NURS 6521 Adv. Pharmacology Final Exam (100
Questions and answers) 2025-2026 update
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed an
prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him
which of the following? - .
ANS >> "You might find that your face becomes flushed, or you get a headache after taking Viagra." - .
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessmen
reveals that he is also taking warfarin. The nurse must carefully monitor which of the following? - .
ANS >> Elevated prothrombin time - .
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse wi
instruct the patient - .
ANS >> to complete the entire course of drug therapy. - .
Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abus
In an emergency, a Schedule II drug may be prescribed by telephone if a written prescription cannot b
provided at the time. However, a written prescription must be provided within 72 hours with the word
authorization for emergency dispensing written on the prescription. These prescriptions cannot b
refilled. A new prescription must be written each time. Examples include certain amphetamines an
barbiturates. These are scheduled drugs - .
ANS >> Schedule II - .
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy
To maximize the drug's therapeutic effects, which of the following will the nurse include in instructions t
the patient? - .
ANS >> Take the drug for one whole week before coming in contact with allergens. - .
,Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating
and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestation
as - .
ANS >> Magnesium Sulfate toxicity. - .
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusse
treatment options with his care team. What aspect of the patient's condition would contraindicate the us
of cyclophosphamide to treat leukemia? - .
ANS >> The patient's bone marrow function is significantly depressed. - .
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husban
have sought a referral to a fertility specialist to explore their options. A nurse at the clinic should recogniz
that the woman may benefit from - .
ANS >> clomiphene. - .
Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH therapy. Th
medication history reveals that he currently takes antacids regularly. The nurse will instruct the patient:
.
ANS >> to take antacids not less than 1 hour before or 2 hours after taking INH. - .
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to
5-year-old child. The nurse will calculate the drug dosage by using - .
ANS >> Body Surface Area - .
Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), an
her care team has identified potential benefits of imatinib. Which of the following characteristics of thi
patient's current health status may preclude the use of imatinib? - .
ANS >> The patient has chronic heart failure resulting in significant peripheral edema - .
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to treat benig
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which o
the following as a risk associated with finasteride therapy? - .
, ANS >> Prostatic neoplasia - .
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose - .
ANS >> After a meal. - .
Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transderma
(Androderm) patches. When educating the patient on administering the drug, the nurse will instruct him
to - .
ANS >> place the patch on the back, abdomen, upper arms, or thighs. - .
Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due t
worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible fo
facilitating this new aspect of the patient's drug regimen involving the administration of - .
ANS >> weekly subcutaneous injections - .
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin fo
recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss the use of - .
ANS >> food containing iron or calcium with the woman. - .
Question 17: A Nurse Practitioner has Questioned why a patient's physician has prescribed a narrow
spectrum antibiotic rather than a broad-spectrum drug to treat a patient's infection. Which of the followin
facts provides the best rationale for using narrow-spectrum antibiotics whenever possible? - .
ANS >> The use of broad-spectrum antibiotics can create a risk for a superinfection. - .
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increas
the chance that the boy will take his prescribed medication, the nurse should - .
ANS >> offer a choice between liquid and chewable medications, if possible. - .
Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxi
B systemically? - .
ANS >> Nephrotoxicity and hepatotoxicity - .
Questions and answers) 2025-2026 update
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed an
prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him
which of the following? - .
ANS >> "You might find that your face becomes flushed, or you get a headache after taking Viagra." - .
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessmen
reveals that he is also taking warfarin. The nurse must carefully monitor which of the following? - .
ANS >> Elevated prothrombin time - .
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse wi
instruct the patient - .
ANS >> to complete the entire course of drug therapy. - .
Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abus
In an emergency, a Schedule II drug may be prescribed by telephone if a written prescription cannot b
provided at the time. However, a written prescription must be provided within 72 hours with the word
authorization for emergency dispensing written on the prescription. These prescriptions cannot b
refilled. A new prescription must be written each time. Examples include certain amphetamines an
barbiturates. These are scheduled drugs - .
ANS >> Schedule II - .
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy
To maximize the drug's therapeutic effects, which of the following will the nurse include in instructions t
the patient? - .
ANS >> Take the drug for one whole week before coming in contact with allergens. - .
,Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating
and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestation
as - .
ANS >> Magnesium Sulfate toxicity. - .
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusse
treatment options with his care team. What aspect of the patient's condition would contraindicate the us
of cyclophosphamide to treat leukemia? - .
ANS >> The patient's bone marrow function is significantly depressed. - .
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husban
have sought a referral to a fertility specialist to explore their options. A nurse at the clinic should recogniz
that the woman may benefit from - .
ANS >> clomiphene. - .
Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH therapy. Th
medication history reveals that he currently takes antacids regularly. The nurse will instruct the patient:
.
ANS >> to take antacids not less than 1 hour before or 2 hours after taking INH. - .
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to
5-year-old child. The nurse will calculate the drug dosage by using - .
ANS >> Body Surface Area - .
Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), an
her care team has identified potential benefits of imatinib. Which of the following characteristics of thi
patient's current health status may preclude the use of imatinib? - .
ANS >> The patient has chronic heart failure resulting in significant peripheral edema - .
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to treat benig
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which o
the following as a risk associated with finasteride therapy? - .
, ANS >> Prostatic neoplasia - .
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose - .
ANS >> After a meal. - .
Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transderma
(Androderm) patches. When educating the patient on administering the drug, the nurse will instruct him
to - .
ANS >> place the patch on the back, abdomen, upper arms, or thighs. - .
Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due t
worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible fo
facilitating this new aspect of the patient's drug regimen involving the administration of - .
ANS >> weekly subcutaneous injections - .
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin fo
recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss the use of - .
ANS >> food containing iron or calcium with the woman. - .
Question 17: A Nurse Practitioner has Questioned why a patient's physician has prescribed a narrow
spectrum antibiotic rather than a broad-spectrum drug to treat a patient's infection. Which of the followin
facts provides the best rationale for using narrow-spectrum antibiotics whenever possible? - .
ANS >> The use of broad-spectrum antibiotics can create a risk for a superinfection. - .
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increas
the chance that the boy will take his prescribed medication, the nurse should - .
ANS >> offer a choice between liquid and chewable medications, if possible. - .
Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxi
B systemically? - .
ANS >> Nephrotoxicity and hepatotoxicity - .
