Walden University NURS 6521 Advanced
Pharmacology Final Exam Simulation
(2025 Format) New Latest Version with All
Questions, Correct Answers and Rationale
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 -
<<<<ANSWERS>>>
Answer: clomiphene. - <<<<ANSWERS>>>
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: - <<<<ANSWERS>>>
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. -
<<<<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 -
<<<<ANSWERS>>>
Answer: Body Surface Area - <<<<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? - <<<<ANSWERS>>>
Answer: The patient has chronic heart failure resulting in significant peripheral edema -
<<<<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? - <<<<ANSWERS>>>
,Answer: Prostatic neoplasia - <<<<ANSWERS>>>
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose - <<<<ANSWERS>>>
Answer: After a meal. - <<<<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 - <<<<ANSWERS>>>
Answer: place the patch on the back, abdomen, upper arms, or thighs. -
<<<<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 - <<<<ANSWERS>>>
Answer: weekly subcutaneous injections - <<<<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 - <<<<ANSWERS>>>
Answer: food containing iron or calcium with the woman. - <<<<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? - <<<<ANSWERS>>>
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
<<<<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 - <<<<ANSWERS>>>
Answer: offer a choice between liquid and chewable medications, if possible. -
<<<<ANSWERS>>>
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? - <<<<ANSWERS>>>
Answer: Nephrotoxicity and hepatotoxicity - <<<<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 - <<<<ANSWERS>>>
Answer: Drug serum levels are being monitored. - <<<<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? - <<<<ANSWERS>>>
Answer: Drink alot of water - <<<<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 - <<<<ANSWERS>>>
Answer: uterine tachysystole. - <<<<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? - <<<<ANSWERS>>>
Answer: Respiratory difficulty - <<<<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 -
<<<<ANSWERS>>>
Answer: ototoxicity or nephrotoxicity - <<<<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? - <<<<ANSWERS>>>
Answer: The patient has unstable angina and uses a nitroglycerin patch -
<<<<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
Pharmacology Final Exam Simulation
(2025 Format) New Latest Version with All
Questions, Correct Answers and Rationale
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 -
<<<<ANSWERS>>>
Answer: clomiphene. - <<<<ANSWERS>>>
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: - <<<<ANSWERS>>>
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. -
<<<<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 -
<<<<ANSWERS>>>
Answer: Body Surface Area - <<<<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? - <<<<ANSWERS>>>
Answer: The patient has chronic heart failure resulting in significant peripheral edema -
<<<<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? - <<<<ANSWERS>>>
,Answer: Prostatic neoplasia - <<<<ANSWERS>>>
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose - <<<<ANSWERS>>>
Answer: After a meal. - <<<<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 - <<<<ANSWERS>>>
Answer: place the patch on the back, abdomen, upper arms, or thighs. -
<<<<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 - <<<<ANSWERS>>>
Answer: weekly subcutaneous injections - <<<<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 - <<<<ANSWERS>>>
Answer: food containing iron or calcium with the woman. - <<<<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? - <<<<ANSWERS>>>
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
<<<<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 - <<<<ANSWERS>>>
Answer: offer a choice between liquid and chewable medications, if possible. -
<<<<ANSWERS>>>
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? - <<<<ANSWERS>>>
Answer: Nephrotoxicity and hepatotoxicity - <<<<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 - <<<<ANSWERS>>>
Answer: Drug serum levels are being monitored. - <<<<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? - <<<<ANSWERS>>>
Answer: Drink alot of water - <<<<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 - <<<<ANSWERS>>>
Answer: uterine tachysystole. - <<<<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? - <<<<ANSWERS>>>
Answer: Respiratory difficulty - <<<<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 -
<<<<ANSWERS>>>
Answer: ototoxicity or nephrotoxicity - <<<<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? - <<<<ANSWERS>>>
Answer: The patient has unstable angina and uses a nitroglycerin patch -
<<<<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
