NUR 521 ADV PHARM EXAM 2
NUR 521 ADV PHARM EXAM 2 NEWEST 2025 COMPLETE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
A provider has prescribed the topical anesthetic lidocaine for a patient who has a second-
degree burn on one arm. Which statement by the patient indicates understanding of the
teaching regarding this treatment? - ANSWER-"I will apply a thin layer of the medication to only
the burned area"
Within a few minutes of administration of a local anesthetic, the patient has a HR of 54, RR of
18, and BP of 90/42. The provider should monitor the patient for further signs of what
condition? - ANSWER-Heart block
The advanced practice prescriber knows that opioid medications primarily act on which of the
following opioid receptors? - ANSWER-Mu receptors
The NP knows that opioid related constipation is largely due to which of the following factors? -
ANSWER-Activation of mu receptors in the gut
Potential complications of opioid-induced constipation include which of the following? Select all
the apply. - ANSWER-Rectal tearing, hemorrhoids, fecal impaction and bowel perforation
Opioid-related constipation may be severe that it requires tx with which of the following opioid
antagonists? - ANSWER-Methylnaltrexone
Which of the following is transdermal fentanyl indicated for? - ANSWER-Persistent pain in
patients who are already opioid tolerant
1|Page
, NUR 521 ADV PHARM EXAM 2
Which of the following is true about naltrexone? Select all that apply. - ANSWER-Treats ETOH
abuse, can cause hepatocellular injury, prevents euphoria when combined with opioid
Tramadol is contraindicated for patients with which of the following conditions - ANSWER-
Epilepsy
A patient is brought into the ED after an opioid overdose. Which of the following interventions
will be ordered for this patient? Select all that apply - ANSWER-Administration of an antiemetic,
administration of an opioid antagonist, respiratory support
Codeine has a black box warning for which of the following reason? - ANSWER-May lead to
death in unusually rapid metabolizers
A 2 m/o infant is scheduled to receive the first dose of DTap. What information will the provider
include in instructions given to the parents? - ANSWER-"Usually reactions are mild; a low-grade
fever is most common"
A 2 m/o infant presents with a low-grade fever, runny nose, and severe bursts of coughing
resulting in transient cyanosis. When taking a hx, the provider will specifically inquire about the
vaccination hx for which condition? - ANSWER-Pertussis
A 5 y/o child with seasonal allergies has been taking 2.5 mL of cetirizine syrup once daily. The
parents tell the provider that the child does not like the syrup, and they do not think that the
drug is effective. The provider will discuss which change in medication therapy? - ANSWER-
Cetirizine 5 mg chewable tablet once daily
A patient who has seasonal allergies works as a truck driver and needs the least sedating
antihistamine to control sx. Which medication will the provider recommend? - ANSWER-
Fexofenadine
2|Page
, NUR 521 ADV PHARM EXAM 2
A patient who has recurring migraine headaches is prescribed sumatriptan. Which condition in
this patient's hx is of concern to the prescriber? - ANSWER-Coronary artery disease
An NP considers prescribing sumatriptan for a patient experiencing a migraine headache. Before
prescribing this drug, what is the most important information to obtain? - ANSWER-Has the
patient taken ergotamine in the past 24 hours?
A patient reports numbness in the extremities. The assessment of hx notes that the patient's
hands and feet are cool and pale and that the patient has a hx of migraine headaches. The NP
focuses on further assessing for what likely cause of the sx? - ANSWER-Erogotism
A young female adult who has recently begun taking sumatriptan reports a sensation of chest
pressure, without pain and arm heaviness. What action will the provider take? - ANSWER-
Reassure the patient that this is a transient, reversible side effect of the medication
A patient with a hx of asthma experiences 3-4 migraine headaches per month. She uses
sumatriptan as an abortive medication, but has developed medication overuse headaches.
