Page | 1
NSG 533 ADVANCED PHARMACOLOGY TEST 1 WEEK
4 2025| BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR GRADES.
BL is a 24-year-old college student with narcolepsy (no cataplexy)
who is taking methylphenidate 20 mg/day (he takes this at 8 AM
before his first class). Currently, this works well at reducing
sleepiness in the morning, but next semester, BL will have
morning and late afternoon classes and is worried he will not be
able to stay awake for
afternoon classes. Which of the following might be the best
strategy for the upcoming semester?
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A. Methylphenidate 10 mg twice daily (8 AM and 6 PM)
B. Methylphenidate 20 mg SR twice daily and 10 mg prn
afternoon sleepiness
C. Dextroamphetamine 10 mg/day (8 AM)
D. Sodium Oxybate 2.25 g at bedtime and 3 hours later
E. Selegiline 10 mg/day at 8 AM - correct answer - B
JM is a 38-year-old man traveling to Europe on business. He asks
you for a recommendation to treat jet lag upon his arrival. Based
on the available evidence, which agent would you recommend?
A. Valerian
B. Diphenhydramine
C. Mirtazapine
D. Melatonin
E. Quazepam - correct answer - D
A patient presents to the clinic and tells you that he is looking for
something to help him fall at night. He reports that he frequently
goes to bed and cannot fall asleep for 2 or 3 hours, so he lies in
bed and watches television. Upon further questioning, he relays
the following information about his sleep and medical history:
, Page | 3
SH: Retired and married with two grown children. No tobacco use.
Does not drink alcohol or caffeine. He exercises at the health club
in the mornings.
Sleep patterns: Goes to bed on average at 11 PM and awakens
with alarm at 6 AM but frequently does not fall asleep until 1 or 2
AM. No awakenings after he is asleep. No reports of limb
restlessness. Tired in the daytime and naps for about an hour
each afternoon but thinks it is related to inadequate sleep time.
What would you recommend to the patient to improve his sleep
hygiene?
A. Instruct him not to exercise; it may contribute to his co - correct
answer - D
GR is a 58-year-old man with obstructive sleep apnea (OSA) and
hypertension. He is currently using continuous positive airway
pressure (CPAP) therapy (8 cm of water pressure [0.8 kPa]) for
his OSA and uses it about 6.5 hours each night. His Epworth
Sleepiness Scale score was 19 out of 24 when he first started
CPAP, and it has
improved, but he is still sleepy (current score, 14 out of 24). He
has not gained any weight since starting CPAP therapy. What
would be the best recommendation for GR?
NSG 533 ADVANCED PHARMACOLOGY TEST 1 WEEK
4 2025| BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR GRADES.
BL is a 24-year-old college student with narcolepsy (no cataplexy)
who is taking methylphenidate 20 mg/day (he takes this at 8 AM
before his first class). Currently, this works well at reducing
sleepiness in the morning, but next semester, BL will have
morning and late afternoon classes and is worried he will not be
able to stay awake for
afternoon classes. Which of the following might be the best
strategy for the upcoming semester?
, Page | 2
A. Methylphenidate 10 mg twice daily (8 AM and 6 PM)
B. Methylphenidate 20 mg SR twice daily and 10 mg prn
afternoon sleepiness
C. Dextroamphetamine 10 mg/day (8 AM)
D. Sodium Oxybate 2.25 g at bedtime and 3 hours later
E. Selegiline 10 mg/day at 8 AM - correct answer - B
JM is a 38-year-old man traveling to Europe on business. He asks
you for a recommendation to treat jet lag upon his arrival. Based
on the available evidence, which agent would you recommend?
A. Valerian
B. Diphenhydramine
C. Mirtazapine
D. Melatonin
E. Quazepam - correct answer - D
A patient presents to the clinic and tells you that he is looking for
something to help him fall at night. He reports that he frequently
goes to bed and cannot fall asleep for 2 or 3 hours, so he lies in
bed and watches television. Upon further questioning, he relays
the following information about his sleep and medical history:
, Page | 3
SH: Retired and married with two grown children. No tobacco use.
Does not drink alcohol or caffeine. He exercises at the health club
in the mornings.
Sleep patterns: Goes to bed on average at 11 PM and awakens
with alarm at 6 AM but frequently does not fall asleep until 1 or 2
AM. No awakenings after he is asleep. No reports of limb
restlessness. Tired in the daytime and naps for about an hour
each afternoon but thinks it is related to inadequate sleep time.
What would you recommend to the patient to improve his sleep
hygiene?
A. Instruct him not to exercise; it may contribute to his co - correct
answer - D
GR is a 58-year-old man with obstructive sleep apnea (OSA) and
hypertension. He is currently using continuous positive airway
pressure (CPAP) therapy (8 cm of water pressure [0.8 kPa]) for
his OSA and uses it about 6.5 hours each night. His Epworth
Sleepiness Scale score was 19 out of 24 when he first started
CPAP, and it has
improved, but he is still sleepy (current score, 14 out of 24). He
has not gained any weight since starting CPAP therapy. What
would be the best recommendation for GR?
