NURS 6903 Advanced pharm EXAM 2025
QUESTIONS AND ANSWERS
What is an effect of adrenergic alpha-2 receptor site stimulation?
A. Inhibits norepinephrine release and promotes
vasodilation
B. Causes vasoconstriction promoting increased blood
pressure
C. Increases in GI motility and tone
D. Increases urinary sphincter contraction but relaxes
bladder neck - ANS A. Inhibits norepinephrine release and promotes
vasodilation
Cholinergic receptor sites, primarily localized at smooth muscle
neuromuscular junctions are called __________ receptors.
A. Muscarinic
B. Nicotinic
C. Alpha
D. Beta - ANS A. Muscarinic
Anticholinergic Side Effects Include:
A. Dry mouth
1
B. Hypotension
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, C. Glaucoma
D. Increased bowel sounds - ANS A. dry mouth
A patient who has infrequent migraine headaches wants to prevent
them from occurring. What intervention will the provider take?
A. Prescribe prochlorperazine.
B. Prescribe amitriptyline.
C. Ask the patient to keep a headache diary to help
determine possible triggers.
D. Schedule the abortive medication to be taken regularly
instead of PRN. - ANS C. Ask the patient to keep a headache diary to help
determine possible triggers.
An infant is prescribed a medication that has a narrow therapeutic
range and is excreted by the kidneys. The provider will monitor closely
for which effect?
A. Decreased drug effectiveness
B. Tachyphylaxis
C. Evidence of drug toxicity
D. Unusual CNS effects - ANS C. Evidence of drug toxicity
8. An infant developed a pruritic rash following exposure to an allergen.
The infant's parents ask the provider about using a topical
antihistamine. What information should the provider use to address the
parents' question?
A. Antihistamines given by this route are not absorbed as
well in children.
2
B. Applying an antihistamine to the skin can cause toxicity
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, in this age group.
C. The child will also need oral medication to achieve
effective results.
D. Topical medications have fewer side effects than those
given by other routes - ANS B. Applying an antihistamine to the skin can cause toxicity
A patient has taken a narcotic analgesic for chronic pain for several
months. At a follow-up appointment, the provider notes that the
patient has been taking more than the prescribed dosage. The patient
has normal vital signs, is awake and alert, and reports mild pain. What
does the provider suspect is responsible for the patient's response?
A. This patient exhibits a negative placebo effect with a
reduced response to the drug.
2
B. This patient has developed tachyphylaxis because of
repeated exposure to the drug.
C. This patient has developed pharmacodynamic tolerance,
which has increased the minimal effective concentration
(MEC) needed for analgesic effect.
D. This patient has increased hepatic enzyme production as
a result of prolonged exposure to the drug. - ANS C. This patient has developed
pharmacodynamic tolerance,
which has increased the minimal effective concentration
(MEC) needed for analgesic effect.
The CNP realizes that beta1 receptor stimulation leads to which
condition?
A. Increased bronchodilation and respiratory rate
3
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B. Decreased uterine contractility
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, C. Increased myocardial contractility and heart rate
D. Decreased blood flow to skeletal muscles - ANS C. Increased myocardial contractility and
heart rate
Which order for furosemide is written most appropriately by the
prescriber?
A. Furosemide [Lasix] 20 mg PO QD
B. Furosemide [Lasix] 20 mg PO qd
C. Furosemide [Lasix] 20 mg daily
D. Furosemide [Lasix] 20 mg PO daily - ANS D. Furosemide [Lasix] 20 mg PO daily
A patient has been taking methadone for 5 months to overcome
an opioid addiction. The provider will monitor the patient for which
electrocardiographic change?
A. Prolonged QT interval
B. Prolonged P-R interval
C. Bundle branch block
D. Elevated ST segmen - ANS A. prolonged QT interval
Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus?
A. Drugs that are highly polar
B. Ionized drugs
C. Lipid-soluble drugs
D. Protein-bound drugs - ANS C. Lipid soluble drugs
The provider prepares a patient with newly diagnosed type 1
4
diabetes for hospital discharge. Which action by the provider will best
Page
support the patient's ability to effectively manage medication therapy?
@COPYRIGHT BRAINBARTER 2025/2026
QUESTIONS AND ANSWERS
What is an effect of adrenergic alpha-2 receptor site stimulation?
