GALEN COLLEGE OF NURSING · SCHOOL OF NURSING
NUR 600 Final Exam
Practice Question Bank
Advanced Pharmacology — NCLEX-Style Practice Questions with
Rationales
Topic Focus: Comprehensive Pharmacology Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Advanced Pharmacology 2
NUR 600 · Galen College of Nursing Page 1
,NUR 600 FINAL EXAM 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 — Comprehensive Review
1 A patient presents with intense flank pain radiating to the groin, nausea, vomiting,
and hematuria. The NP suspects renal calculi. Which of the following is a classic sign
of renal calculi?
A Renal colic with costovertebral angle tenderness
B Painless hematuria
C Urinary retention without pain
D Fever and chills
Why A is correct: Renal colic with CVA tenderness is the classic sign of renal calculi, often
accompanied by severe flank pain, nausea, vomiting, and hematuria.
B — Hematuria is present but painless hematuria is not typical of renal calculi.
C — Urinary retention may occur but is not the classic sign.
D — Fever and chills suggest infection, not uncomplicated renal calculi.
, 2 A patient reports losing small amounts of urine when laughing, sneezing, or lifting.
This type of incontinence is classified as:
A Stress incontinence
B Urge incontinence
C Overflow incontinence
D Reflex incontinence
Why A is correct: Stress incontinence involves loss of small amounts of urine from
increased abdominal pressure without bladder muscle contraction, occurring with laughing,
sneezing, or lifting.
B — Urge incontinence is the inability to stop urine flow long enough to reach the
bathroom.
C — Overflow incontinence is urinary retention with frequent loss of small amounts.
D — Reflex incontinence is involuntary loss without warning due to spinal cord dysfunction.
3 A patient has urinary retention from bladder over-distention and frequent loss of
small amounts of urine due to an impaired detrusor muscle. This is classified as
which type of incontinence?
A Stress incontinence
B Urge incontinence
C Overflow incontinence
D Functional incontinence
Why C is correct: Overflow incontinence is urinary retention from bladder over-distention
with frequent loss of small amounts of urine due to obstruction or impaired detrusor
muscle.
A — Stress incontinence is from increased abdominal pressure.
B — Urge incontinence is from an overactive detrusor muscle.
D — Functional incontinence is due to cognitive or mobility barriers.
NUR 600 Final Exam
Practice Question Bank
Advanced Pharmacology — NCLEX-Style Practice Questions with
Rationales
Topic Focus: Comprehensive Pharmacology Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Advanced Pharmacology 2
NUR 600 · Galen College of Nursing Page 1
,NUR 600 FINAL EXAM 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 — Comprehensive Review
1 A patient presents with intense flank pain radiating to the groin, nausea, vomiting,
and hematuria. The NP suspects renal calculi. Which of the following is a classic sign
of renal calculi?
A Renal colic with costovertebral angle tenderness
B Painless hematuria
C Urinary retention without pain
D Fever and chills
Why A is correct: Renal colic with CVA tenderness is the classic sign of renal calculi, often
accompanied by severe flank pain, nausea, vomiting, and hematuria.
B — Hematuria is present but painless hematuria is not typical of renal calculi.
C — Urinary retention may occur but is not the classic sign.
D — Fever and chills suggest infection, not uncomplicated renal calculi.
, 2 A patient reports losing small amounts of urine when laughing, sneezing, or lifting.
This type of incontinence is classified as:
A Stress incontinence
B Urge incontinence
C Overflow incontinence
D Reflex incontinence
Why A is correct: Stress incontinence involves loss of small amounts of urine from
increased abdominal pressure without bladder muscle contraction, occurring with laughing,
sneezing, or lifting.
B — Urge incontinence is the inability to stop urine flow long enough to reach the
bathroom.
C — Overflow incontinence is urinary retention with frequent loss of small amounts.
D — Reflex incontinence is involuntary loss without warning due to spinal cord dysfunction.
3 A patient has urinary retention from bladder over-distention and frequent loss of
small amounts of urine due to an impaired detrusor muscle. This is classified as
which type of incontinence?
A Stress incontinence
B Urge incontinence
C Overflow incontinence
D Functional incontinence
Why C is correct: Overflow incontinence is urinary retention from bladder over-distention
with frequent loss of small amounts of urine due to obstruction or impaired detrusor
muscle.
A — Stress incontinence is from increased abdominal pressure.
B — Urge incontinence is from an overactive detrusor muscle.
D — Functional incontinence is due to cognitive or mobility barriers.
