SOUTH UNIVERSITY
Doctor of Nursing Practice (DNP) / Master of Science in
Nursing (MSN)
NSG 6005 Advanced Pharmacology
Academic Year: Week 1 Quiz – Question Bank
Question 1
Pharmacoeconomics is:
Correct answer:
The study of the costs and consequences of any health-care-related treatment or
service.
RATIONALE:
Pharmacoeconomics evaluates the economic impact of drug therapy, comparing costs and
outcomes to guide efficient resource allocation in healthcare.
Question 2
Alterations in drug metabolism among Asians may lead to:
Correct answer: Slower metabolism of antidepressants, requiring lower doses.
RATIONALE:
Genetic polymorphisms in CYP450 enzymes are more prevalent in certain Asian populations,
leading to reduced clearance of some antidepressants and necessitating lower starting doses.
,Question 3
Elena Vasquez's primary language is Spanish, and she speaks very limited English.
Which technique would be appropriate to use in teaching her about a new drug you have
just prescribed?
Correct answer:
Use a professional interpreter or a reliable staff member who can act as an interpreter.
RATIONALE:
Using a trained medical interpreter ensures accurate communication and avoids errors from
using family members or untrained staff, which is essential for safe prescribing and patient
understanding.
Question 4
Factors in chronic conditions that contribute to nonadherence include:
A. The complexity of the treatment regimen
B. The length of time over which it must be taken
C. Breaks in the usual daily routine, such as vacations and weekends
D. All of the above
Correct answer: D. All of the above
RATIONALE:
Chronic conditions often require long-term, complex regimens that are disrupted by routine
changes, all of which contribute to nonadherence.
, Question 5
Sadie is a ninety-year-old patient who requires a new prescription. What changes in drug
distribution with aging would influence prescribing for Sadie?
Correct answer: Decreased plasma proteins.
RATIONALE:
Aging reduces serum albumin levels, which can increase the free fraction of highly protein-
bound drugs, leading to greater pharmacological effect and potential toxicity.
Question 6
Nurse practitioner practice may thrive under health-care reform because of:
Correct answer:
The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes.
RATIONALE:
Research shows that NP-led care provides high-quality, cost-effective care, making NPs well-
positioned to succeed in value-based healthcare models.
Question 7
Ralph's blood pressure remains elevated despite increased doses of his drug. The NP is
concerned that he might not be adhering to his treatment regimen. Which of the
following events would suggest that he might not be adherent?
Correct answer:
Ralph states that he always takes the drug "when I feel my pressure is going up."
RATIONALE:
Patients who take antihypertensives only when they "feel" their pressure is elevated are not
adhering to a consistent regimen, which undermines the drug's efficacy.
Doctor of Nursing Practice (DNP) / Master of Science in
Nursing (MSN)
NSG 6005 Advanced Pharmacology
Academic Year: Week 1 Quiz – Question Bank
Question 1
Pharmacoeconomics is:
Correct answer:
The study of the costs and consequences of any health-care-related treatment or
service.
RATIONALE:
Pharmacoeconomics evaluates the economic impact of drug therapy, comparing costs and
outcomes to guide efficient resource allocation in healthcare.
Question 2
Alterations in drug metabolism among Asians may lead to:
Correct answer: Slower metabolism of antidepressants, requiring lower doses.
RATIONALE:
Genetic polymorphisms in CYP450 enzymes are more prevalent in certain Asian populations,
leading to reduced clearance of some antidepressants and necessitating lower starting doses.
,Question 3
Elena Vasquez's primary language is Spanish, and she speaks very limited English.
Which technique would be appropriate to use in teaching her about a new drug you have
just prescribed?
Correct answer:
Use a professional interpreter or a reliable staff member who can act as an interpreter.
RATIONALE:
Using a trained medical interpreter ensures accurate communication and avoids errors from
using family members or untrained staff, which is essential for safe prescribing and patient
understanding.
Question 4
Factors in chronic conditions that contribute to nonadherence include:
A. The complexity of the treatment regimen
B. The length of time over which it must be taken
C. Breaks in the usual daily routine, such as vacations and weekends
D. All of the above
Correct answer: D. All of the above
RATIONALE:
Chronic conditions often require long-term, complex regimens that are disrupted by routine
changes, all of which contribute to nonadherence.
, Question 5
Sadie is a ninety-year-old patient who requires a new prescription. What changes in drug
distribution with aging would influence prescribing for Sadie?
Correct answer: Decreased plasma proteins.
RATIONALE:
Aging reduces serum albumin levels, which can increase the free fraction of highly protein-
bound drugs, leading to greater pharmacological effect and potential toxicity.
Question 6
Nurse practitioner practice may thrive under health-care reform because of:
Correct answer:
The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes.
RATIONALE:
Research shows that NP-led care provides high-quality, cost-effective care, making NPs well-
positioned to succeed in value-based healthcare models.
Question 7
Ralph's blood pressure remains elevated despite increased doses of his drug. The NP is
concerned that he might not be adhering to his treatment regimen. Which of the
following events would suggest that he might not be adherent?
Correct answer:
Ralph states that he always takes the drug "when I feel my pressure is going up."
RATIONALE:
Patients who take antihypertensives only when they "feel" their pressure is elevated are not
adhering to a consistent regimen, which undermines the drug's efficacy.
