Advanced Pharmacology D116 Examination sample prep
Questions and Answers; certified for accuracy 2025/2026
A 35-year-old female who is a nonsmoker is happy with her combined oral hormonal
contraceptive; however, she often forgets to take her pills and would like to discuss
other options. She would also prefer to avoid any contraceptive that must be inserted
into her body.
Which medication should be recommended for this patient correct answer
Transdermal patch
A 69-year-old female patient comes to a primary care clinic for her annual wellness visit.
During the assessment, the patient reports having difficulty with bruising and does not
know how the bruises have occurred. The woman's hair and skin are drier than normal,
she has had several nosebleeds recently, and the woman noticed a small cut took a
long time to heal. The patient also admitted her diet was poor lately because she
recently retired, and her income does not support the purchase of fresh fruits and
vegetables.
A finger stick glucose level was within normal limits at 82 mg/dL. The following orders
are recommended:
blood work, including CBC, BMP, and HgbA1C
dietitian consult
vitamin C supplement (daily requirement level for patient)
What is the recommended daily requirement for this supplement correct answer
75 mg per day
An advanced practice registered nurse (APRN) is seeing a 52-year-old patient whose
chief complaint is migraine headaches. The patient reports seeing a herbalist who
provided a supplement for migraine headaches.
The patient is currently taking the following alternative therapies: butterbur, black
cohosh, coenzyme Q10, and echinacea. The patient is not sure which supplement
focuses on decreasing headaches. The APRN is including instructions in the patient
,education about alternative therapies and wishes to highlight the one that decreases
migraine headaches.
Which alternative therapy should the APRN highlight correct answer
Butterbur
An advanced practice registered nurse (APRN) is seeing a patient who is taking St.
John's wort, valerian, soy, and peppermint. The APRN needs to prescribe a medication
for hypertension. The APRN tells the patient that one of the supplements should be
discontinued due to possible adverse side effects when used with the prescription
medication.
Which supplement should be discontinued correct answer
St. John's wort
A 53-year-old female who is para 2 and gravida 2 (P2G2) presents to a clinic for a
consultation on management of hot flashes. She is interested in treatment to help
manage her symptoms since they are affecting her quality of life and causing sleep
difficulty. She has well-controlled hypertension and is currently taking lisinopril 10 mg
qd. She denies any personal history of blood clots.
Occasionally, the patient takes ibuprofen as needed for headaches and had a migraine
with an aura one time when she was a teenager. She still has her uterus and ovaries.
Which medication is the safest initial medication to use to manage this patient's
symptoms correct answer
Escitalopram
A 47-year-old female presents to a clinic to discuss the management of hot flashes. She
had a hysterectomy three years ago but still has her ovaries. She tells an advanced
practice registered nurse (APRN) that the hot flashes are extremely bothersome to her
and would like to start estradiol because this medication worked well for her sister. She
tells the APRN that she smokes occasionally but is trying to quit.
Which medication is contraindicated for this patient correct answer
, Oral estrogen
A 32-year-old female is discussing contraceptive options with an advanced practice
registered nurse (APRN). The patient is currently taking an oral contraceptive pill and
has no contraindications to estrogen therapy. She tells the APRN that she is happy with
the pill because it helps her skin but really does not like having to take something every
day. She is planning on getting pregnant in 10-12 months when she is done with her
graduate degree.
Which recommendation should the APRN make for this patient correct answer
Vaginal contraceptive ring
A 46-year-old woman is seen for a gastrointestinal disorder and is diagnosed with
irritable bowel syndrome (IBS). She has been prescribed alosetron for severe
symptoms associated with the disease.Which medication should the advanced practice
registered nurse (APRN) advise the patient to discontinue to prevent drug interactions
correct answer
Cimetidine
A patient has been on a long-term regimen of NSAIDs and needs a medication that is
approved to prevent gastric ulcers.
Which medication should an advanced practice registered nurse prescribe for this
patient correct answer
Misoprostol
A 32-year-old female presents to an advanced practice registered nurse (APRN) with
severe nausea and vomiting during pregnancy and requires pharmaceutical therapy.
The APRN knows that some medication solutions should be avoided during pregnancy.
