NR 565 ADVANCED PHARMACOLOGY MIDTERM EXAM
2025
The APRN understands the mechanism of action of calcium channel blockers is to:
A. Increase renal excretion of sodium, potassium, and water
B. Increase levels of bradykin
C. Block angiotensin II in the heart and in the adrenals
D. Act on the arterioles causing dilation and reducing arterial pressure
D. Act on the arterioles causing dilation and reducing arterial pressure
Ezetimibe (Zetia) is used to help reduce the absorption of cholesterol in the
blood. It is known to help decrease levels of LDL cholesterol, triglycerides, and
apolipoprotein B but is known to slightly increase what?
A. CK level
B. Potassium level
C. HDL cholesterol
D. LFTs
C. HDL cholesterol
What is the most important cause of adverse drug reactions in older age?
,A. High drug dosages
B. Lack of monitoring medications
C. Decreased renal excretion
D. Overprescribing/polypharmacy
C. Decreased renal excretion
Which of the following is not a guiding principle for prescribers when considering
opioid medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treatments
have been ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.
D. Avoid referring patients to pain specialists for pain management.
Why must an NP be cautious when prescribing medications to the elderly
population?
A. Due to their diagnosis of dementia.
B. They are high risk for polypharmacy.
C. The elderly population metabolizes medication faster.
,D. Prescribe as usual. No difference in elderly patients.
B. They are high risk for polypharmacy.
The nurse practitioner will educate their patient on which black box warning
associated with methadone?
A. Severe hyperventilation
B. Increased suicidal thoughts in youth
C. Prolonged QT interval
D. Pancreatitis
C. Prolonged QT interval
What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C
D. Both A and C
, There are several points of education that should be given to a patient taking
acetaminophen. Which of these statements if made by the patient taking
acetaminophen is incorrect?
A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain." B.
"There is no limit to how many tablets you can take each day."
What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers
A. Help identify patients who may be at risk for overdose
The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding
teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
2025
The APRN understands the mechanism of action of calcium channel blockers is to:
A. Increase renal excretion of sodium, potassium, and water
B. Increase levels of bradykin
C. Block angiotensin II in the heart and in the adrenals
D. Act on the arterioles causing dilation and reducing arterial pressure
D. Act on the arterioles causing dilation and reducing arterial pressure
Ezetimibe (Zetia) is used to help reduce the absorption of cholesterol in the
blood. It is known to help decrease levels of LDL cholesterol, triglycerides, and
apolipoprotein B but is known to slightly increase what?
A. CK level
B. Potassium level
C. HDL cholesterol
D. LFTs
C. HDL cholesterol
What is the most important cause of adverse drug reactions in older age?
,A. High drug dosages
B. Lack of monitoring medications
C. Decreased renal excretion
D. Overprescribing/polypharmacy
C. Decreased renal excretion
Which of the following is not a guiding principle for prescribers when considering
opioid medications?
A. Prescribe opioids only when non-pharmacologic and non-opioid treatments
have been ineffective.
B. Use the lowest effective dose for the shortest duration.
C. Assess the patient's risk of overdose.
D. Avoid referring patients to pain specialists for pain management.
D. Avoid referring patients to pain specialists for pain management.
Why must an NP be cautious when prescribing medications to the elderly
population?
A. Due to their diagnosis of dementia.
B. They are high risk for polypharmacy.
C. The elderly population metabolizes medication faster.
,D. Prescribe as usual. No difference in elderly patients.
B. They are high risk for polypharmacy.
The nurse practitioner will educate their patient on which black box warning
associated with methadone?
A. Severe hyperventilation
B. Increased suicidal thoughts in youth
C. Prolonged QT interval
D. Pancreatitis
C. Prolonged QT interval
What are two functions of naloxone when a patient is on buprenorphine?
A. Prevention of toxicity
B. Stop c\onstipation caused by Buprenorphine
C. Cannot readily reverse toxicity already occurring
D. Both A and C
D. Both A and C
, There are several points of education that should be given to a patient taking
acetaminophen. Which of these statements if made by the patient taking
acetaminophen is incorrect?
A. "If I take one dose, I should wait at least four hours to take another."
B. "There is no limit to how many tablets I can take each day."
C. "I should not take Tylenol if I have liver disease or chronically drink alcohol."
D. "I can take 325-650mg for mild pain, and 500-1000mg for moderate pain." B.
"There is no limit to how many tablets you can take each day."
What is the point of a prescription drug monitoring program (PDMP)?
A. Help identify patients who may be at risk for overdose
B. Make prescribing faster for providers
C. Educate patients about overdose
D. Provide correct dosing and pricing information for providers
A. Help identify patients who may be at risk for overdose
The purpose of black box warnings is to make providers aware of
A. ways to reduce and prevent harm, such as pregnant women avoiding
teratogenic drugs.
B. potential common side effects, such as nausea, vomiting, or upset stomach.
