NURS 6521 Advanced Pharmacology Final Exam
{Accurate 2025/2026 (November) fall Quarter}. Accurate
Questions and Answers Exam. Already Graded A+.
Question 1
JC is a 13-year-old female to be seen in your clinic today. You review JC's medication and
realize that which medication is a potential risk of growth suppression in prepubescent
children?
- CORRECT corticosteroids
ANSWERS >>
Question 2
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and
hands in a workplace accident 2 weeks ago. Part of his current wound care regimen
involves the daily application of silver sulfadiazine to his wounds. The nurses who are
providing care for Mr. Laird in the burns and plastics unit of the hospital should perform
what action when administering this medication?
- CORRECT Cleanse the wound of debris prior to applying the silver sulfadiazine
ANSWERS >>
Question 3
A 29-year-old pregnant patient is extremely upset about having to take medication for a
pre-existing medical condition. She is consumed with fear that her baby will be born with a
physical deformity or a congenital anomaly but knows that she has to take the medication.
She talks constantly about this and is unable to sleep most nights. Which of the following is
the most appropriate nursing diagnosis for this patient is?
- CORRECT Anxiety related to perceived danger of drug therapy to fetus or
ANSWERS >> infant
Question 4
,A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
monitor which of the following?
- CORRECT Creatinine clearance
ANSWERS >>
Question 5
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each
treatment, the patient has acute nausea and vomiting accompanied by a slightly increased
heart rate. The nurse will advise her to
- CORRECT perform relaxation techniques after the treatments.
ANSWERS >>
Question 6
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms.
At this child's annual well-child checkup, the NP should carefully review what?
- CORRECT weight and height
ANSWERS >>
Question 7
The first line drug choice for a previously healthy adult patient who has been diagnosed
with community acquired pneumonia would be
- CORRECT Ciprofloxac in
ANSWERS >>
Question 8
Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must
educate the patient regarding the rapid onset of Ambien. Which statement below is correct?
- CORRECT Zolpidem should be taken just before going to bed
ANSWERS >>
Question 9
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to
discuss the potential benefits of hormone replacement therapy in controlling the symptoms
of menopause. Which of the following responses by the nurse is most appropriate?
- CORRECT "It's important to balance the possible benefits of HRT with the fact that it
ANSWERS >> might increase your risk of heart disease and stroke"
Question 10
A patient asks the nurse practitioner about food sources such as soybeans and soy
products. The nurse practitioner understands that these foods are considered
- CORRECT phytoestrogens.
ANSWERS >>
, Question 11
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine
(Meridia). After baseline physical data are obtained, the nurse will assess the patient's
childbearing potential. The nurse will inform the patient that during sibutramine therapy she
should
- CORRECT use adequate contraception.
ANSWERS >>
Question 12
A 29-year-old woman who is morbidly obese has recently begun a comprehensive,
medically-supervised program of weight reduction. Prior to adding dextroamphetamine
(Dexedrine) to her regimen, the patient should be questioned about her intake of
- CORRECT caffeine.
ANSWERS >>
Question 13
An immunocompromised patient with a diagnosis of candidiasis has failed to respond to
conservative therapy and has consequently begun treatment with amphotericin B. The
nurse is aware that this drug achieves a therapeutic effect by way of its influence on
- CORRECT the permeability of fungal cell walls.
ANSWERS >>
Question 14
Ms. Carter, a 48-year-old female was placed on an aminoglycoside. The NP knows that an
adverse reaction to aminoglycosides is?
- CORRECT Ototoxicity
ANSWERS >>
Question 15
A Nurse Practitioner is reviewing the pre-pregnancy medication regimen of a patient who
has just had a positive pregnancy test. The nurse should be aware of which of the following
changes in pharmacokinetics that accompanies pregnancy?
- CORRECT Increased drug distribution resulting from hemodynamic changes
ANSWERS >>
Question 16
A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His
physician has prescribed testosterone. The nursing assessment reveals that the patient
has had a myocardial infarction. The combination of testosterone therapy and a history of
myocardial infarction would place that patient at a significantly higher risk of
Selected hypercholesterolemia
{Accurate 2025/2026 (November) fall Quarter}. Accurate
Questions and Answers Exam. Already Graded A+.
