2025 NEW GENERATION NURSING EXAMS: ADVANCED
PHARMACOLOGY
QUESTION 1
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially?
a. Determine the patient’s current medication dosage and pain level.
b. Verify the patient’s adherehence to the prescribed drug regimen.
c. Fax the renewal order to the pharmacy.
d. Arrange to schedule an appointment with the patient.
ANSWER:
QUESTION 2
A 6-year-old child presents with crying due to ear pain. Tympanic membrane are erythematous,
bulging, and immobile but intact. In addition to antibiotic therapy, what will the provider
recommend for pain management?
a. Prednisone
b. Lidocaine ear drops
c. A tympanostomy to relieve pressure in the middle ear.
d. Low dose aspirin
, ANSWER:
QUESTION 3
The drug manual states that older adult patients are at increased risk of hepatotoxicity. Which
action is most important when prescribing this medication to an 80-year-old patient?
a. Discontinuing the order; the drug is contraindicated for this patient
b. Ensuring that the drug is taken in the correct dose at the correct time.
c. Giving the medication intravenously to avoid first pass metabolism
d. Obtaining baseline liver function studies
ANSWER:
QUESTION 4
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset of a
prunic, dull red, maculopapular rash on the chest and neck. Which action is most important for
the provider to tale to minimize this patient's-risk for injury?
a. Discontinue the ampicillin.
b. Prescribe antihistamine for the itching.
c. Prescribe azithromycin to replace the ampicillin.
d. Flag all medical records with an Allergic to Penicillin* notice.
PHARMACOLOGY
QUESTION 1
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially?
a. Determine the patient’s current medication dosage and pain level.
b. Verify the patient’s adherehence to the prescribed drug regimen.
c. Fax the renewal order to the pharmacy.
d. Arrange to schedule an appointment with the patient.
ANSWER:
QUESTION 2
A 6-year-old child presents with crying due to ear pain. Tympanic membrane are erythematous,
bulging, and immobile but intact. In addition to antibiotic therapy, what will the provider
recommend for pain management?
a. Prednisone
b. Lidocaine ear drops
c. A tympanostomy to relieve pressure in the middle ear.
d. Low dose aspirin
, ANSWER:
QUESTION 3
The drug manual states that older adult patients are at increased risk of hepatotoxicity. Which
action is most important when prescribing this medication to an 80-year-old patient?
a. Discontinuing the order; the drug is contraindicated for this patient
b. Ensuring that the drug is taken in the correct dose at the correct time.
c. Giving the medication intravenously to avoid first pass metabolism
d. Obtaining baseline liver function studies
ANSWER:
QUESTION 4
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new onset of a
prunic, dull red, maculopapular rash on the chest and neck. Which action is most important for
the provider to tale to minimize this patient's-risk for injury?
a. Discontinue the ampicillin.
b. Prescribe antihistamine for the itching.
c. Prescribe azithromycin to replace the ampicillin.
d. Flag all medical records with an Allergic to Penicillin* notice.
