NURS 5334 Advanced Pharmacology for
NP UT Arlington
NURS 5334 Advanced Pharmacology for NP
UT Arlington Practice Test – 350 Questions
and Correct Verified Answers/ NURS 5334
Exam Prep 2
A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The
patient has a history of left ventricular systolic dysfunction. The nurse should expect this
patient to be taking:
nadolol (Corgard).
carvedilol (Coreg).
timolol (Blocadren).
propranolol (Inderal). - Correct Answer :carvedilol (Coreg).
The 2012 guides for prevention of cardiovascular disease recommend that β-blocker therapy
should be used in all patients with left ventricular systolic dysfunction with heart failure or
prior MI. Use should be limited to carvedilol, metoprolol succinate, or bisoprolol.
DIF: Cognitive Level: Understanding (Comprehension)
REF: 259
A patient comes to the clinic with a recent onset of nocturnal and exertional dyspnea. The
family nurse practitioner (FNP) auscultates S3 heart sounds but does not palpate
hepatomegaly. The patient has mild peripheral edema of the ankles. The FNP should consult a
cardiologist to discuss prescribing a(n):
A+ TEST BANK 1
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
β-blocker.
a loop diuretic.
an angiotensin-converting enzyme (ACE) inhibitor.
an angiotensin receptor blocker (ARB). - Correct Answer :a loop diuretic.
This patient shows signs of systolic heart failure. Treatment for heart failure should begin with
a loop diuretic, with an ACE inhibitor added after the diuretic has been taken. β-Blockers are
used in patients with minimal fluid retention and would be added later. ARBs are used if ACE
inhibitors are not tolerated or are ineffective.
DIF: Cognitive Level: Applying (Application)
REF: 251
A FNP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient
reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient
also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry
reveals an oxygen saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):
combination ICS/LABA inhaler.
oral corticosteroid.
long-acting anticholinergic.
A+ TEST BANK 2
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
long-acting oral theophylline. - Correct Answer :combination ICS/LABA inhaler.
Providers should administer combination inhaled therapies for symptomatic patients with
stable COPD and FEV1 less than 60%. Oral corticosteroids have not been shown to be
effective, even in severe cases of COPD. Long-acting anticholinergic medications may be used
as monotherapy in early stages of COPD. Long-acting theophylline is poorly tolerated because
of side effects.
DIF: Cognitive Level: Applying (Application)
REF: 213
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe:
nystatin oral suspension, 200,000 units qid.
clotrimazole, one troche tid.
chlorhexidine, 15 mL oral rinse bid.
carbamide peroxide, 2 to 3 drops tid. - Correct Answer :nystatin oral suspension, 200,000
units qid.
Nystatin is an antifungal medication and is indicated for treatment of oral candidiasis, or
thrush. Clotrimazole is an antifungal but is not indicated for oral candidiasis in infants because
the patient must be able to allow the troche to dissolve. Chlorhexidine is used to treat
gingivitis. Carbamide peroxide is used to treat minor oral inflammation.
DIF: Cognitive Level: Applying (Application)
REF: 182
A+ TEST BANK 3
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has
cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
recommend continuing treatment for 2 more weeks.
discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
discontinue the clobetasol and recommend prn use for occasional flare-ups. - Correct Answer
:prescribe triamcinolone cream for 2 weeks.
Treatment should be discontinued when the skin condition has resolved. Tapering the
corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually
reducing the potency and dosing frequency at 2-week intervals. This patient was on a very
high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an
appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
DIF: Cognitive Level: Applying (Application)
REF: 160
A family nurse practitioner (FNP) is evaluating a patient with asthma who reports having
wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times
each month with asthma symptoms. The patient's forced expiratory volume in 1 second
(FEV1) is 80% of the predicted value. The patient's current medication regimen is an albuterol
metered-dose inhaler, 2 puffs every 4 hours as needed. The FNP should prescribe:
montelukast (Singulair) po daily.
