Advanced Pharmacology NSG 533 Exam 1 Prep
Test with 160 Questions and Correct Answers/
NSG 533 TEST 1 Prep Latest 2025-2026
Which of the following statements is true?
A. Antibiotics carry more risks than urinary tract infections during pregnancy.
B. Antihypertensive agents carry more risks of fetal malformations than
hypertension.
C. Heparins carry more risks of fetal complications than warfarin.
D. Antiepileptic agents carry more risks of fetal malformation than epilepsy.
E. Propylthiouracil displays more risks of fetal malformations than
hyperthyroidism. - ANSWER-D. Antieileptic agents carry more risks of fetal
malformation than epilepsy
Which of the following women should not be started on group B streptococcus
antibiotic prophylaxis?
A. Preterm premature rupture of membranes, 30 weeks, first pregnancy, and GBS
status
unknown
B. Onset of labor, 34 weeks, second pregnancy, GBS status unknown, and negative
status at previous delivery
C. Onset of labor, 38 weeks, third pregnancy, and second baby had GBS neonatal
infection
D. Rupture of membranes, 39 weeks, first pregnancy, and negative GBS status at
36 weeks
pg. 1
,E. Onset of labor, 40 weeks, first pregnancy, and positive urine culture for GBS -
ANSWER-D. Rupture of membranes, 39 weeks, first pregnancy, and negative
GBS status at 36 weeks
Of the following combinations of medications, which one would you want to
avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - ANSWER-B
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - ANSWER-C
Chose the correct statement:
A. Lithium is associated with an increased risk of cardiac malformations when
used between the 5th and 10th weeks of pregnancy
B. Newer antipsychotics are not well studied and should be avoided during
pregnancy
C. Valproic acid is the treatment of choice for rapid cycling bipolar disorders
during pregnancy
D. Lithium has been associated with neonatal hypotonia (floppy infant syndrome)
when used during the first trimester of pregnancy
pg. 2
,E. Lithium pharmacokinetics is changed during pregnancy which leads usually to
doses reductions during the second and third trimesters. - ANSWER-A. Lithium is
associated with an increased risk of cardiac malformations when used between the
5th and 10th weeks of pregnancy.
MM gave birth this morning to a healthy 3.2 kg baby at 39 weeks gestation. She
has been treated for a bipolar disease for several years. Her medication was not
changed or adjusted during pregnancy. She would like to breast-feed. What would
be the appropriate recommendation?
Medications: Lithium 900 mg orally at bedtime; citalopram 20 mg orally daily in
the morning; lorazepam 1 mg orally at bedtime as needed (takes it twice weekly)
A. The baby should be admitted to the neonatal intensive care unit for close
monitoring
B. Lithium should be changed for valproic acid which does not pass extensively
into breast
milk
C. Lithium can be used during breast-feeding in selected reliable women as long as
close monitoring of the infant (including thyroid and renal functions, and lithium
serum levels) can be ensured.
D. Citalopram can be used during breast-feeding as long as close monitoring of the
infant (weight, renal and liver - ANSWER-C. Lithium can be used during
breastfeeding in selected reliable women as long as close monitoring of the infant
(including thyroid and renal functions, and lithium serum levels) can be ensured.
Which of the following SSRIs requires up to a 5-week washout period because of
the long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
pg. 3
, D. Sertraline - ANSWER-C
TQ is a 51-year-old woman who presents to your clinic today with a complaint of
difficulty initiating sleep. She goes to bed at 10 PM and awakens at 6 AM but
frequently does not fall asleep for 1.5 to 2 hours. This problem has persisted for 9
months. TQ also has a history of alcohol abuse. Based on the available
information, which agent would be the best choice to treat TQ's complaint?
A. Ramelteon
B. Temazepam
C. Flurazepam
D. Eszopiclone
E. Amitriptyline - ANSWER-A
JM is a 38-year-old man traveling to Europe on business. He asks you for a
recommendation to treat jet lag upon his arrival. Based on the available evidence,
which agent would you recommend?
A. Valerian
B. Diphenhydramine
C. Mirtazapine
D. Melatonin
E. Quazepam - ANSWER-D
A patient presents to the clinic and tells you that he is looking for something to
help him fall at night. He reports that he frequently goes to bed and cannot fall
asleep for 2 or 3 hours, so he lies in bed and watches television. Upon further
questioning, he relays the following information about his sleep and medical
history:
pg. 4
Test with 160 Questions and Correct Answers/
NSG 533 TEST 1 Prep Latest 2025-2026
Which of the following statements is true?
