Advanced Pharm Final Exam Study Guide
Questions with Verified Answers 2025-2026
Latest Update
Week 8
Antipsychotics- should not be used in dementia related psychosis because it increases mortality
First generation antipsychotics-block dopamine- cause extrapyramidal symptoms, can prolong
the QT interval and cause orthostatic hypotension.
Second generation antipsychotics- moderate blockade of dopamine and strong blockade of
serotonin, so less likely to cause extrapyramidal symptoms but more likely to cause things like
weight gain, diabetes, high cholesterol- which can increase risk of early death
Alprostadil, a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old
patient. When providing education to the patient and his wife, the nurse should inform the wife
about which of the following adverse effects? ---CORRECT-- Low blood pressure
JC is a 13-year-old female at the office today. You review her medication list and realize which
medication has the potential risk of growth suppression in prepubescent children? ---CORRECT-
-
Corticorsteriods (may actually be stimulants)
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and
hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involved the
daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr.
Laird in the burn unit should perform what action prior to applying the silver sulfadiazine? ---
CORRECT--
Cleanse the wound of debris prior to applying the medication
A 29-year-old pregnant woman is extremely upset about taking medication for an existing
medical condition. She is consumed with fear that her baby will be born with a physical
deformity of a congenital anomaly but knows that she has to take the medication. She talks
constantly about this and is unable to sleep most nights. What is the most appropriate nursing
diagnosis for this patient? ---CORRECT-- Anxiety related to perceived danger of drug therapy to
,fetus or infant
, A patient has endocarditis and is placed on Gentamycin. The nurse practitioner will monitor for
which of the following? ---CORRECT-- Creatinine Clearance (Gent is can cause renal
toxicity, especially if trough levels are over 2)
A 39-year-old woman is receiving Doxorubicin treatments for cancer. About 15 minutes after
treatments, she has acute nausea, vomiting and a slightly increased heart rate. The nurse will
advise her to: perform relaxation techniques after treatments
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At
this child’s annual well-child check-up, the NP should carefully review what? ---CORRECT--
Weight and height
The first-line drug choice for a previously healthy individual that is diagnosed with community-
acquired pneumonia is: Azythromycin
Ms. Shakleford has been placed on Ambien for help with her insomnia. The NP must educate
the patient regarding the rapid onset of Ambien. Which statement is correct? ---CORRECT--
Ambien must be taken just before going to bed
On the advice of her sister, a 52-year-old patient visits the nurse practitioner to discuss the
potential benefits of hormone replacement therapy in controlling the symptoms of menopause.
Which of the following responses by the nurse is most appropriate? ---CORRECT-- It is
important to balance the benefits of HRT with the fact that it might increase your risk of heart
disease and stroke.
A patient asks the nurse practitioner about food sources such as soybeans and soy products.
The nurse practitioner understands that these foods are considered: Phytoestrogens (natural
estrogens in food)
A 35-year-old woman is on a weight loss program and has begun taking Sibutramine. After
baseline physical data are obtained, the nurse will assess the patient’s childbearing potential.
The nurse will inform the patient that during Sibutramine therapy: pregnancy is contraindicated
Questions with Verified Answers 2025-2026
Latest Update
Week 8
Antipsychotics- should not be used in dementia related psychosis because it increases mortality
First generation antipsychotics-block dopamine- cause extrapyramidal symptoms, can prolong
the QT interval and cause orthostatic hypotension.
Second generation antipsychotics- moderate blockade of dopamine and strong blockade of
serotonin, so less likely to cause extrapyramidal symptoms but more likely to cause things like
weight gain, diabetes, high cholesterol- which can increase risk of early death
Alprostadil, a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old
patient. When providing education to the patient and his wife, the nurse should inform the wife
about which of the following adverse effects? ---CORRECT-- Low blood pressure
JC is a 13-year-old female at the office today. You review her medication list and realize which
medication has the potential risk of growth suppression in prepubescent children? ---CORRECT-
-
Corticorsteriods (may actually be stimulants)
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and
hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involved the
daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr.
Laird in the burn unit should perform what action prior to applying the silver sulfadiazine? ---
CORRECT--
Cleanse the wound of debris prior to applying the medication
A 29-year-old pregnant woman is extremely upset about taking medication for an existing
medical condition. She is consumed with fear that her baby will be born with a physical
deformity of a congenital anomaly but knows that she has to take the medication. She talks
constantly about this and is unable to sleep most nights. What is the most appropriate nursing
diagnosis for this patient? ---CORRECT-- Anxiety related to perceived danger of drug therapy to
,fetus or infant
, A patient has endocarditis and is placed on Gentamycin. The nurse practitioner will monitor for
which of the following? ---CORRECT-- Creatinine Clearance (Gent is can cause renal
toxicity, especially if trough levels are over 2)
A 39-year-old woman is receiving Doxorubicin treatments for cancer. About 15 minutes after
treatments, she has acute nausea, vomiting and a slightly increased heart rate. The nurse will
advise her to: perform relaxation techniques after treatments
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At
this child’s annual well-child check-up, the NP should carefully review what? ---CORRECT--
Weight and height
The first-line drug choice for a previously healthy individual that is diagnosed with community-
acquired pneumonia is: Azythromycin
Ms. Shakleford has been placed on Ambien for help with her insomnia. The NP must educate
the patient regarding the rapid onset of Ambien. Which statement is correct? ---CORRECT--
Ambien must be taken just before going to bed
On the advice of her sister, a 52-year-old patient visits the nurse practitioner to discuss the
potential benefits of hormone replacement therapy in controlling the symptoms of menopause.
Which of the following responses by the nurse is most appropriate? ---CORRECT-- It is
important to balance the benefits of HRT with the fact that it might increase your risk of heart
disease and stroke.
A patient asks the nurse practitioner about food sources such as soybeans and soy products.
The nurse practitioner understands that these foods are considered: Phytoestrogens (natural
estrogens in food)
A 35-year-old woman is on a weight loss program and has begun taking Sibutramine. After
baseline physical data are obtained, the nurse will assess the patient’s childbearing potential.
The nurse will inform the patient that during Sibutramine therapy: pregnancy is contraindicated
