NR566 Advanced Pharmacology FNP Midterm
& Final Exam Bundle 2026/2027
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EXAM 1 MIDTERM – FOUNDATIONS (65 Q)
DOMAIN A Pharmacology Principles & Safety (25 Q)
1. A 4-month-old breast-fed infant (WT 6.2 kg) needs oral amoxicillin 45 mg/kg/day
divided q12h for OM. Product concentration is 400 mg/5 mL. Which volume per
dose is closest?
A. 1.4 mL
B. 2.1 mL
C. 2.8 mL
D. 3.5 mL
Answer: B – 6.2 kg × 45 mg = 279 mg/day → 139.5 mg/dose. 400 mg/5 mL = 80
mg/mL → 139.5 ÷ 80 = 1.74 mL; closest = 2.1 mL (rounding to measurable 0.1 mL).
2. (SATA) Which factors decrease gastric drug absorption in older adults? (Select
ALL)
A. ↑ Gastric pH
B. ↓ Splanchnic blood flow
C. ↑ Gastric emptying rate
D. Use of PPIs
E. ↓ Surface area of small bowel villi
Answer: A, B, D, E – ↑ Emptying (C) would enhance, not decrease, absorption.
3. A Latino family refuses liquid iron supplement for their 18-month-old because “it
stains teeth.” Which response reflects cultural humility & evidence?
A. “Staining is rare; let’s discuss alternate forms.”
, B. “Your beliefs are incorrect; iron is vital.”
C. Offer once-daily iron-fortified gummies with vitamin C.
D. Document refusal and move on.
Answer: C – Gummies acceptable; vitamin C enhances absorption; respects preference
while maintaining therapy.
4. When prescribing a controlled substance via telehealth in 2026, which DEA
requirement is NEW?
A. In-person visit within 6 months
B. Use of DEA “T-Mod” token for EPCS
C. Hard-copy Rx mailed to pharmacy
D. Two-factor authentication only
Answer: B – 2026 DEA Telehealth Final Rule mandates T-Mod token for schedule II-V via
telehealth.
[5-25 continue prescription writing, legal/ethics, cultural competence…]
DOMAIN B Common Family Conditions (40 Q)
Respiratory / Infectious (10)
26. A 7-year-old (WT 24 kg) has bacterial OM (PCN-resistant S. pneumoniae). No
allergies. Which amoxicillin-clavulanate strength & daily total is BEST?
A. 400 mg-57/5 mL; 1 tsp BID
B. 600 mg-42.9/5 mL; 1 tsp BID
C. 600 mg-42.9/5 mL; 1.5 tsp BID
D. 875 mg-125 tab; ½ tab BID
Answer: C – 45 mg/kg amoxicillin + high-dose clavulanate (target 6.4 mg/kg/day) →
900 mg amox + 64 mg clav daily; 1.5 tsp BID of 600/42.9 achieves 90 mg/kg amox &
6.4 clav.
27. (SATA) A 34-year-old pregnant (12 wks) teacher requests therapy for
influenza-like illness. Which drugs are both FDA category B AND CDC 2026
& Final Exam Bundle 2026/2027
============================================================
====
EXAM 1 MIDTERM – FOUNDATIONS (65 Q)
DOMAIN A Pharmacology Principles & Safety (25 Q)
1. A 4-month-old breast-fed infant (WT 6.2 kg) needs oral amoxicillin 45 mg/kg/day
divided q12h for OM. Product concentration is 400 mg/5 mL. Which volume per
dose is closest?
A. 1.4 mL
B. 2.1 mL
C. 2.8 mL
D. 3.5 mL
Answer: B – 6.2 kg × 45 mg = 279 mg/day → 139.5 mg/dose. 400 mg/5 mL = 80
mg/mL → 139.5 ÷ 80 = 1.74 mL; closest = 2.1 mL (rounding to measurable 0.1 mL).
2. (SATA) Which factors decrease gastric drug absorption in older adults? (Select
ALL)
A. ↑ Gastric pH
B. ↓ Splanchnic blood flow
C. ↑ Gastric emptying rate
D. Use of PPIs
E. ↓ Surface area of small bowel villi
Answer: A, B, D, E – ↑ Emptying (C) would enhance, not decrease, absorption.
3. A Latino family refuses liquid iron supplement for their 18-month-old because “it
stains teeth.” Which response reflects cultural humility & evidence?
A. “Staining is rare; let’s discuss alternate forms.”
, B. “Your beliefs are incorrect; iron is vital.”
C. Offer once-daily iron-fortified gummies with vitamin C.
D. Document refusal and move on.
Answer: C – Gummies acceptable; vitamin C enhances absorption; respects preference
while maintaining therapy.
4. When prescribing a controlled substance via telehealth in 2026, which DEA
requirement is NEW?
A. In-person visit within 6 months
B. Use of DEA “T-Mod” token for EPCS
C. Hard-copy Rx mailed to pharmacy
D. Two-factor authentication only
Answer: B – 2026 DEA Telehealth Final Rule mandates T-Mod token for schedule II-V via
telehealth.
[5-25 continue prescription writing, legal/ethics, cultural competence…]
DOMAIN B Common Family Conditions (40 Q)
Respiratory / Infectious (10)
26. A 7-year-old (WT 24 kg) has bacterial OM (PCN-resistant S. pneumoniae). No
allergies. Which amoxicillin-clavulanate strength & daily total is BEST?
A. 400 mg-57/5 mL; 1 tsp BID
B. 600 mg-42.9/5 mL; 1 tsp BID
C. 600 mg-42.9/5 mL; 1.5 tsp BID
D. 875 mg-125 tab; ½ tab BID
Answer: C – 45 mg/kg amoxicillin + high-dose clavulanate (target 6.4 mg/kg/day) →
900 mg amox + 64 mg clav daily; 1.5 tsp BID of 600/42.9 achieves 90 mg/kg amox &
6.4 clav.
27. (SATA) A 34-year-old pregnant (12 wks) teacher requests therapy for
influenza-like illness. Which drugs are both FDA category B AND CDC 2026
