NURS 676 ADVANCED PHARMACOLOGY FINAL
EXAM LATEST 2025-2026 UPDATE QUESTIONS
AND ANSWERS
What are potential complications of chronic or recurrent sinusitis? -
Answer-Meningitis, orbital infection, and osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and facial
pain and begins treatment with augmentin. At a follow up visit 10 days
later after treatment, the patient continues to have symptoms. What is
next course of action? - Answer-A second course of augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - Answer-Abdominal rigidity along with pain, pain
accompanied by low grade fever, pain occurring prior to nausea and
vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What
is probable cause of findings? - Answer-common bile duct obstruction.
A patient with a previous history of liver disease has a bile duct
obstruction. Which procedure will be used for the patient. - Answer-
open cholecystectomy
,A 30 year old women has RuQ abdominal pain, nausea, and vomiting.
Which diagnostic test will the provider order? - Answer-abdominal US
A patient has fever, nausea, anorexia, and RUQ pain. An US is negative
for gallstones, which action is necessary? - Answer-Hospitalization for
emergent treatment.
What is the most common cause of pancreatitis in the US? - Answer-
Gallstones
A patient reports a sudden onset of constant, sharp abd pain to the back.
The examiner notes both direct and rebound tenderness with palpation of
the abd. What is the significance of this finding? - Answer-severe acute
pancreatitis with peritonitis.
The provider suspects that a patient has chronic pancreatitis. Which dx
test will be most helpful to confirm this dx? - Answer-blood glucose and
fecal fat
A patient has intermittent Left sided abd pain and fever associated with
bloating and constipation alternating with diarrhea. The provider
suspects acute diverticulitis. Which tests should be ordered? - Answer-
CT scan of abd and pelvis, stool for occult blood.
A patient has a hx of of diverticular disease and asks what can be done
to minimize acute symptoms. what will the practitioner recommend? -
Answer-consuming a diet high in fiber
, A patient who has a hx of diverticular disease has left sided pain and
reports seeing blood in the stool. What is an important interventions for
these symptoms? - Answer-referring patient for lower EGD.
A patient has a recent episode of vomiting and describes the vomitus as
containing mostlymgastric juice. what does this symptom suggest? -
Answer-peptic ulcer
A patient has persistent epigastric pain occurring 2-3 hours after a meal.
Which test is definitive for diagnosis peptic ulcer in this patient? -
Answer-Endoscopy with biopsy of gastric mucosas.
What is the best treatment for H. pylori related PUD? - Answer-PPI,
clarithromycin, for 14 days
A patient who has been taking an NSAID for osteoarthritis pain has
PUD. What is the initial step in treating this patient? - Answer-
Discontinue the NSAID
Which form of hepatitis virus is rapidly spread via fecal-oral route? -
Answer-Hepatitis A
A patient has irritable bowel syndrome with alternating diarrhea and
constipation and asks the provider about dietary changes that may help
with symptoms. what will the provider recommend? - Answer-keeping a
food and symptom diary
EXAM LATEST 2025-2026 UPDATE QUESTIONS
AND ANSWERS
What are potential complications of chronic or recurrent sinusitis? -
Answer-Meningitis, orbital infection, and osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and facial
pain and begins treatment with augmentin. At a follow up visit 10 days
later after treatment, the patient continues to have symptoms. What is
next course of action? - Answer-A second course of augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - Answer-Abdominal rigidity along with pain, pain
accompanied by low grade fever, pain occurring prior to nausea and
vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What
is probable cause of findings? - Answer-common bile duct obstruction.
A patient with a previous history of liver disease has a bile duct
obstruction. Which procedure will be used for the patient. - Answer-
open cholecystectomy
,A 30 year old women has RuQ abdominal pain, nausea, and vomiting.
Which diagnostic test will the provider order? - Answer-abdominal US
A patient has fever, nausea, anorexia, and RUQ pain. An US is negative
for gallstones, which action is necessary? - Answer-Hospitalization for
emergent treatment.
What is the most common cause of pancreatitis in the US? - Answer-
Gallstones
A patient reports a sudden onset of constant, sharp abd pain to the back.
The examiner notes both direct and rebound tenderness with palpation of
the abd. What is the significance of this finding? - Answer-severe acute
pancreatitis with peritonitis.
The provider suspects that a patient has chronic pancreatitis. Which dx
test will be most helpful to confirm this dx? - Answer-blood glucose and
fecal fat
A patient has intermittent Left sided abd pain and fever associated with
bloating and constipation alternating with diarrhea. The provider
suspects acute diverticulitis. Which tests should be ordered? - Answer-
CT scan of abd and pelvis, stool for occult blood.
A patient has a hx of of diverticular disease and asks what can be done
to minimize acute symptoms. what will the practitioner recommend? -
Answer-consuming a diet high in fiber
, A patient who has a hx of diverticular disease has left sided pain and
reports seeing blood in the stool. What is an important interventions for
these symptoms? - Answer-referring patient for lower EGD.
A patient has a recent episode of vomiting and describes the vomitus as
containing mostlymgastric juice. what does this symptom suggest? -
Answer-peptic ulcer
A patient has persistent epigastric pain occurring 2-3 hours after a meal.
Which test is definitive for diagnosis peptic ulcer in this patient? -
Answer-Endoscopy with biopsy of gastric mucosas.
What is the best treatment for H. pylori related PUD? - Answer-PPI,
clarithromycin, for 14 days
A patient who has been taking an NSAID for osteoarthritis pain has
PUD. What is the initial step in treating this patient? - Answer-
Discontinue the NSAID
Which form of hepatitis virus is rapidly spread via fecal-oral route? -
Answer-Hepatitis A
A patient has irritable bowel syndrome with alternating diarrhea and
constipation and asks the provider about dietary changes that may help
with symptoms. what will the provider recommend? - Answer-keeping a
food and symptom diary
