
• Hypothyroidism
■ ✓ Tardive dyskinesia
Correct answer: Tardive dyskinesia
9. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They always cause hypoglycemia
• They permanently cure urinary retention
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
Correct answer: They can worsen dry mouth, constipation and cognitive effects
,10. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
• Assume it is risk-free
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
■ ✓ Review individual risks, benefits, indication and duration
Correct answer: Review individual risks, benefits, indication and duration
11. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Permanent hearing loss
• Marked hypokalemia
■ ✓ Sedation
• Severe hyperglycemia in every patient
Correct answer: Sedation
12. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
13. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Ototoxicity
• Hypothyroidism
■ ✓ Tardive dyskinesia
• Nephrolithiasis
Correct answer: Tardive dyskinesia
14. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They permanently cure urinary retention
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
Correct answer: They can worsen dry mouth, constipation and cognitive effects
, 15. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
■ ✓ Review individual risks, benefits, indication and duration
• Assume it is risk-free
Correct answer: Review individual risks, benefits, indication and duration
16. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Marked hypokalemia
■ ✓ Sedation
• Severe hyperglycemia in every patient
• Permanent hearing loss
Correct answer: Sedation
17. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
18. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Hypothyroidism
■ ✓ Tardive dyskinesia
• Nephrolithiasis
• Ototoxicity
Correct answer: Tardive dyskinesia
19. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
• They permanently cure urinary retention
Correct answer: They can worsen dry mouth, constipation and cognitive effects
Actual Questions & Answers (Chamberlain)
Original exam-preparation questions. These questions are written for study and are not represented as leaked, confidential, or verbatim live-exam
questions.
ASSESS → PRIORITIZE → INTERVENE → EVALUATE
1. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
■ ✓ Sedation
• Severe hyperglycemia in every patient
• Permanent hearing loss
• Marked hypokalemia
Correct answer: Sedation
2. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
3. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
■ ✓ Tardive dyskinesia
• Nephrolithiasis
• Ototoxicity
• Hypothyroidism
Correct answer: Tardive dyskinesia
4. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
• They permanently cure urinary retention
• They increase bone density
Correct answer: They can worsen dry mouth, constipation and cognitive effects
,5. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
■ ✓ Review individual risks, benefits, indication and duration
• Assume it is risk-free
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
Correct answer: Review individual risks, benefits, indication and duration
6. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Severe hyperglycemia in every patient
• Permanent hearing loss
• Marked hypokalemia
■ ✓ Sedation
Correct answer: Sedation
7. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
8. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Nephrolithiasis
• Ototoxicity
• Hypothyroidism
■ ✓ Tardive dyskinesia
Correct answer: Tardive dyskinesia
9. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They always cause hypoglycemia
• They permanently cure urinary retention
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
Correct answer: They can worsen dry mouth, constipation and cognitive effects
,10. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
• Assume it is risk-free
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
■ ✓ Review individual risks, benefits, indication and duration
Correct answer: Review individual risks, benefits, indication and duration
11. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Permanent hearing loss
• Marked hypokalemia
■ ✓ Sedation
• Severe hyperglycemia in every patient
Correct answer: Sedation
12. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Continue antibiotics indefinitely
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
13. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Ototoxicity
• Hypothyroidism
■ ✓ Tardive dyskinesia
• Nephrolithiasis
Correct answer: Tardive dyskinesia
14. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They permanently cure urinary retention
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
Correct answer: They can worsen dry mouth, constipation and cognitive effects
, 15. [Hormone therapy] A clinician is planning care and considers, Which principle is important when discussing
menopausal hormone therapy?
• Use the same regimen for every patient
• Ignore cardiovascular and cancer history
■ ✓ Review individual risks, benefits, indication and duration
• Assume it is risk-free
Correct answer: Review individual risks, benefits, indication and duration
16. [Antihistamines] During routine care, Which effect is most associated with first-generation H1
antihistamines?
• Marked hypokalemia
■ ✓ Sedation
• Severe hyperglycemia in every patient
• Permanent hearing loss
Correct answer: Sedation
17. [Antibiotic stewardship] When reviewing the patient's situation, Which prescribing principle best supports
antibiotic stewardship?
• Use the broadest drug for every infection
■ ✓ Use an appropriate agent, dose, route and duration for the confirmed or likely infection
• Use antibiotics for every viral illness
• Continue antibiotics indefinitely
Correct answer: Use an appropriate agent, dose, route and duration for the confirmed or likely infection
18. [Mental health pharmacology] A nurse is caring for a client and asks, A patient taking an antipsychotic
develops involuntary repetitive facial movements. What adverse effect should be suspected?
• Hypothyroidism
■ ✓ Tardive dyskinesia
• Nephrolithiasis
• Ototoxicity
Correct answer: Tardive dyskinesia
19. [Overactive bladder] During an examination scenario, Why should anticholinergic bladder medications be
used cautiously in some older adults?
• They increase bone density
■ ✓ They can worsen dry mouth, constipation and cognitive effects
• They always cause hypoglycemia
• They permanently cure urinary retention
Correct answer: They can worsen dry mouth, constipation and cognitive effects
