NURS 615 (Pharmacology & Advanced Practice)
Exam 2025–2026 Accurate Real Exam Questions
and Verified Correct Answers JUST RELEASED
Nurse practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state level - answer>>>1. The
demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
Which of the following patients would be at higher risk of experiencing adverse drug
reactions (ADRs):
1. A 32-year-old male
2. A 22-year-old female
3. A 3-month-old female
4. A 48-year-old male - answer>>>3. A 3-month-old female
A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This
is critical to prescribing because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of absorption.
3. There will be less free drug available to generate an effect.
,4. Drugs bound to albumin are readily excreted by the kidneys. - answer>>>1. Distribution
of drugs to target tissue may be affected.
Infants and young children are at higher risk of ADRs due to:
1. Immature renal function in school-age children
2. Lack of safety and efficacy studies in the pediatric population
3. Children's skin being thicker than adults, requiring higher dosages of topical medication
4. Infant boys having a higher proportion of muscle mass, leading to a higher volume of
distribution - answer>>>2. Lack of safety and efficacy studies in the pediatric population
The elderly are at high risk of ADRs due to:
1. Having greater muscle mass than younger adults, leading to higher volume of
distribution
2. The extensive studies that have been conducted on drug safety in this age group
3. The blood-brain barrier being less permeable, requiring higher doses to achieve
therapeutic effect
4. Age-related decrease in renal function - answer>>>4. Age-related decrease in renal
function
The type of adverse drug reaction that is idiosyncratic when a drug given in the usual
therapeutic doses is type:
1. A
2. B
3. C
4. D - answer>>>2. B
,Digoxin may cause a type A adverse drug reaction due to:
1. Idiosyncratic effects
2. Its narrow therapeutic index
3. Being a teratogen
4. Being a carcinogen - answer>>>2. Its narrow therapeutic index
Sarah developed a rash after using a topical medication. This is a type __ allergic drug
reaction.
1. I
2. II
3. III
4. IV - answer>>>4. IV
A patient may develop neutropenia from using topical Silvadene for burns. Neutropenia is
a(n):
1. Cytotoxic hypersensitivity reaction
2. Immune complex hypersensitivity
3. Immediate hypersensitivity reaction
4. Delayed hypersensitivity reaction - answer>>>1. Cytotoxic hypersensitivity reaction
Anaphylactic shock is a:
1. Type I reaction, called immediate hypersensitivity reaction
2. Type II reaction, called cytotoxic hypersensitivity reaction
, 3. Type III allergic reaction, called immune complex hypersensitivity
4. Type IV allergic reaction, called delayed hypersensitivity reaction - answer>>>1. Type I
reaction, called immediate hypersensitivity reaction
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a
corticosteroid) use. He is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F - answer>>>2. Type C
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction
known as a type D reaction because they are known:
1. Teratogens
2. Carcinogens
3. To cause hypersensitivity reactions
4. Hypothalamus-pituitary-adrenal axis suppressants - answer>>>2. Carcinogens
A 24-year-old male received multiple fractures in a motor vehicle accident that required
significant amounts of opioid medication to treat his pain. He is at risk for a _____
adverse drug reaction when he no longer requires the opioids.
1. Rapid
2. First-dose
3. Late
4. Delayed - answer>>>3. Late
Exam 2025–2026 Accurate Real Exam Questions
and Verified Correct Answers JUST RELEASED
Nurse practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state level - answer>>>1. The
demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
Which of the following patients would be at higher risk of experiencing adverse drug
reactions (ADRs):
1. A 32-year-old male
2. A 22-year-old female
3. A 3-month-old female
4. A 48-year-old male - answer>>>3. A 3-month-old female
A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This
is critical to prescribing because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of absorption.
3. There will be less free drug available to generate an effect.
,4. Drugs bound to albumin are readily excreted by the kidneys. - answer>>>1. Distribution
of drugs to target tissue may be affected.
Infants and young children are at higher risk of ADRs due to:
1. Immature renal function in school-age children
2. Lack of safety and efficacy studies in the pediatric population
3. Children's skin being thicker than adults, requiring higher dosages of topical medication
4. Infant boys having a higher proportion of muscle mass, leading to a higher volume of
distribution - answer>>>2. Lack of safety and efficacy studies in the pediatric population
The elderly are at high risk of ADRs due to:
1. Having greater muscle mass than younger adults, leading to higher volume of
distribution
2. The extensive studies that have been conducted on drug safety in this age group
3. The blood-brain barrier being less permeable, requiring higher doses to achieve
therapeutic effect
4. Age-related decrease in renal function - answer>>>4. Age-related decrease in renal
function
The type of adverse drug reaction that is idiosyncratic when a drug given in the usual
therapeutic doses is type:
1. A
2. B
3. C
4. D - answer>>>2. B
,Digoxin may cause a type A adverse drug reaction due to:
1. Idiosyncratic effects
2. Its narrow therapeutic index
3. Being a teratogen
4. Being a carcinogen - answer>>>2. Its narrow therapeutic index
Sarah developed a rash after using a topical medication. This is a type __ allergic drug
reaction.
1. I
2. II
3. III
4. IV - answer>>>4. IV
A patient may develop neutropenia from using topical Silvadene for burns. Neutropenia is
a(n):
1. Cytotoxic hypersensitivity reaction
2. Immune complex hypersensitivity
3. Immediate hypersensitivity reaction
4. Delayed hypersensitivity reaction - answer>>>1. Cytotoxic hypersensitivity reaction
Anaphylactic shock is a:
1. Type I reaction, called immediate hypersensitivity reaction
2. Type II reaction, called cytotoxic hypersensitivity reaction
, 3. Type III allergic reaction, called immune complex hypersensitivity
4. Type IV allergic reaction, called delayed hypersensitivity reaction - answer>>>1. Type I
reaction, called immediate hypersensitivity reaction
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a
corticosteroid) use. He is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F - answer>>>2. Type C
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction
known as a type D reaction because they are known:
1. Teratogens
2. Carcinogens
3. To cause hypersensitivity reactions
4. Hypothalamus-pituitary-adrenal axis suppressants - answer>>>2. Carcinogens
A 24-year-old male received multiple fractures in a motor vehicle accident that required
significant amounts of opioid medication to treat his pain. He is at risk for a _____
adverse drug reaction when he no longer requires the opioids.
1. Rapid
2. First-dose
3. Late
4. Delayed - answer>>>3. Late
