NR 566 Advanced Pharmacology Final Exam Review 20… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 566 Advanced Pharmacology Final Exam Review
2026/2027 UPDATED |Chamberlain
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 566 Advanced Pharmacology Final Exam Review 20… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 65-year-old patient with heart failure and a history of gout requires a diuretic. Which of
the following should be used with caution because it can increase uric acid levels?
A. Hydrochlorothiazide
B. Spironolactone
C. Furosemide
D. Triamterene
Answer: A
Rationale: Thiazide diuretics like hydrochlorothiazide compete with uric acid for secretion in the renal
tubules, leading to hyperuricemia and potential gout flares. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Which mechanism of action describes how SGLT2 inhibitors like Empagliflozin lower
blood glucose in Type 2 Diabetes?
A. Inhibition of hepatic glucose production
B. Increasing insulin sensitivity in peripheral tissues
C. Delaying carbohydrate absorption in the gut
D. Promoting urinary glucose excretion by inhibiting reabsorption
Answer: D
Rationale: SGLT2 inhibitors block the sodium-glucose co-transporter 2 in the proximal tubule,
preventing glucose reabsorption and promoting its excretion in urine. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 566 Advanced Pharmacology Final Exam Review 20… 2026/2027 • Verified • Assured Grade A+
3. A patient taking Lisinopril develops a persistent, dry, non-productive cough. What is the
physiological mediator responsible for this adverse effect?
A. Angiotensin II
B. Aldosterone
C. Renin
D. Bradykinin
Answer: D
Rationale: ACE inhibitors prevent the breakdown of bradykinin in the lungs, leading to accumulation
that triggers the cough reflex. This is important because the nurse must choose the action that keeps
the client safest while still meeting their basic needs. Always think about safety first when answering
these questions. Understanding this helps the nurse notice early warning signs and act before the
problem gets worse. Early action often prevents bigger complications for the client.
4. When prescribing Amiodarone, which baseline and periodic monitoring is essential due to
potential organ toxicity?
A. Pulmonary function tests and Thyroid function tests
B. Serum creatinine and BUN
C. Complete blood count and Vitamin B12
D. Hearing tests and intraocular pressure
Answer: A
Rationale: Amiodarone can cause pulmonary fibrosis and contains iodine, which can cause both
hyperthyroidism and hypothyroidism. This is important because the nurse must choose the action that
keeps the client safest while still meeting their basic needs. Always think about safety first when
answering these questions. This knowledge supports safe care and helps the nurse teach the client
and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 566 Advanced Pharmacology Final Exam Review
2026/2027 UPDATED |Chamberlain
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 566 Advanced Pharmacology Final Exam Review 20… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 65-year-old patient with heart failure and a history of gout requires a diuretic. Which of
the following should be used with caution because it can increase uric acid levels?
A. Hydrochlorothiazide
B. Spironolactone
C. Furosemide
D. Triamterene
Answer: A
Rationale: Thiazide diuretics like hydrochlorothiazide compete with uric acid for secretion in the renal
tubules, leading to hyperuricemia and potential gout flares. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Which mechanism of action describes how SGLT2 inhibitors like Empagliflozin lower
blood glucose in Type 2 Diabetes?
A. Inhibition of hepatic glucose production
B. Increasing insulin sensitivity in peripheral tissues
C. Delaying carbohydrate absorption in the gut
D. Promoting urinary glucose excretion by inhibiting reabsorption
Answer: D
Rationale: SGLT2 inhibitors block the sodium-glucose co-transporter 2 in the proximal tubule,
preventing glucose reabsorption and promoting its excretion in urine. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 566 Advanced Pharmacology Final Exam Review 20… 2026/2027 • Verified • Assured Grade A+
3. A patient taking Lisinopril develops a persistent, dry, non-productive cough. What is the
physiological mediator responsible for this adverse effect?
A. Angiotensin II
B. Aldosterone
C. Renin
D. Bradykinin
Answer: D
Rationale: ACE inhibitors prevent the breakdown of bradykinin in the lungs, leading to accumulation
that triggers the cough reflex. This is important because the nurse must choose the action that keeps
the client safest while still meeting their basic needs. Always think about safety first when answering
these questions. Understanding this helps the nurse notice early warning signs and act before the
problem gets worse. Early action often prevents bigger complications for the client.
4. When prescribing Amiodarone, which baseline and periodic monitoring is essential due to
potential organ toxicity?
A. Pulmonary function tests and Thyroid function tests
B. Serum creatinine and BUN
C. Complete blood count and Vitamin B12
D. Hearing tests and intraocular pressure
Answer: A
Rationale: Amiodarone can cause pulmonary fibrosis and contains iodine, which can cause both
hyperthyroidism and hypothyroidism. This is important because the nurse must choose the action that
keeps the client safest while still meeting their basic needs. Always think about safety first when
answering these questions. This knowledge supports safe care and helps the nurse teach the client
and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
