PHARMACOLOGY WELL RESEARCHED FINAL EXAM NEWEST
ACTUAL EXAM 2025 COMPLETE QUESTIONS AND A+
GRADED ANSWERS
Jim is being treated for hypertension. Because he has a history of heart attack, the drug
chosen is atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production -
Ans Reducing vascular smooth muscle tone
Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure
to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted -
Ans Higher proportion of body fat so that lipophilic drugs have relatively greater
volumes of distribution
Precautions that should be taken when prescribing controlled substances include:
Question options:
Faxing the prescription for a Schedule II drug directly to the pharmacy
,Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed -
Ans Using tamper-proof paper for all prescriptions written for controlled drugs
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal
allergies. Monitoring for this patient taking diphenhydramine would include assessing
for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash -
Ans Urinary retention
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine clearance -
Ans BUN, creatinine, and creatinine clearance
Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid
includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
,Avoid use of aspirin or ibuprofen while using inhaled medications. -
Ans Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia -
Ans Decreases glycogenolysis by the liver
Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of
feeling depressed and having "strange" thoughts. The appropriate initial action would
be:
Question options:
Increase her dose
Assess for suicidal ideation
Discontinue the medication immediately
Decrease her dose to half then slowly titrate up the dose -
Ans Assess for suicidal ideation
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
Question options:
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier -
Ans Salmeterol, an inhaled long-acting beta-agonist
, If a patient with symptoms of gastroesophageal reflux disease states that he has been
self-treating at home with OTC ranitidine daily, the appropriate treatment would be:
Question options:
Prokinetic (metoclopramide) for 4 to 8 weeks
Proton pump inhibitor (omeprazole) for 12 weeks
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for 2 weeks -
Ans Proton pump inhibitor (omeprazole) for 12 weeks
Being competent in the use of information technology in clinical practice is expected in
professional nurses. Advanced practice competence includes the ability to:
Question options:
Search for information using the most common search engines
Serve as content experts in developing, implementing, and evaluating information
Systems
Write programs to assure the integrity of health information
Use information technology to prescribe drugs -
Ans Serve as content experts in developing, implementing, and evaluating
information Systems
The first-line therapy for mild-persistent asthma is:
Question options:
High-dose montelukast
Theophylline
Low-dose inhaled corticosteroids
Long-acting beta-2-agonists -
Ans Low-dose inhaled corticosteroids
Drugs that have a significant first-pass effect:
Question options:
ACTUAL EXAM 2025 COMPLETE QUESTIONS AND A+
GRADED ANSWERS
Jim is being treated for hypertension. Because he has a history of heart attack, the drug
chosen is atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production -
Ans Reducing vascular smooth muscle tone
Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure
to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted -
Ans Higher proportion of body fat so that lipophilic drugs have relatively greater
volumes of distribution
Precautions that should be taken when prescribing controlled substances include:
Question options:
Faxing the prescription for a Schedule II drug directly to the pharmacy
,Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed -
Ans Using tamper-proof paper for all prescriptions written for controlled drugs
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal
allergies. Monitoring for this patient taking diphenhydramine would include assessing
for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash -
Ans Urinary retention
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine clearance -
Ans BUN, creatinine, and creatinine clearance
Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid
includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
,Avoid use of aspirin or ibuprofen while using inhaled medications. -
Ans Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia -
Ans Decreases glycogenolysis by the liver
Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of
feeling depressed and having "strange" thoughts. The appropriate initial action would
be:
Question options:
Increase her dose
Assess for suicidal ideation
Discontinue the medication immediately
Decrease her dose to half then slowly titrate up the dose -
Ans Assess for suicidal ideation
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
Question options:
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier -
Ans Salmeterol, an inhaled long-acting beta-agonist
, If a patient with symptoms of gastroesophageal reflux disease states that he has been
self-treating at home with OTC ranitidine daily, the appropriate treatment would be:
Question options:
Prokinetic (metoclopramide) for 4 to 8 weeks
Proton pump inhibitor (omeprazole) for 12 weeks
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for 2 weeks -
Ans Proton pump inhibitor (omeprazole) for 12 weeks
Being competent in the use of information technology in clinical practice is expected in
professional nurses. Advanced practice competence includes the ability to:
Question options:
Search for information using the most common search engines
Serve as content experts in developing, implementing, and evaluating information
Systems
Write programs to assure the integrity of health information
Use information technology to prescribe drugs -
Ans Serve as content experts in developing, implementing, and evaluating
information Systems
The first-line therapy for mild-persistent asthma is:
Question options:
High-dose montelukast
Theophylline
Low-dose inhaled corticosteroids
Long-acting beta-2-agonists -
Ans Low-dose inhaled corticosteroids
Drugs that have a significant first-pass effect:
Question options:
