PHARMACOLOGY MID-TERM EXAM
QUESTIONS WITH CORRECT DETAILED
SOLUTIONS LATEST UPDATE
1. a patient comes to the clinic and receive valacyclovir for herpes zoster virus
when will the provider instruct the patient to take the medication a.
Without regard to meals
b. without any dairy product
c. each morning
d. an empty stomach
2. A patient has been diagnosed with onychomycosis the patient disliked the
yellow discoloration of the toenails and request an oral form of
ketoconazole. How would you respond? a. ketoconazole only treats viral
infection
b. ketoconazole taken orally has a higher risk of liver injury
c. ketoconazole is only available in topical formulation
d. the discoloration will subside without treatments in the next few days
3. The Beers criteria is utilized with which population of patient
A. Ob/gyn
B. Pediatrics
C. mental health
D. geriatris ?
Page 1 of 57
,4. a Pediatrics provider is teaching nursing student to calculate medication
doses for children using a formula based on body surface area. which
statement nursing student indicates understanding of teaching?
a. This formula can determine medication dosing for a child of any age
b. this formula accounts for pharmacokinetics factors that are different in
children
c. this formula helps approximate the first dose other doses should be based
on clinical observations
d. using this formula will prevent side effects of medication and children
5. A 6 month old infant is brought into the clinic with rash on the face and eye.
That consists of linear erythematous burrows. An older sibling has similar
rash on his wrist in between his fingers and appropriate intervention would
be? a. mycitracin ointment
b. Permethrin 5% cream (elimite)?
c. bacitracin ointment
d. ACITRETIN (SORIATANE)
6. Patient on chronic long term corticosteroid therapy, needs education
regarding
a. Small amount of alcohol are generally tolerated
b. reporting black tarry stools or abdominal pain
c. receiving all vaccination specially delivered flu vaccine
d. eating high carbohydrate diet with plenty of fluids
7. physiological change in elderly that accounts for small volume of
distribution and an increase in plasma concentration of digoxin is a.
decreased total body fat
b. increase total body water
Page 2 of 57
, c. increased activity of hepatic enzymes that facilitate drug metabolism
d. decrease rate of elimination due to decreased renal function
8. regarding the most common causes of adverse reaction in older adults which
of the following would you find to be decreased in the most common cause
of this problem in older adults a. liver function
b. plasma albumin level
c. body fat content
d. renal function/clearance
9. an infant develop a pruritic following exposure to an allergen. The infant's
parent asked the provider about using a topical antihistamine. what
information should that provider use to address the parents question
a. anti histamine given by this route are not absorbed as well as in children
b. the child will also need oral medication to achieve effective results
c. applying anti histamine to the skin can cause toxicity in the age group
d. topical medication have fewer side effects than those given by other
routes
10. a patient who has congestive heart failure requires a diuretic the patient also
has a history of chronic kidney disease with GFR of less than 30ML per
minute which drug prescribed for this patient
a. Metolazone
b. Methyclothiazide
c. Furosemide
d. Hydrochlorothiazide
11. Which outcomes should the NP establish for patient with trichomoniasis
who is receiving metronidazole?
A. improvement in pain in the back of the testicles
Page 3 of 57
, B. decrease in yellow green, odorous vaginal discharge
C. resolution of genital and perianal warts
D. Absence of painful urination and watery discharge
12. a patient is diagnosed with lymphangitis has an allergy to penicillin the
allergies are rash. What would you give to this patient?
A.Clindamycin IV
13. which laboratory tests should be done at baseline when initiating a statin
therapy
A. platelets
B. urinalysis
C. LFTs LIVER ENZYME
D. TSH
14. The patient is receiving anticoagulant therapy the INR value of the patients
today is 1.5 in response to this what will you do
a. the level is within the expected target therapeutic level of anticoagulation
b. the level outside the expected target therapeutic level of anticoagulation,
it is too low
c. The level cannot be interpreted without knowing the PT and the INR
ratio
d. the level is outside the expected target therapeutic level of
anticoagulation it's too high
15. A patient with alcohol abuse disorder is admitted to the hospital for surgery
the provider is most concerned when the admission interview determines the
patient regularly used to what medication
a. morphine
b. acetaminophen
Page 4 of 57
QUESTIONS WITH CORRECT DETAILED
SOLUTIONS LATEST UPDATE
1. a patient comes to the clinic and receive valacyclovir for herpes zoster virus
when will the provider instruct the patient to take the medication a.
