WCU NURS 676 FINAL -ADVANCED
PHARMACOLOGY |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
After prescribing transdermal estrogen spray, which of the following patient statements
suggests they understand how to apply the medication to achieve the desired effect?
A. "I will apply the medication to my waistline and shoulders."
B. "My abdomen and arms are the primary point of application."
C. "This medication will work best if applied to my breasts and abdomen."
D. "I need to put the medication on my thighs and calves."
CORRECT ANSWER
D. "I need to put the medication on my thighs and calves."
Question 2
In what types of menopausal women would a nurse practitioner prefer combination
estrogen and progestin therapy to estrogen alone for symptom relief?
A. No history of a hysterectomy
B. Has osteoporosis
C. At risk for myocardial infarction
1
,D. History of deep vein thrombosis
CORRECT ANSWER
A. No history of a hysterectomy
Question 3
What is the absolute contraindication of using Progestins?
A. Undiagnosed vaginal bleeding
B. Endometrial hyperplasia
C. Prematurity in women at high risk for preterm birth
D. Mild elevation of Liver enzymes
CORRECT ANSWER
A. Undiagnosed vaginal bleeding
Question 4
A patient wants relief from vaginal dryness and painful intercourse without lubricants, but
fears side effects from hormones. What hormone option minimizes systemic estrogen
exposure while addressing her needs?
A. Medroxyprogesterone acetate
B. Transdermal estrogen
2
,C. Low-dose estrogens
D. A vaginal conjugated estrogen
CORRECT ANSWER
D. A vaginal conjugated estrogen
Question 5
According to the Center for Disease Control (CDC), how should a nurse practitioner guide a
woman who missed one pill in the second week of a 28-day birth control pack?
A. Take one pill as soon as possible and then continue with the pack.
B. Take one pill as soon as possible and then continue with the active pills in the pack but
skip the placebo pills.
C. Take 2 pills together the next day and continue on the same schedule
D. Use a different type of OCs as soon as possible
CORRECT ANSWER
B. Take one pill as soon as possible and then continue with the active pills in the pack but
skip the placebo pills.
Question 6
How can a Nurse practitioner address a 60-year-old postmenopausal patient's concerns
about the potential downsides of estrogen therapy for managing her severe vasomotor
symptoms after a hysterectomy?
3
, A. An estrogen-progesterone product will reduce side effects.
B. An intravaginal preparation may be best for her.
C. Side effects of ET are uncommon among women her age.
D. Transdermal preparations have fewer side effects.
CORRECT ANSWER
D. Transdermal preparations have fewer side effects.
Question 7
Considering the specifics of IUD insertion, which patient's circumstances would advise
against proceeding with the procedure today?
A. A woman with four children
B. A teenager
C. A woman with a suspected chlamydia infection
D. A nulliparous woman
CORRECT ANSWER
C. A woman with a suspected chlamydia infection
Question 8
4
PHARMACOLOGY |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
After prescribing transdermal estrogen spray, which of the following patient statements
suggests they understand how to apply the medication to achieve the desired effect?
A. "I will apply the medication to my waistline and shoulders."
B. "My abdomen and arms are the primary point of application."
C. "This medication will work best if applied to my breasts and abdomen."
D. "I need to put the medication on my thighs and calves."
CORRECT ANSWER
D. "I need to put the medication on my thighs and calves."
Question 2
In what types of menopausal women would a nurse practitioner prefer combination
estrogen and progestin therapy to estrogen alone for symptom relief?
A. No history of a hysterectomy
B. Has osteoporosis
C. At risk for myocardial infarction
1
,D. History of deep vein thrombosis
CORRECT ANSWER
A. No history of a hysterectomy
Question 3
What is the absolute contraindication of using Progestins?
A. Undiagnosed vaginal bleeding
B. Endometrial hyperplasia
C. Prematurity in women at high risk for preterm birth
D. Mild elevation of Liver enzymes
CORRECT ANSWER
A. Undiagnosed vaginal bleeding
Question 4
A patient wants relief from vaginal dryness and painful intercourse without lubricants, but
fears side effects from hormones. What hormone option minimizes systemic estrogen
exposure while addressing her needs?
A. Medroxyprogesterone acetate
B. Transdermal estrogen
2
,C. Low-dose estrogens
D. A vaginal conjugated estrogen
CORRECT ANSWER
D. A vaginal conjugated estrogen
Question 5
According to the Center for Disease Control (CDC), how should a nurse practitioner guide a
woman who missed one pill in the second week of a 28-day birth control pack?
A. Take one pill as soon as possible and then continue with the pack.
B. Take one pill as soon as possible and then continue with the active pills in the pack but
skip the placebo pills.
C. Take 2 pills together the next day and continue on the same schedule
D. Use a different type of OCs as soon as possible
CORRECT ANSWER
B. Take one pill as soon as possible and then continue with the active pills in the pack but
skip the placebo pills.
Question 6
How can a Nurse practitioner address a 60-year-old postmenopausal patient's concerns
about the potential downsides of estrogen therapy for managing her severe vasomotor
symptoms after a hysterectomy?
3
, A. An estrogen-progesterone product will reduce side effects.
B. An intravaginal preparation may be best for her.
C. Side effects of ET are uncommon among women her age.
D. Transdermal preparations have fewer side effects.
CORRECT ANSWER
D. Transdermal preparations have fewer side effects.
Question 7
Considering the specifics of IUD insertion, which patient's circumstances would advise
against proceeding with the procedure today?
A. A woman with four children
B. A teenager
C. A woman with a suspected chlamydia infection
D. A nulliparous woman
CORRECT ANSWER
C. A woman with a suspected chlamydia infection
Question 8
4
