NSG 6005 Advanced Pharmacology Midterm Exam Week
5 – 100 Questions and Correct Answers/ 2025 NSG 6005
Midterm Exam 100 Practice Questions And Answers
1- Incorporating the use of a smart device into a patient encounter takes skill
and tact . During the encounter , the nurse practitioner can make the patient
more comfortable with the smart device the NP is using
C- Both A and B
2- According with the US Office of Minority health , poor health outcomes
among African Americans are attributed to
D- Discrimination, cultural barriers , and lack of access to health care.
3-Nurse Practitioner prescriptive authority is regulated by
C- The State of board of Nursing for each state
4- Criteria for choosing an effective drug for a disorder include
A- Asking the Patient what drug they think would work best for them
5- Pharmacoeconomics is
C -The analysis of the costs and consequences of any health – care – related
treatment or service
6- Indirect cost of diagnostic tests to monitor therapeutic levels
D- Loss of wages while undergoing drug therapy
7- To improve positive outcomes when prescribing to a 75 years old patient the
nurse practitioner should
A- Assess cognitive functioning to determine ability to follow drug
directions.
8- Prescribing less-expensive generic drugs off the 4 retail pharmacy lists
B- Increases the complexity of the pharmacoeconomic of prescribing for the
individual patient
9- The Nurse Practitioner prescribes trazodone 50 mgs to a patient for
insomnia .Trazodone is labeled for depression , however not for
insomnia .The NP is prescribing trazodone as off label . Off label
prescribing isa, illegal by NPs in all states except Florida.
pg. 1
, B-Legal if there is scientific evidence for the use
10- Cultural factors that must be taken into account when prescribing
includes
D-All of the above
11- There is often cross- resistance between penicillins and cephalosporins b
because
C- Both drug classes contain a beta - lactam ring that is vulnerable to beta-
lactamase producing organism
12- Sarah is a 25-year-old female who is 8 weeks pregnant and has a
urinary tract infection . What would be the appropriate antibiotic to
prescribe for her?
B- Amoxicillin
13- Mark is a 25-year-old who comes to clinic with a 4-day history of cough, afebrile and
chest confession. When he blows his nose or coughs the mucous is greenish- yellow. The
appropriate antibiotic the Nurse Practitioner would prescribe:
A) Amoxicillin (amoxicillin)
B) Amoxicillin/clavulanate (Augmentin)
C) TMP/SMZ (Septra)
D) None
14- Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and
has no residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics
for an upcoming dental visit. The appropriate antibiotic to prescribe according to current
American College of Cardiology and American Heart Association guidelines is:
A) None, no antibiotic is required for dental procedures
B) Amoxicillin 2 grams 1 hour before the procedure
C) Ampicillin 2 grams 1M or IV 30 minutes before the procedure
D) Azithromycin 1 gram 1 hour before the procedure
15- If a patient is allergic to sulfonamide antibiotics. he or she will most likely have cross-
sensitivity to:
pg. 2
, A) Loop diuretics
B) Sulfonylureas
C) Thiazide diuretics
D) All of the above
16- Drugs that have a significant first-pass effect:
A) Must be given by the enteral (oral) route only
B) Bypass the hepatic circulation
C) Are rapidly metabolized by the liver and may have little if any desired action
D) Are converted by the liver to more active and fat-soluble forms
17- The goal of antiretroviral therapy in HIV-positive patients is to:
A) maximum suppression of HIV replication
B) eradication Of HIV virus from the body
C) determine a treatment regimen that is free of adverse effects
D) suppress the CD4 T-cell count
18- A nurse practitioner would prescribe the liquid form of ibuprofen (Motrin) for a six-
year-old because:
A) Drugs given in liquid form are less irritating to the stomach
B) A six-year-old may have problems swallowing a pill
C) Liquid forms of medication eliminate the concern for first-pass effect
D) Liquid ibuprofen does not have to be dosed as often as tablet form
19- Infants and young children are at higher risk of ADRs due to:
A) Immature renal function in school-age children
B) Lack of safety and efficacy studies in the pediatric population
C) Children's skin being thicker than adults. requiring higher dosages of topical medication
pg. 3
5 – 100 Questions and Correct Answers/ 2025 NSG 6005
Midterm Exam 100 Practice Questions And Answers
1- Incorporating the use of a smart device into a patient encounter takes skill
and tact . During the encounter , the nurse practitioner can make the patient
more comfortable with the smart device the NP is using
C- Both A and B
2- According with the US Office of Minority health , poor health outcomes
among African Americans are attributed to
D- Discrimination, cultural barriers , and lack of access to health care.
