NUR 521 Advanced Pharmacology Exam 3 |Complete
Practice Question Bank with Actual Exam Questions
with Verified Correct Answers and Rationales| Updated
2026/2027- University of Alabama - Already Graded A+
Question 1
As a rule, tapering is unnecessary when oral glucocorticoids have been used for less
than:
A. 6 to 8 weeks
B. 4 to 5 weeks
C. 2 to 3 weeks
D. 1 to 2 months
Answer: C
Rationale: Tapering is unnecessary when oral glucocorticoids have been used for less
than 2-3 weeks because adrenal suppression is unlikely to have occurred.
Question 2
These preparations contain a high concentration of antibodies directed against a specific
antigen (e.g., hepatitis B virus). Administration provides immediate passive immunity.
These preparations are made from donated blood:
A. Eosinophils
B. Killed Vaccines
C. Macrophages
D. Specific Immune Globulins
Answer: D
Rationale: Specific immune globulins are concentrated antibody preparations derived
from donated blood that provide immediate passive immunity against specific antigens.
Question 3
Adverse Effects: -Cardiotoxicity -Flu-like symptoms (chills, fever, pain, weakness, N, V,
HA):
A. Ibuprofen
B. Tamoxifen
C. Mast cells
D. Herceptin
Answer: D
pg. 1
,Rationale: Herceptin (trastuzumab) is associated with cardiotoxicity and flu-like
symptoms including chills, fever, pain, weakness, nausea, vomiting, and headache.
Question 4
Pregnancy: Poses risk for premature closure of the ductus arteriosus and increased risk
for anemia and postpartum hemorrhage. Do not give full dose in pregnancy starting at
30 weeks gestation (low-dose is ok); Do give full dose to a breastfeeding mom of infant
with viral infection - Monitor for salicylism:
A. Basophils
B. Aspirin
C. Codeine
D. Celebrex
Answer: B
Rationale: Aspirin poses risks in pregnancy including premature closure of the ductus
arteriosus, anemia, and postpartum hemorrhage. It should be avoided in full doses after
30 weeks gestation.
Question 5
Oral decongestant, contraindicated with hypertension, monitor for CNS stimulation,
monitored medication:
A. Diphenhydramine (Benadryl)
B. Albuterol (ProAir)
C. Pseudoephedrine (Sudafed)
D. Acetylcholine (Miochol)
Answer: C
Rationale: Pseudoephedrine is an oral decongestant that is contraindicated in
hypertension and requires monitoring for CNS stimulation.
Question 6
Preferred over SABA for COPD:
A. LAMA
B. LABA
C. PABA
D. ICS
Answer: A
Rationale: LAMA (long-acting muscarinic antagonists) are preferred over SABA for
COPD management.
pg. 2
,Question 7
Bronchodilator on the BEERS list, try to use inhaled instead:
A. Systemic NSAIDs
B. Calcium channel blockers
C. Systemic anticholinergics
D. Beta agonists
Answer: C
Rationale: Systemic anticholinergics are on the BEERS list for potentially
inappropriate medications in older adults; inhaled forms should be used instead.
Question 8
Children receiving this vaccine should avoid aspirin for 6 weeks due to Reye syndrome:
A. Varicella Vaccine
B. Meningococcal Vaccine
C. Sabin Oral Polio Vaccine
D. Influenza Vaccine
Answer: A
Rationale: Children receiving the varicella vaccine should avoid aspirin for 6 weeks
due to the risk of Reye syndrome.
Question 9
Monoclonal antibody that binds to the human epidermal growth factor receptor (HER-
2) - Stops proliferation of cells which overexpress HER-2 protein:
A. Trastuzumab (Herceptin)
B. Roflumilast (Daliresp)
C. Varicella Vaccine
D. LABA and LAMA and possibly ICS
Answer: A
Rationale: Trastuzumab (Herceptin) is a monoclonal antibody that binds to HER-2
receptors, stopping proliferation of cells that overexpress HER-2 protein.
Question 10
ActHIB and Hiberix are Hib vaccines made with:
A. Hepatitis A vaccine
B. Poliovirus
C. Diphtheria toxoid
pg. 3
, D. Tetanus toxoid
Answer: C
Rationale: ActHIB and Hiberix are Hib vaccines made with diphtheria toxoid as the
carrier protein.
Question 11
Use caution if administering this vaccine in these scenarios: A shock-like state, Fever
(105°F or higher) occurring within 48 hours of vaccination, Persistent inconsolable
crying lasting 3 or more hours, Seizures (with or without fever) occurring within 3 days
of vaccination:
A. Dexamethasone (Decadron)
B. DTaP
C. Toxoid
D. COPD
Answer: B
Rationale: DTaP vaccine requires caution in patients with these adverse reactions to
previous doses.
Question 12
Vaccine with mild to moderate adverse reactions of local reactions, fever, fretfulness,
drowsiness, anorexia, persistent crying:
A. COPD
B. DTaP
C. MMR
D. DT
Answer: B
Rationale: DTaP is associated with mild to moderate adverse reactions including local
reactions, fever, fretfulness, drowsiness, anorexia, and persistent crying.
