NR 566 Midterm and Finals Examplify Online Proctored
NR566 Week 4 Midterm Exam
Course Title and Number: NR566 Week 4 Midterm Exam
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
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NR566 Week 4 Midterm Exam Due 22 nd November 2025 Complete
Actual Exam Questions 1- 100 NR566 Advanced Pharmacology For
Care Of The Family NR 566 Midterm and Finals Examplify Online
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2025- 2026
NR546 Week 4 Midterm Exam
NR 566 Midterm and Finals Examplify Online Proctored
NR566 Advanced Pharmacology For Care Of The Family
Chamberlain University
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
This Is The Actual NR566 Advanced Pharmacology For
Care Of The Family at Chamberlain University
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NR566 Week 4 Midterm Exam Due 22nd November 2025
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Bypass Online Proctored Exams That is Examplify Online
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A 43-year-old man presents with fever, cough, and myalgia. A rapid test
confirms influenza A. Symptoms began 24 hours ago. Which antiviral is the
BEST first-line treatment?
Answers: A – D
A. ⭐ Oseltamivir
B. Zidovudine
C. Acyclovir
D. Ganciclovir
A 70-year-old immunocompromised patient with mild COVID-19 presents
within 3 days of symptoms. Which therapy is MOST appropriate to reduce
progression to severe disease?
Answers: A – D
A. Ritonavir
B. Ribavirin
C. ⭐ Monoclonal antibody
D. Dexamethasone
Which contraceptive method is contraindicated in a patient with a current
pelvic inflammatory disease (PID)?
Answers: A – D
A. Progestin-only pill
B. Transdermal patch
C. ⭐ Intrauterine device (IUD)
D. Injectable depot medroxyprogesterone acetate
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A 5-year-old child presents with chickenpox. The rash began 12 hours ago.
Which antiviral could be prescribed to shorten disease duration, and what is
the age-appropriate route of administration?
Answers: A – D
A. IV acyclovir
B. Topical docosanol
C. ⭐ Oral acyclovir
D. Oral oseltamivir
The nurse practitioner prescribes a 5-alpha reductase inhibitor for a patient
with urinary complaints. The nurse practitioner anticipates which treatment
goal?
Answers: A – D
A. Increase in ejaculate volume
B. Reduction in urine volume
C. Improvement in libido
D. ⭐ Reduction in prostate size
Which drugs are considered the drugs of choice for treating enterobiasis?
Answers: A – D
A. Triclabendazole and diethylcarbamazine
B. Pyrantel pamoate and praziquantel
C. Ivermectin and moxidectin
D. ⭐ Albendazole and mebendazole
A 33-year-old man develops recurrent cold sores (HSV-1). He asks for an
over-the-counter topical therapy. Which drug should the nurse practitioner
recommend?
Answers: A – D
A. Famciclovir
B. Foscarnet cream
C. ⭐ Docosanol
D. Ganciclovir gel
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How do calcimimetics help reduce the risk of nephrolithiasis in patients with
chronic kidney disease (CKD)?
Answers: A – D
A. By stimulating vitamin D production
B. ⭐ By reducing PTH secretion and improving calcium balance
C. By binding phosphate in the gut
D. By increasing calcium absorption from the GI tract
A 39-year-old woman with Human Immunodeficiency Virus (HIV) presents
with uncomplicated vulvovaginal candidiasis. According to the Infectious
Diseases Society of America (IDSA) guidelines, which of the following
statements regarding the treatment approach is correct?
Answers: A – D
A. Oral antifungal medication has a higher treatment response rate than
topical antifungal medication
B. Uncomplicated vulvovaginitis in both HIV and non-HIV patients should
be treated with topical itraconazole
C. Patients with HIV require co-treatment with antibiotics for skin infection
when concurrent excoriation is present
D. ⭐ Treatment for HIV patients with vulvovaginal candidiasis does
not differ from non-HIV patients
Which class of antiviral drugs is recommended for both the treatment and
prophylaxis of influenza?
Answers: A – D
A. Protease inhibitors
B. ⭐ Neuraminidase inhibitors
C. Endonuclease inhibitors
D. Adamantanes
What is the MOST common adverse effect associated with
nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs)?
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A Lactic acidosis
B Myocardial infarction
C Hepatic steatosis
D Pancreatitis
A patient prescribed bethanechol for urinary retention develops
abdominal cramping and diarrhea. What is the BEST explanation?
