ADVANCED PHARMACOLOGY WALDEN LATEST
EXAM 2025 QUESTIONS WITH CORRECT
Laboratorygtestingghasgconfirmedgthatgagpatientghasgchloroquine-
resistantgmalariagandgthegpatient'sgphysicianghasgprescribedgquininegalonggwithgangadjunct
ivegdrug.gThegnursegshouldgquestiongthegphysician'sgordergifgthegpatientghasgaghistorygofg
osteoporosisgorglowgbonegdensityg
chronicgobstructivegpulmonarygdiseaseg(COPD)g
diabetesgmellitusg
cardiacgarrhythmiasg-gCORRECTgANSWERCardiacgarrhythmias
AgpregnantgpatientgasksgthegNursegPractitionergwhatgover-the-
countergmedicationgshegcangtakegforgrecurringgheadaches.gThegnursegshouldgrecommendg
aspiring
advilg
tylenolg
Motring-gCORRECTgANSWERTylenol
AgNursegPractitionergisgobtaininggbaselinegphysicalgdatagfromgag7-year-
oldgpatientgwhogisgtogbegstartedgongdextroamphetaminegforgADHD.gAftergobtaininggvitalgsig
ns,gheight,gandgweight,gthegnursegwillgpreparegthegpatientgforgang
electrocardiogramg(ECG)g
electromyelogramg(EMG)g
electroencephalogramg(EEG)g
electrophysiologicgstudyg(EPS)g-gCORRECTgANSWERelectrocardiogramgECG
AgNursegPractitionergisgcaringgforgag64-year-
oldgfemalegpatientgwhogisgreceivinggIVgheparingandgreportsgbleedinggfromgherggums.gThegn
ursegchecksgthegpatient'sglaboratorygtestgresultsgandgfindsgthatgsheghasgagveryghighgaPTT.g
Thegnurseganticipatesgthatgwhichgofgthegfollowinggdrugsgmaygbegordered?g
Coumading
Alteplaseg
Ticlopidineg
Protaminegsulfateg-gCORRECTgANSWERProataminegSulfate
Agpatientgreportsgtogagclinicgwithgcomplaintsgofgbreastgtenderness,gagrightglumpygbreast,gan
dgnogbreastgdischarge.gThegbreastgtendernessgoccursgprimarilygduringghergmenstrualgcycle
.gThegnursegpractitionergprobablygsuspectsg
breastgcancer.g
cancerousgbreastgtendernessg
paingingthegheart.g
PMSg-gCORRECTgANSWERPMS
Agpostmenopausalgpatientgisgprescribedgbisphosphonatesgtogtreatgosteoporosis.gThegnurs
egwillginstructgthegpatientgtogtakegthegdrugg
atgbedtime.g
aftergmeals.g
atganygtimegofgthegdaygwithgteagorgcoffee.g
firstgthinggingthegmorningg-gCORRECTgANSWERFirstgthinggingthegmorning
WhichgtestgshouldgthegNPgordergforgmonitoringgeffectivenessgofgthegpatientgreceivingghepar
in?g
,Arterialgbloodggasglevelsg
PTTg
Completegbloodgcountg
Hemoglobinglevelg-gCORRECTgANSWERPTT
Finasterideg(Proscar)gisgprescribedgforgag50-year-
oldgmangwhogisgexperiencinggagproblemgwithgurinationgsecondarygtogangenlargedgprostate.g
Thegpractitionergwouldgteachgthegpatientgthatgwhileghegisgtakinggthisgmedication,gitgisgimport
antgto:g
Increaseghisgfluidgintake.g
Restraingfromgsexualgactivityg
Takegspecialgprecautionsgaroundgwomengofgchildbearinggageg
Begingfolicgacidg-
gCORRECTgANSWERtakegspecialgprecautionsgaroundgwomengofgchildbearinggage
Ag15-year-
oldgpatientghasgmeningitisgcausedgbygHaemophilusginfluenzae.gShegisgbeinggtreatedgwithgc
hloramphenicol.gThegmostgimportantgnursinggactiongforgthisgpatientgwouldgbegtogmonitorg
bloodgsugarglevelsgdaily.g
livergenzymesgmonthly.g
plasmagconcentrationsgregularly.g
urinegoutputgdailyg-gCORRECTgANSWERplasmagconcentrationsgregularly
Agpatientghasgbeengtakinggdoxazosing(Cardura)g2gmggPOgdailygforg3gweeksgforgtreatmentgof
gBPH.gHegreturnsgtogthegclinicgandgisgcomplaininggofgfeelinggdizzygwhenghegstandsgup.gWhic
hgactiongwouldgthegfamilygnursegpractitionergtake?g
Ordergurinalysisg(UA)gtogdetermineghematuriagandgpresencegofgbacteria.g
