Page 1 of 154
NR 508 FINAL EXAM NEWEST 2025 TEST BANK| NR508
ADVANCED PHARMACOLOGY FINAL EXAM REVIEW
WITH COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
When prescribing Adderall (amphetamine and dextroamphetamine) to
adults with ADHD the nurse practitioner will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function - Correct Answer - Blood pressure
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate - Correct Answer - Decreased renal function
Despite good blood pressure control, an NP might change a patient's
drug from an angiotensin-converting enzyme (ACE) inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
pg. 1
,Page 2 of 154
1. Is stronger than the ACE inhibitor
2. Does not produce a dry, hacky cough
3. Has no effect on the renal system
4. Reduces sodium and water retention - Correct Answer - Does not
produce a dry, hacky cough
Jacob has hypertension, for which a calcium channel blocker has been
prescribed. This drug helps control blood pressure because it:
1. Decreases the amount of calcium inside the cell
2. Reduces stroke volume
3. Increases the activity of the Na+/K+/ATPase pump indirectly
4. Decreases heart rate - Correct Answer - Decreases the amount of
calcium inside the cell
Which of the following adverse effects may occur due to a
dihydropyridine-type calcium channel blocker?
1. Bradycardia
2. Hepatic impairment
3. Increased contractility
4. Edema of the hands and feet - Correct Answer - Edema of the hands
and feet
Furosemide is added to a treatment regimen for heart failure that
includes digoxin. Monitoring for this combination includes:
pg. 2
,Page 3 of 154
1. Hemoglobin
2. Serum potassium
3. Blood urea nitrogen
4. Serum glucose - Correct Answer - Serum potassium
Patients at high risk for developing significant coronary heart disease are
those with:
1. LDL values between 100 and 130
2. Systolic blood pressure between 120 and 130
3. Class III angina
4. Obesity - Correct Answer - Class III angina
To reduce mortality, all patients with angina, regardless of class, should
be on:
1. Aspirin 81 to 325 mg/d
2. Nitroglycerin sublingually for chest pain
3. ACE inhibitors or angiotensin receptor blockers
4. Digoxin - Correct Answer - Aspirin 81 to 325 mg/d
Patients who have angina, regardless of class, who are also diabetic,
should be on:
1. Nitrates
2. Beta blockers
pg. 3
, Page 4 of 154
3. ACE inhibitors
4. Calcium channel blockers - Correct Answer - ACE inhibitors
Which of the following diagnostic studies would NOT indicate a
problem related to a reductase inhibitor?
1. Elevated serum transaminase
2. Increased serum creatinine
3. Elevated creatinine kinase
4. Increased white blood cell counts - Correct Answer - Increased white
blood cell counts
Because of the pattern of cholesterol synthesis, reductase inhibitors are
given:
1. In the evening in a single daily dose
2. Twice daily in the morning and the evening
3. With each meal and at bedtime
4. In the morning before eating - Correct Answer - In the evening in a
single daily dose
Janice has elevated LDL, VLDL, and triglyceride levels. Niaspan, an
extended-release form of niacin, is chosen to treat her hyperlipidemia.
Due to its metabolism and excretion, which of the following laboratory
results should be monitored?
1. Serum alanine aminotransferase
pg. 4
NR 508 FINAL EXAM NEWEST 2025 TEST BANK| NR508
ADVANCED PHARMACOLOGY FINAL EXAM REVIEW
WITH COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
When prescribing Adderall (amphetamine and dextroamphetamine) to
adults with ADHD the nurse practitioner will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function - Correct Answer - Blood pressure
Ray has been diagnosed with hypertension and an angiotensin-
converting enzyme inhibitor is determined to be needed. Prior to
prescribing this drug, the NP should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate - Correct Answer - Decreased renal function
Despite good blood pressure control, an NP might change a patient's
drug from an angiotensin-converting enzyme (ACE) inhibitor to an
angiotensin II receptor blocker (ARB) because the ARB:
pg. 1
,Page 2 of 154
1. Is stronger than the ACE inhibitor
2. Does not produce a dry, hacky cough
3. Has no effect on the renal system
4. Reduces sodium and water retention - Correct Answer - Does not
produce a dry, hacky cough
Jacob has hypertension, for which a calcium channel blocker has been
prescribed. This drug helps control blood pressure because it:
1. Decreases the amount of calcium inside the cell
2. Reduces stroke volume
3. Increases the activity of the Na+/K+/ATPase pump indirectly
4. Decreases heart rate - Correct Answer - Decreases the amount of
calcium inside the cell
Which of the following adverse effects may occur due to a
dihydropyridine-type calcium channel blocker?
1. Bradycardia
2. Hepatic impairment
3. Increased contractility
4. Edema of the hands and feet - Correct Answer - Edema of the hands
and feet
Furosemide is added to a treatment regimen for heart failure that
includes digoxin. Monitoring for this combination includes:
pg. 2
,Page 3 of 154
1. Hemoglobin
2. Serum potassium
3. Blood urea nitrogen
4. Serum glucose - Correct Answer - Serum potassium
Patients at high risk for developing significant coronary heart disease are
those with:
1. LDL values between 100 and 130
2. Systolic blood pressure between 120 and 130
3. Class III angina
4. Obesity - Correct Answer - Class III angina
To reduce mortality, all patients with angina, regardless of class, should
be on:
1. Aspirin 81 to 325 mg/d
2. Nitroglycerin sublingually for chest pain
3. ACE inhibitors or angiotensin receptor blockers
4. Digoxin - Correct Answer - Aspirin 81 to 325 mg/d
Patients who have angina, regardless of class, who are also diabetic,
should be on:
1. Nitrates
2. Beta blockers
pg. 3
, Page 4 of 154
3. ACE inhibitors
4. Calcium channel blockers - Correct Answer - ACE inhibitors
Which of the following diagnostic studies would NOT indicate a
problem related to a reductase inhibitor?
1. Elevated serum transaminase
2. Increased serum creatinine
3. Elevated creatinine kinase
4. Increased white blood cell counts - Correct Answer - Increased white
blood cell counts
Because of the pattern of cholesterol synthesis, reductase inhibitors are
given:
1. In the evening in a single daily dose
2. Twice daily in the morning and the evening
3. With each meal and at bedtime
4. In the morning before eating - Correct Answer - In the evening in a
single daily dose
Janice has elevated LDL, VLDL, and triglyceride levels. Niaspan, an
extended-release form of niacin, is chosen to treat her hyperlipidemia.
Due to its metabolism and excretion, which of the following laboratory
results should be monitored?
1. Serum alanine aminotransferase
pg. 4