When asked what can be done to prevent migraines, the NP suggests prescribing which
medication? - ANSWER-Topirmate
A patient who has migraine headaches has been using sumatriptan with good initial results but
now reports frequent migraine recurrence 24 hours later. Which medication will the provider
order for this patient? - ANSWER-Naratriptan
A patient has been taking oxycodone to manage severe, chronic pain for the last 6 months, but
now reports it is no longer effective. The NP will discuss prescribing which medication for the
patient? - ANSWER-Fentanyl transdermal patch
A patient has been taking methadone for 5 months to overcome an opioid addiction. The
provider will monitor the patient for which potential ECG change? - ANSWER-Prolonged QT
interval
3|Page
, NUR 521 ADV PHARM EXAM 2
A patient receives an epidural anesthetic during labor and delivery. What effect in the newborn
in the immediate postpartum period must the NP be prepared to address? - ANSWER-
Bradycardia
The NP used lidocaine with epinephrine as a local anesthetic when suturing a laceration on a
patient's hand. Following the procedure, which patient sx causes the most concern? - ANSWER-
Nervousness and tachycardia
Which medications would an NP prescribe to treat menstrually associated migraine? - ANSWER-
Estrogren, naproxen, frovatriptan
The NP has prescribed a vasoconstrictor to be given in combination with a local anesthetic.
What is the expected goal for this action? Select all that apply - ANSWER-A prolonging of the
anesthetic effect, reduction of risk of anesthetic toxicity
A patient who has infrequent migraine headaches wants to prevent them from occurring. What
intervention will the NP take? - ANSWER-Ask the patient to keep a headache diary to help
determine possible triggers
Parents report that their 5 y/o child has frequent motion sickness. Which antihistamine will the
provider recommend? - ANSWER-Dimenhydrinate
A patient who takes aspirin for rheumatoid arthritis develops a headache and tinnitus. The
patient's lab results includes a plasma salicylate level of 300 ug/ml, and a urine pH of 6.0. What
action will the provider take? - ANSWER-Withhold the aspirin until the patient's sx have
subsided
4|Page
NUR 521 ADV PHARM EXAM 2 NEWEST 2025 COMPLETE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
A provider has prescribed the topical anesthetic lidocaine for a patient who has a second-
degree burn on one arm. Which statement by the patient indicates understanding of the
teaching regarding this treatment? - ANSWER-"I will apply a thin layer of the medication to only
the burned area"
Within a few minutes of administration of a local anesthetic, the patient has a HR of 54, RR of
18, and BP of 90/42. The provider should monitor the patient for further signs of what
condition? - ANSWER-Heart block
The advanced practice prescriber knows that opioid medications primarily act on which of the
following opioid receptors? - ANSWER-Mu receptors
The NP knows that opioid related constipation is largely due to which of the following factors? -
ANSWER-Activation of mu receptors in the gut
Potential complications of opioid-induced constipation include which of the following? Select all
the apply. - ANSWER-Rectal tearing, hemorrhoids, fecal impaction and bowel perforation
Opioid-related constipation may be severe that it requires tx with which of the following opioid
antagonists? - ANSWER-Methylnaltrexone
Which of the following is transdermal fentanyl indicated for? - ANSWER-Persistent pain in
patients who are already opioid tolerant
1|Page
, NUR 521 ADV PHARM EXAM 2
Which of the following is true about naltrexone? Select all that apply. - ANSWER-Treats ETOH
abuse, can cause hepatocellular injury, prevents euphoria when combined with opioid
Tramadol is contraindicated for patients with which of the following conditions - ANSWER-
Epilepsy
A patient is brought into the ED after an opioid overdose. Which of the following interventions
will be ordered for this patient? Select all that apply - ANSWER-Administration of an antiemetic,
administration of an opioid antagonist, respiratory support
Codeine has a black box warning for which of the following reason? - ANSWER-May lead to
death in unusually rapid metabolizers
