6521 Advanced Pharmacology Final EXAM 250 QUESTIONS
AND CORRECT ANSWEERS 2024-2025 LATEST VERSION//
RECOMMENDED
An adolescent female patient with multiple sexual partners asks a nurse about birth control
methods. The patient tells the nurse she tried oral contraceptives once but often forgot to take her
pills. The nurse will recommend discussing which contraceptive method with the provider? -
ANSWER-DMPA (Depo-Provera) and condoms
A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which
patient should be advised against using an IUD for contraception? - ANSWER-An 18-year-old
woman with multiple sexual partners.
A patient at increased risk for thromboembolic disorders will begin taking a progestin-only oral
contraceptive. Which statement by the patient indicates understanding of how this oral
contraceptive works? - ANSWER-"I will need to use backup contraception if I miss a pill."
A nurse is discussing various ways to obtain a medical abortion with a patient. Which statement by
the patient best demonstrates understanding of mifepristone (RU 486) [Mifeprex]? "This drug is most
effective if I use it: - ANSWER-within 7 weeks of conception."
A patient has been taking a progestin-only, or "minipill," OC for 3 months and reports spotting and
irregular menstrual cycles. The nurse will: - ANSWER-reassure the patient that this is normal with
this form of contraception.
A patient has been experiencing side effects with a combination oral contraceptive, and her provider
has ordered a different combination product. The nurse will instruct the patient to do what? -
ANSWER-Change products at the beginning of her next cycle.
A nurse is teaching a community education class on contraceptives. The nurse tells the class that if
spermicides containing nonoxynol-9 are used, the patient should take special precautions, because
these spermicides have been linked to: - ANSWER-increased transmission of the human
immunodeficiency virus (HIV).
,A patient is taking a combination oral contraceptive (OC) and reports breast tenderness, edema, and
occasional nausea. What will the nurse recommend? - ANSWER-The patient should request an OC
containing less estrogen
A patient calls the nurse to report that she forgot to take a combination OC pill during the third week
of her cycle. She tells the nurse that she missed another pill earlier that week. The nurse will tell her
to: - ANSWER-take a pill now, continue the pack, skip the placebo pills, and start a new pack on
week 4.
A patient has just purchased a 1-year supply of 28-day-cycle oral contraceptives. She tells the nurse
she wishes she had planned things better, because she has calculated that her period will begin
during her upcoming honeymoon. What will the nurse suggest? - ANSWER-She should discard the
inert pills and start a new pack during the honeymoon.
A nurse working in a family planning clinic is preparing to administer a first dose of intramuscular
DMPA [Depo-Provera] to a young adult patient. The woman tells the nurse she has just finished her
period. What will the nurse do? - ANSWER-Schedule an appointment for her to receive the
injection in 3 weeks.
A patient who is taking a combination oral contraceptive begins taking carbamazepine. After
severalweeks, the patient tells the nurse she has begun experiencing spotting during hercycle. What
will the nurse tell her to do? - ANSWER-Discuss an oral contraceptive with increased estrogen.
A woman has been taking a progestin-only oral contraceptive and will begin using a vaginal ring. The
nurse will teach the patient to insert the ring: - ANSWER-the day the last pill is taken and use
backup contraception for 7 days
A nurse is teaching an adolescent female patient about 28-day monophasic combination oral
contraceptives. The provider has instructed the patient to begin taking the pills on the first Sunday
after the onset of her next period. What will the nurse tell the patient? - ANSWER-"Use another
form of contraception for the next month."
A nurse is teaching a male adult patient about the use of testosterone gel. Which statement by the
patient indicates an understanding of the teaching? - ANSWER-"I should not let my child touch the
gel to prevent behavioral problems."
,A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What
will the nurse include when teaching the family about this therapy? - ANSWER-Injections are given
every 2 to 4 weeks for 3 to 4 years.
An adolescent male patient is beginning androgen therapy for delayed puberty. His parents ask the
nurse when this treatment may be stopped. The nurse will offer which response? - ANSWER-When
testicular enlargement occurs
A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not
want to go to school, because he gets teased. The nurse learns that the boy's father did not begin
puberty until age 16 years. Laboratory tests on this child do not reveal true hypogonadism. What will
the nurse tell these parents when they ask what can be done for their son? - ANSWER-"A limited
course of androgen therapy may be prescribed, but it is not necessary."
A nurse is providing education to a patient who is beginning therapy with AndroGel testosterone gel.
Which statement made by the patient demonstrates a need for further teaching? - ANSWER-"I
should apply the medication to my genitals for best results."
A clinic nurse is assessing an adolescent male patient who has been receiving androgen therapy for
hypogonadism via a transdermal patch. The patient's last clinic visit was 4 weeks earlier. Which part
of the interval history is of most concern to the nurse? - ANSWER-Five-pound weight gain
A nurse provides teaching for a female patient with anemia who has had cancer chemotherapy and
who will begin treatment with testosterone. Which statement by the patient indicates understanding
of the teaching? - ANSWER-"Testosterone treats anemia by stimulating the synthesis of a renal
hormone."