Determinegbloodgpressureg(BP)gwithgpatientglyinggdown,gstanding,gandgsitting.g
Reviewgwithgpatientghisgsymptomsgovergthegpastg3gweeks.g
Performgdigitalgrectalgexamgtogdeterminegifgprostategisgsmallergthangpreviouslygnotedg-
gCORRECTgANSWERdetermine gbloodgpressuregwithgpatientglyinggdown,gstanding,gandgsit
ting
Agmalegpatientghasgbeengonglong-
termgbicalutamideg(Casodex)gtherapy.gIngordergtogassessgadversegeffectsgofgthegdruggthera
py,gthegnursegwillgcloselygmonitorgwhichgofgthegfollowing?g
Visualgfunctiong
Bloodgcountsg
Papgtestgresultsg
Livergfunctiong-gCORRECTgANSWERLivergfunction
Ag21-year-oldghasgbeengplacedgongrisperidone.gMonitoringgforgrisperidonegincludesg
Bradykinesia,gakathisiagandgagitationg
Excessivegweightggaing
Hypertensiong
Potentiallygfatalgagranulocytosisg-
gCORRECTgANSWERBradyknesia,gakathisiagandgagitation
AgpatientgwhogisgatgriskgforgDVTgtellsgthegNPgsheghasgjustglearnedgshegisgpregnant.gThegNPg
shouldgexpectgthatgthisgpatientgwillgusegwhichgofgthegfollowingganticoagulantgmedications?g
Aspiring
Heparing
, Dabigatrang
Warfaring-gCORRECTgANSWERHeparin
WhengagNPgchoosesgagbenzodiazepinegtogtreatganxietygthegprescribergneedsgtogbegawareg
ofgthegpossibilitygofgdependence.gThegBenzodiazepinegassociatedgwithgtheggreatestglikelih
oodgofgcausinggrapidgdependencegis:g
Chlordiazepoxideg(Librium)g
Clonazepamg(Klonopin)g
Alprazolamg(Xanax)g
Oxazepamg(serax)g-gCORRECTgANSWERalprazolamg(Xanax)
AgmalegpatientgisgtakinggfinasteridegforgBPH.gWhichgofgthegfollowinggwillgthegnursegevaluate
gatgeachgclinicgvisit?g
Serumgcholesterolglevelsg
Boneggrowthg
Hemoglobinglevelsg
Urinarygeliminationgpatternsg-gCORRECTgANSWERUrinarygeliminationgpatterns
WhatgschedulegclassgofgdruggisgHydrocodone?g
Ig
IIg
IIIg
IVg-gCORRECTgANSWERII
WhichgofgthegfollowinggwouldgagNursegPractitionergassessgforgingagpatientgwhogisgtakinggpol
ymyxingBgsystemically?g
Peripheralgneuropathyg
Nephrotoxicitygandghepatotoxicityg
Hyperkalemiagandghyponatremiag
Endocarditisgandghypertensiong-gCORRECTgANSWERnephrotoxicitygandghepatotoxicity
Agschoolgnurseghasgbeengteachingghighgschoolgstudentsgaboutgthegrisksgassociatedgwithgm
arijuanaguse.gHowever,gthegnurseghasgbeengmetgwithgconsiderablegskepticismgongthegpartg
ofgstudents,gmostgofgwhomgbelievegthatgmarijuanagisgagbenigngdrug.gWhichgofgthegfollowingg
teachinggpointsgshouldgthegnursegprovide?g
"Mostgpeoplegdon'tgknowgthatgmarijuanagcangbegjustgasgaddictivegasgheroingorgcocainegover
gtime."g
"Marijuanagcangeasilyginteractgwithgothergdrugsgandgcausegpotentiallygfatalgreactions."g
"Everygyear,gthousandsgofgAmericansgendgupgingemergencygdepartmentsgwithgmarijuanago
verdoses."g
"Smokinggmarijuanagisgjustgasgbad,gorgworse,gforgyourglungsgasgsmokinggcigarettes"g-
gCORRECTgANSWER"smokinggmarijuanagisgjustgasgbad,gorgworsegforgyourglungsgasgsmok
inggcigarettes
Ag45-year-
oldgfemalegpatientgisgprescribedgciprofloxacingtogtreatgagbronchialginfection.gAgnursinggasse
ssmentgrevealedgthatgshegstartedgtakinggdailygvitamingsupplementsgaboutg2gyearsgago.gTog
maximizegthegtherapeuticgeffectsgofgthegciprofloxacingtherapy,gthegnursegshouldgadvisegthe
gpatientgtog
takegthegvitaminsgatgleastg2ghoursgbeforegorgaftergtakinggciprofloxacin.g
alternategthegdosagegofgciprofloxacingandgvitamingsupplementsg
reducegthegdosagegofgvitamingsupplementsg
