NSG 533 Advanced Pharmacology Exam 2 Questions &
Answers 2026 | High-Yield Review | Graded A+
1. Discuss why certain antibiotics are avoided in pregnant patients and the
potential risks involved.
Only topical antibiotics are safe for pregnant patients.
All antibiotics are safe during pregnancy with no risks involved.
Certain antibiotics, like tetracyclines, can affect fetal development
and cause harm.
Antibiotics have no effect on pregnancy outcomes.
2. Describe the significance of differentiating between gram-positive and gram-
negative bacteria in pharmacological treatment.
Differentiating between gram-positive and gram-negative bacteria
helps guide appropriate antibiotic selection.
It allows for the identification of viral infections.
It indicates the severity of the infection.
It determines the need for surgical intervention.
3. Describe the importance of counseling points when prescribing
bisphosphonates.
Counseling points are only necessary for patients with severe pain.
Counseling points are optional and can be skipped.
Counseling points are crucial to ensure proper administration and
to minimize side effects.
Counseling points only focus on the cost of medication.
,4. A patient has community-acquired bacterial pneumonia. They are being
treated inpatient for management of non severe pneumonia. They have prior
respiratory isolation of MRSA. Which of the following antibiotics should be
added for coverage of MRSA for inpatient management for this patient?
Vancomycin
Cefuroxime
Amoxicillin-clavulanate
Azithromycin
5. If a patient is prescribed Vicodin containing 500 mg of acetaminophen per
tablet and is advised to take 2 tablets every 6 hours, what should the
healthcare provider evaluate regarding the patient's acetaminophen intake?
The patient should take no more than 6 tablets per day.
The total daily acetaminophen intake should not exceed 4000 mg.
The total daily acetaminophen intake should be monitored only if the
patient reports side effects.
The patient can safely take up to 6000 mg of acetaminophen daily.
6. Which of the following is an important counseling point for bisphosphonate
therapy?
Take immediately before bed to minimize side effects
Take at the same time as Calcium and Vitamin D
Take with a full glass of water
Take with food for better absorption
,7. What is a commonly used herbal or over-the-counter product for
osteoarthritis treatment?
Aspirin
Glucosamine
Acetaminophen
Ibuprofen
8. What type of information does a gram stain provide regarding bacteria?
It identifies the specific species of bacteria.
It indicates whether the bacteria are gram-positive or gram-
negative.
It determines the antibiotic resistance of the bacteria.
It reveals the metabolic activity of the bacteria.
9. All the following can be used to treat an acute attack of gout except...
colchicine
glucocorticoids
NSAIDs
Allopurinol
10. A patient with GERD is experiencing difficulty in managing their calcium
intake while on proton pump inhibitors. Which calcium supplement would
you recommend and why?
Calcium phosphate, because it has fewer side effects.
Calcium carbonate, because it is more effective in increasing calcium
levels.
, Calcium gluconate, because it is easier to digest.
Calcium citrate, because it is better tolerated and does not require
stomach acid for absorption.
11. A 65-year-old patient with osteoarthritis is being treated for pain
management. What adjustments might you make to their calcium and vitamin
D supplementation based on their age?
Decrease calcium to 800 mg and vitamin D to 400 IU.
No changes are necessary as age does not affect supplementation.
Increase calcium to 1200 mg and vitamin D to 800 IU.
Keep calcium at 1000 mg and vitamin D at 600 IU.
12. Describe the recommended treatment approach for acute bacterial
rhinosinusitis (ABRS) and explain why it is important.
Surgical intervention is the first-line treatment for ABRS due to severe
complications.
Antihistamines are the primary treatment for ABRS to reduce
inflammation.
Antibiotic therapy is recommended for ABRS to target the common
pathogens and alleviate symptoms.
Over-the-counter pain relievers are sufficient for managing ABRS
without antibiotics.
13. Describe the significance of understanding tramadol's daily dose limits in
pain management.
Understanding tramadol's daily dose limits is crucial to prevent
overdose and manage side effects effectively.