A nurse is obtaining a history and reviewing the chart of an adult male patient who has been taking
oral androgens. Which assessment would warrant notifying the provider? - ANSWER-Nausea,
anorexia, and fatigue
An adult male patient will begin androgen therapy for testicular failure. Which statement by the
patient indicates understanding of the treatment regimen? - ANSWER-"My libido may improve
while I am taking this medication."
A 14-year-old male patient who plays football is admitted to the hospital. The nurse notes that the
patient has short stature for his age according to a standard growth chart. The patient is muscular,
, has a deep voice, and needs to shave. The nurse notifies the provider of these findings. Which test
will the nurse expect the provider to order? - ANSWER-Liver function tests and serum cholesterol
A patient receiving transurethral alprostadil asks about intracavernous administration. Which
information would be included in the explanation? - ANSWER-Transurethral administration has
fewer side effects.
A patient with erectile dysfunction is prescribed sildenafil (Viagra) 50 mg PRN. Which assessment
finding would be most concerning? - ANSWER-Snoring now wakens the patient's wife
A patient with erectile dysfunction is prescribed tadalafil (Cialis) 2.5 mg daily. Which medication
history finding would indicate the need to discontinue this prescription? - ANSWER-Nitro-tab 0.4
mg sublingual PRN
A patient prescribed dutasteride 2 weeks ago presents with continued complaints of urinary
hesitancy. Which action is most appropriate? - ANSWER-Document these findings.
Which finding would indicate that terazosin has been effective for a patient with BPH? - ANSWER-
Improved urinary hesitation
A patient receiving doxazosin presents for a routine evaluation. Which assessment finding would be
most concerning? - ANSWER-Blood pressure 96/58
After educating a patient about administration of papaverine plus phentolamine for erectile
dysfunction, which statement made by the patient indicates a need for further teaching? -
ANSWER-"I will take the pill 30 minutes before sex."
A patient has a viral sinus infection, and the provider tells the patient that antibiotics will not be
prescribed. The patient wants to take an antibiotic and asks the nurse what possible harm could
occur by taking an antibiotic. Which response by the nurse is correct? - ANSWER-"Even normal
flora can develop resistance and transfer this to pathogens."
An older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The
patient has a temperature of 39.5° C. The nurse will expect the provider to: - ANSWER-order
empiric antibiotics while waiting for sputum culture results.
AND CORRECT ANSWEERS 2024-2025 LATEST VERSION//
RECOMMENDED
An adolescent female patient with multiple sexual partners asks a nurse about birth control
methods. The patient tells the nurse she tried oral contraceptives once but often forgot to take her
pills. The nurse will recommend discussing which contraceptive method with the provider? -
ANSWER-DMPA (Depo-Provera) and condoms
A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which
patient should be advised against using an IUD for contraception? - ANSWER-An 18-year-old
woman with multiple sexual partners.
A patient at increased risk for thromboembolic disorders will begin taking a progestin-only oral
contraceptive. Which statement by the patient indicates understanding of how this oral
contraceptive works? - ANSWER-"I will need to use backup contraception if I miss a pill."
A nurse is discussing various ways to obtain a medical abortion with a patient. Which statement by
the patient best demonstrates understanding of mifepristone (RU 486) [Mifeprex]? "This drug is most
effective if I use it: - ANSWER-within 7 weeks of conception."
A patient has been taking a progestin-only, or "minipill," OC for 3 months and reports spotting and
irregular menstrual cycles. The nurse will: - ANSWER-reassure the patient that this is normal with
this form of contraception.
A patient has been experiencing side effects with a combination oral contraceptive, and her provider
has ordered a different combination product. The nurse will instruct the patient to do what? -
ANSWER-Change products at the beginning of her next cycle.
A nurse is teaching a community education class on contraceptives. The nurse tells the class that if
spermicides containing nonoxynol-9 are used, the patient should take special precautions, because
these spermicides have been linked to: - ANSWER-increased transmission of the human
immunodeficiency virus (HIV).
,A patient is taking a combination oral contraceptive (OC) and reports breast tenderness, edema, and
occasional nausea. What will the nurse recommend? - ANSWER-The patient should request an OC
containing less estrogen
A patient calls the nurse to report that she forgot to take a combination OC pill during the third week
of her cycle. She tells the nurse that she missed another pill earlier that week. The nurse will tell her
to: - ANSWER-take a pill now, continue the pack, skip the placebo pills, and start a new pack on
week 4.
A patient has just purchased a 1-year supply of 28-day-cycle oral contraceptives. She tells the nurse
she wishes she had planned things better, because she has calculated that her period will begin
during her upcoming honeymoon. What will the nurse suggest? - ANSWER-She should discard the
inert pills and start a new pack during the honeymoon.
