NUR 600 Exam 2
Practice Question Bank
Advanced Pharmacology — NCLEX-Style Practice Questions with
Rationales
Topic Focus: Dermatology, Ophthalmology, Otolaryngology, Infectious Disease
Pharmacology
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Advanced Pharmacology 2
NUR 600 · Chamberlain University Page 1
,NUR 600 EXAM 2 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Advanced Pharmacology — Dermatology, Ophthalmology, ENT,
Infectious Disease
1 Your patient is complaining of moderate painful dry eyes. You have diagnosed him
with Dry Eye Syndrome: Keratoconjunctivitis Sicca. You will prescribe for this patient:
A Referral to ophthalmologist
B Artificial tears
C Cholinergic agonists
D Topical cyclosporine
Why B is correct: Artificial tears are the first-line treatment for mild to moderate dry eye
syndrome (keratoconjunctivitis sicca).
A — Referral is not the first-line treatment for mild to moderate dry eye.
C — Cholinergic agonists are used for glaucoma, not dry eye.
D — Cyclosporine is used for severe dry eye, not first-line.
,2 You have ordered Valtrex for a patient with herpes virus in the genitalia. You, the NP,
are aware that valacyclovir is effective against various viruses. You understand that
this medication should be taken _____ days for initial infection.
A 1000 mg three times a day for 7 to 10 days
B 2000 mg daily for suppression therapy
C 2000 mg three times a day for 7 to 10 days for initial
D 1000 mg two times a day for 1 day for recurrent infections
Why A is correct: For initial genital herpes infection, valacyclovir is dosed at 1000 mg three
times daily for 7-10 days.
B — This is the dose for suppression therapy.
C — 2000 mg three times daily is not the standard dose.
D — This is for recurrent infections.
3 Which medication is commonly used to treat fungal infections of the skin, such as
athlete's foot or ringworm?
A Antifungal creams (e.g., clotrimazole, miconazole)
B Acyclovir
C Oral antihistamines
D Nasal decongestants
Why A is correct: Antifungal creams such as clotrimazole and miconazole are the standard
treatment for superficial fungal skin infections.
B — Acyclovir is an antiviral used for herpes.
C — Antihistamines treat allergic reactions.
D — Decongestants treat nasal congestion.
, 4 What is the first-line treatment for mild to moderate seborrheic dermatitis
(dandruff)?
A Topical antifungal agents (e.g., ketoconazole)
B Oral antibiotics
C Topical corticosteroids
D Nasal decongestants
Why A is correct: Topical antifungal agents, particularly ketoconazole, are the first-line
treatment for mild to moderate seborrheic dermatitis.
B — Antibiotics are not indicated for seborrheic dermatitis.
C — Topical corticosteroids are used for more severe cases but not first-line.
D — Nasal decongestants are not used for this condition.
5 You are obtaining a medical history on a patient that has been diagnosed with
psoriasis. You understand that this medication may exacerbate the psoriasis.
A Antibiotics
B Diuretics
C Insulin
D Beta-blockers
Why D is correct: Beta-blockers are known to exacerbate psoriasis and should be used with
caution in patients with this condition.
A — Antibiotics do not typically exacerbate psoriasis.
B — Diuretics may affect psoriasis but are not primary exacerbating agents.
C — Insulin does not exacerbate psoriasis.