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NSG 6005 Final Exam Comprehensive Review Test Bank | 300 Real Questions & Answers with Rationales | Newest 2026–2027 Edition

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Complete, verified test bank for NSG 6005 Final Exam, updated for the 2026–2027 academic cycle. Contains 300 real exam questions with correct answers and detailed rationales. Covers all major domains: advanced pharmacology (warfarin INR 4.5 without bleeding: withhold next dose; metformin contraindicated with Cr 1.8; digoxin toxicity risk with hypokalemia; loop diuretics cause hypokalemia; ACE inhibitor dry cough; spironolactone monitor potassium; lithium toxicity hyperreflexia; isoniazid give vitamin B6; metronidazole avoid alcohol; alendronate upright 30 minutes; levothyroxine empty stomach; clopidogrel report bruising; prednisone taper; beta blockers contraindicated in asthma; furosemide with digoxin monitor potassium; amiodarone baseline thyroid/LFTs; statin stop if LFTs 3x normal; methotrexate give folic acid; opioid constipation prophylactic; carbamazepine CBC/LFTs; TMP-SMX increases INR; phenytoin gingival hyperplasia; SSRI drowsiness at bedtime; venlafaxine withdrawal dizziness; bupropion seizure disorder contraindicated; benzodiazepine tolerance/dependence; naloxone IM or intranasal; epinephrine auto-injector outer thigh; insulin glargine long-acting; GLP-1 nausea; SGLT2 euglycemic DKA; metformin B12 deficiency; ACE inhibitor angioedema switch to ARB; amlodipine peripheral edema; dabigatran contraindicated mechanical heart valve; PPI B12 deficiency osteoporosis; ICS rinse mouth; LABA must use with ICS; montelukast suicidal ideation black box; oseltamivir within 48 hours; acyclovir within 72 hours for shingles; voriconazole TDM; aminoglycoside peak/trough; vancomycin red man syndrome; linezolid avoid tyramine; rifampin orange-red discoloration; abacavir HLA-B*5701; statin myalgia check CK; bisphosphonate osteonecrosis jaw), advanced assessment (pericarditis pain worse lying flat better leaning forward; herpes zoster dermatomal rash; subarachnoid hemorrhage worst headache of my life; DVT venous duplex ultrasound; postoperative PE tachycardia hypoxemia; appendicitis RLQ rebound; cholecystitis RUQ pain after fatty meals; pancreatitis epigastric pain radiating back; rheumatoid arthritis morning stiffness 30 min; gout red hot swollen great toe; hypertensive urgency no target organ damage; hypertensive emergency with acute kidney injury; thyroid nodule microcalcifications irregular margins; breast cancer spiculated mass with microcalcifications; new onset seizures MRI brain; meningitis lumbar puncture; solitary pulmonary nodule evaluation; progressive dysphagia esophageal cancer; splenomegaly portal hypertension; bilateral pitting edema heart failure; unilateral non-pitting edema lymphedema; tinea corporis annular central clearing; psoriasis scaly silvery plaques; lupus butterfly rash spares nasolabial; acanthosis nigricans insulin resistance; vestibular neuritis acute vertigo days; Meniere's vertigo tinnitus hearing loss; Parkinson resting tremor; essential tremor action tremor; Bell's palsy forehead involved; myasthenia gravis fatigable weakness; optic neuritis scotoma with eye pain; retinal detachment curtain vision loss; acute angle closure glaucoma red eye halos fixed pupil; strep pharyngitis rapid strep; mononucleosis posterior cervical lymphadenopathy; pneumococcal pneumonia rusty sputum; Legionella dry cough travel; cystitis leukocyte esterase nitrites; pyelonephritis CVA tenderness fever; primary syphilis painless chancre; genital herpes painful ulcers; trichomoniasis frothy green pH5 motile; bacterial vaginosis clue cells fishy odor; candidiasis thick white hyphae; fibroadenoma mobile rubbery young woman; breast cancer hard irregular fixed older woman; intraductal papilloma bloody nipple discharge), primary care management (T2DM add SGLT2 or GLP-1 after metformin; HFrEF ACE inhibitor + beta blocker; hypertension with BPH alpha blocker; angina beta blocker; asthma with beta blocker use metoprolol; COPD exacerbations LAMA + LABA; asthma ICS daily; allopurinol initial flares 3-6 months with prophylaxis; OA acetaminophen first line; low back pain acetaminophen/NSAID; gabapentin slow titration; sumatriptan at first sign of migraine; migraine prevention beta blocker; GAD SSRI first line; SSRI onset 2-4 weeks; lithium monitor levels; olanzapine metabolic syndrome risk; stimulant chest pain discontinue; older adult avoid zolpidem; CKD hydromorphone safest; cirrhosis acetaminophen 2000 mg; sulfa allergy UTI nitrofurantoin; myasthenia gravis avoid aminoglycosides/fluoroquinolones; G6PD avoid TMP-SMX; penicillin anaphylaxis avoid cephalosporins; C diff oral vancomycin/fidaxomicin; MRSA clindamycin/TMP-SMX; pregnancy UTI