EXAM 2025 QUESTIONS WITH CORRECT
Laboratorygtestingghasgconfirmedgthatgagpatientghasgchloroquine-
resistantgmalariagandgthegpatient'sgphysicianghasgprescribedgquininegalonggwithgangadjunct
ivegdrug.gThegnursegshouldgquestiongthegphysician'sgordergifgthegpatientghasgaghistorygofg
osteoporosisgorglowgbonegdensityg
chronicgobstructivegpulmonarygdiseaseg(COPD)g
diabetesgmellitusg
cardiacgarrhythmiasg-gCORRECTgANSWERCardiacgarrhythmias
AgpregnantgpatientgasksgthegNursegPractitionergwhatgover-the-
countergmedicationgshegcangtakegforgrecurringgheadaches.gThegnursegshouldgrecommendg
aspiring
advilg
tylenolg
Motring-gCORRECTgANSWERTylenol
AgNursegPractitionergisgobtaininggbaselinegphysicalgdatagfromgag7-year-
oldgpatientgwhogisgtogbegstartedgongdextroamphetaminegforgADHD.gAftergobtaininggvitalgsig
ns,gheight,gandgweight,gthegnursegwillgpreparegthegpatientgforgang
electrocardiogramg(ECG)g
electromyelogramg(EMG)g
electroencephalogramg(EEG)g
electrophysiologicgstudyg(EPS)g-gCORRECTgANSWERelectrocardiogramgECG
AgNursegPractitionergisgcaringgforgag64-year-
oldgfemalegpatientgwhogisgreceivinggIVgheparingandgreportsgbleedinggfromgherggums.gThegn
ursegchecksgthegpatient'sglaboratorygtestgresultsgandgfindsgthatgsheghasgagveryghighgaPTT.g
Thegnurseganticipatesgthatgwhichgofgthegfollowinggdrugsgmaygbegordered?g
Coumading
Alteplaseg
Ticlopidineg
Protaminegsulfateg-gCORRECTgANSWERProataminegSulfate
Agpatientgreportsgtogagclinicgwithgcomplaintsgofgbreastgtenderness,gagrightglumpygbreast,gan
dgnogbreastgdischarge.gThegbreastgtendernessgoccursgprimarilygduringghergmenstrualgcycle
.gThegnursegpractitionergprobablygsuspectsg
breastgcancer.g
cancerousgbreastgtendernessg
paingingthegheart.g
PMSg-gCORRECTgANSWERPMS
Agpostmenopausalgpatientgisgprescribedgbisphosphonatesgtogtreatgosteoporosis.gThegnurs
egwillginstructgthegpatientgtogtakegthegdrugg
atgbedtime.g
aftergmeals.g
atganygtimegofgthegdaygwithgteagorgcoffee.g
firstgthinggingthegmorningg-gCORRECTgANSWERFirstgthinggingthegmorning
WhichgtestgshouldgthegNPgordergforgmonitoringgeffectivenessgofgthegpatientgreceivingghepar
in?g
,Arterialgbloodggasglevelsg
PTTg
Completegbloodgcountg
Hemoglobinglevelg-gCORRECTgANSWERPTT
Finasterideg(Proscar)gisgprescribedgforgag50-year-
oldgmangwhogisgexperiencinggagproblemgwithgurinationgsecondarygtogangenlargedgprostate.g
Thegpractitionergwouldgteachgthegpatientgthatgwhileghegisgtakinggthisgmedication,gitgisgimport
antgto:g
Increaseghisgfluidgintake.g
Restraingfromgsexualgactivityg
Takegspecialgprecautionsgaroundgwomengofgchildbearinggageg
Begingfolicgacidg-
gCORRECTgANSWERtakegspecialgprecautionsgaroundgwomengofgchildbearinggage
Ag15-year-
oldgpatientghasgmeningitisgcausedgbygHaemophilusginfluenzae.gShegisgbeinggtreatedgwithgc
hloramphenicol.gThegmostgimportantgnursinggactiongforgthisgpatientgwouldgbegtogmonitorg
bloodgsugarglevelsgdaily.g
livergenzymesgmonthly.g
plasmagconcentrationsgregularly.g
urinegoutputgdailyg-gCORRECTgANSWERplasmagconcentrationsgregularly
Agpatientghasgbeengtakinggdoxazosing(Cardura)g2gmggPOgdailygforg3gweeksgforgtreatmentgof
gBPH.gHegreturnsgtogthegclinicgandgisgcomplaininggofgfeelinggdizzygwhenghegstandsgup.gWhic
hgactiongwouldgthegfamilygnursegpractitionergtake?g
Ordergurinalysisg(UA)gtogdetermineghematuriagandgpresencegofgbacteria.g
