MSN Advanced Pharmacology
Practice Exam With Detailed
Questions And Verified Correct
Answers||Latest Exam 2025-
2026||Already Graded A+
grapefruit juice inhibits the some cytochrome P450 enzymes system in the intestines.
T/F -ANS true
all of the following medications should generally be avoided in older adults EXCEPT:
1. doxazosin (cardura)
2. clonidine (catapres)
3. lisinopril (zestril)
4. carisoprodol (soma) -ANS lisinopril (zestril)
Alpha1 receptors are found primarily in the heart, lungs, and blood vessels. T/F -ANS
false
which of the following is an important aspect for establishing a therapeutic relationship
between health care provider and the patient?
1. investment of time
2. effective communication
3. financial considerations
4. basic attitude
5. all of the above are important aspects -ANS all of the above are important aspects
by law, as a prescribing practitioner, you have to report adverse drug reactions to the
FDA regardless of the severity. T/F -ANS false
distribution is the movement of drugs from the systemic circulation to the site of the drug
action. T/F -ANS true
metabolism of medications in children is sometimes increased when compared to that of
adults. T/F -ANS true
half-life is the time, before absorption and distribution are complete, required for the
patient's serum drug concentration to increase by 1/2. T/F -ANS false
which ANS best summarizes the term half-life?
1. the time it takes for the serum drug concentration in the body to decrease by 50%
,2. the time it takes for absorption to be complete
3. the time that represents only half of the shelf-life of a particular drug remains
4. the time that is half-way between standard dose intervals of a medication -ANS the
time it takes for the serum drug concentration in the body to decrease by 50%
the cockroft-gault equation can be used on both adults and children. T/F -ANS false
when treating elderly patients one must be watchful of disease-drug contraindications.
T/F -ANS true
which of the following are therapeutic consequences of drug metabolism?
1. accelerated renal excretion of drugs
2. drug inactivation
3. increased toxicity
4. decreased toxicity
5. all of the above -ANS all of the above
which receptors in the automatic nervous system are found predominantly in the lungs,
uterus, and skeletal muscle and when innervated by epinephrine or norepinephrine are
responsible for dilation of the airways in the lungs?
1. alpha 1
2. alpha 2
3. beta 1
4. beta 2 -ANS beta 2
which of the following is the correct order of processes involved in renal drug excretion?
1. passive tubular reabsorption, active tubular secretion, glomerular filtration
2. glomerular filtration, passive tubular reabsorption, active tubular secretion
3. active tubular secretion, passive tubular reabsorption, glomerluar filtration -ANS
glomerular filtration, passive tubular reabsorption, active tubular secretion
drug allergies and side effects are considered adverse drug reactions due to the fact
they are interchangeable. T/F -ANS false
the majority of drug metabolism occurs in what part of the body?
1. kidneys
2. stomach
3. liver
4. all of the above -ANS liver
to ensure patient safety, it is very important to monitor serum drug levels for
medications with a large therapeutic window. T/F -ANS false
which term best describes the disciple describing what happens to a medication after
administration, consumption, application or use (ie. the process of absorption,
distribution, metabolism, and elimination)?
,1. pharmacokinetics
2. pharmacoeconomics
3. pharmacodynamics
4. drug/drug interactions -ANS pharmacokinetics
which of the following are rational suggestions for drug therapy?
1. always try nonpharmacological therapy first or in conjunction with pharmacotherapy
2. use a drug only when clearly indicated for a specific purpose
3. use two or three drugs whenever possible
4. use the highest effective dosage
5. both a and b -ANS both a and b
general principles in preparing patient education materials would include which of the
following?
1. limit content- include only the most important-to-know content
2. include ample "white space"
3. use meaningful illustrations
4. avoid medical jargon
5. all of the above -ANS all of the above
which "side" of the autonomic nervous system is responsible for the "fight or flight"
response?
1. sympathetic
2. parasympathetic -ANS sympathetic
forgetfulness, lack of planning, cost, and dissatisfaction are all potential reasons for
medical non-adherence. T/F -ANS true
which of the following is a potential mechanism of drug interactions?