nitrofurantoin; outpatient CAP amoxicillin/doxycycline; hypertension CKD ACE inhibitor/ARB for renal protection; HF with K+5.2 on spironolactone discontinue; CKD eGFR 35 adjust metformin; diabetic kidney disease ACE inhibitor/ARB; gout CKD allopurinol 100 mg; osteoporosis T-score -2.8 bisphosphonate; alendronate drug holiday 3-5 years; hypothyroidism target TSH 0.5-4.5; methimazole agranulocytosis fever/sore throat stop; thyroid nodule Bethesda 4 suspicious; solitary pulmonary nodule 8 mm spiculated concerning; COPD GOLD 3 FEV1 30-50%; asthma yellow zone peak flow 50-80%; provoked PE anticoagulate 3 months; rivaroxaban DVT twice daily 21 days then once daily; apixaban no routine monitoring; warfarin INR 1.2 subtherapeutic increase dose; diabetes LDL 160 high intensity statin; statin myalgia normal CK continue; HFrEF spironolactone reduces mortality), professional issues (controlled substance legitimate purpose; patient not seen 18 months require in-person evaluation; prior authorization accurate information; terminating relationship written notice 30 days; record error single line initial date; subpoena consult legal counsel; minor consent per state laws; impaired colleague report board; telehealth HIPAA compliant; prescribe across state lines license where patient located; credentialing accurate info; Medicare bill only services provided; QI protect confidentiality; off-label prescribing informed consent; retiring keep records per state law; malpractice suit contact carrier; expert witness opinion; board conflict recuse; REMS enroll; isotretinoin two forms contraception; iPLEDGE; IPV screen safety; STI partner notification encourage patient; suicidal ideation assess plan/means; buprenorphine office-based; alcohol use disorder naltrexone first line; smoking cessation bupropion/NRT/varenicline; weight management orlistat liraglutide 3.0 mg), evidence based practice (RCT highest level; systematic review structured; RR 0.5 reduces risk 50%; NNT 10 treat 10 prevent one; sensitivity 90% with disease test positive; pretest probability prevalence; clinical guidelines evidence-based; Iowa Model; CINAHL; qualitative credible transferable; meta-analysis combines results; selection bias; confounder; p=0.03 3% chance; CI includes 1.0 not significant; cohort starts with exposure; case control rare diseases; Ottawa Ankle Rules), health promotion (cervical cancer screening start age 21, 21-29 every 3 years; stop at 65; mammography 50-74 every 2 years; osteoporosis DXA 65; parental hip fracture screen 60; hypertension screening 18; lipids 45+ every 5 years; diabetes 35+ overweight/obese; pregnancy IPV risk; UTI TMP-SMX 3 days; BV metronidazole 7 days; trichomoniasis metronidazole 2g; chlamydia screen sexually active under 25; gonorrhea ceftriaxone 500 mg; syphilis benzathine penicillin G; HPV most common viral STI; genital herpes acyclovir 7-10 days; active herpes at labor C-section; HIV universal screening first prenatal visit; HIV ART as soon as possible; flu vaccine start 6 months; HPV vaccine 2 doses 11-12 years; Shingrix 50+; Tdap then Td every 10 years; pneumococcal PCV13+PPSV23 age 65+; yellow fever vaccine required), special populations (pregnancy HTN labetalol/nifedipine; breastfeeding SSRI sertraline; older adult avoid zolpidem; Reye syndrome aspirin; pediatric otitis media amoxicillin; cirrhosis acetaminophen reduced; older adult anticholinergic confusion; BPH alpha blocker orthostatic hypotension; Parkinsons avoid high dose B6; warfarin-amiodarone decrease dose; phenytoin toxicity nystagmus/ataxia; digoxin toxicity nausea/vomiting/yellow vision; allopurinol initial flares 3-6 months; interferon beta flu-like symptoms; clozapine ANC monitoring; rifampin orange-red harmless; bisphosphonate upright; SSRI sexual dysfunction buspirone/bupropion; lithium baseline renal/thyroid; stimulant cardiac symptoms), leadership (team meeting encourage all share; delegate vital signs; conflict allow each to speak; DESC; I language; SBAR; lateral violence report; constructive feedback specific; collaboration share data; interprofessional respect; conflict resolution explore interests; successful mediation; burnout seek support; receiving criticism ask for example; difficult conversation neutral; precontemplation support; termination acknowledge progress), population health (epidemiological triangle agent; incidence new cases; windshield survey; primary prevention; web of causation; outbreak identify source; passive surveillance; portal of exit; perceived severity; outcome indicator; contemplation stage; justice; attack rate 40%; ecological model relationship; social capital; prioritization criteria; cultural competence; vague awareness; policy level intervention; after action review). Perfect for NSG 6005 students, nurse practitioner programs, FNP certification, and advanced practice nursing.

