NR 566 Advanced Pharmacology Final Exam 2025/2026 |
Version B | Verified-Style Practice | Updated Edition |
Graded A+
Overview
The NR 566 Advanced Pharmacology Final Exam Version B is a new, expert-crafted practice
set that reflects current evidence-based pharmacotherapy standards.
It challenges clinical reasoning across major therapeutic areas and prepares graduate nursing
students for board-level pharmacology assessments.
Introduction
This Version B practice exam focuses on:
Mechanisms of action, side-effect profiles, and contraindications
Safe prescribing for special populations (pregnant, pediatric, geriatric, renal/hepatic)
Recognition of drug–drug and drug–food interactions
Selection of the most appropriate first-line or evidence-based therapy
Exam-Style Questions and Answers
Q1
A 58-year-old male with chronic heart failure is prescribed spironolactone. Which laboratory
test requires the closest follow-up?
✅ Answer: Serum potassium
Rationale: Potassium-sparing diuretics may cause hyperkalemia, especially in renal
impairment.
, Q2
Which antibiotic is contraindicated in children under 8 years old?
✅ Answer: Doxycycline
Rationale: Tetracyclines deposit in developing teeth and bones.
Q3
Which medication should be avoided in patients with a sulfa allergy?
✅ Answer: Furosemide
Rationale: Contains a sulfonamide group that can trigger hypersensitivity.
Q4
A patient taking digoxin develops nausea and yellow vision. Which electrolyte imbalance most
often contributes?
✅ Answer: Hypokalemia
Rationale: Low K⁺ enhances digoxin binding, increasing toxicity.
Q5
A 42-year-old woman with migraines takes sumatriptan and fluoxetine. She presents with
confusion and tremor.
✅ Answer: Serotonin syndrome
Rationale: Additive serotonergic effects cause neuromuscular and autonomic hyperactivity.
Q6
Which insulin is appropriate for basal, once-daily use?
✅ Answer: Insulin glargine (Lantus)
Rationale: Long-acting with ~24-hour duration, minimal peaks.
Q7
Which drug class is first-line for treating generalized anxiety disorder?
✅ Answer: SSRIs (e.g., sertraline)
Rationale: Safer long-term than benzodiazepines; effective for chronic anxiety.
Version B | Verified-Style Practice | Updated Edition |
Graded A+
Overview
The NR 566 Advanced Pharmacology Final Exam Version B is a new, expert-crafted practice
set that reflects current evidence-based pharmacotherapy standards.
It challenges clinical reasoning across major therapeutic areas and prepares graduate nursing
students for board-level pharmacology assessments.
Introduction
This Version B practice exam focuses on:
Mechanisms of action, side-effect profiles, and contraindications
Safe prescribing for special populations (pregnant, pediatric, geriatric, renal/hepatic)
Recognition of drug–drug and drug–food interactions
Selection of the most appropriate first-line or evidence-based therapy
Exam-Style Questions and Answers
Q1
A 58-year-old male with chronic heart failure is prescribed spironolactone. Which laboratory
test requires the closest follow-up?
✅ Answer: Serum potassium
Rationale: Potassium-sparing diuretics may cause hyperkalemia, especially in renal
impairment.
, Q2
Which antibiotic is contraindicated in children under 8 years old?
✅ Answer: Doxycycline
Rationale: Tetracyclines deposit in developing teeth and bones.
Q3
Which medication should be avoided in patients with a sulfa allergy?
✅ Answer: Furosemide
Rationale: Contains a sulfonamide group that can trigger hypersensitivity.
Q4
A patient taking digoxin develops nausea and yellow vision. Which electrolyte imbalance most
often contributes?
✅ Answer: Hypokalemia
Rationale: Low K⁺ enhances digoxin binding, increasing toxicity.
Q5
A 42-year-old woman with migraines takes sumatriptan and fluoxetine. She presents with
confusion and tremor.
✅ Answer: Serotonin syndrome
Rationale: Additive serotonergic effects cause neuromuscular and autonomic hyperactivity.
Q6
Which insulin is appropriate for basal, once-daily use?
✅ Answer: Insulin glargine (Lantus)
Rationale: Long-acting with ~24-hour duration, minimal peaks.
Q7
Which drug class is first-line for treating generalized anxiety disorder?
✅ Answer: SSRIs (e.g., sertraline)
Rationale: Safer long-term than benzodiazepines; effective for chronic anxiety.
