NURS 6521 / NURS6521 Advanced Pharmacology
Final Exam | 100% Verified | 2026/2027 Latest Update
(GRADED A)
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed and
prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him
which of the following?
CORRECT ANSWER: "You might find that your face becomes flushed, or you get a headache after taking
Viagra."
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessment
reveals that he is also taking warfarin. The nurse must carefully monitor which of the following?
CORRECT ANSWER: Elevated prothrombin time
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will
instruct the patient
CORRECT ANSWER: to complete the entire course of drug therapy.
Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abuse. In
an emergency, a Schedule II drug may be prescribed by telephone if a written prescription cannot be
provided at the time. However, a written prescription must be provided within 72 hours with the words
authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled.
A new prescription must be written each time. Examples include certain amphetamines and barbiturates.
These are scheduled drugs
CORRECT ANSWER: Schedule II
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy. To
maximize the drug's therapeutic effects, which of the following will the nurse include in instructions to the
patient?
CORRECT ANSWER: Take the drug for one whole week before coming in contact with allergens.
Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating,
and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations
as
CORRECT ANSWER: Magnesium Sulfate toxicity.
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses treatment
options with his care team. What aspect of the patient's condition would contraindicate the use of
cyclophosphamide to treat leukemia?
CORRECT ANSWER: The patient's bone marrow function is significantly depressed.
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husband
have sought a referral to a fertility specialist to explore their options. A nurse at the clinic should recognize
that the woman may benefit from
CORRECT ANSWER: clomiphene.
, Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The
medication history reveals that he currently takes antacids regularly. The nurse will instruct the patient:
CORRECT ANSWER: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-
year-old child. The nurse will calculate the drug dosage by using
CORRECT ANSWER: Body Surface Area
Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), and her
care team has identified potential benefits of imatinib. Which of the following characteristics of this
patient's current health status may preclude the use of imatinib?
CORRECT ANSWER: The patient has chronic heart failure resulting in significant peripheral edema
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of
the following as a risk associated with finasteride therapy?
CORRECT ANSWER: Prostatic neoplasia
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
CORRECT ANSWER: After a meal.
Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transdermal
(Androderm) patches. When educating the patient on administering the drug, the nurse will instruct him to
CORRECT ANSWER: place the patch on the back, abdomen, upper arms, or thighs.
Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due to
worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for
facilitating this new aspect of the patient's drug regimen involving the administration of
CORRECT ANSWER: weekly subcutaneous injections
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for
recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss the use of
CORRECT ANSWER: food containing iron or calcium with the woman.
Question 17: A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-
spectrum antibiotic rather than a broad-spectrum drug to treat a patient's infection. Which of the following
facts provides the best rationale for using narrow-spectrum antibiotics whenever possible?
CORRECT ANSWER: The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the
chance that the boy will take his prescribed medication, the nurse should
CORRECT ANSWER: offer a choice between liquid and chewable medications, if possible.
Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxin B
systemically?
CORRECT ANSWER: Nephrotoxicity and hepatotoxicity
Final Exam | 100% Verified | 2026/2027 Latest Update
(GRADED A)
Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed and
prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him
which of the following?
CORRECT ANSWER: "You might find that your face becomes flushed, or you get a headache after taking
Viagra."
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessment
reveals that he is also taking warfarin. The nurse must carefully monitor which of the following?
CORRECT ANSWER: Elevated prothrombin time
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will
instruct the patient
CORRECT ANSWER: to complete the entire course of drug therapy.
Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abuse. In
an emergency, a Schedule II drug may be prescribed by telephone if a written prescription cannot be
provided at the time. However, a written prescription must be provided within 72 hours with the words
authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled.
A new prescription must be written each time. Examples include certain amphetamines and barbiturates.
These are scheduled drugs
CORRECT ANSWER: Schedule II
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy. To
maximize the drug's therapeutic effects, which of the following will the nurse include in instructions to the
patient?
CORRECT ANSWER: Take the drug for one whole week before coming in contact with allergens.
Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating,
and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations
as
CORRECT ANSWER: Magnesium Sulfate toxicity.
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses treatment
options with his care team. What aspect of the patient's condition would contraindicate the use of
cyclophosphamide to treat leukemia?
CORRECT ANSWER: The patient's bone marrow function is significantly depressed.
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husband
have sought a referral to a fertility specialist to explore their options. A nurse at the clinic should recognize
that the woman may benefit from
CORRECT ANSWER: clomiphene.
, Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The
medication history reveals that he currently takes antacids regularly. The nurse will instruct the patient:
CORRECT ANSWER: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-
year-old child. The nurse will calculate the drug dosage by using
CORRECT ANSWER: Body Surface Area
Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), and her
care team has identified potential benefits of imatinib. Which of the following characteristics of this
patient's current health status may preclude the use of imatinib?
CORRECT ANSWER: The patient has chronic heart failure resulting in significant peripheral edema
Question 12: A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of
the following as a risk associated with finasteride therapy?
CORRECT ANSWER: Prostatic neoplasia
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
CORRECT ANSWER: After a meal.
Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transdermal
(Androderm) patches. When educating the patient on administering the drug, the nurse will instruct him to
CORRECT ANSWER: place the patch on the back, abdomen, upper arms, or thighs.
Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due to
worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for
facilitating this new aspect of the patient's drug regimen involving the administration of
CORRECT ANSWER: weekly subcutaneous injections
Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for
recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss the use of
CORRECT ANSWER: food containing iron or calcium with the woman.
Question 17: A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-
spectrum antibiotic rather than a broad-spectrum drug to treat a patient's infection. Which of the following
facts provides the best rationale for using narrow-spectrum antibiotics whenever possible?
CORRECT ANSWER: The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the
chance that the boy will take his prescribed medication, the nurse should
CORRECT ANSWER: offer a choice between liquid and chewable medications, if possible.
Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxin B
systemically?
CORRECT ANSWER: Nephrotoxicity and hepatotoxicity