1. altered absorption
2. competition for protein binding
3. altered metabolism
4. altered renal excretion
5. all of the above -ANS all of the above
prescriptive authority is the legal right to prescribe drugs and is determined by federal
law. T/F -ANS false
all the drugs listed have a high first pass metabolism EXCEPT:
1. morphine (MS contin)
2. atorvastatin (lipitor)
3. ondansetron ODT (zofran ODT)
4. diazepam (valium) -ANS ondansetron ODT (zofran ODT)
factors that affect the medication distribution include:
1. protein binding
, 2. blood flow
3. blood brain barrier
4. all of the above -ANS all of the above
which of the following terms best describes considering the cost of prescriptions?
1. pharmacodynamics
2. pharmacoeconomics
3. pharmacology
4. pharamcokinetics -ANS pharmacoeconomics
an adverse drug reaction can include which of the following?
1. allergic hypersensitivity reaction
2. drug interaction
3. exaggerated drug response
4. all of the above -ANS all of the above
an official statement that outlines how to prevent, diagnose, and treat specific medical
conditions or how to preform certain clinical procedures is called:
1. accepted standards
2. clinical practice guidelines evidence/based medicine
3. process of guideline development
4. growth of evidence-based medicine as a decision-making process -ANS clinical
practice guidelines evidence/based medicine
in elderly patients we often see an increased risk of adverse effects as a result of:
1. increased absorption of medications
2. decreased metabolism of medications
3. decreased renal excretion
4. both b and c
5. all of the above -ANS both b and c
which of the following is a reason for drug noncompliance in the elderly?
1. cost of medications
2. unpleasant side effects
3. complicated schedule
4. all of the above -ANS all of the above
calculate CrCl for a 75 year old female who has a SCr of 1.2, weighs 125 pounds, and
is 5'6" tall.
1. 108 ml/min
2. 92 ml/min
3. 41 ml/min
4. 36 ml/min -ANS 36 ml/min
the cockroft-gault equation gives an estimate of which of the following:
1. the fraction of drug that enters systemic circulation
Practice Exam With Detailed
Questions And Verified Correct
Answers||Latest Exam 2025-
2026||Already Graded A+
grapefruit juice inhibits the some cytochrome P450 enzymes system in the intestines.
T/F -ANS true
all of the following medications should generally be avoided in older adults EXCEPT:
1. doxazosin (cardura)
2. clonidine (catapres)
3. lisinopril (zestril)
4. carisoprodol (soma) -ANS lisinopril (zestril)
Alpha1 receptors are found primarily in the heart, lungs, and blood vessels. T/F -ANS
false
which of the following is an important aspect for establishing a therapeutic relationship
between health care provider and the patient?
1. investment of time
2. effective communication
3. financial considerations
4. basic attitude
5. all of the above are important aspects -ANS all of the above are important aspects
by law, as a prescribing practitioner, you have to report adverse drug reactions to the
FDA regardless of the severity. T/F -ANS false
distribution is the movement of drugs from the systemic circulation to the site of the drug
action. T/F -ANS true
metabolism of medications in children is sometimes increased when compared to that of
adults. T/F -ANS true
half-life is the time, before absorption and distribution are complete, required for the
patient's serum drug concentration to increase by 1/2. T/F -ANS false
which ANS best summarizes the term half-life?
1. the time it takes for the serum drug concentration in the body to decrease by 50%
,2. the time it takes for absorption to be complete
3. the time that represents only half of the shelf-life of a particular drug remains
4. the time that is half-way between standard dose intervals of a medication -ANS the
time it takes for the serum drug concentration in the body to decrease by 50%
the cockroft-gault equation can be used on both adults and children. T/F -ANS false
when treating elderly patients one must be watchful of disease-drug contraindications.
T/F -ANS true
which of the following are therapeutic consequences of drug metabolism?
1. accelerated renal excretion of drugs
2. drug inactivation
3. increased toxicity
4. decreased toxicity
5. all of the above -ANS all of the above
which receptors in the automatic nervous system are found predominantly in the lungs,
uterus, and skeletal muscle and when innervated by epinephrine or norepinephrine are
responsible for dilation of the airways in the lungs?
