NURS 6521 Advanced Pharmacology Week 8
Final Exam 2026 Prep Guide
1. A nurse obtaining an admission history on an adult c
patient notes that the patient has a heart rate of 62
beats/minute, a blood pressure of 105/62 mm Hg, and
a temperature of 96.2°F. The patient appears pale and
complains of always feeling cold and tired. The nurse
will contact the provider to discuss tests for which
condition?
a. Cretinism
b. Graves disease
c. Hypothyroidism
d. Plummer disease
2. A patient has a free T4 level of 0.6 ng/dL and a free d
T3 level of 220 pg/dL. The patient asks the nurse what
these laboratory values mean. How will the nurse re-
spond?
a. "These laboratory values indicate that you may have
Graves disease."
b. "These results suggest you may have hyperthy-
roidism."
c. "We will need to obtain a total T4 and a total T3 to
tell for sure."
d. "We will need to obtain a TSH level to better evaluate
your diagnosis."
3. A patient with type 1 diabetes who takes insulin re- d
ports taking propranolol for hypertension. Why is the
nurse concerned?
a. The beta blocker can cause insulin resistance.
, NURS 6521 Advanced Pharmacology Week 8
Final Exam 2026 Prep Guide
b. Using the two agents together increases the risk of
ketoacidosis.
c. Propranolol increases insulin requirements because
of receptor blocking.
d. The beta blocker can mask the symptoms of hypo-
glycemia.
4. A patient is admitted to the hospital and will begin b
taking levothyroxine [Synthroid]. The nurse learns that
the patient also takes warfarin [Coumadin]. The nurse
will notify the provider to discuss the dose.
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin
5. The nurse assesses a newly diagnosed patient for a
short-term complications of diabetes. What does this
assessment include?
a. Evaluation for hyperglycemia, hypoglycemia, and
ketoacidosis.
b. Cranial nerve testing for peripheral neuropathy.
c. Pedal pulse palpation for arterial insufficiency.
d. Auscultation of the carotids for bruits associated
with atherosclerosis.
6. A patient with osteopenia asks a nurse about the ben- d
efits of hormone therapy in preventing osteoporosis.
Which statement by the nurse is correct?
a. "Estrogen can help reverse bone loss."
, NURS 6521 Advanced Pharmacology Week 8
Final Exam 2026 Prep Guide
b. "Hormone therapy increases bone resorption."
c. "Hormone therapy does not decrease fracture risk."
d. "When hormone therapy is discontinued, bone mass
quickly resumes."
7. An adolescent female patient with multiple sexual b
partners asks a nurse about birth control methods.
The patient tells the nurse she tried oral contraceptives
once but often forgot to take her pills. The nurse will
recommend discussing which contraceptive method
with the provider?
a. An intrauterine device with a spermicide
b. DMPA (Depo-Provera) and condoms
c. Tubal ligation and condoms
d. Progestin-only oral contraceptives
8. A nurse is discussing various ways to obtain a med- c
ical abortion with a patient. Which statement by the
patient best demonstrates understanding of mifepris-
tone (RU 486) [Mifeprex]? "This drug is most effective
if I use it:
a. before the first missed menstrual period."
b. the day after unprotected intercourse."
c. within 7 weeks of conception."
d. immediately after ovulation."
9. A patient has been taking a progestin-only, or "minip- b
ill," OC for 3 months and reports spotting and irregular
menstrual cycles. The nurse will:
a. question the patient about any possible missed dos-
Final Exam 2026 Prep Guide
1. A nurse obtaining an admission history on an adult c
patient notes that the patient has a heart rate of 62
beats/minute, a blood pressure of 105/62 mm Hg, and
a temperature of 96.2°F. The patient appears pale and
complains of always feeling cold and tired. The nurse
will contact the provider to discuss tests for which
condition?
a. Cretinism
b. Graves disease
c. Hypothyroidism
d. Plummer disease
2. A patient has a free T4 level of 0.6 ng/dL and a free d
T3 level of 220 pg/dL. The patient asks the nurse what
these laboratory values mean. How will the nurse re-
spond?
a. "These laboratory values indicate that you may have
Graves disease."
b. "These results suggest you may have hyperthy-
roidism."
c. "We will need to obtain a total T4 and a total T3 to
tell for sure."
d. "We will need to obtain a TSH level to better evaluate
your diagnosis."
3. A patient with type 1 diabetes who takes insulin re- d
ports taking propranolol for hypertension. Why is the
nurse concerned?
a. The beta blocker can cause insulin resistance.
, NURS 6521 Advanced Pharmacology Week 8
Final Exam 2026 Prep Guide
b. Using the two agents together increases the risk of
ketoacidosis.
c. Propranolol increases insulin requirements because
of receptor blocking.
d. The beta blocker can mask the symptoms of hypo-
glycemia.
4. A patient is admitted to the hospital and will begin b
taking levothyroxine [Synthroid]. The nurse learns that
the patient also takes warfarin [Coumadin]. The nurse
will notify the provider to discuss the dose.
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin
5. The nurse assesses a newly diagnosed patient for a
short-term complications of diabetes. What does this
assessment include?
a. Evaluation for hyperglycemia, hypoglycemia, and
ketoacidosis.
b. Cranial nerve testing for peripheral neuropathy.
c. Pedal pulse palpation for arterial insufficiency.
d. Auscultation of the carotids for bruits associated
with atherosclerosis.
6. A patient with osteopenia asks a nurse about the ben- d
efits of hormone therapy in preventing osteoporosis.
Which statement by the nurse is correct?
a. "Estrogen can help reverse bone loss."
, NURS 6521 Advanced Pharmacology Week 8
Final Exam 2026 Prep Guide
b. "Hormone therapy increases bone resorption."
c. "Hormone therapy does not decrease fracture risk."
d. "When hormone therapy is discontinued, bone mass
quickly resumes."
7. An adolescent female patient with multiple sexual b
partners asks a nurse about birth control methods.
The patient tells the nurse she tried oral contraceptives
once but often forgot to take her pills. The nurse will
recommend discussing which contraceptive method
with the provider?
a. An intrauterine device with a spermicide
b. DMPA (Depo-Provera) and condoms
c. Tubal ligation and condoms
d. Progestin-only oral contraceptives
8. A nurse is discussing various ways to obtain a med- c
ical abortion with a patient. Which statement by the
patient best demonstrates understanding of mifepris-
tone (RU 486) [Mifeprex]? "This drug is most effective
if I use it:
a. before the first missed menstrual period."
b. the day after unprotected intercourse."
c. within 7 weeks of conception."
d. immediately after ovulation."
9. A patient has been taking a progestin-only, or "minip- b
ill," OC for 3 months and reports spotting and irregular
menstrual cycles. The nurse will:
a. question the patient about any possible missed dos-
