02/02/2026
COLLEGE OF NURSING) PRACTICE EXAM FINAL 2026/2027
NR 565 advanced pharmacology (Chamberlain college of
nursing) Practice EXAM FINAL 2026/2027| Questions and
Correct Answers (Verified, Exams of Nursing
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
What medication is contraindicated to treat diabetes if a patient already has a cardiac ejection fraction
rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
2/2/2026
C. Dopamine Agonist
D. Glucosidase Inhibitor
1
, NR 565 ADVANCED PHARMACOLOGY (CHAMBERLAIN
02/02/2026
COLLEGE OF NURSING) PRACTICE EXAM FINAL 2026/2027
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and palpitations. She
has a long history of obesity and reports that she is happy that she has lost 23 pounds in the last 2
months. She also reports that she has trouble sleeping and her husband complains that she is keeping
the house too cold. Physical exam reveals slight tachycardia at 104 bpm and a slightly enlarged thyroid.
Thyroid testing reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
Which of the following medications would be considered the first line of treatment for a newly
diagnosed Diabetic patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide
Of the following medications, which is most likely to cause hypoglycemia?
A. Metformin
B. Insulin
2/2/2026
C. Incretin mimetics
D. Thiazolidinediones
2
, NR 565 ADVANCED PHARMACOLOGY (CHAMBERLAIN
02/02/2026
COLLEGE OF NURSING) PRACTICE EXAM FINAL 2026/2027
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
Patients with an increased risk for UTIs and genital infections or an active diagnosis, should avoid what
drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
A 45-year-old patient with a history of type 2 diabetes presents to the clinic for a follow-up
appointment. The healthcare provider has prescribed metformin as part of the treatment plan. Which of
the following statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
2/2/2026
3