Question 1
JC is a 13-year-old female to be seen in your clinic today. You review JC's medication and
realize that which medication is a potential risk of growth suppression in prepubescent
children?
- CORRECT corticosteroids
ANSWERS >>
Question 2
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and
hands in a workplace accident 2 weeks ago. Part of his current wound care regimen
involves the daily application of silver sulfadiazine to his wounds. The nurses who are
providing care for Mr. Laird in the burns and plastics unit of the hospital should perform
what action when administering this medication?
- CORRECT Cleanse the wound of debris prior to applying the silver sulfadiazine
ANSWERS >>
Question 3
A 29-year-old pregnant patient is extremely upset about having to take medication for a
pre-existing medical condition. She is consumed with fear that her baby will be born with a
physical deformity or a congenital anomaly but knows that she has to take the medication.
She talks constantly about this and is unable to sleep most nights. Which of the following is
the most appropriate nursing diagnosis for this patient is?
- CORRECT Anxiety related to perceived danger of drug therapy to fetus or
ANSWERS >> infant
Question 4
,A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
monitor which of the following?
- CORRECT Creatinine clearance
ANSWERS >>
Question 5
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each
treatment, the patient has acute nausea and vomiting accompanied by a slightly increased
heart rate. The nurse will advise her to
- CORRECT perform relaxation techniques after the treatments.
ANSWERS >>
Question 6
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms.
At this child's annual well-child checkup, the NP should carefully review what?
- CORRECT weight and height
ANSWERS >>
Question 7
The first line drug choice for a previously healthy adult patient who has been diagnosed
with community acquired pneumonia would be
- CORRECT Ciprofloxac in
ANSWERS >>
Question 8
Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must
educate the patient regarding the rapid onset of Ambien. Which statement below is correct?
- CORRECT Zolpidem should be taken just before going to bed
ANSWERS >>
Question 9
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to
discuss the potential benefits of hormone replacement therapy in controlling the symptoms
of menopause. Which of the following responses by the nurse is most appropriate?
- CORRECT "It's important to balance the possible benefits of HRT with the fact that it
ANSWERS >> might increase your risk of heart disease and stroke"
Question 10
A patient asks the nurse practitioner about food sources such as soybeans and soy
products. The nurse practitioner understands that these foods are considered
- CORRECT phytoestrogens.
ANSWERS >>
, Question 11
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine
(Meridia). After baseline physical data are obtained, the nurse will assess the patient's
childbearing potential. The nurse will inform the patient that during sibutramine therapy she
should
- CORRECT use adequate contraception.
ANSWERS >>
Question 12
A 29-year-old woman who is morbidly obese has recently begun a comprehensive,
medically-supervised program of weight reduction. Prior to adding dextroamphetamine
(Dexedrine) to her regimen, the patient should be questioned about her intake of
- CORRECT caffeine.
ANSWERS >>
Question 13
An immunocompromised patient with a diagnosis of candidiasis has failed to respond to
conservative therapy and has consequently begun treatment with amphotericin B. The
nurse is aware that this drug achieves a therapeutic effect by way of its influence on
- CORRECT the permeability of fungal cell walls.
ANSWERS >>
Question 14
Ms. Carter, a 48-year-old female was placed on an aminoglycoside. The NP knows that an
adverse reaction to aminoglycosides is?
- CORRECT Ototoxicity
ANSWERS >>
Question 15
A Nurse Practitioner is reviewing the pre-pregnancy medication regimen of a patient who
has just had a positive pregnancy test. The nurse should be aware of which of the following
changes in pharmacokinetics that accompanies pregnancy?
- CORRECT Increased drug distribution resulting from hemodynamic changes
ANSWERS >>
Question 16
A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His
physician has prescribed testosterone. The nursing assessment reveals that the patient
has had a myocardial infarction. The combination of testosterone therapy and a history of
myocardial infarction would place that patient at a significantly higher risk of
Selected hypercholesterolemia