Determinegbloodgpressureg(BP)gwithgpatientglyinggdown,gstanding,gandgsitting.g
Reviewgwithgpatientghisgsymptomsgovergthegpastg3gweeks.g
Performgdigitalgrectalgexamgtogdeterminegifgprostategisgsmallergthangpreviouslygnotedg-
gCORRECTgANSWERdetermine gbloodgpressuregwithgpatientglyinggdown,gstanding,gandgsit
ting
Agmalegpatientghasgbeengonglong-
termgbicalutamideg(Casodex)gtherapy.gIngordergtogassessgadversegeffectsgofgthegdruggthera
py,gthegnursegwillgcloselygmonitorgwhichgofgthegfollowing?g
Visualgfunctiong
Bloodgcountsg
Papgtestgresultsg
Livergfunctiong-gCORRECTgANSWERLivergfunction
Ag21-year-oldghasgbeengplacedgongrisperidone.gMonitoringgforgrisperidonegincludesg
Bradykinesia,gakathisiagandgagitationg
Excessivegweightggaing
Hypertensiong
Potentiallygfatalgagranulocytosisg-
gCORRECTgANSWERBradyknesia,gakathisiagandgagitation
AgpatientgwhogisgatgriskgforgDVTgtellsgthegNPgsheghasgjustglearnedgshegisgpregnant.gThegNPg
shouldgexpectgthatgthisgpatientgwillgusegwhichgofgthegfollowingganticoagulantgmedications?g
Aspiring
Heparing
, Dabigatrang
Warfaring-gCORRECTgANSWERHeparin
WhengagNPgchoosesgagbenzodiazepinegtogtreatganxietygthegprescribergneedsgtogbegawareg
ofgthegpossibilitygofgdependence.gThegBenzodiazepinegassociatedgwithgtheggreatestglikelih
oodgofgcausinggrapidgdependencegis:g
Chlordiazepoxideg(Librium)g
Clonazepamg(Klonopin)g
Alprazolamg(Xanax)g
Oxazepamg(serax)g-gCORRECTgANSWERalprazolamg(Xanax)
AgmalegpatientgisgtakinggfinasteridegforgBPH.gWhichgofgthegfollowinggwillgthegnursegevaluate
gatgeachgclinicgvisit?g
Serumgcholesterolglevelsg
Boneggrowthg
Hemoglobinglevelsg
Urinarygeliminationgpatternsg-gCORRECTgANSWERUrinarygeliminationgpatterns
WhatgschedulegclassgofgdruggisgHydrocodone?g
Ig
IIg
IIIg
IVg-gCORRECTgANSWERII
WhichgofgthegfollowinggwouldgagNursegPractitionergassessgforgingagpatientgwhogisgtakinggpol
ymyxingBgsystemically?g
Peripheralgneuropathyg
Nephrotoxicitygandghepatotoxicityg
Hyperkalemiagandghyponatremiag
Endocarditisgandghypertensiong-gCORRECTgANSWERnephrotoxicitygandghepatotoxicity
Agschoolgnurseghasgbeengteachingghighgschoolgstudentsgaboutgthegrisksgassociatedgwithgm
arijuanaguse.gHowever,gthegnurseghasgbeengmetgwithgconsiderablegskepticismgongthegpartg
ofgstudents,gmostgofgwhomgbelievegthatgmarijuanagisgagbenigngdrug.gWhichgofgthegfollowingg
teachinggpointsgshouldgthegnursegprovide?g
"Mostgpeoplegdon'tgknowgthatgmarijuanagcangbegjustgasgaddictivegasgheroingorgcocainegover
gtime."g
"Marijuanagcangeasilyginteractgwithgothergdrugsgandgcausegpotentiallygfatalgreactions."g
"Everygyear,gthousandsgofgAmericansgendgupgingemergencygdepartmentsgwithgmarijuanago
verdoses."g
"Smokinggmarijuanagisgjustgasgbad,gorgworse,gforgyourglungsgasgsmokinggcigarettes"g-
gCORRECTgANSWER"smokinggmarijuanagisgjustgasgbad,gorgworsegforgyourglungsgasgsmok
inggcigarettes
Ag45-year-
oldgfemalegpatientgisgprescribedgciprofloxacingtogtreatgagbronchialginfection.gAgnursinggasse
ssmentgrevealedgthatgshegstartedgtakinggdailygvitamingsupplementsgaboutg2gyearsgago.gTog
maximizegthegtherapeuticgeffectsgofgthegciprofloxacingtherapy,gthegnursegshouldgadvisegthe
gpatientgtog
takegthegvitaminsgatgleastg2ghoursgbeforegorgaftergtakinggciprofloxacin.g
alternategthegdosagegofgciprofloxacingandgvitamingsupplementsg
reducegthegdosagegofgvitamingsupplementsg