Without regard to meals
b. without any dairy product
c. each morning
d. an empty stomach
2. A patient has been diagnosed with onychomycosis the patient disliked the
yellow discoloration of the toenails and request an oral form of
ketoconazole. How would you respond? a. ketoconazole only treats viral
infection
b. ketoconazole taken orally has a higher risk of liver injury
c. ketoconazole is only available in topical formulation
d. the discoloration will subside without treatments in the next few days
3. The Beers criteria is utilized with which population of patient
A. Ob/gyn
B. Pediatrics
C. mental health
D. geriatris ?
Page 1 of 57
,4. a Pediatrics provider is teaching nursing student to calculate medication
doses for children using a formula based on body surface area. which
statement nursing student indicates understanding of teaching?
a. This formula can determine medication dosing for a child of any age
b. this formula accounts for pharmacokinetics factors that are different in
children
c. this formula helps approximate the first dose other doses should be based
on clinical observations
d. using this formula will prevent side effects of medication and children
5. A 6 month old infant is brought into the clinic with rash on the face and eye.
That consists of linear erythematous burrows. An older sibling has similar
rash on his wrist in between his fingers and appropriate intervention would
be? a. mycitracin ointment
b. Permethrin 5% cream (elimite)?
c. bacitracin ointment
d. ACITRETIN (SORIATANE)
6. Patient on chronic long term corticosteroid therapy, needs education
regarding
a. Small amount of alcohol are generally tolerated
b. reporting black tarry stools or abdominal pain
c. receiving all vaccination specially delivered flu vaccine
d. eating high carbohydrate diet with plenty of fluids
7. physiological change in elderly that accounts for small volume of
distribution and an increase in plasma concentration of digoxin is a.
decreased total body fat
b. increase total body water
Page 2 of 57
, c. increased activity of hepatic enzymes that facilitate drug metabolism
d. decrease rate of elimination due to decreased renal function
8. regarding the most common causes of adverse reaction in older adults which
of the following would you find to be decreased in the most common cause
of this problem in older adults a. liver function
b. plasma albumin level
c. body fat content
d. renal function/clearance
9. an infant develop a pruritic following exposure to an allergen. The infant's
parent asked the provider about using a topical antihistamine. what
information should that provider use to address the parents question
a. anti histamine given by this route are not absorbed as well as in children
b. the child will also need oral medication to achieve effective results
c. applying anti histamine to the skin can cause toxicity in the age group
d. topical medication have fewer side effects than those given by other
routes
10. a patient who has congestive heart failure requires a diuretic the patient also
has a history of chronic kidney disease with GFR of less than 30ML per
minute which drug prescribed for this patient
a. Metolazone
b. Methyclothiazide
c. Furosemide
d. Hydrochlorothiazide
11. Which outcomes should the NP establish for patient with trichomoniasis
who is receiving metronidazole?
A. improvement in pain in the back of the testicles
Page 3 of 57
, B. decrease in yellow green, odorous vaginal discharge
C. resolution of genital and perianal warts
D. Absence of painful urination and watery discharge
12. a patient is diagnosed with lymphangitis has an allergy to penicillin the
allergies are rash. What would you give to this patient?
A.Clindamycin IV
13. which laboratory tests should be done at baseline when initiating a statin
therapy
A. platelets
B. urinalysis
C. LFTs LIVER ENZYME
D. TSH
14. The patient is receiving anticoagulant therapy the INR value of the patients
today is 1.5 in response to this what will you do
a. the level is within the expected target therapeutic level of anticoagulation
b. the level outside the expected target therapeutic level of anticoagulation,
it is too low
c. The level cannot be interpreted without knowing the PT and the INR
ratio
d. the level is outside the expected target therapeutic level of
anticoagulation it's too high
15. A patient with alcohol abuse disorder is admitted to the hospital for surgery
the provider is most concerned when the admission interview determines the
patient regularly used to what medication
a. morphine
b. acetaminophen
Page 4 of 57
