1|Page
NURS 5663 FINAL EXAM NEWEST 2025 ACTUAL
EXAM| PHARMACOTHERAPEUTICS FOR ADVANCED
NURSING PRACTICE FINAL EXAM REVIEW WITH 250
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (BRAND NEW!!)
Which drug increases the hepatic metabolism of other drugs? -
ANSWER - Rifampin
A 26 yo woman with leukemia was undergoing chemotherapy with IV
antineoplastic drugs. During treatment, she developed a systematic
infection from an opportunistic pathogen. A white vaginal discharge was
observed from the catheter site. After appropriate specimens were
obtained for culture, empiric antibiotic therapy was started with
gentamicin and nafcillin intravenously. Th patient complained of a sore
throat, and white plaques has appeared in her pharynx. On day 4, the
blood and urine cultures grew Candida albicans.
The opportunistic fungal infection in this patient could have been
prevented by administration of ...? - ANSWER - Fluconazole
Which medications exerts its mechanism of action by influencing a
piece of the arachidonic acid pathway (select all that apply)?
A) albuterol
B) montelukast
C) ibuprofen
pg. 1
,2|Page
D) theophylline
E) morphine – Correct Answer - B and C
Tetracycline can treat acne and skin infections. Photosensitivity is a
major complication of its use. Patients should be advised to: - ANSWER
- avoid direct sunlight
Most common complication of insulin therapy is: - ANSWER -
Hypoglycemia
This medication is used as a monotherapy, is nontoxic, and rapidly
suppresses Hepatitis B Virus. - ANSWER - Lamivudine
An 18-month-old boy presented in a semiconscious state with a blood
pressure of 60/40 and a heart rate of 50 beats per minute after ingesting a
number of his grandmother's metoprolol tablets. In this case, the most
appropriate antidote is - ANSWER - Glucagon
A patient with high fever, chills, and malaise presents with a blood
culture that reveals the presence of gram-negative bacilli. The initial
diagnosis is bacteremia. The records of the patient reveal that she has
had a respiratory distress and rash after oral penicillin G about 5 months
ago. The most appropriate drug regimen for empiric treatment is -
ANSWER - Aztreonam (Azactam)
pg. 2
,3|Page
A patient with heart failure has accidentally taken an overdose of
digoxin. The blood concentration of the drug is 8 times the threshold for
toxicity. Pharmacokinetics parameters for digoxin in this patient include
a clearance of 7 L/h and an elimination half-life of 56 h. If no procedures
are instituted to decontaminate this patient, the time taken to reach a safe
level of digoxin will be approximately: - ANSWER - 7 days
JT is a 14-year-old patient who is diagnosed with otitis media and is
prescribed amoxicillin in which the bacteria is then found to be resistant.
Which of the following could be added to the treatment plan to
overcome resistance? - ANSWER - beta-lactamase inhibitors
A new client presents to the clinic. Upon review of their home
medication list, it is discovered the client takes flecainide for treatment
of cardiac arrhythmia. Which is the mechanism of action of this drug?
A) blockade of sodium channels
B) suppress sympathetic activity in the heart
C) blockade of potassium channels
D) blockade of calcium channels - ANSWER - A
Phenytoin is an antiseizure medication with numerous pharmacokinetic
considerations and drug interactions. Which statement correctly
describes an important consideration regarding phenytoin?
A) Metabolism of the drug is consistent at all dosages
B) A low percentage of the drug is bound to serum albumin
pg. 3
, 4|Page
C) Phenytoin is a potent enzyme inducer, similar to rifampin
D) Phenytoin is not metabolized by the liver and is primarily excreted
unchanged - ANSWER - C
Which statement INCORRECTLY describes digoxin's mechanism of
action at the sodium pump?
A) Prevents sodium from leaving the myocyte
B) Increases the amount of calcium in the myocyte
C) Increases activity of the sodium / potassium pump
D) Prevents potassium from entering the myocyte - ANSWER - C
Photosensitivity, deposition in developing bones and teeth, and GI upset
are all adverse drug reactions of which of the following antibiotics: -
ANSWER - Tetracycline
Different types of insulin - ANSWER - Short-acting: Regular insulin and
rapidly acting insulin analog
Long-Acting Insulin: NPH, Insulin Glargine, Insulin Detemir, insulin
degludec, and mixture insulin
Short-Acting insulin - ANSWER - 1. Regular: short-acting, soluble
crystalline zinc insulin. Hypoglycemic effect appears within 30 mins
after SubQ injection
-Peak @ 2hrs
pg. 4
NURS 5663 FINAL EXAM NEWEST 2025 ACTUAL
EXAM| PHARMACOTHERAPEUTICS FOR ADVANCED
NURSING PRACTICE FINAL EXAM REVIEW WITH 250
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (BRAND NEW!!)
