NSG 5240 Advanced Pharmacology Midterm | Questions
& Answers | Latest Update 2026 | Exam Prep | Graded
A+
1. What are the primary symptoms associated with angioedema caused by ACE
inhibitors?
Rash and fever are the most common symptoms.
Chest pain and shortness of breath are the most common symptoms.
Nausea and vomiting are the most common symptoms.
Swelling of the tongue and hoarseness are the most common
symptoms.
2. A patient taking diltiazem (Cardizem) has come to the clinic for a follow-up
appointment. What adverse effect would the nurse assess the patient for?
shortness of breath
thrombocytopenia
chest pain
bradycardia
3. Which of the following treatments is indicated for a furuncle?
Sublingual antibiotics
Drainage after incision
Cold compresses
Topical steroid cream
4. What condition is Nifedipine (Procardia) primarily used to treat?
, Infection
Diabetes
Asthma
Hypertension
5. Describe how Furosemide (Lasix) functions in the body to alleviate conditions
such as heart failure.
Furosemide (Lasix) increases blood glucose levels to provide energy.
Furosemide (Lasix) enhances the absorption of nutrients in the
intestines.
Furosemide (Lasix) blocks pain receptors in the brain.
Furosemide (Lasix) works by inhibiting sodium and chloride
reabsorption in the kidneys, leading to increased urine output and
reduced fluid overload.
6. Describe the significance of pharmacokinetics in medication management for
nurse practitioners.
Pharmacokinetics focuses solely on drug interactions.
Pharmacokinetics helps nurse practitioners understand how drugs
are absorbed, distributed, metabolized, and excreted, which is
crucial for effective medication management.
Pharmacokinetics only applies to over-the-counter medications.
Pharmacokinetics is irrelevant to patient monitoring.
7. What is acamprosate used for?
Alcohol detoxification regime
Treat Wernicke's encephalopathy
, Maintain abstinence from drinking
Delirium tremens
8. Discuss why inhaled corticosteroids like budesonide are recommended to be
used cautiously during pregnancy.
Inhaled corticosteroids like budesonide are recommended to be
used cautiously during pregnancy due to potential risks to fetal
development and the need for careful monitoring of maternal
health.
Budesonide is primarily used for treating hypertension, which is
unrelated to pregnancy.
Inhaled corticosteroids are safe for all pregnant women without any
restrictions.
Inhaled corticosteroids are only prescribed after delivery.
9. Describe how ACE inhibitors function in the management of hypertension
and the potential adverse effects associated with their use.
ACE inhibitors lower blood pressure by inhibiting the conversion of
angiotensin I to angiotensin II, but they can cause adverse effects
like cough and hyperkalemia.
ACE inhibitors promote the reabsorption of sodium, which can lead to
fluid retention.
ACE inhibitors increase heart rate and can cause hypotension.
ACE inhibitors block calcium channels, leading to decreased heart
contractility.
10. If a nurse practitioner is considering prescribing Eplerenone for a patient
with heart failure, what key factor must they monitor closely?
Blood glucose levels
, Potassium levels
Thyroid function
Liver enzymes
11. What is the primary mechanism of action for Spironolactone (Aldactone)?
Competitively inhibits aldosterone at the level of the distal renal
tubules
Blocks angiotensin II formation
Inhibits calcium entry into smooth muscle cells
Calcium sensitizer and selective inhibitor of phosphodiesterase 3
(PDE3)
12. Nurse practitioner prescriptive authority is regulated by:
The National Council of State Boards of Nursing
The U.S. Drug Enforcement Administration
The State Board of Nursing for each state
The State Board of Pharmacy
13. Describe the role of benzodiazepines in the treatment of alcohol
withdrawal.
Benzodiazepines help to reduce withdrawal symptoms and prevent
complications during alcohol detoxification.
Benzodiazepines are primarily used for pain management.
Benzodiazepines are ineffective in treating alcohol withdrawal.
Benzodiazepines are used to increase alcohol cravings.
