NUR 521 ADV PHARM EXAM Newest 2026-2027
Complete Questions And Correct Answers
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Enbrel Indications: - ANSWER-* Rheumatoid arthritis,
psoriatic arthritis, or ankylosing spondylitis;
* Plaque psoriasis
* Polyarticular juvenile idiopathic arthritis in children
Enbrel CI: - ANSWER-* Hypersensitivity to drug or
ingredient, granulomatosis w/polyangiitis
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Enbrel Precautions: - ANSWER-* Chronic or recurrent
infection, >65 yo, uncontrolloed diabetes mellitus, TB,
HBV, malignancy
Patient education for nasal Calcitonin: - ANSWER-*
Alternate nostrils daily
* Store in refrigerator before opening.
Patient education for Teriparatide: - ANSWER-* Daily
SubQ
* Limit to 2 years due to osteosarcoma risk (BBW)
Patient education for Vitamin D: - ANSWER-* Take with
calcium
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* Monitor for hypercalcemia
* Avoid in patients on digoxin
How is Prolia (Denosumab) administered? - ANSWER-
Administered as a subcutaneous injection every 6 months
When is Prolia stopped? - ANSWER-Stopped if patient
develops hypocalcemia or serious adverse reactions
How is Fosamax (Alendronate) administered? - ANSWER-
* Oral tablet taken weekly
* Must be taken with full glass of water on an empty
stomach
* Patient must sit upright for 30 minutes
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When is Fosamax stopped? - ANSWER-Stopped after 3-5
years to reduce risk of atypical femur fractures and
osteonecrosis of the jaw
Medications used to treat Paget's disease - ANSWER-*
Biphosphonates (ex: Alendronate)
* Calcitonin (Miacalcin)
Common SE of Miacalcin: - ANSWER-* Nasal irritation
* Rhinitis
* Epistaxis (if nasal spray)
* Nausea