1|Page
NUR 615 FINAL EXAM (UTICA) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NUR615 ADVANCED
PHARMACOLOGY I FINAL EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A 64-year-old patient diagnosed with Alzheimer disease (AD) has been
prescribed donepezil 10mg/daily since displaying mild cognitive
impairment 2 months ago. Recently, the patient has begun to
demonstrate problems with language and becomes very disoriented and
agitated with even slight deviations from the daily routine. Which
prescription-related change should the healthcare provider discuss with
the patient and spouse?
a. Discontinuing donepezil while prescribing an alternative
cholinesterase inhibitor.
b. Possibility of discontinuing donepezil entirely.
c. Changing the donepezil prescription to 5mg twice daily.
d. Increasing the dosage of donepezil to 15 mg daily. - Correct Answer -
b. Possibility of discontinuing donepezil entirely.
A practitioner is prescribing duloxetine (Cymbalta) for a patient with
depression. What class of drug is the agent?
a. Atypical.
b. Serotonin-norepinephrine reuptake inhibitors.
c. Selective serotonin reuptake inhibitors.
d. Tricyclic antidepressants. - Correct Answer - b. Serotonin-
norepinephrine reuptake inhibitors.
pg. 1
,2|Page
A 6-year-old child has been diagnosed with severe attention-
deficient/hyperactivity disorder (ADHD). Which intervention(s) will the
healthcare provider consider for inclusion in the child's plan of care?
a. Family counseling.
b. Bupropion.
c. Methylphenidate.
d. Atomoxetine. - Correct Answer - c. Methylphenidate.
The APN, caring for a patient taking a beta-blocker and a nitrate to treat
angina, recognizes the need for careful monitoring as the result of what
secondary diagnosis?
a. Rheumatoid arthritis (RA).
b. Irritable bowel syndrome (IBS).
c. Chronic urinary tract infection (UTI).
d. Chronic obstructive pulmonary disease (COPD). - Correct Answer - d.
Chronic obstructive pulmonary disease (COPD).
The APN is referring patient to the ER with a diagnosis of acute renal
failure. While collecting the medical history the patient reveals he was
taking Pravastatin to reduce lipid levels and enjoyed a glass of grapefruit
juice every morning. The patient complains of muscle pain. What does
the APN suspect is the cause of the patient's renal failure?
a. Diabetes.
b. Congestive heart failure.
c. Gastric ulceration.
d. Drug toxicity. - Correct Answer - d. Drug toxicity.
pg. 2
,3|Page
What would the advanced practice nurse teach the diabetic patient to
monitor for when beginning a class II antidysrhythmic drug regiment in
addition to insulin?
a. Weight loss.
b. Exercise intolerance.
c. Hypoglycemia.
d. Reduced peripheral perfusion. - Correct Answer - c. Hypoglycemia.
What classification of anti-hypertensive drugs is the most effective for
treating hypertension in African American clients?
a. ACE inhibitors.
b. Diuretics.
c. Beta blockers.
d. Alpha-adrenergic blockers. - Correct Answer - b. Diuretics.
The health care provider has prescribed chlorthalidone’s for initial
treatment of hypertension. What factor would be considered when
determining the appropriateness of this prescription?
a. Creatinine clearance of 100 mL/min/1.73 m2.
b. History of gout.
c. Family history of type 2 diabetes.
d. Reports experiencing tinnitus. - Correct Answer - a. Creatinine
clearance of 100 mL/min/1.73 m2.
The APN reviews the patient's medical history and determines class II
antiarrhythmics are contraindicated due to the patient's history of what
condition?
pg. 3
, 4|Page
a. Migraine headaches.
b. Colitis.
c. Asthma.
d. Antidiarrheals. - Correct Answer - c. Asthma.
Which patient population is more likely to experience myalgia (muscle
pain) or myopathy with use of HMG-CoA reductase inhibitors?
a. Patients with renal insufficiency.
b. Patients with diabetes mellitus.
c. Patients with hypertriglyceridemia.
d. Patients with gout. - Correct Answer - a. Patients with renal
insufficiency.
The health care provider is considering the prescription of either an
angiotensin-converting enzyme (ACE) inhibitor or an angiotensin II
receptor blocker (ARB) for blood pressure control. What is a
contraindication for the use of either agent?
a. Bilateral renal artery stenosis.
b. Anemia.
c. Primary aldosteronism.
d. Elevated plasma renin activity. - Correct Answer - a. Bilateral renal
artery stenosis.