3-Nurse Practitioner prescriptive authority is regulated by
C- The State of board of Nursing for each state
4- Criteria for choosing an effective drug for a disorder include
A- Asking the Patient what drug they think would work best for them
5- Pharmacoeconomics is
C -The analysis of the costs and consequences of any health – care – related
treatment or service
6- Indirect cost of diagnostic tests to monitor therapeutic levels
D- Loss of wages while undergoing drug therapy
7- To improve positive outcomes when prescribing to a 75 years old patient the
nurse practitioner should
A- Assess cognitive functioning to determine ability to follow drug
directions.
8- Prescribing less-expensive generic drugs off the 4 retail pharmacy lists
B- Increases the complexity of the pharmacoeconomic of prescribing for the
individual patient
9- The Nurse Practitioner prescribes trazodone 50 mgs to a patient for
insomnia .Trazodone is labeled for depression , however not for
insomnia .The NP is prescribing trazodone as off label . Off label
prescribing isa, illegal by NPs in all states except Florida.
pg. 1
, B-Legal if there is scientific evidence for the use
10- Cultural factors that must be taken into account when prescribing
includes
D-All of the above
11- There is often cross- resistance between penicillins and cephalosporins b
because
C- Both drug classes contain a beta - lactam ring that is vulnerable to beta-
lactamase producing organism
12- Sarah is a 25-year-old female who is 8 weeks pregnant and has a
urinary tract infection . What would be the appropriate antibiotic to
prescribe for her?
B- Amoxicillin
13- Mark is a 25-year-old who comes to clinic with a 4-day history of cough, afebrile and
chest confession. When he blows his nose or coughs the mucous is greenish- yellow. The
appropriate antibiotic the Nurse Practitioner would prescribe:
A) Amoxicillin (amoxicillin)
B) Amoxicillin/clavulanate (Augmentin)
C) TMP/SMZ (Septra)
D) None
14- Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and
has no residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics
for an upcoming dental visit. The appropriate antibiotic to prescribe according to current
American College of Cardiology and American Heart Association guidelines is:
A) None, no antibiotic is required for dental procedures
B) Amoxicillin 2 grams 1 hour before the procedure
C) Ampicillin 2 grams 1M or IV 30 minutes before the procedure
D) Azithromycin 1 gram 1 hour before the procedure
15- If a patient is allergic to sulfonamide antibiotics. he or she will most likely have cross-
sensitivity to:
pg. 2
, A) Loop diuretics
B) Sulfonylureas
C) Thiazide diuretics
D) All of the above
16- Drugs that have a significant first-pass effect:
A) Must be given by the enteral (oral) route only
B) Bypass the hepatic circulation
C) Are rapidly metabolized by the liver and may have little if any desired action
D) Are converted by the liver to more active and fat-soluble forms
17- The goal of antiretroviral therapy in HIV-positive patients is to:
A) maximum suppression of HIV replication
B) eradication Of HIV virus from the body
C) determine a treatment regimen that is free of adverse effects
D) suppress the CD4 T-cell count
18- A nurse practitioner would prescribe the liquid form of ibuprofen (Motrin) for a six-
year-old because:
A) Drugs given in liquid form are less irritating to the stomach
B) A six-year-old may have problems swallowing a pill
C) Liquid forms of medication eliminate the concern for first-pass effect
D) Liquid ibuprofen does not have to be dosed as often as tablet form
19- Infants and young children are at higher risk of ADRs due to:
A) Immature renal function in school-age children
B) Lack of safety and efficacy studies in the pediatric population
C) Children's skin being thicker than adults. requiring higher dosages of topical medication
pg. 3
