1|Page
NR 567 FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| NR567 ADVANCED PHARMACOLOGY
FOR THE AGACNP FINAL EXAM PREP WITH 550
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW!!)
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage
hyperprolactinemia?
A) Bromocriptine (Parlodel)
B) Haloperidol (Haldol)
C) Promethazine (Phenergan)
D) Chlorpromazine (Thorazine) – Correct Answer – A.
A 35-year-old female with a long history of anxiety treated with
diazepam (Valium) has increasingly become fearful and anxious about
the Coronavirus pandemic and triples her daily dose. She is found
extremely lethargic and obtunded two days after the increased dosing.
Which of the following pharmaceutical agents should the nurse
practitioner order to treat her condition?
A) Flumazenil (Romazicon)
B) Naloxone (Narcan)
C) Depakote (Divalproex sodium)
D) Midazolam (Versed) – Correct Answer – A.
pg. 1
,2|Page
A 25-year-old male with a history of bipolar disease presents to the
emergency department (ED) with acute agitation characteristic of mania.
Non-pharmacological methods of de-escalation have been attempted
without success. Which of the following is not recommended to treat
this patient?
A) Haloperidol (Haldol)
B) Olanzapine (Zyprexa)
C) Aripiprazole (Abilify)
D) Naltrexone (Vivitrol, ReVia) – Correct Answer – B.
Which of the following is a long-acting benzodiazepine that is used to
treat anxiety?
A) Diazepam (Valium)
B) Alprazolam (Xanax)
C) Eszopiclone (Lunesta)
D) Zolpidem (Ambien) – Correct Answer – A.
Your patient reports a history of anaphylaxis to an "ester-type" local
anesthetic. Which of the following, if given, would be most likely to
provoke an allergic response in this patient?
A) Lidocaine (Xylocaine)
B) Tetracaine (Pontocaine)
C) Bupivacaine (Marcaine)
D) Ropivacaine (Naropin) – Correct Answer – B.
pg. 2
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An OR patient receives propofol for induction. What is the most likely
adverse response associated with the administration of this
pharmaceutical agent?
A) Laryngospasm
B) Seizure
C) Excessively prolonged skeletal muscle paralysis
D) Hypotension and respiratory depression – Correct Answer – D.
The double bond in the Propofol molecule is vulnerable to assault by the
enzyme cytochrome P450. When this enzyme binds to the Propofol
molecule, it creates a reactive intermediate that damages cell
membranes, including those in the brain and respiratory area.
Respiratory depression can result from this injury. Propofol depresses
the central nervous system, which can lead to respiratory depression.
This can result in a reduction in respiratory rate and an increase in blood
carbon dioxide levels.
A patient taking an SSRI reports sexual dysfunction. The APRN should
consider:
A) Lowering the dose
B) Switching to a TCA
C) Reassuring the patient this is temporary
D) Switching to bupropion – Correct Answer – D.
Bupropion has fewer sexual side effects and may be substituted for
SSRIs.
pg. 3
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What is the primary risk of combining SSRIs with MAOIs?
A) Depression
B) Serotonin syndrome
C) Hypotension
D) Extrapyramidal symptoms – Correct Answer – B.
Combining SSRIs and MAOIs increases serotonin dangerously, risking
serotonin
What is a priority nursing assessment when administering phenytoin?
A) Renal function
B) Liver enzymes
C) Cardiac rhythm
D) Oral hygiene – Correct Answer – D.
Phenytoin can cause gingival hyperplasia; good oral care reduces risk.
What symptom indicates possible phenytoin toxicity?
A) Bradycardia
B) Slurred speech and ataxia
C) Hypertension
D) Constipation – Correct Answer – B.
Neurologic signs like ataxia and slurred speech are early indicators of
phenytoin toxicity.
pg. 4
NR 567 FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| NR567 ADVANCED PHARMACOLOGY
FOR THE AGACNP FINAL EXAM PREP WITH 550
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW!!)
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage
hyperprolactinemia?
A) Bromocriptine (Parlodel)
B) Haloperidol (Haldol)
C) Promethazine (Phenergan)
D) Chlorpromazine (Thorazine) – Correct Answer – A.
A 35-year-old female with a long history of anxiety treated with
diazepam (Valium) has increasingly become fearful and anxious about
the Coronavirus pandemic and triples her daily dose. She is found
extremely lethargic and obtunded two days after the increased dosing.
Which of the following pharmaceutical agents should the nurse
practitioner order to treat her condition?
A) Flumazenil (Romazicon)
B) Naloxone (Narcan)
C) Depakote (Divalproex sodium)
D) Midazolam (Versed) – Correct Answer – A.
pg. 1
,2|Page
A 25-year-old male with a history of bipolar disease presents to the
emergency department (ED) with acute agitation characteristic of mania.
Non-pharmacological methods of de-escalation have been attempted
without success. Which of the following is not recommended to treat
this patient?
A) Haloperidol (Haldol)
B) Olanzapine (Zyprexa)
C) Aripiprazole (Abilify)
D) Naltrexone (Vivitrol, ReVia) – Correct Answer – B.
Which of the following is a long-acting benzodiazepine that is used to
treat anxiety?
A) Diazepam (Valium)
B) Alprazolam (Xanax)
C) Eszopiclone (Lunesta)
D) Zolpidem (Ambien) – Correct Answer – A.
Your patient reports a history of anaphylaxis to an "ester-type" local
anesthetic. Which of the following, if given, would be most likely to
provoke an allergic response in this patient?
A) Lidocaine (Xylocaine)
B) Tetracaine (Pontocaine)
C) Bupivacaine (Marcaine)
D) Ropivacaine (Naropin) – Correct Answer – B.
pg. 2
,3|Page
An OR patient receives propofol for induction. What is the most likely
adverse response associated with the administration of this
pharmaceutical agent?
A) Laryngospasm
B) Seizure
C) Excessively prolonged skeletal muscle paralysis
D) Hypotension and respiratory depression – Correct Answer – D.
The double bond in the Propofol molecule is vulnerable to assault by the
enzyme cytochrome P450. When this enzyme binds to the Propofol
molecule, it creates a reactive intermediate that damages cell
membranes, including those in the brain and respiratory area.
Respiratory depression can result from this injury. Propofol depresses
the central nervous system, which can lead to respiratory depression.
This can result in a reduction in respiratory rate and an increase in blood
carbon dioxide levels.
A patient taking an SSRI reports sexual dysfunction. The APRN should
consider:
A) Lowering the dose
B) Switching to a TCA
C) Reassuring the patient this is temporary
D) Switching to bupropion – Correct Answer – D.
Bupropion has fewer sexual side effects and may be substituted for
SSRIs.
pg. 3
, 4|Page
What is the primary risk of combining SSRIs with MAOIs?
A) Depression
B) Serotonin syndrome
C) Hypotension
D) Extrapyramidal symptoms – Correct Answer – B.
Combining SSRIs and MAOIs increases serotonin dangerously, risking
serotonin
What is a priority nursing assessment when administering phenytoin?
A) Renal function
B) Liver enzymes
C) Cardiac rhythm
D) Oral hygiene – Correct Answer – D.
Phenytoin can cause gingival hyperplasia; good oral care reduces risk.
What symptom indicates possible phenytoin toxicity?
A) Bradycardia
B) Slurred speech and ataxia
C) Hypertension
D) Constipation – Correct Answer – B.
Neurologic signs like ataxia and slurred speech are early indicators of
phenytoin toxicity.
pg. 4