14. Which is a first-line treatment for dysmenorrhea?
& Answers | Latest Update 2026 | Exam Prep | Graded
A+
1. What are the primary symptoms associated with angioedema caused by ACE
inhibitors?
Rash and fever are the most common symptoms.
Chest pain and shortness of breath are the most common symptoms.
Nausea and vomiting are the most common symptoms.
Swelling of the tongue and hoarseness are the most common
symptoms.
2. A patient taking diltiazem (Cardizem) has come to the clinic for a follow-up
appointment. What adverse effect would the nurse assess the patient for?
shortness of breath
thrombocytopenia
chest pain
bradycardia
3. Which of the following treatments is indicated for a furuncle?
Sublingual antibiotics
Drainage after incision
Cold compresses
Topical steroid cream
4. What condition is Nifedipine (Procardia) primarily used to treat?
, Infection
Diabetes
Asthma
Hypertension
5. Describe how Furosemide (Lasix) functions in the body to alleviate conditions
such as heart failure.
Furosemide (Lasix) increases blood glucose levels to provide energy.
Furosemide (Lasix) enhances the absorption of nutrients in the
intestines.
Furosemide (Lasix) blocks pain receptors in the brain.
Furosemide (Lasix) works by inhibiting sodium and chloride
reabsorption in the kidneys, leading to increased urine output and
reduced fluid overload.
6. Describe the significance of pharmacokinetics in medication management for
nurse practitioners.
Pharmacokinetics focuses solely on drug interactions.
Pharmacokinetics helps nurse practitioners understand how drugs
are absorbed, distributed, metabolized, and excreted, which is
crucial for effective medication management.
Pharmacokinetics only applies to over-the-counter medications.
Pharmacokinetics is irrelevant to patient monitoring.
7. What is acamprosate used for?
Alcohol detoxification regime
Treat Wernicke's encephalopathy
, Maintain abstinence from drinking
Delirium tremens
8. Discuss why inhaled corticosteroids like budesonide are recommended to be
used cautiously during pregnancy.
Inhaled corticosteroids like budesonide are recommended to be
used cautiously during pregnancy due to potential risks to fetal
development and the need for careful monitoring of maternal
health.
Budesonide is primarily used for treating hypertension, which is
unrelated to pregnancy.
Inhaled corticosteroids are safe for all pregnant women without any
restrictions.
Inhaled corticosteroids are only prescribed after delivery.
9. Describe how ACE inhibitors function in the management of hypertension
and the potential adverse effects associated with their use.
ACE inhibitors lower blood pressure by inhibiting the conversion of
angiotensin I to angiotensin II, but they can cause adverse effects
like cough and hyperkalemia.
ACE inhibitors promote the reabsorption of sodium, which can lead to
fluid retention.
ACE inhibitors increase heart rate and can cause hypotension.
ACE inhibitors block calcium channels, leading to decreased heart
contractility.
10. If a nurse practitioner is considering prescribing Eplerenone for a patient
with heart failure, what key factor must they monitor closely?
Blood glucose levels
, Potassium levels
Thyroid function
Liver enzymes
11. What is the primary mechanism of action for Spironolactone (Aldactone)?
Competitively inhibits aldosterone at the level of the distal renal
tubules
Blocks angiotensin II formation
Inhibits calcium entry into smooth muscle cells
Calcium sensitizer and selective inhibitor of phosphodiesterase 3
(PDE3)
12. Nurse practitioner prescriptive authority is regulated by:
The National Council of State Boards of Nursing
The U.S. Drug Enforcement Administration
The State Board of Nursing for each state
The State Board of Pharmacy
13. Describe the role of benzodiazepines in the treatment of alcohol
withdrawal.
Benzodiazepines help to reduce withdrawal symptoms and prevent
complications during alcohol detoxification.
Benzodiazepines are primarily used for pain management.
Benzodiazepines are ineffective in treating alcohol withdrawal.
Benzodiazepines are used to increase alcohol cravings.
14. Which is a first-line treatment for dysmenorrhea?