A 55-year-old female with a history of migraine headaches has recently
been diagnosed with Stage II hypertension. The EKG rhythm indicates
second-degree heart block and the chest x-ray is normal. Which of the
following drugs are contraindicated for this patient?
pg. 4
NUR 615 FINAL EXAM (UTICA) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NUR615 ADVANCED
PHARMACOLOGY I FINAL EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A 64-year-old patient diagnosed with Alzheimer disease (AD) has been
prescribed donepezil 10mg/daily since displaying mild cognitive
impairment 2 months ago. Recently, the patient has begun to
demonstrate problems with language and becomes very disoriented and
agitated with even slight deviations from the daily routine. Which
prescription-related change should the healthcare provider discuss with
the patient and spouse?
a. Discontinuing donepezil while prescribing an alternative
cholinesterase inhibitor.
b. Possibility of discontinuing donepezil entirely.
c. Changing the donepezil prescription to 5mg twice daily.
d. Increasing the dosage of donepezil to 15 mg daily. - Correct Answer -
b. Possibility of discontinuing donepezil entirely.
A practitioner is prescribing duloxetine (Cymbalta) for a patient with
depression. What class of drug is the agent?
a. Atypical.
b. Serotonin-norepinephrine reuptake inhibitors.
c. Selective serotonin reuptake inhibitors.
d. Tricyclic antidepressants. - Correct Answer - b. Serotonin-
norepinephrine reuptake inhibitors.
pg. 1
,2|Page
A 6-year-old child has been diagnosed with severe attention-
deficient/hyperactivity disorder (ADHD). Which intervention(s) will the
healthcare provider consider for inclusion in the child's plan of care?
a. Family counseling.
b. Bupropion.
c. Methylphenidate.
d. Atomoxetine. - Correct Answer - c. Methylphenidate.
The APN, caring for a patient taking a beta-blocker and a nitrate to treat
angina, recognizes the need for careful monitoring as the result of what
secondary diagnosis?
a. Rheumatoid arthritis (RA).
b. Irritable bowel syndrome (IBS).
c. Chronic urinary tract infection (UTI).
d. Chronic obstructive pulmonary disease (COPD). - Correct Answer - d.
Chronic obstructive pulmonary disease (COPD).
The APN is referring patient to the ER with a diagnosis of acute renal
failure. While collecting the medical history the patient reveals he was
taking Pravastatin to reduce lipid levels and enjoyed a glass of grapefruit
juice every morning. The patient complains of muscle pain. What does
the APN suspect is the cause of the patient's renal failure?
a. Diabetes.
b. Congestive heart failure.
c. Gastric ulceration.
d. Drug toxicity. - Correct Answer - d. Drug toxicity.
pg. 2
,3|Page
What would the advanced practice nurse teach the diabetic patient to
monitor for when beginning a class II antidysrhythmic drug regiment in
addition to insulin?
a. Weight loss.
b. Exercise intolerance.
c. Hypoglycemia.
d. Reduced peripheral perfusion. - Correct Answer - c. Hypoglycemia.
What classification of anti-hypertensive drugs is the most effective for
treating hypertension in African American clients?
a. ACE inhibitors.
b. Diuretics.
c. Beta blockers.
d. Alpha-adrenergic blockers. - Correct Answer - b. Diuretics.
The health care provider has prescribed chlorthalidone’s for initial
treatment of hypertension. What factor would be considered when
determining the appropriateness of this prescription?
a. Creatinine clearance of 100 mL/min/1.73 m2.
b. History of gout.
c. Family history of type 2 diabetes.
d. Reports experiencing tinnitus. - Correct Answer - a. Creatinine
clearance of 100 mL/min/1.73 m2.
The APN reviews the patient's medical history and determines class II
antiarrhythmics are contraindicated due to the patient's history of what
condition?
pg. 3
, 4|Page
a. Migraine headaches.
b. Colitis.
c. Asthma.
d. Antidiarrheals. - Correct Answer - c. Asthma.
Which patient population is more likely to experience myalgia (muscle
pain) or myopathy with use of HMG-CoA reductase inhibitors?
a. Patients with renal insufficiency.
b. Patients with diabetes mellitus.
c. Patients with hypertriglyceridemia.
d. Patients with gout. - Correct Answer - a. Patients with renal
insufficiency.
The health care provider is considering the prescription of either an
angiotensin-converting enzyme (ACE) inhibitor or an angiotensin II
receptor blocker (ARB) for blood pressure control. What is a
contraindication for the use of either agent?
a. Bilateral renal artery stenosis.
b. Anemia.
c. Primary aldosteronism.
d. Elevated plasma renin activity. - Correct Answer - a. Bilateral renal
artery stenosis.
A 55-year-old female with a history of migraine headaches has recently
been diagnosed with Stage II hypertension. The EKG rhythm indicates
second-degree heart block and the chest x-ray is normal. Which of the
following drugs are contraindicated for this patient?
pg. 4
