NR 508 MIDTERM EXAM -ADVANCED
PHARMACOLOGY |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When prescribing a medication for a chronic condition, the primary care NP should tell the
patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months' worth of the medication at a time.
CORRECT ANSWER
about the frequency of clinic visits necessary for the number of refills authorized.
Question 2
A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner
(NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40
microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist
and prescribe:
methimazole.
1
,liothyronine.
levothyroxine.
propylthiouracil.
CORRECT ANSWER
levothyroxine
Question 3
A 55-year-old patient with no prior history of hypertension has a blood pressure greater
than 140/90 on three separate occasions. The patient does not smoke, has a body mass
index of 24, and exercises regularly. The patient has no known risk factors for
cardiovascular disease. The primary care NP should:
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a β-blocker.
CORRECT ANSWER
perform a careful cardiovascular physical assessment.
Question 4
A woman is in her first trimester of pregnancy. She tells the primary care nurse
practitioner (NP) that she continues to have severe morning sickness on a daily basis. The
2
,NP notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should
consult an obstetrician and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
CORRECT ANSWER
Ondansetron (Zofran)
Question 5
A 75-year-old patient who has cardiovascular disease reports insomnia and vomiting for
several weeks. The primary care NP orders thyroid function tests. The tests show TSH is
decreased and T4 is increased. The NP should consult with an endocrinologist and order:
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
CORRECT ANSWER
Methimazole
3
, Question 6
A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose
stools to the primary care nurse practitioner (NP). An important question the NP should
ask about the abdominal pain is:
the relation of the pain to stools.
what time of day the pain occurs.
whether the pain is sharp or diffuse.
the age of the patient when the pain began.
CORRECT ANSWER
the relation of the pain to stools
Question 7
Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months.
She has a positive family history of breast cancer. The primary care NP should recommend
testosterone therapy.
estrogen-only therapy.
nonhormonal drugs for osteoporosis.
estrogen-progesterone therapy for 1 to 2 years.
4
PHARMACOLOGY |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When prescribing a medication for a chronic condition, the primary care NP should tell the
patient:
to contact the pharmacy whenever refills are needed.
that it is necessary to return to the clinic for each monthly refill of the medication.
about the frequency of clinic visits necessary for the number of refills authorized.
to ask the pharmacist to supply several months' worth of the medication at a time.
CORRECT ANSWER
about the frequency of clinic visits necessary for the number of refills authorized.
Question 2
A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner
(NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40
microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist
and prescribe:
methimazole.
1
,liothyronine.
levothyroxine.
propylthiouracil.
CORRECT ANSWER
levothyroxine
Question 3
A 55-year-old patient with no prior history of hypertension has a blood pressure greater
than 140/90 on three separate occasions. The patient does not smoke, has a body mass
index of 24, and exercises regularly. The patient has no known risk factors for
cardiovascular disease. The primary care NP should:
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a β-blocker.
CORRECT ANSWER
perform a careful cardiovascular physical assessment.
Question 4
A woman is in her first trimester of pregnancy. She tells the primary care nurse
practitioner (NP) that she continues to have severe morning sickness on a daily basis. The
2
,NP notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should
consult an obstetrician and prescribe:
aprepitant (Emend).
ondansetron (Zofran).
scopolamine transdermal.
prochlorperazine (Compazine).
CORRECT ANSWER
Ondansetron (Zofran)
Question 5
A 75-year-old patient who has cardiovascular disease reports insomnia and vomiting for
several weeks. The primary care NP orders thyroid function tests. The tests show TSH is
decreased and T4 is increased. The NP should consult with an endocrinologist and order:
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
CORRECT ANSWER
Methimazole
3
, Question 6
A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose
stools to the primary care nurse practitioner (NP). An important question the NP should
ask about the abdominal pain is:
the relation of the pain to stools.
what time of day the pain occurs.
whether the pain is sharp or diffuse.
the age of the patient when the pain began.
CORRECT ANSWER
the relation of the pain to stools
Question 7
Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months.
She has a positive family history of breast cancer. The primary care NP should recommend
testosterone therapy.
estrogen-only therapy.
nonhormonal drugs for osteoporosis.
estrogen-progesterone therapy for 1 to 2 years.
4
