NR 565 Advanced Pharmacology
Fundamentals Final Exam Test Bank |
Chamberlain College of Nursing | Latest
2025/2026 New Edition
A 33 year old asthmatic patient reports asthma symptoms that occur daily with night time
exacerbations occurring 4-5 times a week. The patient is mostly like diagnosed with:
A. Intermittent asthma
B. Mild-peristant asthma
C. Moderate-persistant asthma
D. Severe asthma
C. Moderate-persistant asthma
In management of asthma, step 1 therapy includes
A. Increase fluid intake and oxygen as needed
B. Short-Acting Beta Agonists (SABA) as needed
C. Inhaled corticosteroids (ICS)
D. Omalizumab
B. Short-Acting Beta Agonists (SABA) as needed
Page 1 of 37
,A 26 year old asthmatic patient reports asthma symptoms that occur several times a day with
nightly exacerbations. The patient is mostly like diagnosed with:
A. Intermittent asthma
B. Mild-peristant asthma
C. Moderate-persistant asthma
D. Severe asthma
D. Severe asthma
What is the the therapeutic goal of inhaled corticosteroids (ICS)?
A. To achieve symptom control through suppression of airway inflammation.
B. To produce bronchodilation by relaxing smooth muscle of the bronchi
C. To decrease the intensity and frequency of moderate to severe asthma attacks and to
control chronic obstructive pulmonary disease exacerbations through bronchodilation.
D. To reduce inflammation by suppressing cytokine release and by decreasing pulmonary
infiltration by neutrophils and other white blood cells.
A. To achieve symptom control through suppression of airway inflammation.
Which patient population is at most risk for methylxanthine toxicity?
A. Asians
B. Women of child-bearing age
C. Diabetics
D. Older adults
D. Older adults
Which of the following medications is a long-acting beta agonists (LABA)?
A. Methylprednisolone
B. Budesonide
C. Salmeterol
D. Zafirlukast
C. Salmeterol
The correct drug classification of Ciclesonide is
A. Methylazanthine
Page 2 of 37
,B. Inhaled Corticosteroid
C. Short-acting Beta Agonist
D. Leukotriene Receptor Antagonist
B. Inhaled Corticosteroid
A 29 year old patient reports asthma symptoms occurring twice a week with one night time
exacerbation last month. Which medication would the NP most likely prescribe?
A. Levalbuterol
B. Oldaterol
C. Theophylline
D. Pratropium bromide
A. Levalbuterol
Of the following, which is not used to diagnose thyroid conditions?
A. Calcitonin
B. TSH
C. Free T4
D. Total T3
A. Calcitonin
When should a TSH level be drawn after adjusting the dose of levothyroxine?
A. after 24 months
B. within 6-8 weeks
C. at least once a year
D. the following week
B. within 6-8 weeks
During a physical assessment, a patient reports difficulty falling asleep, increased weightloss
despite having an increased appetite, feeling increasingly anxious, and noticing their eyes
bulging. Which diagnosis should the NP consider?
A. Hashimoto's Disease
B. Hypothyroidism
C. Hyperthyroidism
D. Addision's Disease
Page 3 of 37
, C. Hyperthyroidism
Which medication is best used to treat thyroid storm?
A. NSAIDs
B. Ace inhibitors
C. Levothyroxine
D. Potassium iodine
D. Potassium iodine
Why should hypothyroidism be treated early within pregnancy?
A. Hypothyroidism in pregnancy should be treated with beta blockers.
B. Maternal hypothyroidism can cause significant weight loss.
C. Hypothyroidism in pregnancy can cause congenital hyperthyroidism.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
Which of the following medications accelerates the absorption of levothyroxine?
A. Iron supplements
B. Pantoprazole
C. Sertraline
D. Digoxin
C. Sertraline
The NP ordered a repeat fasting plasma glucose test for their patient, as the first test came
back elevated. Which of the following repeat fasting plasma glucose value would confirm a
diagnosis of diabetes?
A. 98
B. 148
C. 122
D. 55
B. 148
A patient presents with an A1C of 11.2%. Which medication should be considered at this
time?
