ADVANCED PHARMACOLOGY
WALDEN EXAM QUESTIONS &
ACTUAL CORRECT ANSWERS
UPDATED VERSION
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and
the patient's physician has prescribed quinine along with an adjunctive drug. The nurse
should question the physician's order if the patient has a history of
osteoporosis or low bone density
chronic obstructive pulmonary disease (COPD)
diabetes mellitus
cardiac arrhythmias - CORRECT ANSWER Cardiac arrhythmias
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she
can take for recurring headaches. The nurse should recommend
aspirin
advil
tylenol
Motrin - CORRECT ANSWER Tylenol
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is
to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and
weight, the nurse will prepare the patient for an
electrocardiogram (ECG)
electromyelogram (EMG)
electroencephalogram (EEG)
electrophysiologic study (EPS) - CORRECT ANSWER electrocardiogram ECG
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV
heparin and reports bleeding from her gums. The nurse checks the patient's laboratory
test results and finds that she has a very high aPTT. The nurse anticipates that which of
the following drugs may be ordered?
Coumadin
Alteplase
Ticlopidine
Protamine sulfate - CORRECT ANSWER Proatamine Sulfate
A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast,
and no breast discharge. The breast tenderness occurs primarily during her menstrual
cycle. The nurse practitioner probably suspects
,breast cancer.
cancerous breast tenderness
pain in the heart.
PMS - CORRECT ANSWER PMS
A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the drug
at bedtime.
after meals.
at any time of the day with tea or coffee.
first thing in the morning - CORRECT ANSWER First thing in the morning
Which test should the NP order for monitoring effectiveness of the patient receiving
heparin?
Arterial blood gas levels
PTT
Complete blood count
Hemoglobin level - CORRECT ANSWER PTT
Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem
with urination secondary to an enlarged prostate. The practitioner would teach the
patient that while he is taking this medication, it is important to:
Increase his fluid intake.
Restrain from sexual activity
Take special precautions around women of childbearing age
Begin folic acid - CORRECT ANSWER take special precautions around women of
childbearing age
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being
treated with chloramphenicol. The most important nursing action for this patient would
be to monitor
blood sugar levels daily.
liver enzymes monthly.
plasma concentrations regularly.
urine output daily - CORRECT ANSWER plasma concentrations regularly
A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment
of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up.
Which action would the family nurse practitioner take?
Order urinalysis (UA) to determine hematuria and presence of bacteria.
Determine blood pressure (BP) with patient lying down, standing, and sitting.
Review with patient his symptoms over the past 3 weeks.
Perform digital rectal exam to determine if prostate is smaller than previously noted -
CORRECT ANSWER determine blood pressure with patient lying down, standing, and
sitting
, A male patient has been on long-term bicalutamide (Casodex) therapy. In order to
assess adverse effects of the drug therapy, the nurse will closely monitor which of the
following?
Visual function
Blood counts
Pap test results
Liver function - CORRECT ANSWER Liver function
A 21-year-old has been placed on risperidone. Monitoring for risperidone includes
Bradykinesia, akathisia and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis - CORRECT ANSWER Bradyknesia, akathisia and
agitation
A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The
NP should expect that this patient will use which of the following anticoagulant
medications?
Aspirin
Heparin
Dabigatran
Warfarin - CORRECT ANSWER Heparin
When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware
of the possibility of dependence. The Benzodiazepine associated with the greatest
likelihood of causing rapid dependence is:
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Oxazepam (serax) - CORRECT ANSWER alprazolam (Xanax)
A male patient is taking finasteride for BPH. Which of the following will the nurse
evaluate at each clinic visit?
Serum cholesterol levels
Bone growth
Hemoglobin levels
Urinary elimination patterns - CORRECT ANSWER Urinary elimination patterns
What schedule class of drug is Hydrocodone?
I
II
III
IV - CORRECT ANSWER II
Which of the following would a Nurse Practitioner assess for in a patient who is taking
polymyxin B systemically?