A. Inhibits norepinephrine release and promotes
vasodilation
B. Causes vasoconstriction promoting increased blood
pressure
C. Increases in GI motility and tone
D. Increases urinary sphincter contraction but relaxes
bladder neck - ANS A. Inhibits norepinephrine release and promotes
vasodilation
Cholinergic receptor sites, primarily localized at smooth muscle
neuromuscular junctions are called __________ receptors.
A. Muscarinic
B. Nicotinic
C. Alpha
D. Beta - ANS A. Muscarinic
Anticholinergic Side Effects Include:
A. Dry mouth
1
B. Hypotension
Page
@COPYRIGHT BRAINBARTER 2025/2026
, C. Glaucoma
D. Increased bowel sounds - ANS A. dry mouth
A patient who has infrequent migraine headaches wants to prevent
them from occurring. What intervention will the provider take?
A. Prescribe prochlorperazine.
B. Prescribe amitriptyline.
C. Ask the patient to keep a headache diary to help
determine possible triggers.
D. Schedule the abortive medication to be taken regularly
instead of PRN. - ANS C. Ask the patient to keep a headache diary to help
determine possible triggers.
An infant is prescribed a medication that has a narrow therapeutic
range and is excreted by the kidneys. The provider will monitor closely
for which effect?
A. Decreased drug effectiveness
B. Tachyphylaxis
C. Evidence of drug toxicity
D. Unusual CNS effects - ANS C. Evidence of drug toxicity
8. An infant developed a pruritic rash following exposure to an allergen.
The infant's parents ask the provider about using a topical
antihistamine. What information should the provider use to address the
parents' question?
A. Antihistamines given by this route are not absorbed as
well in children.
2
B. Applying an antihistamine to the skin can cause toxicity
Page
@COPYRIGHT BRAINBARTER 2025/2026
, in this age group.
C. The child will also need oral medication to achieve
effective results.
D. Topical medications have fewer side effects than those
given by other routes - ANS B. Applying an antihistamine to the skin can cause toxicity
A patient has taken a narcotic analgesic for chronic pain for several
months. At a follow-up appointment, the provider notes that the
patient has been taking more than the prescribed dosage. The patient
has normal vital signs, is awake and alert, and reports mild pain. What
does the provider suspect is responsible for the patient's response?
A. This patient exhibits a negative placebo effect with a
reduced response to the drug.
2
B. This patient has developed tachyphylaxis because of
repeated exposure to the drug.
C. This patient has developed pharmacodynamic tolerance,
which has increased the minimal effective concentration
(MEC) needed for analgesic effect.
D. This patient has increased hepatic enzyme production as
a result of prolonged exposure to the drug. - ANS C. This patient has developed
pharmacodynamic tolerance,
which has increased the minimal effective concentration
(MEC) needed for analgesic effect.
The CNP realizes that beta1 receptor stimulation leads to which
condition?
A. Increased bronchodilation and respiratory rate
3
Page
B. Decreased uterine contractility
@COPYRIGHT BRAINBARTER 2025/2026
, C. Increased myocardial contractility and heart rate
D. Decreased blood flow to skeletal muscles - ANS C. Increased myocardial contractility and
heart rate
Which order for furosemide is written most appropriately by the
prescriber?
A. Furosemide [Lasix] 20 mg PO QD
B. Furosemide [Lasix] 20 mg PO qd
C. Furosemide [Lasix] 20 mg daily
D. Furosemide [Lasix] 20 mg PO daily - ANS D. Furosemide [Lasix] 20 mg PO daily
A patient has been taking methadone for 5 months to overcome
an opioid addiction. The provider will monitor the patient for which
electrocardiographic change?
A. Prolonged QT interval
B. Prolonged P-R interval
C. Bundle branch block
D. Elevated ST segmen - ANS A. prolonged QT interval
Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus?
A. Drugs that are highly polar
B. Ionized drugs
C. Lipid-soluble drugs
D. Protein-bound drugs - ANS C. Lipid soluble drugs
The provider prepares a patient with newly diagnosed type 1
4
diabetes for hospital discharge. Which action by the provider will best
Page
support the patient's ability to effectively manage medication therapy?
@COPYRIGHT BRAINBARTER 2025/2026
