NR 508 WEEK 6 EXAM | ADVANCED
PHARMACOLOGY EXAM | QUESTIONS
AND ANSWERS RATED A+ | LATEST
2025/2026
Kelly is a 14-year-old patient who presents to the clinic with a classic
migraine. She says she is having a headache two to three times a
month. The initial plan would be:
1. Prescribe NSAIDs as abortive therapy and have her keep a headache
diary to identify her triggers.
2. Prescribe zolmitriptan (Zomig) as abortive therapy and recommend
relaxation therapy to reduce her stress.
3. Prescribe acetaminophen with codeine (Tylenol #3) for her to take at
the first onset of her migraine.
4. Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to
receive the first dose in the clinic.
- Correct Answer - 1. Prescribe NSAIDs as abortive therapy and have
her keep a headache diary to identify her triggers.
Jayla is a 9-year-old patient who has been diagnosed with migraines for
almost 2 years. She is missing up to a week of school each month. Her
headache diary confirms she averages four or five migraines per month.
Which of the following would be appropriate?
,1. Prescribe amitriptyline (Elavil) daily, start at a low dose and increase
dosage slowly every 2 weeks until it's effective in eliminating migraines.
2. Encourage her mother to give her Excedrin Migraine (aspirin,
acetaminophen, and caffeine) at the first sign of a headache to abort the
headache.
3. Prescribe propranolol (Inderal) to be taken daily for at least 3 months.
4. Explain that it is rare for a 9-year-old child to get migraines and she
needs an MRI to rule out a brain tumor.
- Correct Answer - 3. Prescribe propranolol (Inderal) to be taken daily for
at least 3 months.
Amber is a 24-year-old patient who has had migraines for 10 years. She
reports a migraine on average of once a month. The migraines are
effectively aborted with naratriptan (Amerge). When refilling Amber's
naratriptan, education would include:
1. Naratriptan will interact with antidepressants, including selective
serotonin reuptake inhibitors (SSRIs) and St John's wort, and she should
inform any providers she sees that she has migraines.
2. Continue to monitor her headaches, if the migraine is consistently
happening around her menses there is preventive therapy available.
3. Pregnancy is contraindicated when taking a triptan.
4. All of the above
- Correct Answer - 4. All of the above
, When prescribing for migraines, patient education includes:
1. Triptans are safe to be used as often as needed as long as the patient
is healthy.
2. Use triptan before trying OTC meds such as acetaminophen or
naproxen.
3. Stress reduction and regular sleep are integral to migraine treatment.
4. If migraines worsen they are to increase their medication.
- Correct Answer - 3. Stress reduction and regular sleep are integral to
migraine treatment.
Juanita presents to the clinic with a complaint of headaches off and on
for months. She reports they feel like someone is "squeezing" her head.
She occasionally takes Tylenol for the pain, but usually just "toughs it
out." Initial treatment for tension headache includes asking her to keep a
headache diary and a prescription for:
1. Sumatriptan (Imitrex)
2. Naproxen (Aleve)
3. Ergotamine (Ergostat)
4. Tylenol with codeine (Tylenol #3)
- Correct Answer - 2. Naproxen (Aleve)
Nonpharmacologic therapy for tension headaches includes:
1. Biofeedback
PHARMACOLOGY EXAM | QUESTIONS
AND ANSWERS RATED A+ | LATEST
2025/2026
Kelly is a 14-year-old patient who presents to the clinic with a classic
migraine. She says she is having a headache two to three times a
month. The initial plan would be:
1. Prescribe NSAIDs as abortive therapy and have her keep a headache
diary to identify her triggers.
2. Prescribe zolmitriptan (Zomig) as abortive therapy and recommend
relaxation therapy to reduce her stress.
3. Prescribe acetaminophen with codeine (Tylenol #3) for her to take at
the first onset of her migraine.
4. Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to
receive the first dose in the clinic.
- Correct Answer - 1. Prescribe NSAIDs as abortive therapy and have
her keep a headache diary to identify her triggers.
Jayla is a 9-year-old patient who has been diagnosed with migraines for
almost 2 years. She is missing up to a week of school each month. Her
headache diary confirms she averages four or five migraines per month.
Which of the following would be appropriate?
,1. Prescribe amitriptyline (Elavil) daily, start at a low dose and increase
dosage slowly every 2 weeks until it's effective in eliminating migraines.
2. Encourage her mother to give her Excedrin Migraine (aspirin,
acetaminophen, and caffeine) at the first sign of a headache to abort the
headache.
3. Prescribe propranolol (Inderal) to be taken daily for at least 3 months.
4. Explain that it is rare for a 9-year-old child to get migraines and she
needs an MRI to rule out a brain tumor.
- Correct Answer - 3. Prescribe propranolol (Inderal) to be taken daily for
at least 3 months.
Amber is a 24-year-old patient who has had migraines for 10 years. She
reports a migraine on average of once a month. The migraines are
effectively aborted with naratriptan (Amerge). When refilling Amber's
naratriptan, education would include:
1. Naratriptan will interact with antidepressants, including selective
serotonin reuptake inhibitors (SSRIs) and St John's wort, and she should
inform any providers she sees that she has migraines.
2. Continue to monitor her headaches, if the migraine is consistently
happening around her menses there is preventive therapy available.
3. Pregnancy is contraindicated when taking a triptan.
4. All of the above
- Correct Answer - 4. All of the above
, When prescribing for migraines, patient education includes:
1. Triptans are safe to be used as often as needed as long as the patient
is healthy.
2. Use triptan before trying OTC meds such as acetaminophen or
naproxen.
3. Stress reduction and regular sleep are integral to migraine treatment.
4. If migraines worsen they are to increase their medication.
- Correct Answer - 3. Stress reduction and regular sleep are integral to
migraine treatment.
Juanita presents to the clinic with a complaint of headaches off and on
for months. She reports they feel like someone is "squeezing" her head.
She occasionally takes Tylenol for the pain, but usually just "toughs it
out." Initial treatment for tension headache includes asking her to keep a
headache diary and a prescription for:
1. Sumatriptan (Imitrex)
2. Naproxen (Aleve)
3. Ergotamine (Ergostat)
4. Tylenol with codeine (Tylenol #3)
- Correct Answer - 2. Naproxen (Aleve)
Nonpharmacologic therapy for tension headaches includes:
1. Biofeedback
