NR 508 FINAL EXAM -ADVANCED PHARMACOLOGY
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3),
instructions to the patient should include:
1. The medication may cause sedation and they should not drive.
2. Constipation is a common side effect and they should increase fluids and fiber.
3. Patients should not take any other acetaminophen-containing medications at the same
time.
4. All of the above
CORRECT ANSWER
All of the above
Question 2
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain.
The appropriate first-line medication would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol)
CORRECT ANSWER
Ibuprofen (Advil)
1
,Question 3
Kasey fractured his ankle in two places and is asking for medication for his pain. The
appropriate first-line medication would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol)
CORRECT ANSWER
Acetaminophen with hydrocodone (Vicodin)
Question 4
Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate
(Ritalin). He and his parents should be educated about the side effects of
methylphenidate, which are:
1. Slurred speech and insomnia
2. Bradycardia and confusion
3. Dizziness and orthostatic hypotension
4. Insomnia and decreased appetite
CORRECT ANSWER
Insomnia and decreased appetite
Question 5
Monitoring for a child on methylphenidate for attention deficit hyperactivity disorder
(ADHD) includes:
1. ADHD symptoms
2. Routine height and weight checks
2
,3. Amount of methylphenidate being used
4. All of the above
CORRECT ANSWER
All of the above
Question 6
When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD
the nurse practitioner will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function
CORRECT ANSWER
Blood pressure
Question 7
Ray has been diagnosed with hypertension and an angiotensin-converting enzyme
inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess
for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate
CORRECT ANSWER
Decreased renal function
3
, Question 8
Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension
in diabetic patients because they:
1. Improve insulin sensitivity
2. Improve renal hemodynamics
3. Reduce the production of angiotensin II
4. All of the above
CORRECT ANSWER
All of the above
Question 9
A potentially life-threatening adverse response to angiotensin-converting enzyme
inhibitors is angioedema. Which of the following statements is true about this adverse
response?
1. Swelling of the tongue or hoarseness are the most common symptoms.
2. It appears to be related to the decrease in aldosterone production.
3. Presence of a dry, hacky cough indicates a high risk for this adverse response.
4. Because it takes time to build up a blood level, it occurs after being on the drug for about
1 week.
CORRECT ANSWER
Swelling of the tongue or hoarseness are the most common symptoms.
Question 10
Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. Which of the
following statements are true about both its usefulness in the disorder and the reason for
its use?
4
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3),
instructions to the patient should include:
1. The medication may cause sedation and they should not drive.
2. Constipation is a common side effect and they should increase fluids and fiber.
3. Patients should not take any other acetaminophen-containing medications at the same
time.
4. All of the above
CORRECT ANSWER
All of the above
Question 2
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain.
The appropriate first-line medication would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol)
CORRECT ANSWER
Ibuprofen (Advil)
1
,Question 3
Kasey fractured his ankle in two places and is asking for medication for his pain. The
appropriate first-line medication would be:
1. Ibuprofen (Advil)
2. Acetaminophen with hydrocodone (Vicodin)
3. Oxycodone (Oxycontin)
4. Oral morphine (Roxanol)
CORRECT ANSWER
Acetaminophen with hydrocodone (Vicodin)
Question 4
Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate
(Ritalin). He and his parents should be educated about the side effects of
methylphenidate, which are:
1. Slurred speech and insomnia
2. Bradycardia and confusion
3. Dizziness and orthostatic hypotension
4. Insomnia and decreased appetite
CORRECT ANSWER
Insomnia and decreased appetite
Question 5
Monitoring for a child on methylphenidate for attention deficit hyperactivity disorder
(ADHD) includes:
1. ADHD symptoms
2. Routine height and weight checks
2
,3. Amount of methylphenidate being used
4. All of the above
CORRECT ANSWER
All of the above
Question 6
When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD
the nurse practitioner will need to monitor:
1. Blood pressure
2. Blood glucose levels
3. Urine ketone levels
4. Liver function
CORRECT ANSWER
Blood pressure
Question 7
Ray has been diagnosed with hypertension and an angiotensin-converting enzyme
inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess
for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate
CORRECT ANSWER
Decreased renal function
3
, Question 8
Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension
in diabetic patients because they:
1. Improve insulin sensitivity
2. Improve renal hemodynamics
3. Reduce the production of angiotensin II
4. All of the above
CORRECT ANSWER
All of the above
Question 9
A potentially life-threatening adverse response to angiotensin-converting enzyme
inhibitors is angioedema. Which of the following statements is true about this adverse
response?
1. Swelling of the tongue or hoarseness are the most common symptoms.
2. It appears to be related to the decrease in aldosterone production.
3. Presence of a dry, hacky cough indicates a high risk for this adverse response.
4. Because it takes time to build up a blood level, it occurs after being on the drug for about
1 week.
CORRECT ANSWER
Swelling of the tongue or hoarseness are the most common symptoms.
Question 10
Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. Which of the
following statements are true about both its usefulness in the disorder and the reason for
its use?
4