A Muscarinic receptor stimulation in the gastrointestinal tract
B Parasympathetic blockade
C Drug toxicity inducing dumping syndrome
D Allergic reaction induced fluid shifts
A patient with a history of hypertension and heart failure is admitted to
the hospital for the treatment of a severe urinary tract infection. The
patient is prescribed gentamicin along with loop diuretics for fluid
management. Two days into treatment, the patient complains of ringing
in the ears and dizziness. What is the MOST likely cause of the patient’s
symptoms?
A Bacterial resistance to gentamicin
B Allergic reaction to gentamicin
C Drug-drug interaction between gentamicin and loop diuretics
D Normal side effects of gentamicin therapy
A 60-year-old man with benign prostatic hyperplasia (BPH) is
prescribed a medication to reduce prostate size. Which class of drugs
would be MOST appropriate for this patient?
A 5-Alpha-adrenergic antagonists
B 5-Alpha-reductase inhibitors
C Angiotensin-converting enzyme (ACE) inhibitors
D Alpha-blockers
Which contraceptive method is MOST appropriate for a 35-year-old
woman who smokes one pack of cigarettes per day?
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A Contraceptive vaginal ring
B Combined hormonal transdermal patch
C Combined oral contraceptive pill
D Copper intrauterine device (IUD)
A 24-year-old woman is prescribed trimethoprim-sulfamethoxazole for
a urinary tract infection. Which mechanism underlies the drug’s
selective toxicity?
A Disruption of folic acid synthesis
B Inhibition of fungal ergosterol synthesis
C Inhibition of bacterial ribosomes
D Disruption of host DNA polymerase
A 58-year-old woman presents with stress urinary incontinence (SUI).
According to the American Urological Association (AUA) guidelines,
which is the first-line treatment recommendation?
A Duloxetine
B Onabotulinum toxin injection
C Midurethral sling surgery
D Pelvic floor muscle training
A 65-year-old man presents with fever, productive cough, and chest x-
ray showing lobar consolidation. Which organism is MOST likely
responsible?
A Klebsiella pneumoniae
B Mycobacterium tuberculosis
C Pseudomonas aeruginosa
D Streptococcus pneumoniae
Which is the approved indication for testosterone replacement therapy?
A Age-related low testosterone
B Erectile dysfunction only
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C Fatigue in older men
D Hypogonadism with confirmed deficiency
A 60-year-old man with hypertension and benign prostatic hyperplasia
(BPH) needs medication. Which medication would be MOST beneficial?
A Terazosin
B Tadalafil
C Tamsulosin
D Dutasteride
A 3-year-old child is prescribed pyrantel pamoate for pinworms. The
parents report that their child is still symptomatic after 1 week. What is
the MOST appropriate advice?
A Repeat the same dose in 2 weeks
B Double the pyrantel dose immediately
C Stop treatment and re-evaluate
D Switch to ivermectin
Which of the following patients is at GREATEST risk for developing
systemic fungal infections?
A A 30-year-old woman taking oral contraceptives
B A 50-year-old with type 2 diabetes on insulin therapy
C A 70-year-old on high-dose glucocorticoids for autoimmune disease
D A healthy 25-year-old athlete with tinea pedis
A 72-year-old woman on gentamicin for a complicated UTI develops
decreased urine output and rising creatinine in follow-up labs. What is
the next step in primary care?
A Discontinue gentamicin and refer for renal evaluation
B Add furosemide to increase urine output
C Continue gentamicin and increase hydration
D Reduce the dose and repeat labs in 2 weeks
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A patient with chronic kidney disease (CKD) and hypertension is started
on medication to slow disease progression. Which class is preferred for
renal protection?
Calcium channel blockers
B. Thiazide diuretics
C. Beta-blockers
D. Angiotensin-converting enzyme (ACE) or angiotensin receptor
blocker (ARB) ✔️
Which Infectious Diseases Society of America (IDSA) guideline supports
antifungal stewardship in the management of aspergillosis?
De-escalate therapy based on susceptibility testing and clinical
response ✔️
B. Continue therapy indefinitely to prevent recurrence
C. Always use the broadest-spectrum antifungal initially
D. Avoid monitoring of drug levels—assume standard dosing is
adequate
What is the mechanism of action of carbapenems?
Inhibition of nucleic acid synthesis
B. Inhibition of cell wall synthesis ✔️
C. Inhibition of protein synthesis
D. Disruption of cell membrane integrity
What potential interaction should be considered when phenazopyridine
is combined with a local anesthetic such as benzocaine?
Increased risk of gastrointestinal bleeding
B. Enhanced sedative effects
C. Elevated risk of serotonin syndrome
D. Heightened risk of methemoglobinemia ✔️
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