Question 13
Unconjugated pneumococcal vaccine for adults and children over the age of 2. Does not
work in children under 2:
A. Pneumovax 23 (PPSV23)
B. Spiriva (tiotropium)
C. Nolvadex (tamoxifen)
D. Prevnar 13 (PCV13)
Answer: A
pg. 4
Practice Question Bank with Actual Exam Questions
with Verified Correct Answers and Rationales| Updated
2026/2027- University of Alabama - Already Graded A+
Question 1
As a rule, tapering is unnecessary when oral glucocorticoids have been used for less
than:
A. 6 to 8 weeks
B. 4 to 5 weeks
C. 2 to 3 weeks
D. 1 to 2 months
Answer: C
Rationale: Tapering is unnecessary when oral glucocorticoids have been used for less
than 2-3 weeks because adrenal suppression is unlikely to have occurred.
Question 2
These preparations contain a high concentration of antibodies directed against a specific
antigen (e.g., hepatitis B virus). Administration provides immediate passive immunity.
These preparations are made from donated blood:
A. Eosinophils
B. Killed Vaccines
C. Macrophages
D. Specific Immune Globulins
Answer: D
Rationale: Specific immune globulins are concentrated antibody preparations derived
from donated blood that provide immediate passive immunity against specific antigens.
Question 3
Adverse Effects: -Cardiotoxicity -Flu-like symptoms (chills, fever, pain, weakness, N, V,
HA):
A. Ibuprofen
B. Tamoxifen
C. Mast cells
D. Herceptin
Answer: D
pg. 1
,Rationale: Herceptin (trastuzumab) is associated with cardiotoxicity and flu-like
symptoms including chills, fever, pain, weakness, nausea, vomiting, and headache.
Question 4
Pregnancy: Poses risk for premature closure of the ductus arteriosus and increased risk
for anemia and postpartum hemorrhage. Do not give full dose in pregnancy starting at
30 weeks gestation (low-dose is ok); Do give full dose to a breastfeeding mom of infant
with viral infection - Monitor for salicylism:
A. Basophils
B. Aspirin
C. Codeine
D. Celebrex
Answer: B
Rationale: Aspirin poses risks in pregnancy including premature closure of the ductus
arteriosus, anemia, and postpartum hemorrhage. It should be avoided in full doses after
30 weeks gestation.
Question 5
Oral decongestant, contraindicated with hypertension, monitor for CNS stimulation,
monitored medication:
A. Diphenhydramine (Benadryl)
B. Albuterol (ProAir)
C. Pseudoephedrine (Sudafed)
D. Acetylcholine (Miochol)
Answer: C
Rationale: Pseudoephedrine is an oral decongestant that is contraindicated in
hypertension and requires monitoring for CNS stimulation.
Question 6
Preferred over SABA for COPD:
A. LAMA
B. LABA
C. PABA
D. ICS
Answer: A
Rationale: LAMA (long-acting muscarinic antagonists) are preferred over SABA for
COPD management.
pg. 2
,Question 7
Bronchodilator on the BEERS list, try to use inhaled instead:
A. Systemic NSAIDs
B. Calcium channel blockers
C. Systemic anticholinergics
D. Beta agonists
Answer: C
Rationale: Systemic anticholinergics are on the BEERS list for potentially
inappropriate medications in older adults; inhaled forms should be used instead.
Question 8
Children receiving this vaccine should avoid aspirin for 6 weeks due to Reye syndrome:
A. Varicella Vaccine
B. Meningococcal Vaccine
C. Sabin Oral Polio Vaccine
D. Influenza Vaccine
Answer: A
Rationale: Children receiving the varicella vaccine should avoid aspirin for 6 weeks
due to the risk of Reye syndrome.
Question 9
Monoclonal antibody that binds to the human epidermal growth factor receptor (HER-
2) - Stops proliferation of cells which overexpress HER-2 protein:
A. Trastuzumab (Herceptin)
B. Roflumilast (Daliresp)
C. Varicella Vaccine
D. LABA and LAMA and possibly ICS
Answer: A
Rationale: Trastuzumab (Herceptin) is a monoclonal antibody that binds to HER-2
receptors, stopping proliferation of cells that overexpress HER-2 protein.
Question 10
ActHIB and Hiberix are Hib vaccines made with:
A. Hepatitis A vaccine
B. Poliovirus
C. Diphtheria toxoid
pg. 3
, D. Tetanus toxoid
Answer: C
Rationale: ActHIB and Hiberix are Hib vaccines made with diphtheria toxoid as the
carrier protein.
Question 11
Use caution if administering this vaccine in these scenarios: A shock-like state, Fever
(105°F or higher) occurring within 48 hours of vaccination, Persistent inconsolable
crying lasting 3 or more hours, Seizures (with or without fever) occurring within 3 days
of vaccination:
A. Dexamethasone (Decadron)
B. DTaP
C. Toxoid
D. COPD
Answer: B
Rationale: DTaP vaccine requires caution in patients with these adverse reactions to
previous doses.
Question 12
Vaccine with mild to moderate adverse reactions of local reactions, fever, fretfulness,
drowsiness, anorexia, persistent crying:
A. COPD
B. DTaP
C. MMR
D. DT
Answer: B
Rationale: DTaP is associated with mild to moderate adverse reactions including local
reactions, fever, fretfulness, drowsiness, anorexia, and persistent crying.
Question 13
Unconjugated pneumococcal vaccine for adults and children over the age of 2. Does not
work in children under 2:
A. Pneumovax 23 (PPSV23)
B. Spiriva (tiotropium)
C. Nolvadex (tamoxifen)
D. Prevnar 13 (PCV13)
Answer: A
pg. 4