Which drug increases the hepatic metabolism of other drugs? -
ANSWER - Rifampin
A 26 yo woman with leukemia was undergoing chemotherapy with IV
antineoplastic drugs. During treatment, she developed a systematic
infection from an opportunistic pathogen. A white vaginal discharge was
observed from the catheter site. After appropriate specimens were
obtained for culture, empiric antibiotic therapy was started with
gentamicin and nafcillin intravenously. Th patient complained of a sore
throat, and white plaques has appeared in her pharynx. On day 4, the
blood and urine cultures grew Candida albicans.
The opportunistic fungal infection in this patient could have been
prevented by administration of ...? - ANSWER - Fluconazole
Which medications exerts its mechanism of action by influencing a
piece of the arachidonic acid pathway (select all that apply)?
A) albuterol
B) montelukast
C) ibuprofen
pg. 1
,2|Page
D) theophylline
E) morphine – Correct Answer - B and C
Tetracycline can treat acne and skin infections. Photosensitivity is a
major complication of its use. Patients should be advised to: - ANSWER
- avoid direct sunlight
Most common complication of insulin therapy is: - ANSWER -
Hypoglycemia
This medication is used as a monotherapy, is nontoxic, and rapidly
suppresses Hepatitis B Virus. - ANSWER - Lamivudine
An 18-month-old boy presented in a semiconscious state with a blood
pressure of 60/40 and a heart rate of 50 beats per minute after ingesting a
number of his grandmother's metoprolol tablets. In this case, the most
appropriate antidote is - ANSWER - Glucagon
A patient with high fever, chills, and malaise presents with a blood
culture that reveals the presence of gram-negative bacilli. The initial
diagnosis is bacteremia. The records of the patient reveal that she has
had a respiratory distress and rash after oral penicillin G about 5 months
ago. The most appropriate drug regimen for empiric treatment is -
ANSWER - Aztreonam (Azactam)
pg. 2
,3|Page
A patient with heart failure has accidentally taken an overdose of
digoxin. The blood concentration of the drug is 8 times the threshold for
toxicity. Pharmacokinetics parameters for digoxin in this patient include
a clearance of 7 L/h and an elimination half-life of 56 h. If no procedures
are instituted to decontaminate this patient, the time taken to reach a safe
level of digoxin will be approximately: - ANSWER - 7 days
JT is a 14-year-old patient who is diagnosed with otitis media and is
prescribed amoxicillin in which the bacteria is then found to be resistant.
Which of the following could be added to the treatment plan to
overcome resistance? - ANSWER - beta-lactamase inhibitors
A new client presents to the clinic. Upon review of their home
medication list, it is discovered the client takes flecainide for treatment
of cardiac arrhythmia. Which is the mechanism of action of this drug?
A) blockade of sodium channels
B) suppress sympathetic activity in the heart
C) blockade of potassium channels
D) blockade of calcium channels - ANSWER - A
Phenytoin is an antiseizure medication with numerous pharmacokinetic
considerations and drug interactions. Which statement correctly
describes an important consideration regarding phenytoin?
A) Metabolism of the drug is consistent at all dosages
B) A low percentage of the drug is bound to serum albumin
pg. 3
, 4|Page
C) Phenytoin is a potent enzyme inducer, similar to rifampin
D) Phenytoin is not metabolized by the liver and is primarily excreted
unchanged - ANSWER - C
Which statement INCORRECTLY describes digoxin's mechanism of
action at the sodium pump?
A) Prevents sodium from leaving the myocyte
B) Increases the amount of calcium in the myocyte
C) Increases activity of the sodium / potassium pump
D) Prevents potassium from entering the myocyte - ANSWER - C
Photosensitivity, deposition in developing bones and teeth, and GI upset
are all adverse drug reactions of which of the following antibiotics: -
ANSWER - Tetracycline
Different types of insulin - ANSWER - Short-acting: Regular insulin and
rapidly acting insulin analog
Long-Acting Insulin: NPH, Insulin Glargine, Insulin Detemir, insulin
degludec, and mixture insulin
Short-Acting insulin - ANSWER - 1. Regular: short-acting, soluble
crystalline zinc insulin. Hypoglycemic effect appears within 30 mins
after SubQ injection
-Peak @ 2hrs
pg. 4