Which medication falls into this category correct answer
Chenodiol
Questions and Answers; certified for accuracy 2025/2026
A 35-year-old female who is a nonsmoker is happy with her combined oral hormonal
contraceptive; however, she often forgets to take her pills and would like to discuss
other options. She would also prefer to avoid any contraceptive that must be inserted
into her body.
Which medication should be recommended for this patient correct answer
Transdermal patch
A 69-year-old female patient comes to a primary care clinic for her annual wellness visit.
During the assessment, the patient reports having difficulty with bruising and does not
know how the bruises have occurred. The woman's hair and skin are drier than normal,
she has had several nosebleeds recently, and the woman noticed a small cut took a
long time to heal. The patient also admitted her diet was poor lately because she
recently retired, and her income does not support the purchase of fresh fruits and
vegetables.
A finger stick glucose level was within normal limits at 82 mg/dL. The following orders
are recommended:
blood work, including CBC, BMP, and HgbA1C
dietitian consult
vitamin C supplement (daily requirement level for patient)
What is the recommended daily requirement for this supplement correct answer
75 mg per day
An advanced practice registered nurse (APRN) is seeing a 52-year-old patient whose
chief complaint is migraine headaches. The patient reports seeing a herbalist who
provided a supplement for migraine headaches.
The patient is currently taking the following alternative therapies: butterbur, black
cohosh, coenzyme Q10, and echinacea. The patient is not sure which supplement
focuses on decreasing headaches. The APRN is including instructions in the patient
,education about alternative therapies and wishes to highlight the one that decreases
migraine headaches.
Which alternative therapy should the APRN highlight correct answer
Butterbur
An advanced practice registered nurse (APRN) is seeing a patient who is taking St.
John's wort, valerian, soy, and peppermint. The APRN needs to prescribe a medication
for hypertension. The APRN tells the patient that one of the supplements should be
discontinued due to possible adverse side effects when used with the prescription
medication.
Which supplement should be discontinued correct answer
St. John's wort
A 53-year-old female who is para 2 and gravida 2 (P2G2) presents to a clinic for a
consultation on management of hot flashes. She is interested in treatment to help
manage her symptoms since they are affecting her quality of life and causing sleep
difficulty. She has well-controlled hypertension and is currently taking lisinopril 10 mg
qd. She denies any personal history of blood clots.
Occasionally, the patient takes ibuprofen as needed for headaches and had a migraine
with an aura one time when she was a teenager. She still has her uterus and ovaries.
Which medication is the safest initial medication to use to manage this patient's
symptoms correct answer
Escitalopram
A 47-year-old female presents to a clinic to discuss the management of hot flashes. She
had a hysterectomy three years ago but still has her ovaries. She tells an advanced
practice registered nurse (APRN) that the hot flashes are extremely bothersome to her
and would like to start estradiol because this medication worked well for her sister. She
tells the APRN that she smokes occasionally but is trying to quit.
Which medication is contraindicated for this patient correct answer
, Oral estrogen
A 32-year-old female is discussing contraceptive options with an advanced practice
registered nurse (APRN). The patient is currently taking an oral contraceptive pill and
has no contraindications to estrogen therapy. She tells the APRN that she is happy with
the pill because it helps her skin but really does not like having to take something every
day. She is planning on getting pregnant in 10-12 months when she is done with her
graduate degree.
Which recommendation should the APRN make for this patient correct answer
Vaginal contraceptive ring
A 46-year-old woman is seen for a gastrointestinal disorder and is diagnosed with
irritable bowel syndrome (IBS). She has been prescribed alosetron for severe
symptoms associated with the disease.Which medication should the advanced practice
registered nurse (APRN) advise the patient to discontinue to prevent drug interactions
correct answer
Cimetidine
A patient has been on a long-term regimen of NSAIDs and needs a medication that is
approved to prevent gastric ulcers.
Which medication should an advanced practice registered nurse prescribe for this
patient correct answer
Misoprostol
A 32-year-old female presents to an advanced practice registered nurse (APRN) with
severe nausea and vomiting during pregnancy and requires pharmaceutical therapy.
The APRN knows that some medication solutions should be avoided during pregnancy.
Which medication falls into this category correct answer
Chenodiol
