NR565 ADVANCED PHARMACOLOGY
MIDTERM EXAM PREPARATION 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
Besides osteoporosis, IV bisphosphonates are also indicated for:
a. Paget's Disease
b. Early osteopenia
c. Renal cancer
d. Early closure of cranial sutures
a. Paget's Disease
Selective estrogen receptor modifiers (SERMs) treat osteoporosis by selectively:
a. inhibiting magnesium resorption in the kidneys
b. increasing calcium absorption from the GI tract
c. acting on the bone to inhibit osteoblast activity
d. acting on the estrogen receptors in the bone
d. acting on the estrogen receptors in the bone
Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should
be educated about:
a. using decongestants to provide faster symptom relief
b. providing adequate pain relief for at least the first 24 hours
c. using complementary treatments for acute otitis media, such as garlic oil
1|Page
,d. administering an antihistamine/decongestant combination (Dimetapp) so the child can sleep
better
b. providing adequate pain relief for at least 24 hours
First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic
membrane includes:
a. swim-ear drops
b. ciprofloxacin and hydrocortisone drops
c. amoxicillin
d. gentamicin ophthalmic drops
b. ciprofloxacin and hydrocortisone drops
Treatment for sinusitis in an adult who has a child in daycare is:
a. azithromycin 500 mg a day for 5 days
b. amoxicillin-clavulanate 500 mg bid for 7 days
c. ciprofloxacin 500 mg bid for 5 days
d. cephalexin 500 mg qid for 5 days
b. amoxicillin-clavulanate 500 mg bid for 5 days
A stepwise approach to the pharmacologic management of asthma:
a. allows for each provider to determine their personal approach to the care of asthmatic
patients
b. is used when asthma is severe and required daily steroids
c. begins with determining the severity of asthma and assessing asthma control
d. provides a framework for the management of severe asthmatics, but is not helpful when
patients have intermittent asthma
c. begins with determining the severity of asthma and assessing asthma control
Asthma exacerbations at home are managed by the patient by:
a. starting montelukast (Singulair)
b. increasing frequency of beta 2 agonists and contacting their provider
c. inhaling beta 2 agonists every 20 minutes for two hours
d. tripling inhaled corticosteroid dose
b. increasing frequency of beta 2 agonists and contacting their provider
2|Page
,One goal of asthma management in children is:
a. minimal use of inhaled corticosteroids
b. participation in school and sports activities
c. they independently manage their asthma
d. no exacerbations
b. participation in school and sport activities
Pregnant patients with asthma may safely use _____ throughout their pregnancy.
a. oral terbutaline
b. prednisone
c. inhaled corticosteroids (budesonide)
d. montelukast (Singular)
c. inhaled corticosteroids (budesonide)
Cough and cold medications that contain a sympathomimetic decongestant such as
phenylephrine should be used cautiously in what population:
a. Older adults
b. Hypertensive patients
c. Infants
d. All of the above
d. All of the above
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-
year-old child is:
a. Guaifenesin and codeine syrup (Tussin AC)
b. Fluids and symptomatic care
c. Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
d. Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
b. Fluids and symptomatic care
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be
instructed:
a. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast
3|Page
, b. Lethargy and hypersomnia may occur when taking montelukast
c. Patients may experience weight gain on montelukast
d. Montelukast twice a day is started when there is an asthma exacerbation.
a. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast
The first-line drug choice for a previously health adult patient diagnosed with community
acquired pneumonia would be:
a. doxycycline
b. ciprofloxacin
c. azithromycin
d. amoxicillin
c. azithromycin
Nicotine withdrawal symptoms include:
a. decreased appetite
b. irritability
c. diarrhea
d. somnolence
b. Irritability
Nurse practitioner prescriptive authority is regulated by:
a. The National Council of Sate Board of Nursing
b. The State Board of Nursing for each state
c. The U. S. Drug Enforcement Administration
d. The State Board of Pharmacy
b. The State Board of Nursing for each state
Eight Information needed for the prescription
1. Date of prescribing;
2. Name of patient(s);
3. Prescriber's name;
4. Name, strength, and dosage of drug or device;
5. Number of refills, if applicable;
6. Quantity prescribed in weight, volume, or number of units;
4|Page
MIDTERM EXAM PREPARATION 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
Besides osteoporosis, IV bisphosphonates are also indicated for:
a. Paget's Disease
b. Early osteopenia
c. Renal cancer
d. Early closure of cranial sutures
a. Paget's Disease
Selective estrogen receptor modifiers (SERMs) treat osteoporosis by selectively:
a. inhibiting magnesium resorption in the kidneys
b. increasing calcium absorption from the GI tract
c. acting on the bone to inhibit osteoblast activity
d. acting on the estrogen receptors in the bone
d. acting on the estrogen receptors in the bone
Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should
be educated about:
a. using decongestants to provide faster symptom relief
b. providing adequate pain relief for at least the first 24 hours
c. using complementary treatments for acute otitis media, such as garlic oil
1|Page
,d. administering an antihistamine/decongestant combination (Dimetapp) so the child can sleep
better
b. providing adequate pain relief for at least 24 hours
First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic
membrane includes:
a. swim-ear drops
b. ciprofloxacin and hydrocortisone drops
c. amoxicillin
d. gentamicin ophthalmic drops
b. ciprofloxacin and hydrocortisone drops
Treatment for sinusitis in an adult who has a child in daycare is:
a. azithromycin 500 mg a day for 5 days
b. amoxicillin-clavulanate 500 mg bid for 7 days
c. ciprofloxacin 500 mg bid for 5 days
d. cephalexin 500 mg qid for 5 days
b. amoxicillin-clavulanate 500 mg bid for 5 days
A stepwise approach to the pharmacologic management of asthma:
a. allows for each provider to determine their personal approach to the care of asthmatic
patients
b. is used when asthma is severe and required daily steroids
c. begins with determining the severity of asthma and assessing asthma control
d. provides a framework for the management of severe asthmatics, but is not helpful when
patients have intermittent asthma
c. begins with determining the severity of asthma and assessing asthma control
Asthma exacerbations at home are managed by the patient by:
a. starting montelukast (Singulair)
b. increasing frequency of beta 2 agonists and contacting their provider
c. inhaling beta 2 agonists every 20 minutes for two hours
d. tripling inhaled corticosteroid dose
b. increasing frequency of beta 2 agonists and contacting their provider
2|Page
,One goal of asthma management in children is:
a. minimal use of inhaled corticosteroids
b. participation in school and sports activities
c. they independently manage their asthma
d. no exacerbations
b. participation in school and sport activities
Pregnant patients with asthma may safely use _____ throughout their pregnancy.
a. oral terbutaline
b. prednisone
c. inhaled corticosteroids (budesonide)
d. montelukast (Singular)
c. inhaled corticosteroids (budesonide)
Cough and cold medications that contain a sympathomimetic decongestant such as
phenylephrine should be used cautiously in what population:
a. Older adults
b. Hypertensive patients
c. Infants
d. All of the above
d. All of the above
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-
year-old child is:
a. Guaifenesin and codeine syrup (Tussin AC)
b. Fluids and symptomatic care
c. Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
d. Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
b. Fluids and symptomatic care
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be
instructed:
a. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast
3|Page
, b. Lethargy and hypersomnia may occur when taking montelukast
c. Patients may experience weight gain on montelukast
d. Montelukast twice a day is started when there is an asthma exacerbation.
a. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast
The first-line drug choice for a previously health adult patient diagnosed with community
acquired pneumonia would be:
a. doxycycline
b. ciprofloxacin
c. azithromycin
d. amoxicillin
c. azithromycin
Nicotine withdrawal symptoms include:
a. decreased appetite
b. irritability
c. diarrhea
d. somnolence
b. Irritability
Nurse practitioner prescriptive authority is regulated by:
a. The National Council of Sate Board of Nursing
b. The State Board of Nursing for each state
c. The U. S. Drug Enforcement Administration
d. The State Board of Pharmacy
b. The State Board of Nursing for each state
Eight Information needed for the prescription
1. Date of prescribing;
2. Name of patient(s);
3. Prescriber's name;
4. Name, strength, and dosage of drug or device;
5. Number of refills, if applicable;
6. Quantity prescribed in weight, volume, or number of units;
4|Page
