NUR 6521/NUR6521 PHARMACOLOGY
(2026) EXAM WITH ACCURATE ASNWERS
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been
assessed and prescribed sildenafil (Viagra). When providing patient education to this
man, the nurse should tell him which of the following? - CORRECT ANSWERS
Answer: "You might find that your face becomes flushed, or you get a headache after
taking Viagra." - CORRECT ANSWERS
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must carefully
monitor which of the following? - CORRECT ANSWERS
Answer: Elevated prothrombin time - CORRECT ANSWERS
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient - CORRECT ANSWERS
Answer: to complete the entire course of drug therapy. - CORRECT ANSWERS
Question 4: Drugs have a valid medical use but a high potential for psychological and
physiologic abuse. In an emergency, a Schedule II drug may be prescribed by
telephone if a written prescription cannot be provided at the time. However, a written
prescription must be provided within 72 hours with the words authorization for
emergency dispensing written on the prescription. These prescriptions cannot be
refilled. A new prescription must be written each time. Examples include certain
amphetamines and barbiturates. These are scheduled drugs - CORRECT ANSWERS
Answer: Schedule II - CORRECT ANSWERS
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to
treat a nasal allergy. To maximize the drug's therapeutic effects, which of the following
will the nurse include in instructions to the patient? - CORRECT ANSWERS
Answer: Take the drug for one whole week before coming in contact with allergens. -
CORRECT ANSWERS
Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The
patient is sweating, and her BP is 88/50. The serum magnesium level is 10 mg/dL. The
nurse will interpret these manifestations as - CORRECT ANSWERS
Answer: Magnesium Sulfate toxicity. - CORRECT ANSWERS
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia? - CORRECT
ANSWERS
Answer: The patient's bone marrow function is significantly depressed. - CORRECT
ANSWERS
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman
and her husband have sought a referral to a fertility specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from - CORRECT
ANSWERS
Answer: clomiphene. - CORRECT ANSWERS
1|Page
,Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids regularly. The
nurse will instruct the patient: - CORRECT ANSWERS
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. -
CORRECT ANSWERS
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer
medication to a 5-year-old child. The nurse will calculate the drug dosage by using -
CORRECT ANSWERS
Answer: Body Surface Area - CORRECT ANSWERS
Question 11: An older adult woman has been diagnosed with acute lymphoblastic
leukemia (ALL), and her care team has identified potential benefits of imatinib. Which of
the following characteristics of this patient's current health status may preclude the use
of imatinib? - CORRECT ANSWERS
Answer: The patient has chronic heart failure resulting in significant peripheral edema -
CORRECT ANSWERS
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to
treat benign prostatic hypertrophy (BPH). When providing information about the drug,
the nurse will include which of the following as a risk associated with finasteride
therapy? - CORRECT ANSWERS
Answer: Prostatic neoplasia - CORRECT ANSWERS
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose - CORRECT ANSWERS
Answer: After a meal. - CORRECT ANSWERS
Question 14: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to - CORRECT ANSWERS
Answer: place the patch on the back, abdomen, upper arms, or thighs. - CORRECT
ANSWERS
Question 15: A 66-year-old woman has experienced a significant decline in her quality
of life due to worsening rheumatoid arthritis. Her physician has prescribed etanercept
and the APRN is responsible for facilitating this new aspect of the patient's drug
regimen involving the administration of - CORRECT ANSWERS
Answer: weekly subcutaneous injections - CORRECT ANSWERS
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be
sure to discuss the use of - CORRECT ANSWERS
Answer: food containing iron or calcium with the woman. - CORRECT ANSWERS
Question 17: A Nurse Practitioner has questioned why a patient's physician has
prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug to treat a
patient's infection. Which of the following facts provides the best rationale for using
narrow-spectrum antibiotics whenever possible? - CORRECT ANSWERS
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
CORRECT ANSWERS
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should - CORRECT ANSWERS
2|Page
, Answer: offer a choice between liquid and chewable medications, if possible. -
CORRECT ANSWERS
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? - CORRECT ANSWERS
Answer: Nephrotoxicity and hepatotoxicity - CORRECT ANSWERS
Question 20: A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage adjustments to minimize adverse effects and prevent