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Instelling
NSG 6005 – Advanced Pharmacology
Vak
NSG 6005 – Advanced Pharmacology

Voorbeeld van de inhoud

Page 1 of 203




NSG 6005 FINAL EXAM
COMPREHENSIVE REVIEW TEST BANK
300 REAL TEST QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES
NEWEST 2026 2027 EDITION

SECTION 1 ADVANCED PHARMACOLOGY
QUESTIONS 1 TO 50


1 A nurse practitioner is prescribing a medication
that is renally excreted. Which laboratory value is
most important to monitor?
A Serum creatinine
B Liver enzymes
C Hemoglobin
D Platelet count

, Page 2 of 203



ANSWER A
Rationale Serum creatinine and estimated
glomerular filtration rate reflect renal function and
guide dosing of renally excreted drugs.


2 A patient is prescribed warfarin. The INR is 4.5.
The patient has no bleeding. Which action should
the nurse practitioner take?
A Administer vitamin K 10 mg orally
B Withhold the next dose of warfarin and monitor
INR
C Administer fresh frozen plasma
D Increase the warfarin dose


ANSWER B
Rationale For an INR between 4.5 and 10 without
bleeding, withholding warfarin is appropriate.
Vitamin K is reserved for higher INRs or bleeding.

, Page 3 of 203



3 A patient is prescribed metformin. Which finding
requires discontinuation of the medication?
A Nausea
B Diarrhea
C Serum creatinine 1.8 mg per dL
D Weight loss


ANSWER C
Rationale Metformin is contraindicated in renal
impairment due to risk of lactic acidosis. Serum
creatinine of 1.8 indicates renal impairment.


4 A patient is prescribed digoxin. Which electrolyte
imbalance increases the risk of digoxin toxicity?
A Hyperkalemia
B Hypokalemia
C Hypercalcemia
D Hypermagnesemia

, Page 4 of 203



ANSWER B
Rationale Hypokalemia increases digoxin binding to
cardiac sodium potassium ATPase, increasing the
risk of toxicity.


5 A patient is prescribed a loop diuretic. Which
electrolyte imbalance is most concerning?
A Hypernatremia
B Hypokalemia
C Hypercalcemia
D Hypermagnesemia


ANSWER B
Rationale Loop diuretics cause potassium wasting.
Hypokalemia can lead to cardiac dysrhythmias.


6 A patient is prescribed an ACE inhibitor. Which
adverse effect is most common and may require
switching to an ARB?

Geschreven voor

Instelling
NSG 6005 – Advanced Pharmacology
Vak
NSG 6005 – Advanced Pharmacology

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