Actual Exam
NR565 Advanced Pharmacology Midterm
Actual Exam Prep Latest 2025/2026 Complete
380 Questions And Correct Detailed Answers
(Verified Rationales)
Overuse of Beta 2 agonist inhalation in combination with taking thiazide diuretics, such as
hydrochlorothiazide (HCTZ), can cause a drug interaction
in a patient. The symptom(s) of this interaction is/are:
A. Hypokalemia
B. Tremors and tachycardia
C. Nausea and vomiting
D. Extreme agitiation
- Correct Answer :A. Hypokalemia
Beclometasone (Qvar) is a inhaled corticosteroid drug often prescribed for
COPD patients. Because of a common side effect, patient are advised to rinse their mouth after
using. This is because Qvar increases the risk
of .
A. Oral fungus
B. Viral infection
C. Bronchospasm
D. Hypercalcemia
- Correct Answer :A. Oral fungus
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, NR565 Advanced Pharmacology Midterm
Actual Exam
According to Guidelines from the National Asthma Education and Prevention Program, when
ordering pharmaceuticals for asthma treatment for patients >
age 12, the "Stepwise approach":
A. the most effective because it tailors the selection of medication to the level of
asthma severity
B. the accepted method of identifying those at risk for asthma
C. the measurement of Forced Expiratory Volume (FEV1) over one minute to determine excerbation
of asthma
D. the method designed to replace clinical decision making in managing asthma
treatments
- Correct Answer :A. the most effective because it tailors the selection of medication to the level of
asthma severity
Six year old Heather has asthma. The best advice you can give her mother to manage her daughter's
asthma is to:
A. Identify and avoid her asthma triggers
B. Treat her allergies aggressively
C. Smoke her cigarettes in the garage
D. Use her asthma medications as needed
- Correct Answer :A. Identify and avoid her asthma triggers
The best tool for diagnosing intermittent seasonal allergic rhinitis is:
A. a good history and physical examination
B. serum allergy testing
C. the sneeze test
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, NR565 Advanced Pharmacology Midterm
Actual Exam
- Correct Answer :A. a good history and physical examination
Your 2 year old patient has a upper respiratory infection (URI). The patient's friend advised her to
take Bayer aspirin for her fever. Your response is:
A. Your child is at risk for Reye's Syndrome if they take aspirin
B. Aspirin is tough on the GI tract and should not be taken.
C. Aspirin is an effective time honored treatment and can help reduce the aches
and pains from a URI as well
D. Even babies do well taking aspirin, so continue to take the Bayer aspirin, but
be sure the dose is safe
- Correct Answer :A. Your child is at risk for Reye's Syndrome if they take aspirin
Your adolescent patient has a persistent cough. You diagnose her with a viral upper respiratory
infection (URI). She requests a cough medication. You know the best choice for her is:
A. A antihistamine/decongestant combination cough syrup
B. Guaifenesin with codeine cough syrup
C. A cough suppresant syrup
D. OTC Zinc Cold Therapy syrup
- Correct Answer :A. A antihistamine/decongestant combination cough syrup
The most effect agents for treating allergic rhinitis are:
A. Intranasal corticosteroids such as fluticasone (Flonase) or mometasone (Nasonex)
B. 1st generation antihistamines such as diphenhydramine (Benadryl)
C. Decongestants such as pseudoephedrine (Sudafed ) or chlorpheniramine (Chlor-Trimeton)
D. Oral steroids such as Prednisone
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, NR565 Advanced Pharmacology Midterm
Actual Exam
- Correct Answer :A. Intranasal corticosteroids such as fluticasone (Flonase) or mometasone
(Nasonex)
Your patient, Michael, overuses his Beta 2 agonist inhalation in combination with taking HCTZ, which
is causing a drug interaction. You need to determine if the risk of taking this combination outweighs
the benefits. What would you do?
A. Change HCTZ to another antihypertensive; start him on a low dose inhaled corticosteroid (ICS) and
advise him to only use Beta 2 agonist prn
B. Continue the HCTZ and start oral corticosteroids
C. Add a potassium supplement
D. Add a calcium supplement
- Correct Answer :A. Change HCTZ to another antihypertensive; start him on a low dose inhaled
corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
To overcome the biggest concern of children using corticosteroid inhalers, as
their prescriber you should:
A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of inhaled
corticosteroids instead of using a higher dose of the corticosteroid
B. Use a higher dose of the corticosteroid instead of adding a long-acting inhaled
Beta 2 Agonist to a low-to-medium dose of inhaled corticosteroids
C. Advise the child uses only Beta 2 Agonists several times per day for inhalation
treatments
- Correct Answer :A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of inhaled
corticosteroids instead of using a higher dose of the corticosteroid
For an elderly patient with glaucoma or osteoporosis, it is preferable to:
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