1. alpha 1
2. alpha 2
3. beta 1
4. beta 2 -ANS beta 2
which of the following is the correct order of processes involved in renal drug excretion?
1. passive tubular reabsorption, active tubular secretion, glomerular filtration
2. glomerular filtration, passive tubular reabsorption, active tubular secretion
3. active tubular secretion, passive tubular reabsorption, glomerluar filtration -ANS
glomerular filtration, passive tubular reabsorption, active tubular secretion
drug allergies and side effects are considered adverse drug reactions due to the fact
they are interchangeable. T/F -ANS false
the majority of drug metabolism occurs in what part of the body?
1. kidneys
2. stomach
3. liver
4. all of the above -ANS liver
to ensure patient safety, it is very important to monitor serum drug levels for
medications with a large therapeutic window. T/F -ANS false
which term best describes the disciple describing what happens to a medication after
administration, consumption, application or use (ie. the process of absorption,
distribution, metabolism, and elimination)?
,1. pharmacokinetics
2. pharmacoeconomics
3. pharmacodynamics
4. drug/drug interactions -ANS pharmacokinetics
which of the following are rational suggestions for drug therapy?
1. always try nonpharmacological therapy first or in conjunction with pharmacotherapy
2. use a drug only when clearly indicated for a specific purpose
3. use two or three drugs whenever possible
4. use the highest effective dosage
5. both a and b -ANS both a and b
general principles in preparing patient education materials would include which of the
following?
1. limit content- include only the most important-to-know content
2. include ample "white space"
3. use meaningful illustrations
4. avoid medical jargon
5. all of the above -ANS all of the above
which "side" of the autonomic nervous system is responsible for the "fight or flight"
response?
1. sympathetic
2. parasympathetic -ANS sympathetic
forgetfulness, lack of planning, cost, and dissatisfaction are all potential reasons for
medical non-adherence. T/F -ANS true
which of the following is a potential mechanism of drug interactions?
1. altered absorption
2. competition for protein binding
3. altered metabolism
4. altered renal excretion
5. all of the above -ANS all of the above
prescriptive authority is the legal right to prescribe drugs and is determined by federal
law. T/F -ANS false
all the drugs listed have a high first pass metabolism EXCEPT:
1. morphine (MS contin)
2. atorvastatin (lipitor)
3. ondansetron ODT (zofran ODT)
4. diazepam (valium) -ANS ondansetron ODT (zofran ODT)
factors that affect the medication distribution include:
1. protein binding
, 2. blood flow
3. blood brain barrier
4. all of the above -ANS all of the above
which of the following terms best describes considering the cost of prescriptions?
1. pharmacodynamics
2. pharmacoeconomics
3. pharmacology
4. pharamcokinetics -ANS pharmacoeconomics
an adverse drug reaction can include which of the following?
1. allergic hypersensitivity reaction
2. drug interaction
3. exaggerated drug response
4. all of the above -ANS all of the above
an official statement that outlines how to prevent, diagnose, and treat specific medical
conditions or how to preform certain clinical procedures is called:
1. accepted standards
2. clinical practice guidelines evidence/based medicine
3. process of guideline development
4. growth of evidence-based medicine as a decision-making process -ANS clinical
practice guidelines evidence/based medicine
in elderly patients we often see an increased risk of adverse effects as a result of:
1. increased absorption of medications
2. decreased metabolism of medications
3. decreased renal excretion
4. both b and c
5. all of the above -ANS both b and c
which of the following is a reason for drug noncompliance in the elderly?
1. cost of medications
2. unpleasant side effects
3. complicated schedule
4. all of the above -ANS all of the above
calculate CrCl for a 75 year old female who has a SCr of 1.2, weighs 125 pounds, and
is 5'6" tall.
1. 108 ml/min
2. 92 ml/min
3. 41 ml/min
4. 36 ml/min -ANS 36 ml/min
the cockroft-gault equation gives an estimate of which of the following:
1. the fraction of drug that enters systemic circulation
