ADVANCED PHARMACOLOGY FOR NP 2
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ 1. SSRIs may take 2 to 6 weeks before she will have maximum drug
effects..
Answer: Suzanne is started on paroxetine (Paxil), a selective serotonin
reuptake inhibitor (SSRI), for depression. Education regarding her
antidepressant includes: 1. SSRIs may take 2 to 6 weeks before she will
have maximum drug effects. 2. Red-green color blindness may occur and
should be reported. 3. If she experiences dry mouth or heart rates greater
than 80, she should stop taking the drug immediately. 4. She should eat lots
of food high in fiber to prevent constipation.
◍ 1. Acetaminophen with codeine (Tylenol #3).
Answer: Migraines in pregnancy may be safely treated with:1.
Acetaminophen with codeine (Tylenol #3)2. Sumatriptan (Imitrex)3.
Ergotamine tablets (Ergostat)4. Dihydroergotamine (DHE)
◍ 54. Increased risk for diabetes (prediabetes) in children isdefined as which
of the following? (Choose all that apply.)
A. impaired fasting glucose (glucose level ≥100 mg/dLor 6.2 mmol/L) but
≤125 mg/dL or 7 mmol/L)
B. impaired glucose tolerance (2-hour postprandial140-199 mg/dL or 7.8
mmol/L-11 mmol/L)
C. HbA1c ≥7.5% but ≤8.5%
D. random plasma glucose ≥250 mg/dL (13.9 mmol/L).
Answer: A, B
◍ 1. Is a live virus vaccine that provides immunity to six strains of HPV virus.
Answer: Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):1. Is a
, live virus vaccine that provides immunity to six strains of HPV virus2. Has
a common adverse effect of syncope within 15 minutes of giving the
vaccine3. Should not be given to males younger than age 12 years4. May be
given to pregnant women
◍ 71. You are counseling a patient who is considering gastricbypass surgery
for weight loss. You advise the following.(More than one can apply.)
A. Calcium absorption will be reduced.
B. Rapid weight loss after obesity surgery cancontribute to the development
of gallstones.
C. Chronic constipation is a common postoperativeadverse effect.
D. Lifelong vitamin B12 supplementation isrecommended..
Answer: A, B, D
◍ 2. Carbamazepine.
Answer: Drugs that increase the risk of osteoporosis developing include:1.
Oral combined contraceptives2. Carbamazepine3. Calcium channel
blockers4. High doses of vitamin D
◍ 3. Inactivated vaccines.
Answer: Attenuated vaccines are also known as:1. Killed vaccines2. Booster
vaccines3. Inactivated vaccines4. Live vaccines
◍ 25. Commonly encountered diagnoses other than acuteappendicitis can
include which of the following in a28-year-old with a 2-day history of lower
abdominalpain and with right-sided pain slightly worse than left?(More than
one can apply.)
A. constipation
B. pelvic inflammatory disease
C. ectopic pregnancy
D. splenic infarct.
Answer: A, B, C
◍ 38. Which of the following best describes the physicalactivity
recommendations such as brisk walking fora 55-year-old woman with newly
diagnosed type 2diabetes mellitus? (More than one can apply.)
, A. The goal should be for a total increased physicalactivity of 150 min per
week or more.
B. Increased physical activity is recommended at leastthree times per week
with no more than 48 hourswithout exercise
C. Some form of resistance exercise such as liftingdumbbells or using an
exercise band should beincluded at least two times per week.
D. Vigorous aerobic or resistance activity is potentiallycontraindicated in
the presence of proliferative orsevere nonproliferative retinopathy because
of thepossible risk of vitreous hemorrhage or retinaldetachment..
Answer: A, B, C, D
◍ 4. Patients should not be around pregnant women for the first 48 hours
afterthe vaccine is given..
Answer: If the measles, mumps, rubella, and varicella (MMRV) combined
vaccine is ordered to begiven as the first MMR and varicella dose to a child
the CDC recommends:1. Parents be informed of the increased risk of fever
and febrile seizures overthe MMR plus varicella two-shot regimen.2.
Patients must also receive MMRV as the second dose of MMR and
varicellain order to build adequate immunity.3. Patients be premedicated
with acetaminophen 15 minutes before the vaccineis given.4. Patients
should not be around pregnant women for the first 48 hours afterthe vaccine
is given.
◍ 4. Diaphoresis.
