NSG 5240 Final Exam Review of Contains 300 Correctly
Answered Questions/ NSG 5240 Advanced Pharmacology
Final Exam Review 2026-2027- 300 Correctly Answered
Questions Graded A+ South College
A postmenopausal patient who has had a hysterectomy and who has a family
history of coronary heart disease reports experiencing vaginal dryness and pain
with intercourse but tells the nurse that she does not want to take hormones
because she is afraid of adverse effects. The nurse will suggest that the woman ask
her provider about:
a. Depo Provera.
b. Estraderm.
c. low-dose estrogens.
d. Vaginal Ring
d
An adult male patient will begin androgen therapy for testicular failure. Which
statement by the patient indicates understanding of the treatment regimen?
a. "I will need to have x-rays of my hands and feet every 6 months."
b. "My libido may improve while I am taking this medication."
c. "Taking this drug may lead to the development of prostate cancer."
d. "This will restore fertility, so I can have a child."
b
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
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 hypoglycemia.
1
,d
A patient receiving doxazosin presents for a routine evaluation. Which assessment
finding would be most concerning?
a. Blood pressure 96/58
b. Dizziness when standing
c. Increased nasal congestion
d. Diminished ejaculate volume
a
A patient prescribed dutasteride 2 weeks ago presents with continued complaints of
urinary hesitancy. Which action is most appropriate?
a. Obtain a urine sample.
b. Double the daily dose.
c. Perform a prostate examination.
d. Document these findings.
d
Which finding would indicate that terazosin has been effective for a patient with
BPH?
a. Decreased prostate size
b. Increased urinary frequency
c. Improved urinary hesitation
d. Decreased serum PSA levels
c
A nurse is providing education to a patient who is beginning therapy with
AndroGel testosterone gel. Which statement made by the patient demonstrates a
need for further teaching?
a. "I should not shower or swim for at least 5 to 6 hours after application."
b. "I should avoid direct skin-to-skin contact with my spouse where the medication
was
applied."
2
,c. "I should have my blood drawn for laboratory tests in 14 days."
d. "I should apply the medication to my genitals for best results."
d
A patient will begin taking hydroxychloroquine [Plaquenil] for rheumatoid
arthritis. What test will the provider order for ongoing monitoring?
a. Ophthalmological exam
b. Pulmonary Function Test
c. Electrocardiogram
d. Hypersensitivity testing
a
A patient with refractory gout will be admitted for treatment with intravenous
pegloticase. What additional action will the prescriber take to manage the patient's
treatment?
a) Prescribe an antihistamine and a glucocorticoid to be administered prior to
beginning the pegloticase infusion.
b) Initiate allopurinol therapy 24 hours prior to treatment with pegloticase.
c) Screen the patient for folic acid deficiency.
d) Prescribe a short-acting bronchodilator to be used as needed.
a
What guidance is given to a patient is beginning therapy with oral methotrexate
[Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient about the
importance of:
a. having routine renal and hepatic function tests.
b. you will need to take iron supplements
c. Avoid drinking grapefruit juice
d. taking the medication on a daily basis.
a
A patient who has been diagnosed with rheumatoid arthritis (RA) for 1 month and
has generalized symptoms is taking high-dose nonsteroidal anti-inflammatory
drugs (NSAIDs) and an oral glucocorticoid. The provider has ordered methotrexate
3
, [Rheumatrex]. The patient asks the nurse why methotrexate is necessary since pain
and swelling have been well controlled with the other medications. The nurse will
tell the patient that:
a. a methotrexate regimen can reduce overall costs and side effects of treatment.
b. starting methotrexate early can help delay joint degeneration.
c. starting methotrexate now will help increase life expectancy.
d. with methotrexate, doses of NSAIDs can be reduced to less toxic levels.
b
A patient with severe glucocorticoid-induced osteoporosis will start therapy with
teriparatide [Forteo]. What will the nurse expect to administer?
a. 20 μg once daily subQ
b. 20 μg twice daily subQ
c. 10 μg once daily subQ
d. 10 μg twice daily subQ
a
Which medication should be used for asthma patients as part of step 1
management?
