NURS 5334 Advanced Pharmacology Modules 1–5
Latest Update 2026 | Exam Prep
1. A patient who has type 2 diabetes mellitus will begin taking a bile acid
sequestrant. Which bile acid sequestrant should the primary care NP order?
Cholestyramine (Questran Light)
Cholestyramine (Questran)
Colestipol (Colestid)
Colesevelam (Welchol)
2. What are the essential components that must be included in a prescription
according to Texas BON regulations?
Patient's name, medication name, dosage, and prescriber's phone
number.
Patient's name, date, medication name, dosage, route, and
prescriber's signature.
Patient's name, medication name, prescriber's contact information, and
pharmacy address.
Medication name, dosage, prescriber's signature, and patient's
insurance information.
3. Which medication should be added for a patient with diabetes and
hypertension currently on a thiazide diuretic?
β-blocker
Aldosterone antagonist
Calcium channel blocker
Angiotensin-converting enzyme inhibitor
,4. Which of the following is TRUE for a prescription that is transmitted from an
institutional facility by a licensed nurse practitioner where it was not originally
issued?
A pharmacist shall NOT fill the prescription.
A licensed nurse practitioner must have a prescriptive authority.
A pharmacist shall call and verify with the prescriber.
A pharmacist shall fill the prescription.
5. An NP is seeing a child who weighs 25 pounds, 2 oz and needs a medication.
The NP learns that the recommended dosing for this drug is 30-35 mg per kg
per day in three divided doses. The NP should order
330 mg once a day
110 mg daily
110 mg tid
330 mg tid
6. An NP is caring for a 70-year-old patient who reports having seasonal
allergies with severe rhinorrhea. Using the Beers criteria, which of the
following medications should the NP recommend for this patient?
Hydroxyzine (Vistaril)
Diphenhydramine (Benadryl)
Loratadine (Claritin)
Chlorpheniramine maleate (Chlorphen 12)
7. Why is it important for a nurse practitioner to request all vitamin bottles from
a patient?
, It helps the practitioner to recommend a specific brand of vitamins.
It provides an opportunity to discuss the history of vitamin use.
It ensures the patient is aware of the benefits of vitamins.
It allows the practitioner to review the types and dosages of
vitamins the patient is taking.
8. Discuss the implications of medication safety for breastfeeding women when
considering headache treatment options.
All medications should be avoided during breastfeeding due to
potential risks.
Only prescription medications can be safely used by breastfeeding
women.
Breastfeeding women should always interrupt feeding when taking
any medication.
Most over-the-counter medications are considered safe for
breastfeeding women and their infants, but it's important to evaluate
each medication individually.
9. Which of the following statements regarding the nurse practitioner's ability to
prescribe controlled substances is true?
The Drug Enforcement Administration (DEA) will not issue DEA
numbers to NPs licensed in states that do not allow prescribing of
controlled substances
Individual state regulations governing the prescriptive authority of the
NP takes precendent over individual office/practice protocols
All states require the NP to have a separate controlled substance
license
, Drug Enforcement Administration (DEA) regulation determines the
NPs ability to prescribe controlled substances
10. A nurse in a long-term care facility is administering medications to a group
of older clients. Which of the following factors of pharmacokinetics should
the nurse consider when caring for this age group?
the rate at which the liver metabolizes medication declines with age.
the excretion of the medication is reduced
the liver metabolizes the medication more quickly.
the percentage of medication absorbed is increased
11. If a family nurse practitioner encounters a 6-month-old infant with a runny
nose and a high fever, what should they consider before deciding on
immunizations?
Administer all immunizations regardless of the infant's symptoms to
maintain the schedule.
Immediately withhold all immunizations until the infant is symptom-
free for two weeks.
Only administer immunizations if the fever is below 100 degrees
Fahrenheit.
Assess the severity of the infant's symptoms and consult guidelines
on immunization safety in the presence of fever.
12. Describe the role of electrical cardioversion in the management of atrial
fibrillation despite the use of warfarin.
Electrical cardioversion is used to restore normal heart rhythm,
while warfarin prevents clot formation.
