NURS 6521 ADVANCED PHARMACOLOGY
FINAL EXAM LATEST 2024-2025 VERSION (100
QUESTIONS AND CORRECT ANSWERS)
GRADED A+
________________________________________
Question 1: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia?
✓ Answer: The patient's bone marrow function is significantly depressed.
Question 2: After six months of unsuccessfully trying to conceive, a 31-year-old woman
and her husband have sought a referral to a fertility specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from
✓ Answer: clomiphene.
Question 3: A 34-year-old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids regularly. The
nurse will instruct the patient:
✓ Answer: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 4: A Nurse Practitioner working in a cancer center is preparing to administer
medication to a 5-year-old child. The nurse will calculate the drug dosage by using
✓ Answer: Body Surface Area
Question 5: An older adult woman has been diagnosed with acute lymphoblastic leukemia
(ALL), and her care team has identified potential benefits of imatinib. Which of the
following characteristics of this patient's current health status may preclude the use of
imatinib?
✓ Answer: The patient has chronic heart failure resulting in significant peripheral
edema
,Question 6: A male patient is trying to decide if he should use finasteride (Proscar) to treat
benign prostatic hypertrophy (BPH). When providing information about the drug, the
nurse will include which of the following as a risk associated with finasteride therapy?
✓ Answer: Prostatic neoplasia
Question 7: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose
✓ Answer: After a meal.
Question 8: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to
✓ Answer: place the patch on the back, abdomen, upper arms, or thighs.
Question 9: A 66-year-old woman has experienced a significant decline in her quality of
life due to worsening rheumatoid arthritis. Her physician has prescribed etanercept and
the APRN is responsible for facilitating this new aspect of the patient's drug regimen
involving the administration of
✓ Answer: weekly subcutaneous injections
Question 10: A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be
sure to discuss the use of
✓ Answer: food containing iron or calcium with the woman.
Question 11: A Nurse Practitioner has questioned why a patient's physician has prescribed
a narrow-spectrum antibiotic rather than a broad-spectrum drug to treat a patient's
infection. Which of the following facts provides the best rationale for using narrow-
spectrum antibiotics whenever possible?
✓ Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection.
, Question 12: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should
✓ Answer: offer a choice between liquid and chewable medications, if possible.
Question 13: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically?
✓ Answer: Nephrotoxicity and hepatotoxicity
Question 14: A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage adjustments to minimize adverse effects and prevent toxicity;
The RN should ensure that
✓ Answer: Drug serum levels are being monitored.
Question 15: A female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the patient to do
which of the following?
✓ Answer: Drink alot of water
Question 16: A pregnant patient with diabetes has been admitted to the hospital to begin
labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin)
to initiate labor contractions. When talking to the patient about the adverse effects of the
drug, the nurse should understand that the most common adverse effects of the drug
include
✓ Answer: uterine tachysystole.
Question 17: A nurse practitioner has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine. It will be
critical for the nurse to observe for which of the following?
✓ Answer: Respiratory difficulty
FINAL EXAM LATEST 2024-2025 VERSION (100
QUESTIONS AND CORRECT ANSWERS)
GRADED A+
________________________________________
Question 1: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia?
✓ Answer: The patient's bone marrow function is significantly depressed.
Question 2: After six months of unsuccessfully trying to conceive, a 31-year-old woman
and her husband have sought a referral to a fertility specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from
✓ Answer: clomiphene.
Question 3: A 34-year-old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids regularly. The
nurse will instruct the patient:
✓ Answer: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 4: A Nurse Practitioner working in a cancer center is preparing to administer
medication to a 5-year-old child. The nurse will calculate the drug dosage by using
✓ Answer: Body Surface Area
Question 5: An older adult woman has been diagnosed with acute lymphoblastic leukemia
(ALL), and her care team has identified potential benefits of imatinib. Which of the
following characteristics of this patient's current health status may preclude the use of
imatinib?
✓ Answer: The patient has chronic heart failure resulting in significant peripheral
edema
,Question 6: A male patient is trying to decide if he should use finasteride (Proscar) to treat
benign prostatic hypertrophy (BPH). When providing information about the drug, the
nurse will include which of the following as a risk associated with finasteride therapy?
✓ Answer: Prostatic neoplasia
Question 7: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose
✓ Answer: After a meal.
Question 8: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to
✓ Answer: place the patch on the back, abdomen, upper arms, or thighs.
Question 9: A 66-year-old woman has experienced a significant decline in her quality of
life due to worsening rheumatoid arthritis. Her physician has prescribed etanercept and
the APRN is responsible for facilitating this new aspect of the patient's drug regimen
involving the administration of
✓ Answer: weekly subcutaneous injections
Question 10: A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be
sure to discuss the use of
✓ Answer: food containing iron or calcium with the woman.
Question 11: A Nurse Practitioner has questioned why a patient's physician has prescribed
a narrow-spectrum antibiotic rather than a broad-spectrum drug to treat a patient's
infection. Which of the following facts provides the best rationale for using narrow-
spectrum antibiotics whenever possible?
✓ Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection.
, Question 12: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should
✓ Answer: offer a choice between liquid and chewable medications, if possible.
Question 13: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically?
✓ Answer: Nephrotoxicity and hepatotoxicity
Question 14: A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage adjustments to minimize adverse effects and prevent toxicity;
The RN should ensure that
✓ Answer: Drug serum levels are being monitored.
Question 15: A female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the patient to do
which of the following?
✓ Answer: Drink alot of water
Question 16: A pregnant patient with diabetes has been admitted to the hospital to begin
labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin)
to initiate labor contractions. When talking to the patient about the adverse effects of the
drug, the nurse should understand that the most common adverse effects of the drug
include
✓ Answer: uterine tachysystole.
Question 17: A nurse practitioner has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine. It will be
critical for the nurse to observe for which of the following?
✓ Answer: Respiratory difficulty
