1
NR
NR 567/ NR567 FINAL EXAM: (NEW 2025/ 2026
UPDATE) ADVANCED PHARMACOLOGY FOR THE AGACNP
REVIEW| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Which of the following medications should be given to
patients presenting to the emergency department (ED) with
an altered level of consciousness, seizures, or both, if a
concern of Wernicke-Korsakoff syndrome exists?: Folate
(Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not
recommended for
treating methanol poisoning?: Ethanol intravenously
Fomepizole
(Antizole)
Sodium
Bicarbonate
Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the
preferred antiseizure medication for a generalized seizure
disorder in a 25-year -old pregnant female?: Phenobarbital
(Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen.
Exposure in first trimester isassociated with an approximately
NR 567
, 2
NR
threefold increased risk of major congenital malformations,most
commonly spina bifida. There is evidence that valproate exposure
may be associated withan increased risk of autism spectrum
disorder. Levetiracetam (Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial
treatment of choice for status epilepticus?: Lorazepam
(Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?: In patients
with hypovolemic states, heart failure, and other diseases that
impair cardiovascular function, normal doses of sedative-
hypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-
hypnotics can produce significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant;
zolpidem (Ambien) and lorazepam (Ativan) are excellent options
for managing seizures. Benzodiazepines exert dose-dependent
anterograde amnestic effects.
6. Your patient has been taking risperidone (Risperdal) but
has developed hyperprolactinemia. Which of the following
may help manage hyperprolactinemia?: Bromocriptine
(Parlodel) b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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
NR 567
, 3
NR
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?: Flumazenil
(Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
8. 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?: Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine
that is used to treat anxiety?: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of
which of the following?: Clozapine (Clozaril)
Haloperidol (Haldol)
Aripi
praz
ole
(Abili
fy)
NR 567
NR
NR 567/ NR567 FINAL EXAM: (NEW 2025/ 2026
UPDATE) ADVANCED PHARMACOLOGY FOR THE AGACNP
REVIEW| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Which of the following medications should be given to
patients presenting to the emergency department (ED) with
an altered level of consciousness, seizures, or both, if a
concern of Wernicke-Korsakoff syndrome exists?: Folate
(Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not
recommended for
treating methanol poisoning?: Ethanol intravenously
Fomepizole
(Antizole)
Sodium
Bicarbonate
Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the
preferred antiseizure medication for a generalized seizure
disorder in a 25-year -old pregnant female?: Phenobarbital
(Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen.
Exposure in first trimester isassociated with an approximately
NR 567
, 2
NR
threefold increased risk of major congenital malformations,most
commonly spina bifida. There is evidence that valproate exposure
may be associated withan increased risk of autism spectrum
disorder. Levetiracetam (Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial
treatment of choice for status epilepticus?: Lorazepam
(Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?: In patients
with hypovolemic states, heart failure, and other diseases that
impair cardiovascular function, normal doses of sedative-
hypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-
hypnotics can produce significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant;
zolpidem (Ambien) and lorazepam (Ativan) are excellent options
for managing seizures. Benzodiazepines exert dose-dependent
anterograde amnestic effects.
6. Your patient has been taking risperidone (Risperdal) but
has developed hyperprolactinemia. Which of the following
may help manage hyperprolactinemia?: Bromocriptine
(Parlodel) b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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
NR 567
, 3
NR
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?: Flumazenil
(Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
8. 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?: Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine
that is used to treat anxiety?: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of
which of the following?: Clozapine (Clozaril)
Haloperidol (Haldol)
Aripi
praz
ole
(Abili
fy)
NR 567