A nurse working in a family planning clinic is preparing to administer a first dose of intramuscular
DMPA [Depo-Provera] to a young adult patient. The woman tells the nurse she has just finished her
period. What will the nurse do? - ANSWER-Schedule an appointment for her to receive the
injection in 3 weeks.
A patient who is taking a combination oral contraceptive begins taking carbamazepine. After
severalweeks, the patient tells the nurse she has begun experiencing spotting during hercycle. What
will the nurse tell her to do? - ANSWER-Discuss an oral contraceptive with increased estrogen.
A woman has been taking a progestin-only oral contraceptive and will begin using a vaginal ring. The
nurse will teach the patient to insert the ring: - ANSWER-the day the last pill is taken and use
backup contraception for 7 days
A nurse is teaching an adolescent female patient about 28-day monophasic combination oral
contraceptives. The provider has instructed the patient to begin taking the pills on the first Sunday
after the onset of her next period. What will the nurse tell the patient? - ANSWER-"Use another
form of contraception for the next month."
A nurse is teaching a male adult patient about the use of testosterone gel. Which statement by the
patient indicates an understanding of the teaching? - ANSWER-"I should not let my child touch the
gel to prevent behavioral problems."
,A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What
will the nurse include when teaching the family about this therapy? - ANSWER-Injections are given
every 2 to 4 weeks for 3 to 4 years.
An adolescent male patient is beginning androgen therapy for delayed puberty. His parents ask the
nurse when this treatment may be stopped. The nurse will offer which response? - ANSWER-When
testicular enlargement occurs
A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not
want to go to school, because he gets teased. The nurse learns that the boy's father did not begin
puberty until age 16 years. Laboratory tests on this child do not reveal true hypogonadism. What will
the nurse tell these parents when they ask what can be done for their son? - ANSWER-"A limited
course of androgen therapy may be prescribed, but it is not necessary."
A nurse is providing education to a patient who is beginning therapy with AndroGel testosterone gel.
Which statement made by the patient demonstrates a need for further teaching? - ANSWER-"I
should apply the medication to my genitals for best results."
A clinic nurse is assessing an adolescent male patient who has been receiving androgen therapy for
hypogonadism via a transdermal patch. The patient's last clinic visit was 4 weeks earlier. Which part
of the interval history is of most concern to the nurse? - ANSWER-Five-pound weight gain
A nurse provides teaching for a female patient with anemia who has had cancer chemotherapy and
who will begin treatment with testosterone. Which statement by the patient indicates understanding
of the teaching? - ANSWER-"Testosterone treats anemia by stimulating the synthesis of a renal
hormone."
A nurse is obtaining a history and reviewing the chart of an adult male patient who has been taking
oral androgens. Which assessment would warrant notifying the provider? - ANSWER-Nausea,
anorexia, and fatigue
An adult male patient will begin androgen therapy for testicular failure. Which statement by the
patient indicates understanding of the treatment regimen? - ANSWER-"My libido may improve
while I am taking this medication."
A 14-year-old male patient who plays football is admitted to the hospital. The nurse notes that the
patient has short stature for his age according to a standard growth chart. The patient is muscular,
, has a deep voice, and needs to shave. The nurse notifies the provider of these findings. Which test
will the nurse expect the provider to order? - ANSWER-Liver function tests and serum cholesterol
A patient receiving transurethral alprostadil asks about intracavernous administration. Which
information would be included in the explanation? - ANSWER-Transurethral administration has
fewer side effects.
A patient with erectile dysfunction is prescribed sildenafil (Viagra) 50 mg PRN. Which assessment
finding would be most concerning? - ANSWER-Snoring now wakens the patient's wife
A patient with erectile dysfunction is prescribed tadalafil (Cialis) 2.5 mg daily. Which medication
history finding would indicate the need to discontinue this prescription? - ANSWER-Nitro-tab 0.4
mg sublingual PRN
A patient prescribed dutasteride 2 weeks ago presents with continued complaints of urinary
hesitancy. Which action is most appropriate? - ANSWER-Document these findings.
Which finding would indicate that terazosin has been effective for a patient with BPH? - ANSWER-
Improved urinary hesitation
A patient receiving doxazosin presents for a routine evaluation. Which assessment finding would be
most concerning? - ANSWER-Blood pressure 96/58
After educating a patient about administration of papaverine plus phentolamine for erectile
dysfunction, which statement made by the patient indicates a need for further teaching? -
ANSWER-"I will take the pill 30 minutes before sex."
A patient has a viral sinus infection, and the provider tells the patient that antibiotics will not be
prescribed. The patient wants to take an antibiotic and asks the nurse what possible harm could
occur by taking an antibiotic. Which response by the nurse is correct? - ANSWER-"Even normal
flora can develop resistance and transfer this to pathogens."
An older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The
patient has a temperature of 39.5° C. The nurse will expect the provider to: - ANSWER-order
empiric antibiotics while waiting for sputum culture results.
