NSG 533 Advanced Pharmacology Practice Exam with 300
Questions and Correct Answers/ 2026-2027 Advanced
Pharmacology NSG 533 Practice Test Latest 2026-2027
A 26-year-old patient with a first episode of depression has been treated with
duloxetine 60 mg twice daily for the past 4 months. The patient would like to
discontinue treatment. The patient should be told that they need at least _____full
months of antidepressant
therapy after reaching full remission.
A. 3
B. 6
C. 9
D. 12 - ANSWER-B
AD is a 58-year-old man who presents to your clinic with the complaint that he
"just can't sleep at night." Upon further questioning, he reports that he typically
falls asleep without problem but wakes up multiple times throughout the night.
Which of the following sleep disorders could AD possibly have?
A. Insomnia
B. Obstructive sleep apnea
C. Narcolepsy
D. Restless legs syndrome
E. All of the above - ANSWER-E
RS is a 28-year-old man with a history of obsessive-compulsive disorder who
reports that he kicks his legs during the night, which wakes him up. He reports that
he does not really have any symptoms of restless legs syndrome, but the leg
1
,kicking frequently awakens him in the middle of the night and causes him to be
sleepy during the daytime. RS has a body mass index of 21 kg/m2 and is
normotensive, and his wife says he does not snore or stop breathing during sleep.
What would you recommend for RS?
A. Temazepam 15 mg at bedtime
B. Polysomnography
C. Pramipexole 0.5 mg at bedtime
D. Multiple sleep latency test
E. Gabapentin 300 mg at bedtime - ANSWER-A
Which of the side effects of trazodone for the treatment of depression is most
frequently
observed?
A. Hematuria
B. Delayed orgasm
C. Priapism
D. Orthostasis - ANSWER-D
An antidepressant that may be dangerous in overdose is
A. Mirtazapine
B. Amitriptyline
C. Fluoxetine
D. Escitalopram - ANSWER-B
A 28-year-old man with a history of depression has been taking sertraline 200 mg
daily for 12 weeks with no response. The patient has no other complaints. The
physician asks for your recommendation. The most reasonable recommendation
would be to:
2
,A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine - ANSWER-D
AS is an 18-year-old woman hospitalized for the fourth time for major depressive
disorder. On this occasion, AS was admitted for suicidal ideation. Her other
symptoms include loss of appetite, insomnia, decreased energy, increased
agitation, and anhedonia for the past 2 months. Although she did well her first
semester of college, AS "partied: a lot and broke up with a new boyfriend. Two
months ago, AS refused to go back to college after the winter holidays. She does
not have any other medical problems. AS's mother and grandfather have a history
of bipolar illness, and her father has a history of
substance abuse. AS's symptoms meet the criteria for major depressive disorder
based upon the fact that she has:
A. A history of mania
B. A history of substance abuse
C. Felt suicidal and had four target symptoms for more than 10 days
D. Had a loss of pleasure and four target symptoms for more than 2 weeks. -
ANSWER-D
A 38-year-old male is diagnosed with major depressive disorder by his general
practitioner. His symptoms include depressed mood, insomnia, decreased appetite,
and poor concentration. He denies suicidal ideation. The patient remembers that his
mother and brother responded well to venlafaxine in the past, and he would like to
try the same medication. Which of the following monitoring parameters would be
the most important to follow on this medication?
A. Blood pressure
B. White blood cell count 7
C. Electrocardiogram
3
, D. Potassium levels 8 - ANSWER-A
Which of the following statements regarding panic disorder is true?
A. Panic attacks are expected and have an identifiable trigger
B. Panic attacks usually peak in intensity in about 1 hour.
C. Agoraphobia is always present.
D. It is more common in men.
E. Panic symptoms are self-limiting in duration. - ANSWER-E
Which of the following substances/medications would not be expected to
contribute to panic anxiety?
A. Albuterol
B. Olanzapine
C. Cannabis
D. Phenylephrine
E. Caffeine - ANSWER-B
Pregabalin is a preferred treatment for a patient with GAD and a history of which
of the following?
A. Comorbid depression
B. Alcohol dependence
C. Did not tolerate SSRIs
D. Renal impairment
E. Nonadherence - ANSWER-C
The following treatment would be preferred for a 12-year-old with SAD.