toxicity; The RN should ensure that - CORRECT ANSWERS
Answer: Drug serum levels are being monitored. - CORRECT ANSWERS
Question 21: A female patient is taking oral cyclophosphamide therapy for breast
cancer. Because of possible adverse effects of the drug, the nurse will instruct the
patient to do which of the following? - CORRECT ANSWERS
Answer: Drink alot of water - CORRECT ANSWERS
Question 22: A pregnant patient with diabetes has been admitted to the hospital to
begin labor. Since the patient has diabetes, the physician has decided to use oxytocin
(Pitocin) to initiate labor contractions. When talking to the patient about the adverse
effects of the drug, the nurse should understand that the most common adverse effects
of the drug include - CORRECT ANSWERS
Answer: uterine tachysystole. - CORRECT ANSWERS
Question 23: A nurse practitioner has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine. It will be
critical for the nurse to observe for which of the following? - CORRECT ANSWERS
Answer: Respiratory difficulty - CORRECT ANSWERS
Question 24: A patient has been admitted to the critical care unit with a diagnosis of
peritonitis that has necessitated treatment with gentamicin. As a result, the care team
should be cautious when concurrently administering other medications that may cause -
CORRECT ANSWERS
Answer: ototoxicity or nephrotoxicity - CORRECT ANSWERS
Question 25: A 66-year-old man has made an appointment with his primary care
provider to discuss his recent erectile dysfunction (ED) and requested a prescription for
tadalafil (Cialis) based on television commercials. What characteristic of this patient
would most likely contraindicate the use of tadalafil for his ED? - CORRECT ANSWERS
Answer: The patient has unstable angina and uses a nitroglycerin patch - CORRECT
ANSWERS
Question 26: A 29-year-old woman who is morbidly obese has recently begun a
comprehensive, medically-supervised program of weight reduction. Prior to adding
dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about
her intake of - CORRECT ANSWERS
Answer: Caffeine - CORRECT ANSWERS
Question 27: A 68-year-old man is being treated for benign prostatic hypertrophy (BPH)
and began treatment with finasteride (Proscar) 3 months ago. When planning the care
of this patient, what desired outcome should the nurse prioritize? - CORRECT
ANSWERS
Answer: The patient will experience complete bladder emptying - CORRECT
ANSWERS
3|Page
(2026) EXAM WITH ACCURATE ASNWERS
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been
assessed and prescribed sildenafil (Viagra). When providing patient education to this
man, the nurse should tell him which of the following? - CORRECT ANSWERS
Answer: "You might find that your face becomes flushed, or you get a headache after
taking Viagra." - CORRECT ANSWERS
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must carefully
monitor which of the following? - CORRECT ANSWERS
Answer: Elevated prothrombin time - CORRECT ANSWERS
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient - CORRECT ANSWERS
Answer: to complete the entire course of drug therapy. - CORRECT ANSWERS
Question 4: Drugs have a valid medical use but a high potential for psychological and
physiologic abuse. In an emergency, a Schedule II drug may be prescribed by
telephone if a written prescription cannot be provided at the time. However, a written
prescription must be provided within 72 hours with the words authorization for
emergency dispensing written on the prescription. These prescriptions cannot be
refilled. A new prescription must be written each time. Examples include certain
amphetamines and barbiturates. These are scheduled drugs - CORRECT ANSWERS
Answer: Schedule II - CORRECT ANSWERS
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to
treat a nasal allergy. To maximize the drug's therapeutic effects, which of the following
will the nurse include in instructions to the patient? - CORRECT ANSWERS
Answer: Take the drug for one whole week before coming in contact with allergens. -
CORRECT ANSWERS
Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The
patient is sweating, and her BP is 88/50. The serum magnesium level is 10 mg/dL. The
nurse will interpret these manifestations as - CORRECT ANSWERS
Answer: Magnesium Sulfate toxicity. - CORRECT ANSWERS
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia? - CORRECT
ANSWERS
Answer: The patient's bone marrow function is significantly depressed. - CORRECT
ANSWERS
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman
and her husband have sought a referral to a fertility specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from - CORRECT
ANSWERS
Answer: clomiphene. - CORRECT ANSWERS
1|Page
,Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids regularly. The
nurse will instruct the patient: - CORRECT ANSWERS
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. -
CORRECT ANSWERS
