NR566 Week 4 Midterm Exam practice
2026 Complete Actual Exam Questions
1-100 NR566 Advanced Pharmacology
For Care Of The Family NR 566
Examplify Online Proctored Exam
CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING
Question 1
Q1: Prescribing principles NR566 Midterm 2026?
A) No Beers criteria
B) Start low go slow elderly renal hepatic dose adjust, Beers criteria avoid
diphenhydramine anticholinergic meperidine diazepam NSAIDs, check CrCl
Cockcroft-Gault liver LFT, drug interactions CYP450 3A4 2D6 inhibitors inducers,
pregnancy FDA former categories now narrative lactation ← CORRECT
C) High dose start elderly
D) No renal adjustment
Correct Answer: B
Rationale: B correct per NR566 Midterm 2026 – Prescribing start low go slow elderly renal
hepatic CrCl LFT, Beers avoid anticholinergics, CYP450 interactions 3A4 2D6 inhibitors
inducers, pregnancy narrative, medication reconciliation.
Question 2
Q2: Hypertension pharmacology NR566 Midterm?
A) No JNC8
B) JNC8 <60 <150/90 <60 DM CKD <140/90, thiazide chlorthalidone first unless CKD
black better CCB thiazide, ACE -pril cough angioedema hyperkalemia teratogenic ARB
-sartan no cough teratogenic CCB -dipine edema amlodipine dihydropyridine
,verapamil diltiazem bradycardia, thiazide K wasting hypokalemia hyperuricemia
hyperglycemia ← CORRECT
C) ACE no cough
D) CCB no edema
Correct Answer: B
Rationale: B correct per NR566 – HTN JNC8 goals thiazide first CKD ACE/ARB, ACE cough
angioedema hyperkalemia teratogen ARB no cough teratogen CCB edema bradycardia,
thiazide hypokalemia.
Question 3
Q3: Diabetes pharmacology NR566 Week4 Midterm?
A) No metformin first
B) Metformin first-line A1c <7.5 500-2000mg GI upset lactic acidosis hold contrast
surgery eGFR <30 contraindicated B12 deficiency, second sulfonylurea glipizide hypo
weight gain avoid elderly, GLP1 semaglutide weight loss nausea pancreatitis, SGLT2
empagliflozin UTI genital mycotic DKA dehydration, insulin types rapid regular NPH
glargine ← CORRECT
C) Metformin causes hypo
D) No SGLT2 risk
Correct Answer: B
Rationale: B correct per NR566 – Diabetes metformin first-line GI lactic eGFR<30 B12,
sulfonylurea hypo weight gain, GLP1 weight loss pancreatitis, SGLT2 UTI genital DKA,
insulin rapid lispro aspart 15min regular 30min NPH 2hr glargine no peak.
Question 4
Q4: Antibiotics NR566 Midterm 2026?
A) All bactericidal same
B) Penicillin -cillin cell wall allergy cross cephalosporin, cephalosporin generations
1st cefazolin skin 3rd ceftriaxone meningitis, macrolide azithromycin QT Z-pak,
fluoroquinolone cipro levofloxacin tendon rupture QT C diff black box, sulfonamide
TMP-SMX hyperkalemia rash, nitrofurantoin cystitis contraindicated CrCl <30 ←
CORRECT
,C) No allergy cross
D) Fluoroquinolone no black box
Correct Answer: B
Rationale: B correct per NR566 – Antibiotics penicillin cell wall allergy cephalosporin
cross, cephalosporin 1st skin 3rd meningitis, macrolide QT, fluoroquinolone tendon rupture
QT C diff black box, TMP-SMX hyperkalemia.
Question 5
Q5: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q5 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
B) Correct per NR566 Midterm 2026 p.25 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
C) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
D) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
Correct Answer: B
Rationale: B correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
Question 6
Q6: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q6 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
, B) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
C) Correct per NR566 Midterm 2026 p.26 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
D) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
Correct Answer: C
Rationale: C correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
Question 7
Q7: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q7 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
B) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
C) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
D) Correct per NR566 Midterm 2026 p.27 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
Correct Answer: D
Rationale: D correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
2026 Complete Actual Exam Questions
1-100 NR566 Advanced Pharmacology
For Care Of The Family NR 566
Examplify Online Proctored Exam
CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING
Question 1
Q1: Prescribing principles NR566 Midterm 2026?
