NR 566 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS
| NR 566 FINAL EXAM PRACTICE TEST 2026/2027
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - correct answer ✔✔Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - correct answer
✔✔ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - correct answer ✔✔metronidazole 500 mg
BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - correct answer ✔✔1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) - correct
answer ✔✔Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days + Metronidazole
500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - correct answer ✔✔Benzathine penicillin G 2.4 million units IM in a single dose
Doxazosin Side Effects - correct answer ✔✔hypotension, dizziness, nasal congestions
Dutasteride
Patient teaching.
response to delayed onset of therapeutic effect - correct answer ✔✔benefits take months to develop,
must continue taking med even if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin.
How to know it's working - correct answer ✔✔improve symptoms of dysuria, urgency, UTI, hesitancy
Various routes of administration of estrogen therapy and when each would be used - correct answer ✔✔
, · When is it safe and not safe to prescribe progesterone (AKA: progestin) - correct answer ✔✔Not safe: if
women has had a hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - correct answer ✔✔it can cause irregular/ inconsistent
bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - correct answer ✔✔doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo
OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - correct answer ✔✔Patch:
wash hands after applying. cover application site with clothing after the drug had dried. wash the
application site before skin-to-skin contact another person
testosterone therapy.
When is androgen therapy appropriate vs. not needed related to puberty? - correct answer ✔✔Short
term: The psychological pressures of delayed sexual maturation are causing a boy significant distress
Long term: if delayed puberty related to true hypogonadism
testosterone therapy. common SE - correct answer ✔✔hot flashes, bone fx, decrease libido, insulin
resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil (for ED).
Benefits of various routes - correct answer ✔✔The injection needs to be done by the patient or in ER
setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10 mins and lasts
30-60 min. minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be associated with that? -
correct answer ✔✔accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives affect which oral contraceptive you prescribe -
correct answer ✔✔Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant [Nexplanon] - correct answer ✔✔it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
Papaverine plus phentolamine (for ED).
Patient education - correct answer ✔✔Do not inject more than once in a 24 hours period, notify provide
if erection duration and efficacy, consult MD before taking new medication, seek medical attention right
away if erection is >3 hours
| NR 566 FINAL EXAM PRACTICE TEST 2026/2027
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - correct answer ✔✔Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - correct answer
✔✔ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - correct answer ✔✔metronidazole 500 mg
BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - correct answer ✔✔1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) - correct
answer ✔✔Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days + Metronidazole
500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - correct answer ✔✔Benzathine penicillin G 2.4 million units IM in a single dose
Doxazosin Side Effects - correct answer ✔✔hypotension, dizziness, nasal congestions
Dutasteride
Patient teaching.
response to delayed onset of therapeutic effect - correct answer ✔✔benefits take months to develop,
must continue taking med even if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin.
How to know it's working - correct answer ✔✔improve symptoms of dysuria, urgency, UTI, hesitancy
Various routes of administration of estrogen therapy and when each would be used - correct answer ✔✔
, · When is it safe and not safe to prescribe progesterone (AKA: progestin) - correct answer ✔✔Not safe: if
women has had a hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - correct answer ✔✔it can cause irregular/ inconsistent
bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - correct answer ✔✔doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo
OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - correct answer ✔✔Patch:
wash hands after applying. cover application site with clothing after the drug had dried. wash the
application site before skin-to-skin contact another person
testosterone therapy.
When is androgen therapy appropriate vs. not needed related to puberty? - correct answer ✔✔Short
term: The psychological pressures of delayed sexual maturation are causing a boy significant distress
Long term: if delayed puberty related to true hypogonadism
testosterone therapy. common SE - correct answer ✔✔hot flashes, bone fx, decrease libido, insulin
resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil (for ED).
Benefits of various routes - correct answer ✔✔The injection needs to be done by the patient or in ER
setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10 mins and lasts
30-60 min. minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be associated with that? -
correct answer ✔✔accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives affect which oral contraceptive you prescribe -
correct answer ✔✔Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant [Nexplanon] - correct answer ✔✔it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
Papaverine plus phentolamine (for ED).
Patient education - correct answer ✔✔Do not inject more than once in a 24 hours period, notify provide
if erection duration and efficacy, consult MD before taking new medication, seek medical attention right
away if erection is >3 hours