Page 4 of 37
Fundamentals Final Exam Test Bank |
Chamberlain College of Nursing | Latest
2025/2026 New Edition
A 33 year old asthmatic patient reports asthma symptoms that occur daily with night time
exacerbations occurring 4-5 times a week. The patient is mostly like diagnosed with:
A. Intermittent asthma
B. Mild-peristant asthma
C. Moderate-persistant asthma
D. Severe asthma
C. Moderate-persistant asthma
In management of asthma, step 1 therapy includes
A. Increase fluid intake and oxygen as needed
B. Short-Acting Beta Agonists (SABA) as needed
C. Inhaled corticosteroids (ICS)
D. Omalizumab
B. Short-Acting Beta Agonists (SABA) as needed
Page 1 of 37
,A 26 year old asthmatic patient reports asthma symptoms that occur several times a day with
nightly exacerbations. The patient is mostly like diagnosed with:
A. Intermittent asthma
B. Mild-peristant asthma
C. Moderate-persistant asthma
D. Severe asthma
D. Severe asthma
What is the the therapeutic goal of inhaled corticosteroids (ICS)?
A. To achieve symptom control through suppression of airway inflammation.
B. To produce bronchodilation by relaxing smooth muscle of the bronchi
C. To decrease the intensity and frequency of moderate to severe asthma attacks and to
control chronic obstructive pulmonary disease exacerbations through bronchodilation.
D. To reduce inflammation by suppressing cytokine release and by decreasing pulmonary
infiltration by neutrophils and other white blood cells.
A. To achieve symptom control through suppression of airway inflammation.
Which patient population is at most risk for methylxanthine toxicity?
A. Asians
B. Women of child-bearing age
C. Diabetics
D. Older adults
D. Older adults
Which of the following medications is a long-acting beta agonists (LABA)?
A. Methylprednisolone
B. Budesonide
C. Salmeterol
D. Zafirlukast
C. Salmeterol
The correct drug classification of Ciclesonide is
A. Methylazanthine
Page 2 of 37
,B. Inhaled Corticosteroid
C. Short-acting Beta Agonist
D. Leukotriene Receptor Antagonist
B. Inhaled Corticosteroid
A 29 year old patient reports asthma symptoms occurring twice a week with one night time
exacerbation last month. Which medication would the NP most likely prescribe?
A. Levalbuterol
B. Oldaterol
C. Theophylline
D. Pratropium bromide
A. Levalbuterol
Of the following, which is not used to diagnose thyroid conditions?
A. Calcitonin
B. TSH
C. Free T4
D. Total T3
A. Calcitonin
When should a TSH level be drawn after adjusting the dose of levothyroxine?
A. after 24 months
B. within 6-8 weeks
C. at least once a year
D. the following week
B. within 6-8 weeks
During a physical assessment, a patient reports difficulty falling asleep, increased weightloss
despite having an increased appetite, feeling increasingly anxious, and noticing their eyes
bulging. Which diagnosis should the NP consider?
A. Hashimoto's Disease
B. Hypothyroidism
C. Hyperthyroidism
D. Addision's Disease
Page 3 of 37
, C. Hyperthyroidism
Which medication is best used to treat thyroid storm?
A. NSAIDs
B. Ace inhibitors
C. Levothyroxine
D. Potassium iodine
D. Potassium iodine
Why should hypothyroidism be treated early within pregnancy?
A. Hypothyroidism in pregnancy should be treated with beta blockers.
B. Maternal hypothyroidism can cause significant weight loss.
C. Hypothyroidism in pregnancy can cause congenital hyperthyroidism.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
Which of the following medications accelerates the absorption of levothyroxine?
A. Iron supplements
B. Pantoprazole
C. Sertraline
D. Digoxin
C. Sertraline
The NP ordered a repeat fasting plasma glucose test for their patient, as the first test came
back elevated. Which of the following repeat fasting plasma glucose value would confirm a
diagnosis of diabetes?
A. 98
B. 148
C. 122
D. 55
B. 148
A patient presents with an A1C of 11.2%. Which medication should be considered at this
time?
Page 4 of 37