A) No Beers criteria
B) Start low go slow elderly renal hepatic dose adjust, Beers criteria avoid
diphenhydramine anticholinergic meperidine diazepam NSAIDs, check CrCl
Cockcroft-Gault liver LFT, drug interactions CYP450 3A4 2D6 inhibitors inducers,
pregnancy FDA former categories now narrative lactation ← CORRECT
C) High dose start elderly
D) No renal adjustment
Correct Answer: B
Rationale: B correct per NR566 Midterm 2026 – Prescribing start low go slow elderly renal
hepatic CrCl LFT, Beers avoid anticholinergics, CYP450 interactions 3A4 2D6 inhibitors
inducers, pregnancy narrative, medication reconciliation.
Question 2
Q2: Hypertension pharmacology NR566 Midterm?
A) No JNC8
B) JNC8 <60 <150/90 <60 DM CKD <140/90, thiazide chlorthalidone first unless CKD
black better CCB thiazide, ACE -pril cough angioedema hyperkalemia teratogenic ARB
-sartan no cough teratogenic CCB -dipine edema amlodipine dihydropyridine
,verapamil diltiazem bradycardia, thiazide K wasting hypokalemia hyperuricemia
hyperglycemia ← CORRECT
C) ACE no cough
D) CCB no edema
Correct Answer: B
Rationale: B correct per NR566 – HTN JNC8 goals thiazide first CKD ACE/ARB, ACE cough
angioedema hyperkalemia teratogen ARB no cough teratogen CCB edema bradycardia,
thiazide hypokalemia.
Question 3
Q3: Diabetes pharmacology NR566 Week4 Midterm?
A) No metformin first
B) Metformin first-line A1c <7.5 500-2000mg GI upset lactic acidosis hold contrast
surgery eGFR <30 contraindicated B12 deficiency, second sulfonylurea glipizide hypo
weight gain avoid elderly, GLP1 semaglutide weight loss nausea pancreatitis, SGLT2
empagliflozin UTI genital mycotic DKA dehydration, insulin types rapid regular NPH
glargine ← CORRECT
C) Metformin causes hypo
D) No SGLT2 risk
Correct Answer: B
Rationale: B correct per NR566 – Diabetes metformin first-line GI lactic eGFR<30 B12,
sulfonylurea hypo weight gain, GLP1 weight loss pancreatitis, SGLT2 UTI genital DKA,
insulin rapid lispro aspart 15min regular 30min NPH 2hr glargine no peak.
Question 4
Q4: Antibiotics NR566 Midterm 2026?
A) All bactericidal same
B) Penicillin -cillin cell wall allergy cross cephalosporin, cephalosporin generations
1st cefazolin skin 3rd ceftriaxone meningitis, macrolide azithromycin QT Z-pak,
fluoroquinolone cipro levofloxacin tendon rupture QT C diff black box, sulfonamide
TMP-SMX hyperkalemia rash, nitrofurantoin cystitis contraindicated CrCl <30 ←
CORRECT
,C) No allergy cross
D) Fluoroquinolone no black box
Correct Answer: B
Rationale: B correct per NR566 – Antibiotics penicillin cell wall allergy cephalosporin
cross, cephalosporin 1st skin 3rd meningitis, macrolide QT, fluoroquinolone tendon rupture
QT C diff black box, TMP-SMX hyperkalemia.
Question 5
Q5: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q5 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
B) Correct per NR566 Midterm 2026 p.25 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
C) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
D) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
Correct Answer: B
Rationale: B correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
Question 6
Q6: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q6 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
, B) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
C) Correct per NR566 Midterm 2026 p.26 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
D) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
Correct Answer: C
Rationale: C correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
Question 7
Q7: Per NR566 Week 4 Midterm Advanced Pharmacology For Care Of The Family 2026 Q7 –
which is correct?
A) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
B) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
C) Incorrect – violates NR566 prescribing, HTN JNC8, diabetes metformin, antibiotics
allergy, asthma COPD, lipids, anticoag per Week4 Midterm
D) Correct per NR566 Midterm 2026 p.27 – prescribing start low go slow renal
hepatic CrCl Beers CYP450, HTN JNC8 thiazide ACE cough ARB CCB edema, diabetes
metformin first eGFR<30 sulfonylurea hypo GLP1 weight loss SGLT2 UTI DKA insulin
rapid regular NPH glargine, antibiotics penicillin allergy cephalosporin generation
macrolide QT fluoroquinolone tendon rupture, asthma albuterol SABA ICS LABA,
lipids statin myopathy rhabdo, anticoag warfarin INR 2-3 vitamin K DOAC apixaban
← CORRECT
Correct Answer: D
Rationale: D correct per NR566 Week 4 Midterm Exam practice 2026 Advanced
Pharmacology For Care Of The Family – Direct actual exam explanation.