A 2 m/o infant is scheduled to receive the first dose of DTap. What information will the provider
include in instructions given to the parents? - ANSWER-"Usually reactions are mild; a low-grade
fever is most common"
A 2 m/o infant presents with a low-grade fever, runny nose, and severe bursts of coughing
resulting in transient cyanosis. When taking a hx, the provider will specifically inquire about the
vaccination hx for which condition? - ANSWER-Pertussis
A 5 y/o child with seasonal allergies has been taking 2.5 mL of cetirizine syrup once daily. The
parents tell the provider that the child does not like the syrup, and they do not think that the
drug is effective. The provider will discuss which change in medication therapy? - ANSWER-
Cetirizine 5 mg chewable tablet once daily
A patient who has seasonal allergies works as a truck driver and needs the least sedating
antihistamine to control sx. Which medication will the provider recommend? - ANSWER-
Fexofenadine
2|Page
, NUR 521 ADV PHARM EXAM 2
A patient who has recurring migraine headaches is prescribed sumatriptan. Which condition in
this patient's hx is of concern to the prescriber? - ANSWER-Coronary artery disease
An NP considers prescribing sumatriptan for a patient experiencing a migraine headache. Before
prescribing this drug, what is the most important information to obtain? - ANSWER-Has the
patient taken ergotamine in the past 24 hours?
A patient reports numbness in the extremities. The assessment of hx notes that the patient's
hands and feet are cool and pale and that the patient has a hx of migraine headaches. The NP
focuses on further assessing for what likely cause of the sx? - ANSWER-Erogotism
A young female adult who has recently begun taking sumatriptan reports a sensation of chest
pressure, without pain and arm heaviness. What action will the provider take? - ANSWER-
Reassure the patient that this is a transient, reversible side effect of the medication
A patient with a hx of asthma experiences 3-4 migraine headaches per month. She uses
sumatriptan as an abortive medication, but has developed medication overuse headaches.
When asked what can be done to prevent migraines, the NP suggests prescribing which
medication? - ANSWER-Topirmate
A patient who has migraine headaches has been using sumatriptan with good initial results but
now reports frequent migraine recurrence 24 hours later. Which medication will the provider
order for this patient? - ANSWER-Naratriptan
A patient has been taking oxycodone to manage severe, chronic pain for the last 6 months, but
now reports it is no longer effective. The NP will discuss prescribing which medication for the
patient? - ANSWER-Fentanyl transdermal patch
A patient has been taking methadone for 5 months to overcome an opioid addiction. The
provider will monitor the patient for which potential ECG change? - ANSWER-Prolonged QT
interval
3|Page
, NUR 521 ADV PHARM EXAM 2
A patient receives an epidural anesthetic during labor and delivery. What effect in the newborn
in the immediate postpartum period must the NP be prepared to address? - ANSWER-
Bradycardia
The NP used lidocaine with epinephrine as a local anesthetic when suturing a laceration on a
patient's hand. Following the procedure, which patient sx causes the most concern? - ANSWER-
Nervousness and tachycardia
Which medications would an NP prescribe to treat menstrually associated migraine? - ANSWER-
Estrogren, naproxen, frovatriptan
The NP has prescribed a vasoconstrictor to be given in combination with a local anesthetic.
What is the expected goal for this action? Select all that apply - ANSWER-A prolonging of the
anesthetic effect, reduction of risk of anesthetic toxicity
A patient who has infrequent migraine headaches wants to prevent them from occurring. What
intervention will the NP take? - ANSWER-Ask the patient to keep a headache diary to help
determine possible triggers
Parents report that their 5 y/o child has frequent motion sickness. Which antihistamine will the
provider recommend? - ANSWER-Dimenhydrinate
A patient who takes aspirin for rheumatoid arthritis develops a headache and tinnitus. The
patient's lab results includes a plasma salicylate level of 300 ug/ml, and a urine pH of 6.0. What
action will the provider take? - ANSWER-Withhold the aspirin until the patient's sx have
subsided
4|Page