WALDEN EXAM QUESTIONS &
ACTUAL CORRECT ANSWERS
UPDATED VERSION
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and
the patient's physician has prescribed quinine along with an adjunctive drug. The nurse
should question the physician's order if the patient has a history of
osteoporosis or low bone density
chronic obstructive pulmonary disease (COPD)
diabetes mellitus
cardiac arrhythmias - CORRECT ANSWER Cardiac arrhythmias
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she
can take for recurring headaches. The nurse should recommend
aspirin
advil
tylenol
Motrin - CORRECT ANSWER Tylenol
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is
to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and
weight, the nurse will prepare the patient for an
electrocardiogram (ECG)
electromyelogram (EMG)
electroencephalogram (EEG)
electrophysiologic study (EPS) - CORRECT ANSWER electrocardiogram ECG
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV
heparin and reports bleeding from her gums. The nurse checks the patient's laboratory
test results and finds that she has a very high aPTT. The nurse anticipates that which of
the following drugs may be ordered?
Coumadin
Alteplase
Ticlopidine
Protamine sulfate - CORRECT ANSWER Proatamine Sulfate
A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast,
and no breast discharge. The breast tenderness occurs primarily during her menstrual
cycle. The nurse practitioner probably suspects
,breast cancer.
cancerous breast tenderness
pain in the heart.
PMS - CORRECT ANSWER PMS
A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the drug
at bedtime.
after meals.
at any time of the day with tea or coffee.
first thing in the morning - CORRECT ANSWER First thing in the morning
Which test should the NP order for monitoring effectiveness of the patient receiving
heparin?
Arterial blood gas levels
PTT
Complete blood count
Hemoglobin level - CORRECT ANSWER PTT
Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem
with urination secondary to an enlarged prostate. The practitioner would teach the
patient that while he is taking this medication, it is important to:
Increase his fluid intake.
Restrain from sexual activity
Take special precautions around women of childbearing age
Begin folic acid - CORRECT ANSWER take special precautions around women of
childbearing age
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being
treated with chloramphenicol. The most important nursing action for this patient would
be to monitor
blood sugar levels daily.
liver enzymes monthly.
plasma concentrations regularly.
urine output daily - CORRECT ANSWER plasma concentrations regularly
A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment
of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up.
Which action would the family nurse practitioner take?
Order urinalysis (UA) to determine hematuria and presence of bacteria.
Determine blood pressure (BP) with patient lying down, standing, and sitting.
Review with patient his symptoms over the past 3 weeks.
Perform digital rectal exam to determine if prostate is smaller than previously noted -
CORRECT ANSWER determine blood pressure with patient lying down, standing, and
sitting
, A male patient has been on long-term bicalutamide (Casodex) therapy. In order to
assess adverse effects of the drug therapy, the nurse will closely monitor which of the
following?
Visual function
Blood counts
Pap test results
Liver function - CORRECT ANSWER Liver function
A 21-year-old has been placed on risperidone. Monitoring for risperidone includes
Bradykinesia, akathisia and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis - CORRECT ANSWER Bradyknesia, akathisia and
agitation
A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The
NP should expect that this patient will use which of the following anticoagulant
medications?
Aspirin
Heparin
Dabigatran
Warfarin - CORRECT ANSWER Heparin
When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware
of the possibility of dependence. The Benzodiazepine associated with the greatest
likelihood of causing rapid dependence is:
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Oxazepam (serax) - CORRECT ANSWER alprazolam (Xanax)
A male patient is taking finasteride for BPH. Which of the following will the nurse
evaluate at each clinic visit?
Serum cholesterol levels
Bone growth
Hemoglobin levels
Urinary elimination patterns - CORRECT ANSWER Urinary elimination patterns
What schedule class of drug is Hydrocodone?
I
II
III
IV - CORRECT ANSWER II
Which of the following would a Nurse Practitioner assess for in a patient who is taking
polymyxin B systemically?