4
Questions and Correct Answers/ 2026-2027 Advanced
Pharmacology NSG 533 Practice Test Latest 2026-2027
A 26-year-old patient with a first episode of depression has been treated with
duloxetine 60 mg twice daily for the past 4 months. The patient would like to
discontinue treatment. The patient should be told that they need at least _____full
months of antidepressant
therapy after reaching full remission.
A. 3
B. 6
C. 9
D. 12 - ANSWER-B
AD is a 58-year-old man who presents to your clinic with the complaint that he
"just can't sleep at night." Upon further questioning, he reports that he typically
falls asleep without problem but wakes up multiple times throughout the night.
Which of the following sleep disorders could AD possibly have?
A. Insomnia
B. Obstructive sleep apnea
C. Narcolepsy
D. Restless legs syndrome
E. All of the above - ANSWER-E
RS is a 28-year-old man with a history of obsessive-compulsive disorder who
reports that he kicks his legs during the night, which wakes him up. He reports that
he does not really have any symptoms of restless legs syndrome, but the leg
1
,kicking frequently awakens him in the middle of the night and causes him to be
sleepy during the daytime. RS has a body mass index of 21 kg/m2 and is
normotensive, and his wife says he does not snore or stop breathing during sleep.
What would you recommend for RS?
A. Temazepam 15 mg at bedtime
B. Polysomnography
C. Pramipexole 0.5 mg at bedtime
D. Multiple sleep latency test
E. Gabapentin 300 mg at bedtime - ANSWER-A
Which of the side effects of trazodone for the treatment of depression is most
frequently
observed?
A. Hematuria
B. Delayed orgasm
C. Priapism
D. Orthostasis - ANSWER-D
An antidepressant that may be dangerous in overdose is
A. Mirtazapine
B. Amitriptyline
C. Fluoxetine
D. Escitalopram - ANSWER-B
A 28-year-old man with a history of depression has been taking sertraline 200 mg
daily for 12 weeks with no response. The patient has no other complaints. The
physician asks for your recommendation. The most reasonable recommendation
would be to:
2
,A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine - ANSWER-D
AS is an 18-year-old woman hospitalized for the fourth time for major depressive
disorder. On this occasion, AS was admitted for suicidal ideation. Her other
symptoms include loss of appetite, insomnia, decreased energy, increased
agitation, and anhedonia for the past 2 months. Although she did well her first
semester of college, AS "partied: a lot and broke up with a new boyfriend. Two
months ago, AS refused to go back to college after the winter holidays. She does
not have any other medical problems. AS's mother and grandfather have a history
of bipolar illness, and her father has a history of
substance abuse. AS's symptoms meet the criteria for major depressive disorder
based upon the fact that she has:
A. A history of mania
B. A history of substance abuse
C. Felt suicidal and had four target symptoms for more than 10 days
D. Had a loss of pleasure and four target symptoms for more than 2 weeks. -
ANSWER-D
A 38-year-old male is diagnosed with major depressive disorder by his general
practitioner. His symptoms include depressed mood, insomnia, decreased appetite,
and poor concentration. He denies suicidal ideation. The patient remembers that his
mother and brother responded well to venlafaxine in the past, and he would like to
try the same medication. Which of the following monitoring parameters would be
the most important to follow on this medication?
A. Blood pressure
B. White blood cell count 7
C. Electrocardiogram
3
, D. Potassium levels 8 - ANSWER-A
Which of the following statements regarding panic disorder is true?
A. Panic attacks are expected and have an identifiable trigger
B. Panic attacks usually peak in intensity in about 1 hour.
C. Agoraphobia is always present.
D. It is more common in men.
E. Panic symptoms are self-limiting in duration. - ANSWER-E
Which of the following substances/medications would not be expected to
contribute to panic anxiety?
A. Albuterol
B. Olanzapine
C. Cannabis
D. Phenylephrine
E. Caffeine - ANSWER-B
Pregabalin is a preferred treatment for a patient with GAD and a history of which
of the following?
A. Comorbid depression
B. Alcohol dependence
C. Did not tolerate SSRIs
D. Renal impairment
E. Nonadherence - ANSWER-C
The following treatment would be preferred for a 12-year-old with SAD.
4