Answer: Beta blockers are prescribed for diabetics with caution because of
their ability to produce hypoglycemiaand block the common symptoms of it.
Which of the following symptoms of hypoglycemia is notblocked by these
drugs and so can be used to warn diabetics of possible decreased blood
glucose? 1.Dizziness2. Increased heart rate3. Nervousness and shakiness 4.
Diaphoresis
◍ 3. Rh-negative women after a birth, miscarriage, or abortion.
Answer: Rho(D) immune globulin (RhoGAM) is given to:1. Infants born to
women who are Rh positive2. Sexual partners of Rh-positive women3.
, Rh-negative women after a birth, miscarriage, or abortion4. Rh-negative
women at 36 weeks gestation
◍ 3.
Answer: What is the established frequency of repeating DEXA imaging
after stating bisphosphonates?1. Every 2 years2. Every 5 years3. There is no
evidence-based time line for monitoring after the first 2 years4. There need
to be annual exams
◍ 2.
Answer: Anticholinergic agents, such as benztropine (Cogentin), may be
given with a phenothiazine to: 1. Reduce the chance of tardive dyskinesia 2.
Potentiate the effects of the drug 3. Reduce the tolerance that tends to occur
4. Increase central nervous system (CNS) depression
◍ 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS).
Answer: Jake, a 45-year-old patient with schizophrenia, was recently
hospitalized for acute psychosis due to medication noncompliance. He was
treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary care
provider: 1. For excessive weight loss 2. With the Abnormal Involuntary
Movement Scale (AIMS) for extrapyramidal symptoms (EPS) 3. Monthly
for tolerance to the haloperidol 4. Only by the mental health provider, as
most NPs in primary care do not care for mentally ill patients
◍ 4. Are allergic to yeast.
Answer: Hepatitis B vaccine is contraindicated in patients who:1. Were born
after less than 32 weeks gestation (give first dose at age 6 months)2. Are
pregnant3. Are on hemodialysis4. Are allergic to yeast
◍ 55. Risk factors for dyslipidemia in children include whichof the following?
(Choose all that apply.)
A. blood pressure at the 70th to 80th percentile for age
B. breastfeeding into the toddler years
C. family history of lipid abnormalities
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ 1. SSRIs may take 2 to 6 weeks before she will have maximum drug
effects..
Answer: Suzanne is started on paroxetine (Paxil), a selective serotonin
reuptake inhibitor (SSRI), for depression. Education regarding her
antidepressant includes: 1. SSRIs may take 2 to 6 weeks before she will
have maximum drug effects. 2. Red-green color blindness may occur and
should be reported. 3. If she experiences dry mouth or heart rates greater
than 80, she should stop taking the drug immediately. 4. She should eat lots
of food high in fiber to prevent constipation.
◍ 1. Acetaminophen with codeine (Tylenol #3).
Answer: Migraines in pregnancy may be safely treated with:1.
Acetaminophen with codeine (Tylenol #3)2. Sumatriptan (Imitrex)3.
Ergotamine tablets (Ergostat)4. Dihydroergotamine (DHE)
◍ 54. Increased risk for diabetes (prediabetes) in children isdefined as which
of the following? (Choose all that apply.)
A. impaired fasting glucose (glucose level ≥100 mg/dLor 6.2 mmol/L) but
≤125 mg/dL or 7 mmol/L)
B. impaired glucose tolerance (2-hour postprandial140-199 mg/dL or 7.8
mmol/L-11 mmol/L)
C. HbA1c ≥7.5% but ≤8.5%
D. random plasma glucose ≥250 mg/dL (13.9 mmol/L).
Answer: A, B
◍ 1. Is a live virus vaccine that provides immunity to six strains of HPV virus.
Answer: Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):1. Is a
, live virus vaccine that provides immunity to six strains of HPV virus2. Has
a common adverse effect of syncope within 15 minutes of giving the
vaccine3. Should not be given to males younger than age 12 years4. May be
given to pregnant women
◍ 71. You are counseling a patient who is considering gastricbypass surgery
for weight loss. You advise the following.(More than one can apply.)
A. Calcium absorption will be reduced.
B. Rapid weight loss after obesity surgery cancontribute to the development
of gallstones.
C. Chronic constipation is a common postoperativeadverse effect.
D. Lifelong vitamin B12 supplementation isrecommended..
Answer: A, B, D
◍ 2. Carbamazepine.
