Final Exam: NR565/ NR 565 (Latest 2025/ 2026 Update) Advanced Pharmacology Exam Review| Questions and Verified Answers -Chamberlain

Final Exam: NR565/ NR 565 (Latest 2025/
2026 Update) Advanced Pharmacology
Exam Review| Questions and Verified
Answers -Chamberlain

1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What medication should
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she be started on?
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✓ Answer: Methimazole, PTU, radioactive iodine. These labs indicate ak ak ak ak ak ak ak




hyperthyroidism. Treatment forthyroid storm: K iodideor strong iodine
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solution to suppress thyroid release. Methimazole to suppress thyroid
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synthesis. ak




2. When is it appropriate to increase insulin needs?
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✓ Answer: Pregnancy(afterfirsttrimester),stress,infection,weightloss,
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adolescent growth spurt. DECREASE for exercise and first trimester.
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3. What is the TDD of a person that weighs 70kg?
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IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD from the
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above question?
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✓ Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting and
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50% rapid acting)
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✓ 500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
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carbs) 50 divided 12= 4.1 units with short acting insulin
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,4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it."
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✓ Answer: Of thelong-acting medications, ONLY NPH the intermediate
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duration is suitable for mixing with the short action insulins.
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5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
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weight loss."
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✓ Answer: First this medication promotes increasein LDL levels, which
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increases cardiovascular risk. Also, she's a female so speak about exercise
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and weight bearing exercise d/t possible increased risk for fractures.
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6. Glucocorticoid MOA ak




✓ Answer: Most effective in long-term control of airway inflammation
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7. Cromolyn MOA ak




✓ Answer: Used as prophylaxis for mild to moderate asthma
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8. Monoclonal Antibodies MOA ak ak




✓ Answer: Used for allergy-related asthma and Eosinophilic asthma.
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Omalizumab for allergy related and Ben ralizumab, mepliz, and resliz are
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for eosinophilic
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9. Leukotriene MOA ak

, ✓ Answer: Second-linetherapytoreduceinflammationand ak ak ak ak ak ak




bronchoconstriction ak




10. B2 adrenergic agonists MOA
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✓ Answer: Can beused PRN, for EIB, COPD exacerbations, and ak ak ak ak ak ak ak ak ak




maintenance therapy ak ak




11. methylxanthines MOA ak




✓ Answer: Maintenance therapy for chronic stable asthma (theophylline). ak ak ak ak ak ak ak




P. 570. Use ONLY if B2 or anticholinergics are not appropriate.
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12. anticholinergic MOA ak




✓ Answer: Approved for bronchospasm related to COPD ak ak ak ak ak ak




13. •What are some risk factors of fatal asthma attacks?
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✓ Answer: Uncontrolled, hospitalized recently, triggers, ak ak ak ak




14. •Roflumilast (select all that apply) ak ak ak ak




1. Reduces inflammationak




2. Not intended during pregnancy
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3. Approved for asthma ak ak




4. First-line drug for COPD ak ak ak




✓ Answer: Reducesinflammation,notintendedforpregnancy, approved ak ak ak ak ak ak ak




only for COPD, Second-line drug for COPD
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, ✓ Uses forexacerbations prophylaxis in pts with severeCOPD with a
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primary chronic bronchitis component.
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15. What pt education can you provide a patient for ICS use?
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✓ Answer: Rinsed/toropharyngeal candidiasisand dysphonia ak ak ak ak ak ak




(hoarseness, difficulty speaking).
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16. What patient teaching can a provider give when prescribing a PPI?
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✓ Answer: Hypomagnesia symptoms: muscle cramps, tremors, cramps, and ak ak ak ak ak ak ak




palpitations.Check Mglevelsperiodicallyespeciallyintheelderly. Get
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enough calcium and VIT D. call if having diarrhea (Cdiff)
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17. What patient teaching can a provider give when prescribing an H2RA?
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✓ Answer: Report lethargy, solmnolance, restlessness, confusion or ak ak ak ak ak ak




hallucinations. (CNS effects). Teach about possible reduced libido,
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impotence,gynecomastia,pneumonia.P.594Cimetidineinteractswith
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CYP system so check with pt if they are taking warfarin, phenytoin,
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theophylline, lidocaine.
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18. A patient presents with a complaint of reflux and constipation. He states that he drinks
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enough water, and admits he has gained 30lbs. He also states that he has been having
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"reflux" type symptoms. What are your next steps for education?
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✓ Answer: Educate that weight gain can promote reflux symptoms, ask ak ak ak ak ak ak ak ak ak




about any otc use such as antacids which may cause constipation.
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19. zollinger-Ellison syndrome is due to a ak ak ak ak ak ak producingtumor.Treatmentislong-term ak ak ak ak




therapy of what medication class?
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