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer
medication to a 5-year-old child. The nurse will calculate the drug dosage by using -
CORRECT ANSWERS
Answer: Body Surface Area - CORRECT ANSWERS
Question 11: An older adult woman has been diagnosed with acute lymphoblastic
leukemia (ALL), and her care team has identified potential benefits of imatinib. Which of
the following characteristics of this patient's current health status may preclude the use
of imatinib? - CORRECT ANSWERS
Answer: The patient has chronic heart failure resulting in significant peripheral edema -
CORRECT ANSWERS
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to
treat benign prostatic hypertrophy (BPH). When providing information about the drug,
the nurse will include which of the following as a risk associated with finasteride
therapy? - CORRECT ANSWERS
Answer: Prostatic neoplasia - CORRECT ANSWERS
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose - CORRECT ANSWERS
Answer: After a meal. - CORRECT ANSWERS
Question 14: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to - CORRECT ANSWERS
Answer: place the patch on the back, abdomen, upper arms, or thighs. - CORRECT
ANSWERS
Question 15: A 66-year-old woman has experienced a significant decline in her quality
of life due to worsening rheumatoid arthritis. Her physician has prescribed etanercept
and the APRN is responsible for facilitating this new aspect of the patient's drug
regimen involving the administration of - CORRECT ANSWERS
Answer: weekly subcutaneous injections - CORRECT ANSWERS
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be
sure to discuss the use of - CORRECT ANSWERS
Answer: food containing iron or calcium with the woman. - CORRECT ANSWERS
Question 17: A Nurse Practitioner has questioned why a patient's physician has
prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug to treat a
patient's infection. Which of the following facts provides the best rationale for using
narrow-spectrum antibiotics whenever possible? - CORRECT ANSWERS
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
CORRECT ANSWERS
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should - CORRECT ANSWERS
2|Page
, Answer: offer a choice between liquid and chewable medications, if possible. -
CORRECT ANSWERS
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? - CORRECT ANSWERS
Answer: Nephrotoxicity and hepatotoxicity - CORRECT ANSWERS
Question 20: A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage adjustments to minimize adverse effects and prevent
toxicity; The RN should ensure that - CORRECT ANSWERS
Answer: Drug serum levels are being monitored. - CORRECT ANSWERS
Question 21: A female patient is taking oral cyclophosphamide therapy for breast
cancer. Because of possible adverse effects of the drug, the nurse will instruct the
patient to do which of the following? - CORRECT ANSWERS
Answer: Drink alot of water - CORRECT ANSWERS
Question 22: A pregnant patient with diabetes has been admitted to the hospital to
begin labor. Since the patient has diabetes, the physician has decided to use oxytocin
(Pitocin) to initiate labor contractions. When talking to the patient about the adverse
effects of the drug, the nurse should understand that the most common adverse effects
of the drug include - CORRECT ANSWERS
Answer: uterine tachysystole. - CORRECT ANSWERS
Question 23: A nurse practitioner has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine. It will be
critical for the nurse to observe for which of the following? - CORRECT ANSWERS
Answer: Respiratory difficulty - CORRECT ANSWERS
Question 24: A patient has been admitted to the critical care unit with a diagnosis of
peritonitis that has necessitated treatment with gentamicin. As a result, the care team
should be cautious when concurrently administering other medications that may cause -
CORRECT ANSWERS
Answer: ototoxicity or nephrotoxicity - CORRECT ANSWERS
Question 25: A 66-year-old man has made an appointment with his primary care
provider to discuss his recent erectile dysfunction (ED) and requested a prescription for
tadalafil (Cialis) based on television commercials. What characteristic of this patient
would most likely contraindicate the use of tadalafil for his ED? - CORRECT ANSWERS
Answer: The patient has unstable angina and uses a nitroglycerin patch - CORRECT
ANSWERS
Question 26: A 29-year-old woman who is morbidly obese has recently begun a
comprehensive, medically-supervised program of weight reduction. Prior to adding
dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about
her intake of - CORRECT ANSWERS
Answer: Caffeine - CORRECT ANSWERS
Question 27: A 68-year-old man is being treated for benign prostatic hypertrophy (BPH)
and began treatment with finasteride (Proscar) 3 months ago. When planning the care
of this patient, what desired outcome should the nurse prioritize? - CORRECT
ANSWERS
Answer: The patient will experience complete bladder emptying - CORRECT
ANSWERS
3|Page