a. Combination inhaled glucocorticoids/long-acting beta2 agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
d. Short-acting beta2 agonists
d
A nurse obtaining an admission history on an adult 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
4
Answered Questions/ NSG 5240 Advanced Pharmacology
Final Exam Review 2026-2027- 300 Correctly Answered
Questions Graded A+ South College
A postmenopausal patient who has had a hysterectomy and who has a family
history of coronary heart disease reports experiencing vaginal dryness and pain
with intercourse but tells the nurse that she does not want to take hormones
because she is afraid of adverse effects. The nurse will suggest that the woman ask
her provider about:
a. Depo Provera.
b. Estraderm.
c. low-dose estrogens.
d. Vaginal Ring
d
An adult male patient will begin androgen therapy for testicular failure. Which
statement by the patient indicates understanding of the treatment regimen?
a. "I will need to have x-rays of my hands and feet every 6 months."
b. "My libido may improve while I am taking this medication."
c. "Taking this drug may lead to the development of prostate cancer."
d. "This will restore fertility, so I can have a child."
b
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
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 hypoglycemia.
1
,d
A patient receiving doxazosin presents for a routine evaluation. Which assessment
finding would be most concerning?
a. Blood pressure 96/58
b. Dizziness when standing
c. Increased nasal congestion
d. Diminished ejaculate volume
a
A patient prescribed dutasteride 2 weeks ago presents with continued complaints of
urinary hesitancy. Which action is most appropriate?
a. Obtain a urine sample.
b. Double the daily dose.
c. Perform a prostate examination.
d. Document these findings.
d
Which finding would indicate that terazosin has been effective for a patient with
BPH?
a. Decreased prostate size
b. Increased urinary frequency
c. Improved urinary hesitation
d. Decreased serum PSA levels
c
A nurse is providing education to a patient who is beginning therapy with
AndroGel testosterone gel. Which statement made by the patient demonstrates a
need for further teaching?
a. "I should not shower or swim for at least 5 to 6 hours after application."
b. "I should avoid direct skin-to-skin contact with my spouse where the medication
was
applied."
2
,c. "I should have my blood drawn for laboratory tests in 14 days."
d. "I should apply the medication to my genitals for best results."
d
A patient will begin taking hydroxychloroquine [Plaquenil] for rheumatoid
arthritis. What test will the provider order for ongoing monitoring?
a. Ophthalmological exam
b. Pulmonary Function Test
c. Electrocardiogram
d. Hypersensitivity testing
a
A patient with refractory gout will be admitted for treatment with intravenous
pegloticase. What additional action will the prescriber take to manage the patient's
treatment?
a) Prescribe an antihistamine and a glucocorticoid to be administered prior to
beginning the pegloticase infusion.
b) Initiate allopurinol therapy 24 hours prior to treatment with pegloticase.
c) Screen the patient for folic acid deficiency.
d) Prescribe a short-acting bronchodilator to be used as needed.
a
What guidance is given to a patient is beginning therapy with oral methotrexate
[Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient about the
importance of:
a. having routine renal and hepatic function tests.
b. you will need to take iron supplements
c. Avoid drinking grapefruit juice
d. taking the medication on a daily basis.
a
A patient who has been diagnosed with rheumatoid arthritis (RA) for 1 month and
has generalized symptoms is taking high-dose nonsteroidal anti-inflammatory
drugs (NSAIDs) and an oral glucocorticoid. The provider has ordered methotrexate
3
, [Rheumatrex]. The patient asks the nurse why methotrexate is necessary since pain
and swelling have been well controlled with the other medications. The nurse will
tell the patient that:
a. a methotrexate regimen can reduce overall costs and side effects of treatment.
b. starting methotrexate early can help delay joint degeneration.
c. starting methotrexate now will help increase life expectancy.
d. with methotrexate, doses of NSAIDs can be reduced to less toxic levels.
b
A patient with severe glucocorticoid-induced osteoporosis will start therapy with
teriparatide [Forteo]. What will the nurse expect to administer?
a. 20 μg once daily subQ
b. 20 μg twice daily subQ
c. 10 μg once daily subQ
d. 10 μg twice daily subQ
a
Which medication should be used for asthma patients as part of step 1
management?
a. Combination inhaled glucocorticoids/long-acting beta2 agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
d. Short-acting beta2 agonists
d
A nurse obtaining an admission history on an adult 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
4
