Advanced Pharmacology D116 Unit 2 Study guide Exam
Questions with Key Marking Scheme Updated 2025/2026
A patient is receiving oral ferrous sulfate for iron deficiency anemia. The FNP is
considering placing the patient on an antibiotic drug. Which medication, if taken
concurrently with iron, would decrease absorption of the iron supplement? - correct
answer Tetracycline
Coadministration of tetracycline and iron reduces absorption of both medications
The nurse is obtaining a history from a patient who discloses daily use of St. John's wort
in addition to prescription drugs. Which effect of this dietary supplement would most
concern the nurse? - correct answer It accelerates the metabolism of some drugs (less
drug effect)
Also reduces the effects of digoxin
Also can intensity effects of serotonin and any antidepressants
An 80-year-old patient with a history of glaucoma develops unstable angina. He is
started on diltiazem 30mg PO QID and aspirin 325mg PO QD in addition to timolol
ophthalmic solution one drop in the right eye BID. This patient is at increased risk for: -
correct answer Fainting episodes and falls
BB may result in bradycardia and or hypotension
An older adult male was diagnoses 3 months ago with systolic hypertension and
presents for follow-up care. He is on a no-salt added diet and has lost 8lb in 3 months.
Weekly BP checks average 180s/70s. The patient's health history includes BPH, Type 2
DM, and CAD with an MI 8 years ago. His chief complaint includes periodic angina,
occasional heartburn, slowed urine stream with dribbling, and decreased energy levels.
His BP today is 188/78 mmHg. His current medications are ranitidine 150mg PRN,
aspirin 325mg QD, nitroglycerin and Maalox PRN. The patient is married and sexually
, active. Which medication would the FNP initiate after a complete physical including
ECG and all indicated blood work? - correct answer ACE Inhibitor (-pril)
They have been shown to prolong life in patients with HF by improving overall cardiac
function
Diuretics are not a priority over ACE inhibitors
BB and CCB should be contraindicated in patients with new onset decompensated HF
An elderly patient with a history of asthma and hypertension presents to the emergency
department complaining of chest pain and shortness of breath. The advanced practice
registered nurse (APRN) reviews the patient's current medications and notes that the
patient is taking propranolol and inhaled albuterol. - correct answer Propranolol can
decrease albuterol's therapeutic effect
Propranolol is a beta blocker and causes bronchoCONSTRICTION because it is
cholinergic
Albuterol is a beta agonist and will have adrenergic response which is
bronchoDILATION
In asthma patients they are already constricted.. don't want to give a med that will make
them more constricted
A 35-year-old mother who is currently breastfeeding her four-month-old baby comes to
a clinic for an evaluation of a sinus infection. The advanced practice registered nurse
needs to prescribe medication that does not pass across the membrane into the breast
milk.
Which type of medication crosses this membrane? - correct answer Lipid-soluble
Lipid soluble pass freely through membrane
Questions with Key Marking Scheme Updated 2025/2026
A patient is receiving oral ferrous sulfate for iron deficiency anemia. The FNP is
considering placing the patient on an antibiotic drug. Which medication, if taken
concurrently with iron, would decrease absorption of the iron supplement? - correct
answer Tetracycline
Coadministration of tetracycline and iron reduces absorption of both medications
The nurse is obtaining a history from a patient who discloses daily use of St. John's wort
in addition to prescription drugs. Which effect of this dietary supplement would most
concern the nurse? - correct answer It accelerates the metabolism of some drugs (less
drug effect)
Also reduces the effects of digoxin
Also can intensity effects of serotonin and any antidepressants
An 80-year-old patient with a history of glaucoma develops unstable angina. He is
started on diltiazem 30mg PO QID and aspirin 325mg PO QD in addition to timolol
ophthalmic solution one drop in the right eye BID. This patient is at increased risk for: -
correct answer Fainting episodes and falls
BB may result in bradycardia and or hypotension
An older adult male was diagnoses 3 months ago with systolic hypertension and
presents for follow-up care. He is on a no-salt added diet and has lost 8lb in 3 months.
Weekly BP checks average 180s/70s. The patient's health history includes BPH, Type 2
DM, and CAD with an MI 8 years ago. His chief complaint includes periodic angina,
occasional heartburn, slowed urine stream with dribbling, and decreased energy levels.
His BP today is 188/78 mmHg. His current medications are ranitidine 150mg PRN,
aspirin 325mg QD, nitroglycerin and Maalox PRN. The patient is married and sexually
, active. Which medication would the FNP initiate after a complete physical including
ECG and all indicated blood work? - correct answer ACE Inhibitor (-pril)
They have been shown to prolong life in patients with HF by improving overall cardiac
function
Diuretics are not a priority over ACE inhibitors
BB and CCB should be contraindicated in patients with new onset decompensated HF
An elderly patient with a history of asthma and hypertension presents to the emergency
department complaining of chest pain and shortness of breath. The advanced practice
registered nurse (APRN) reviews the patient's current medications and notes that the
patient is taking propranolol and inhaled albuterol. - correct answer Propranolol can
decrease albuterol's therapeutic effect
Propranolol is a beta blocker and causes bronchoCONSTRICTION because it is
cholinergic
Albuterol is a beta agonist and will have adrenergic response which is
bronchoDILATION
In asthma patients they are already constricted.. don't want to give a med that will make
them more constricted
A 35-year-old mother who is currently breastfeeding her four-month-old baby comes to
a clinic for an evaluation of a sinus infection. The advanced practice registered nurse
needs to prescribe medication that does not pass across the membrane into the breast
milk.
Which type of medication crosses this membrane? - correct answer Lipid-soluble
Lipid soluble pass freely through membrane
