ADVANCED PHARMACOLOGY FINAL EXAM EXAM QUESTIONS
AND CORRECT ANSWERS|AGRADE
• Question 1
1 out of 1 points
An older adult woman has been diagnosed with acute lymphoblastic leukemia
(ALL) and her care team has identified potential benefits of imatinib. Which of
the following characteristics of this patient's current health status may preclude the
use of imatinib?
Selected The patient has chronic heart failure resulting in significant
Answer: peripheral edema.
• Question 2
0 out of 1 points
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse
will include which of the following as a risk associated with finasteride therapy?
Selected Sexual dysfunction related to erectile dysfunction Answer:
• Question 3
1 out of 1 points
A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
Selected after a Answer: meal.
• Question 4
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
how to administer the drug, the nurse will instruct him to
Selected place the patch on the back, abdomen, upper arms, or
Answer: thighs.
• Question 5
1 out of 1 points
A 66-year-old woman has experienced a significant decline in her
quality of life as a result of worsening rheumatoid arthritis. Her
physician has prescribed etanercept and the APRN is responsible for
facilitating this new aspect of the patient's drug regimen. This will
involve the administration of
, Selected weekly subcutaneous
Answer: injections.
• Question 6
1 out of 1 points
A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse
would be sure to discuss with the woman the use of
Selected food containing iron or Answer:
calcium.
• Question 7
1 out of 1 points
A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-
spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's
infection. Which of the following facts provides the best rationale for the use of narrow-
spectrum antibiotics whenever possible?
Selected The use of broad-spectrum antibiotics can create a risk for a Answer:
superinfection.
• Question 8
1 out of 1 points
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurse should
Selected offer a choice between liquid and chewable medications, if
Answer: possible.
• Question 9
1 out of 1 points
Which of the following would a Nurse Practitioner assess for in a patient who is taking
polymyxin B systemically?
Selected Nephrotoxicity and
Answer: hepatotoxicity
• Question 10
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy, and
it may pose a risk to both the mother and the fetus. The primary care physician has
made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse
should make sure
Selected that serum levels of the drug are being monitored.
Answer:
, • Question 11
1 out of 1 points
A female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the
patient to do which of the following?
Selected Drink a lot of water Answer:
• Question 12
1 out of 1 points
A pregnant patient who has diabetes has been admitted to the hospital to begin labor.
Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to
initiate labor contractions. When talking to the patient about the adverse effects of the
drug, the nurse should understand that the most common adverse effects of the drug
include
Selected uterine tachysystole.
Answer:
• Question 13
1 out of 1 points
A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain
tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to
observe for which of the following?
Selected Respiratory
Answer: difficulty
• Question 14
1 out of 1 points
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that
has necessitated treatment with gentamicin. As a result, the care team should be
cautious when concurrently administering other medications that may cause
Selected ototoxicity or nephrotoxicity.
Answer:
• Question 15
1 out of 1 points
A 66-year-old man has made an appointment with his primary care provider to discuss
his recent erectile dysfunction (ED) and has requested a prescription for tadalafil
(Cialis) based on television commercials he has seen. What characteristic of this
patient would most likely contraindicate the use of tadalafil for his ED?
Selected The patient has unstable angina and uses a nitroglycerin
Answer: patch
AND CORRECT ANSWERS|AGRADE
• Question 1
1 out of 1 points
An older adult woman has been diagnosed with acute lymphoblastic leukemia
(ALL) and her care team has identified potential benefits of imatinib. Which of
the following characteristics of this patient's current health status may preclude the
use of imatinib?
Selected The patient has chronic heart failure resulting in significant
Answer: peripheral edema.
• Question 2
0 out of 1 points
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse
will include which of the following as a risk associated with finasteride therapy?
Selected Sexual dysfunction related to erectile dysfunction Answer:
• Question 3
1 out of 1 points
A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
Selected after a Answer: meal.
• Question 4
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
how to administer the drug, the nurse will instruct him to
Selected place the patch on the back, abdomen, upper arms, or
Answer: thighs.
• Question 5
1 out of 1 points
A 66-year-old woman has experienced a significant decline in her
quality of life as a result of worsening rheumatoid arthritis. Her
physician has prescribed etanercept and the APRN is responsible for
facilitating this new aspect of the patient's drug regimen. This will
involve the administration of
, Selected weekly subcutaneous
Answer: injections.
• Question 6
1 out of 1 points
A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse
would be sure to discuss with the woman the use of
Selected food containing iron or Answer:
calcium.
• Question 7
1 out of 1 points
A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-
spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's
infection. Which of the following facts provides the best rationale for the use of narrow-
spectrum antibiotics whenever possible?
Selected The use of broad-spectrum antibiotics can create a risk for a Answer:
superinfection.
• Question 8
1 out of 1 points
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurse should
Selected offer a choice between liquid and chewable medications, if
Answer: possible.
• Question 9
1 out of 1 points
Which of the following would a Nurse Practitioner assess for in a patient who is taking
polymyxin B systemically?
Selected Nephrotoxicity and
Answer: hepatotoxicity
• Question 10
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy, and
it may pose a risk to both the mother and the fetus. The primary care physician has
made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse
should make sure
Selected that serum levels of the drug are being monitored.
Answer:
, • Question 11
1 out of 1 points
A female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the
patient to do which of the following?
Selected Drink a lot of water Answer:
• Question 12
1 out of 1 points
A pregnant patient who has diabetes has been admitted to the hospital to begin labor.
Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to
initiate labor contractions. When talking to the patient about the adverse effects of the
drug, the nurse should understand that the most common adverse effects of the drug
include
Selected uterine tachysystole.
Answer:
• Question 13
1 out of 1 points
A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain
tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to
observe for which of the following?
Selected Respiratory
Answer: difficulty
• Question 14
1 out of 1 points
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that
has necessitated treatment with gentamicin. As a result, the care team should be
cautious when concurrently administering other medications that may cause
Selected ototoxicity or nephrotoxicity.
Answer:
• Question 15
1 out of 1 points
A 66-year-old man has made an appointment with his primary care provider to discuss
his recent erectile dysfunction (ED) and has requested a prescription for tadalafil
(Cialis) based on television commercials he has seen. What characteristic of this
patient would most likely contraindicate the use of tadalafil for his ED?
Selected The patient has unstable angina and uses a nitroglycerin
Answer: patch
