1|Page
NR565/ NR 565 MIDTERM EXAM (CHAMBERLAIN)
NEWEST 2025 TEST BANK| ADVANCED
PHARMACOLOGY FUNDAMENTALS EXAM|
COMPLETE 300 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+||BRAND NEW
A patient diagnosed with bipolar disorder is prescribed daily lithium.
Which action is most important to determine if the therapeutic level is
maintained?
a. Obtain pre administration blood work.
b. Administer medication at regular intervals.
c. Ensure periodic laboratory testing is completed.
d. Assess the patient for adverse effects. - Correct Answer - c.
The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone
is effective because of which action?
a. Countering the effects of morphine sulfate by agonist actions
b. Increasing the excretion of morphine sulfate by altering serum pH
c. Preventing activation of opioid receptors through antagonist actions
d. Regulating the sensitivity of opioid receptors by neurochemical
alterations - Correct Answer - c.
pg. 1
,2|Page
A patient is taking drug X and receives a new prescription for drug Y,
which is listed as an inducing agent. The nurse caring for this patient
understands that this patient may require doses of drug .
a. lower; X
b. lower; Y
c. higher; X
d. higher; Y - Correct Answer - c.
A nurse is teaching a patient about a drug that induces P-glycoprotein.
The nurse will explain that this drug may cause which effect on other
drugs?
a. Decreased absorption in the intestines
b. Decreased elimination through the kidneys
c. Increased brain exposure
d. Increased fetal absorption - Correct Answer - b.
A woman in labor receives meperidine [Demerol] for pain. The nurse
caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia. - Correct Answer - c.
pg. 2
,3|Page
A patient has been taking methadone [Dolophine] for 5 months to
overcome an opioid addiction. The nurse should monitor the patient for
which of the following electrocardiographic changes?
a. Prolonged QT interval
b. Prolonged P-R interval
c. AV block
d. An elevated QRS complex - Correct Answer - a.
A patient who has developed opioid tolerance will experience which
effect?
a. Decreased analgesic effect
b. Decreased constipation
c. Increased euphoriaIncreased
d. respiratory depression - Correct Answer - a.
A patient is brought to the emergency department by friends, who report
finding the patient difficult to awaken. The friends report removing two
fentanyl transdermal patches from the patient's arm. On admission to the
emergency department, the patient has pinpoint pupils and a respiratory
rate of 6 breaths/minute. A few minutes after administration of naloxone,
the respiratory rate is 8 breaths/minute and the patient's pupils are
dilated. The nurse recognizes these symptoms as signs of:
a. a mild opioid overdose.
b. decreased opioid drug levels.
c. improved ventilation.
d. worsening hypoxia. - Correct Answer - d.
pg. 3
, 4|Page
A patient with chronic pain has been receiving morphine sulfate but now
has decreased pain. The prescriber changes the medication to
pentazocine [Talwin]. The nurse will monitor the patient for:
a. euphoria.
b. hypotension.
c. respiratory depression.
d. yawning and sweating. - Correct Answer - d.
A nurse is caring for a patient who has been receiving a drug by the
intramuscular route but will receive the drug orally after discharge. How
does the nurse explain the increased dosage prescribed for the oral dose?
a. Passive diffusion
b. Active transport
c. Glomerular filtration
d. First-pass effect - Correct Answer - d.
A nurse is working as a member of a research team involved in
exploring the unique response to drugs each individual displays based on
genetic make-up. What is this area of study is called?
a. Pharmacotherapeutics
b. Pharmacodynamics
c. Pharmacoeconomics
d. Pharmacogenomics - Correct Answer - d.
pg. 4
NR565/ NR 565 MIDTERM EXAM (CHAMBERLAIN)
NEWEST 2025 TEST BANK| ADVANCED
PHARMACOLOGY FUNDAMENTALS EXAM|
COMPLETE 300 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+||BRAND NEW
A patient diagnosed with bipolar disorder is prescribed daily lithium.
Which action is most important to determine if the therapeutic level is
maintained?
a. Obtain pre administration blood work.
b. Administer medication at regular intervals.
c. Ensure periodic laboratory testing is completed.
d. Assess the patient for adverse effects. - Correct Answer - c.
The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone
is effective because of which action?
a. Countering the effects of morphine sulfate by agonist actions
b. Increasing the excretion of morphine sulfate by altering serum pH
c. Preventing activation of opioid receptors through antagonist actions
d. Regulating the sensitivity of opioid receptors by neurochemical
alterations - Correct Answer - c.
pg. 1
,2|Page
A patient is taking drug X and receives a new prescription for drug Y,
which is listed as an inducing agent. The nurse caring for this patient
understands that this patient may require doses of drug .
a. lower; X
b. lower; Y
c. higher; X
d. higher; Y - Correct Answer - c.
A nurse is teaching a patient about a drug that induces P-glycoprotein.
The nurse will explain that this drug may cause which effect on other
drugs?
a. Decreased absorption in the intestines
b. Decreased elimination through the kidneys
c. Increased brain exposure
d. Increased fetal absorption - Correct Answer - b.
A woman in labor receives meperidine [Demerol] for pain. The nurse
caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia. - Correct Answer - c.
pg. 2
,3|Page
A patient has been taking methadone [Dolophine] for 5 months to
overcome an opioid addiction. The nurse should monitor the patient for
which of the following electrocardiographic changes?
a. Prolonged QT interval
b. Prolonged P-R interval
c. AV block
d. An elevated QRS complex - Correct Answer - a.
A patient who has developed opioid tolerance will experience which
effect?
a. Decreased analgesic effect
b. Decreased constipation
c. Increased euphoriaIncreased
d. respiratory depression - Correct Answer - a.
A patient is brought to the emergency department by friends, who report
finding the patient difficult to awaken. The friends report removing two
fentanyl transdermal patches from the patient's arm. On admission to the
emergency department, the patient has pinpoint pupils and a respiratory
rate of 6 breaths/minute. A few minutes after administration of naloxone,
the respiratory rate is 8 breaths/minute and the patient's pupils are
dilated. The nurse recognizes these symptoms as signs of:
a. a mild opioid overdose.
b. decreased opioid drug levels.
c. improved ventilation.
d. worsening hypoxia. - Correct Answer - d.
pg. 3
, 4|Page
A patient with chronic pain has been receiving morphine sulfate but now
has decreased pain. The prescriber changes the medication to
pentazocine [Talwin]. The nurse will monitor the patient for:
a. euphoria.
b. hypotension.
c. respiratory depression.
d. yawning and sweating. - Correct Answer - d.
A nurse is caring for a patient who has been receiving a drug by the
intramuscular route but will receive the drug orally after discharge. How
does the nurse explain the increased dosage prescribed for the oral dose?
a. Passive diffusion
b. Active transport
c. Glomerular filtration
d. First-pass effect - Correct Answer - d.
A nurse is working as a member of a research team involved in
exploring the unique response to drugs each individual displays based on
genetic make-up. What is this area of study is called?
a. Pharmacotherapeutics
b. Pharmacodynamics
c. Pharmacoeconomics
d. Pharmacogenomics - Correct Answer - d.
pg. 4