A+ TEST BANK 4
NP UT Arlington
NURS 5334 Advanced Pharmacology for NP
UT Arlington Practice Test – 350 Questions
and Correct Verified Answers/ NURS 5334
Exam Prep 2
A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The
patient has a history of left ventricular systolic dysfunction. The nurse should expect this
patient to be taking:
nadolol (Corgard).
carvedilol (Coreg).
timolol (Blocadren).
propranolol (Inderal). - Correct Answer :carvedilol (Coreg).
The 2012 guides for prevention of cardiovascular disease recommend that β-blocker therapy
should be used in all patients with left ventricular systolic dysfunction with heart failure or
prior MI. Use should be limited to carvedilol, metoprolol succinate, or bisoprolol.
DIF: Cognitive Level: Understanding (Comprehension)
REF: 259
A patient comes to the clinic with a recent onset of nocturnal and exertional dyspnea. The
family nurse practitioner (FNP) auscultates S3 heart sounds but does not palpate
hepatomegaly. The patient has mild peripheral edema of the ankles. The FNP should consult a
cardiologist to discuss prescribing a(n):
A+ TEST BANK 1
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
β-blocker.
a loop diuretic.
an angiotensin-converting enzyme (ACE) inhibitor.
an angiotensin receptor blocker (ARB). - Correct Answer :a loop diuretic.
This patient shows signs of systolic heart failure. Treatment for heart failure should begin with
a loop diuretic, with an ACE inhibitor added after the diuretic has been taken. β-Blockers are
used in patients with minimal fluid retention and would be added later. ARBs are used if ACE
inhibitors are not tolerated or are ineffective.
DIF: Cognitive Level: Applying (Application)
REF: 251
A FNP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient
reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient
also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry
reveals an oxygen saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):
combination ICS/LABA inhaler.
oral corticosteroid.
long-acting anticholinergic.
A+ TEST BANK 2
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
long-acting oral theophylline. - Correct Answer :combination ICS/LABA inhaler.
Providers should administer combination inhaled therapies for symptomatic patients with
stable COPD and FEV1 less than 60%. Oral corticosteroids have not been shown to be
effective, even in severe cases of COPD. Long-acting anticholinergic medications may be used
as monotherapy in early stages of COPD. Long-acting theophylline is poorly tolerated because
of side effects.
DIF: Cognitive Level: Applying (Application)
REF: 213
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe:
nystatin oral suspension, 200,000 units qid.
clotrimazole, one troche tid.
chlorhexidine, 15 mL oral rinse bid.
carbamide peroxide, 2 to 3 drops tid. - Correct Answer :nystatin oral suspension, 200,000
units qid.
Nystatin is an antifungal medication and is indicated for treatment of oral candidiasis, or
thrush. Clotrimazole is an antifungal but is not indicated for oral candidiasis in infants because
the patient must be able to allow the troche to dissolve. Chlorhexidine is used to treat
gingivitis. Carbamide peroxide is used to treat minor oral inflammation.
DIF: Cognitive Level: Applying (Application)
REF: 182
A+ TEST BANK 3
, NURS 5334 Advanced Pharmacology for
NP UT Arlington
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has
cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
recommend continuing treatment for 2 more weeks.
discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
discontinue the clobetasol and recommend prn use for occasional flare-ups. - Correct Answer
:prescribe triamcinolone cream for 2 weeks.
Treatment should be discontinued when the skin condition has resolved. Tapering the
corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually
reducing the potency and dosing frequency at 2-week intervals. This patient was on a very
high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an
appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
DIF: Cognitive Level: Applying (Application)
REF: 160
A family nurse practitioner (FNP) is evaluating a patient with asthma who reports having
wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times
each month with asthma symptoms. The patient's forced expiratory volume in 1 second
(FEV1) is 80% of the predicted value. The patient's current medication regimen is an albuterol
metered-dose inhaler, 2 puffs every 4 hours as needed. The FNP should prescribe:
montelukast (Singulair) po daily.
A+ TEST BANK 4