A. Antibiotics carry more risks than urinary tract infections during pregnancy.
B. Antihypertensive agents carry more risks of fetal malformations than
hypertension.
C. Heparins carry more risks of fetal complications than warfarin.
D. Antiepileptic agents carry more risks of fetal malformation than epilepsy.
E. Propylthiouracil displays more risks of fetal malformations than
hyperthyroidism. - ANSWER-D. Antieileptic agents carry more risks of fetal
malformation than epilepsy
Which of the following women should not be started on group B streptococcus
antibiotic prophylaxis?
A. Preterm premature rupture of membranes, 30 weeks, first pregnancy, and GBS
status
unknown
B. Onset of labor, 34 weeks, second pregnancy, GBS status unknown, and negative
status at previous delivery
C. Onset of labor, 38 weeks, third pregnancy, and second baby had GBS neonatal
infection
D. Rupture of membranes, 39 weeks, first pregnancy, and negative GBS status at
36 weeks
pg. 1
,E. Onset of labor, 40 weeks, first pregnancy, and positive urine culture for GBS -
ANSWER-D. Rupture of membranes, 39 weeks, first pregnancy, and negative
GBS status at 36 weeks
Of the following combinations of medications, which one would you want to
avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - ANSWER-B
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - ANSWER-C
Chose the correct statement:
A. Lithium is associated with an increased risk of cardiac malformations when
used between the 5th and 10th weeks of pregnancy
B. Newer antipsychotics are not well studied and should be avoided during
pregnancy
C. Valproic acid is the treatment of choice for rapid cycling bipolar disorders
during pregnancy
D. Lithium has been associated with neonatal hypotonia (floppy infant syndrome)
when used during the first trimester of pregnancy
pg. 2
,E. Lithium pharmacokinetics is changed during pregnancy which leads usually to
doses reductions during the second and third trimesters. - ANSWER-A. Lithium is
associated with an increased risk of cardiac malformations when used between the
5th and 10th weeks of pregnancy.
MM gave birth this morning to a healthy 3.2 kg baby at 39 weeks gestation. She
has been treated for a bipolar disease for several years. Her medication was not
changed or adjusted during pregnancy. She would like to breast-feed. What would
be the appropriate recommendation?
Medications: Lithium 900 mg orally at bedtime; citalopram 20 mg orally daily in
the morning; lorazepam 1 mg orally at bedtime as needed (takes it twice weekly)
A. The baby should be admitted to the neonatal intensive care unit for close
monitoring
B. Lithium should be changed for valproic acid which does not pass extensively
into breast
milk
C. Lithium can be used during breast-feeding in selected reliable women as long as
close monitoring of the infant (including thyroid and renal functions, and lithium
serum levels) can be ensured.
D. Citalopram can be used during breast-feeding as long as close monitoring of the
infant (weight, renal and liver - ANSWER-C. Lithium can be used during
breastfeeding in selected reliable women as long as close monitoring of the infant
(including thyroid and renal functions, and lithium serum levels) can be ensured.
Which of the following SSRIs requires up to a 5-week washout period because of
the long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
pg. 3
, D. Sertraline - ANSWER-C
TQ is a 51-year-old woman who presents to your clinic today with a complaint of
difficulty initiating sleep. She goes to bed at 10 PM and awakens at 6 AM but
frequently does not fall asleep for 1.5 to 2 hours. This problem has persisted for 9
months. TQ also has a history of alcohol abuse. Based on the available
information, which agent would be the best choice to treat TQ's complaint?
A. Ramelteon
B. Temazepam
C. Flurazepam
D. Eszopiclone
E. Amitriptyline - ANSWER-A
JM is a 38-year-old man traveling to Europe on business. He asks you for a
recommendation to treat jet lag upon his arrival. Based on the available evidence,
which agent would you recommend?
A. Valerian
B. Diphenhydramine
C. Mirtazapine
D. Melatonin
E. Quazepam - ANSWER-D
A patient presents to the clinic and tells you that he is looking for something to
help him fall at night. He reports that he frequently goes to bed and cannot fall
asleep for 2 or 3 hours, so he lies in bed and watches television. Upon further
questioning, he relays the following information about his sleep and medical
history:
pg. 4