Answer: Drugs that increase the risk of osteoporosis developing include:1.
Oral combined contraceptives2. Carbamazepine3. Calcium channel
blockers4. High doses of vitamin D
◍ 3. Inactivated vaccines.
Answer: Attenuated vaccines are also known as:1. Killed vaccines2. Booster
vaccines3. Inactivated vaccines4. Live vaccines
◍ 25. Commonly encountered diagnoses other than acuteappendicitis can
include which of the following in a28-year-old with a 2-day history of lower
abdominalpain and with right-sided pain slightly worse than left?(More than
one can apply.)
A. constipation
B. pelvic inflammatory disease
C. ectopic pregnancy
D. splenic infarct.
Answer: A, B, C
◍ 38. Which of the following best describes the physicalactivity
recommendations such as brisk walking fora 55-year-old woman with newly
diagnosed type 2diabetes mellitus? (More than one can apply.)
, A. The goal should be for a total increased physicalactivity of 150 min per
week or more.
B. Increased physical activity is recommended at leastthree times per week
with no more than 48 hourswithout exercise
C. Some form of resistance exercise such as liftingdumbbells or using an
exercise band should beincluded at least two times per week.
D. Vigorous aerobic or resistance activity is potentiallycontraindicated in
the presence of proliferative orsevere nonproliferative retinopathy because
of thepossible risk of vitreous hemorrhage or retinaldetachment..
Answer: A, B, C, D
◍ 4. Patients should not be around pregnant women for the first 48 hours
afterthe vaccine is given..
Answer: If the measles, mumps, rubella, and varicella (MMRV) combined
vaccine is ordered to begiven as the first MMR and varicella dose to a child
the CDC recommends:1. Parents be informed of the increased risk of fever
and febrile seizures overthe MMR plus varicella two-shot regimen.2.
Patients must also receive MMRV as the second dose of MMR and
varicellain order to build adequate immunity.3. Patients be premedicated
with acetaminophen 15 minutes before the vaccineis given.4. Patients
should not be around pregnant women for the first 48 hours afterthe vaccine
is given.
◍ 4. Diaphoresis.
Answer: Beta blockers are prescribed for diabetics with caution because of
their ability to produce hypoglycemiaand block the common symptoms of it.
Which of the following symptoms of hypoglycemia is notblocked by these
drugs and so can be used to warn diabetics of possible decreased blood
glucose? 1.Dizziness2. Increased heart rate3. Nervousness and shakiness 4.
Diaphoresis
◍ 3. Rh-negative women after a birth, miscarriage, or abortion.
Answer: Rho(D) immune globulin (RhoGAM) is given to:1. Infants born to
women who are Rh positive2. Sexual partners of Rh-positive women3.
, Rh-negative women after a birth, miscarriage, or abortion4. Rh-negative
women at 36 weeks gestation
◍ 3.
Answer: What is the established frequency of repeating DEXA imaging
after stating bisphosphonates?1. Every 2 years2. Every 5 years3. There is no
evidence-based time line for monitoring after the first 2 years4. There need
to be annual exams
◍ 2.
Answer: Anticholinergic agents, such as benztropine (Cogentin), may be
given with a phenothiazine to: 1. Reduce the chance of tardive dyskinesia 2.
Potentiate the effects of the drug 3. Reduce the tolerance that tends to occur
4. Increase central nervous system (CNS) depression
◍ 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS).
Answer: Jake, a 45-year-old patient with schizophrenia, was recently
hospitalized for acute psychosis due to medication noncompliance. He was
treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary care
provider: 1. For excessive weight loss 2. With the Abnormal Involuntary
Movement Scale (AIMS) for extrapyramidal symptoms (EPS) 3. Monthly
for tolerance to the haloperidol 4. Only by the mental health provider, as
most NPs in primary care do not care for mentally ill patients
◍ 4. Are allergic to yeast.
Answer: Hepatitis B vaccine is contraindicated in patients who:1. Were born
after less than 32 weeks gestation (give first dose at age 6 months)2. Are
pregnant3. Are on hemodialysis4. Are allergic to yeast
◍ 55. Risk factors for dyslipidemia in children include whichof the following?
(Choose all that apply.)
A. blood pressure at the 70th to 80th percentile for age
B. breastfeeding into the toddler years
C. family history of lipid abnormalities