Daily dose limits are irrelevant as tramadol is non-addictive.
Answers 2026 | High-Yield Review | Graded A+
1. Discuss why certain antibiotics are avoided in pregnant patients and the
potential risks involved.
Only topical antibiotics are safe for pregnant patients.
All antibiotics are safe during pregnancy with no risks involved.
Certain antibiotics, like tetracyclines, can affect fetal development
and cause harm.
Antibiotics have no effect on pregnancy outcomes.
2. Describe the significance of differentiating between gram-positive and gram-
negative bacteria in pharmacological treatment.
Differentiating between gram-positive and gram-negative bacteria
helps guide appropriate antibiotic selection.
It allows for the identification of viral infections.
It indicates the severity of the infection.
It determines the need for surgical intervention.
3. Describe the importance of counseling points when prescribing
bisphosphonates.
Counseling points are only necessary for patients with severe pain.
Counseling points are optional and can be skipped.
Counseling points are crucial to ensure proper administration and
to minimize side effects.
Counseling points only focus on the cost of medication.
,4. A patient has community-acquired bacterial pneumonia. They are being
treated inpatient for management of non severe pneumonia. They have prior
respiratory isolation of MRSA. Which of the following antibiotics should be
added for coverage of MRSA for inpatient management for this patient?
Vancomycin
Cefuroxime
Amoxicillin-clavulanate
Azithromycin
5. If a patient is prescribed Vicodin containing 500 mg of acetaminophen per
tablet and is advised to take 2 tablets every 6 hours, what should the
healthcare provider evaluate regarding the patient's acetaminophen intake?
The patient should take no more than 6 tablets per day.
The total daily acetaminophen intake should not exceed 4000 mg.
The total daily acetaminophen intake should be monitored only if the
patient reports side effects.
The patient can safely take up to 6000 mg of acetaminophen daily.
6. Which of the following is an important counseling point for bisphosphonate
therapy?
Take immediately before bed to minimize side effects
Take at the same time as Calcium and Vitamin D
Take with a full glass of water
Take with food for better absorption
,7. What is a commonly used herbal or over-the-counter product for
osteoarthritis treatment?
Aspirin
Glucosamine
Acetaminophen
Ibuprofen
8. What type of information does a gram stain provide regarding bacteria?
It identifies the specific species of bacteria.
It indicates whether the bacteria are gram-positive or gram-
negative.
It determines the antibiotic resistance of the bacteria.
It reveals the metabolic activity of the bacteria.
9. All the following can be used to treat an acute attack of gout except...
colchicine
glucocorticoids
NSAIDs
Allopurinol
10. A patient with GERD is experiencing difficulty in managing their calcium
intake while on proton pump inhibitors. Which calcium supplement would
you recommend and why?
Calcium phosphate, because it has fewer side effects.
Calcium carbonate, because it is more effective in increasing calcium
levels.
, Calcium gluconate, because it is easier to digest.
Calcium citrate, because it is better tolerated and does not require
stomach acid for absorption.
11. A 65-year-old patient with osteoarthritis is being treated for pain
management. What adjustments might you make to their calcium and vitamin
D supplementation based on their age?
Decrease calcium to 800 mg and vitamin D to 400 IU.
No changes are necessary as age does not affect supplementation.
Increase calcium to 1200 mg and vitamin D to 800 IU.
Keep calcium at 1000 mg and vitamin D at 600 IU.
12. Describe the recommended treatment approach for acute bacterial
rhinosinusitis (ABRS) and explain why it is important.
Surgical intervention is the first-line treatment for ABRS due to severe
complications.
Antihistamines are the primary treatment for ABRS to reduce
inflammation.
Antibiotic therapy is recommended for ABRS to target the common
pathogens and alleviate symptoms.
Over-the-counter pain relievers are sufficient for managing ABRS
without antibiotics.
13. Describe the significance of understanding tramadol's daily dose limits in
pain management.
Understanding tramadol's daily dose limits is crucial to prevent
overdose and manage side effects effectively.
Daily dose limits are irrelevant as tramadol is non-addictive.