Both warfarin and cardioversion are used to prevent clots.
Latest Update 2026 | Exam Prep
1. A patient who has type 2 diabetes mellitus will begin taking a bile acid
sequestrant. Which bile acid sequestrant should the primary care NP order?
Cholestyramine (Questran Light)
Cholestyramine (Questran)
Colestipol (Colestid)
Colesevelam (Welchol)
2. What are the essential components that must be included in a prescription
according to Texas BON regulations?
Patient's name, medication name, dosage, and prescriber's phone
number.
Patient's name, date, medication name, dosage, route, and
prescriber's signature.
Patient's name, medication name, prescriber's contact information, and
pharmacy address.
Medication name, dosage, prescriber's signature, and patient's
insurance information.
3. Which medication should be added for a patient with diabetes and
hypertension currently on a thiazide diuretic?
β-blocker
Aldosterone antagonist
Calcium channel blocker
Angiotensin-converting enzyme inhibitor
,4. Which of the following is TRUE for a prescription that is transmitted from an
institutional facility by a licensed nurse practitioner where it was not originally
issued?
A pharmacist shall NOT fill the prescription.
A licensed nurse practitioner must have a prescriptive authority.
A pharmacist shall call and verify with the prescriber.
A pharmacist shall fill the prescription.
5. An NP is seeing a child who weighs 25 pounds, 2 oz and needs a medication.
The NP learns that the recommended dosing for this drug is 30-35 mg per kg
per day in three divided doses. The NP should order
330 mg once a day
110 mg daily
110 mg tid
330 mg tid
6. An NP is caring for a 70-year-old patient who reports having seasonal
allergies with severe rhinorrhea. Using the Beers criteria, which of the
following medications should the NP recommend for this patient?
Hydroxyzine (Vistaril)
Diphenhydramine (Benadryl)
Loratadine (Claritin)
Chlorpheniramine maleate (Chlorphen 12)
7. Why is it important for a nurse practitioner to request all vitamin bottles from
a patient?
, It helps the practitioner to recommend a specific brand of vitamins.
It provides an opportunity to discuss the history of vitamin use.
It ensures the patient is aware of the benefits of vitamins.
It allows the practitioner to review the types and dosages of
vitamins the patient is taking.
8. Discuss the implications of medication safety for breastfeeding women when
considering headache treatment options.
All medications should be avoided during breastfeeding due to
potential risks.
Only prescription medications can be safely used by breastfeeding
women.
Breastfeeding women should always interrupt feeding when taking
any medication.
Most over-the-counter medications are considered safe for
breastfeeding women and their infants, but it's important to evaluate
each medication individually.
9. Which of the following statements regarding the nurse practitioner's ability to
prescribe controlled substances is true?
The Drug Enforcement Administration (DEA) will not issue DEA
numbers to NPs licensed in states that do not allow prescribing of
controlled substances
Individual state regulations governing the prescriptive authority of the
NP takes precendent over individual office/practice protocols
All states require the NP to have a separate controlled substance
license
, Drug Enforcement Administration (DEA) regulation determines the
NPs ability to prescribe controlled substances
10. A nurse in a long-term care facility is administering medications to a group
of older clients. Which of the following factors of pharmacokinetics should
the nurse consider when caring for this age group?
the rate at which the liver metabolizes medication declines with age.
the excretion of the medication is reduced
the liver metabolizes the medication more quickly.
the percentage of medication absorbed is increased
11. If a family nurse practitioner encounters a 6-month-old infant with a runny
nose and a high fever, what should they consider before deciding on
immunizations?
Administer all immunizations regardless of the infant's symptoms to
maintain the schedule.
Immediately withhold all immunizations until the infant is symptom-
free for two weeks.
Only administer immunizations if the fever is below 100 degrees
Fahrenheit.
Assess the severity of the infant's symptoms and consult guidelines
on immunization safety in the presence of fever.
12. Describe the role of electrical cardioversion in the management of atrial
fibrillation despite the use of warfarin.
Electrical cardioversion is used to restore normal heart rhythm,
while warfarin prevents clot formation.
Both warfarin and cardioversion are used to prevent clots.
