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NURS 6521 Advanced Pharmacology Final Exam 2026 | 32 Questions and Correct Detailed Answers with Rationales | A Grade Study Guide

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This document contains 32 advanced pharmacology final exam questions with correct detailed answers and rationales for NURS 6521 students. It is designed to help nursing studentsherq prepare effectively for final examinations through comprehensive explanations and exam-focused revision material. The study guide covers important pharmacology concepts, medication management, drug classifications, therapeutic effects, adverse reactions, and clinical nursing applications commonly tested in advanced nursing courses. It is ideal for exam revision, self-assessment, and improving pharmacology knowledge for higher grades.

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NURS 6521 ADVANCED PHARMACOLOGY FINAL

EXAM 2026/ NURS6521 FINAL EXAM |ALL 32

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES|AGRADE

Question 1.A 19-year-old patient reports to a clinic with vaginal discharge with a foul
odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is
aware that

- ANSWER-
Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap
smear. - ANSWER-

Question 2. A Nurse Practitioner is having difficulty administering a bitter drug to a 5-
year-old child.
The nurse should - ANSWER-
Answer: offer the child a flavored ice chip or ice pop prior to administering the drug.
- ANSWER-

Question 3.A school nurse has been teaching high school students about the risks
associated with marijuana use. However, the nurse has been met with considerable
skepticism on the part of students, most of whom believe that marijuana is a benign
drug. Which of the following teaching points should the nurse provide? - ANSWER-

Answer: "Smoking marijuana is just as bad, or worse, for your lungs as smoking
cigarettes." - ANSWER-

Question 4. A 6-month-old child has developed skin irritation due to an allergic reaction.
He has been prescribed a topical skin ointment. The nurse will consider which of the
following before administering the drug? - ANSWER-

Answer: That the infant's skin has greater permeability than that of an adult. -
ANSWER-

Question 5. A Nurse Practitioner works at a weight management clinic. To which of the
following overweight patients could the nurse safely administer dextroamphetamine? –
ANSWER
-
Answer: A 48-year-old Caucasian man who has adult onset diabetes. – ANSWER

Question 6. Morphine has been prescribed for a 28-year-old man with severe pain due
to a back injury. The nurse will advise the patient to avoid - ANSWER-

, Answer: alcohol. - ANSWER-

Question 5.
An immunocompromised 7-year-old child, recently discharged home with a peripherally-
inserted central line (PICC line) for home antibiotic therapy; He has now been brought
to the emergency department by his mother and father with signs and symptoms
oflinesepsis. Upon questioning, the mother states that she has been removing the PICC
dressing daily and washing the site with warm water and a cloth. What nursing
diagnosis is most appropriate in this situation? - ANSWER-

Answer: Ineffective Family Therapeutic Regimen Management - ANSWER-

Question 6.: A 20-year-old woman has been prescribed estrogen. As with all women
taking estrogen, the nurse will carefully monitor the patient for which of the
following? - ANSWER-
Answer: Cardiovascular complications - ANSWER-

Question 7.A 5-year-old boy needs an IM injection. The least painful and most effective
injection site would be the - ANSWER-

Answer: ventrogluteal muscle. - ANSWER-

Question 8.: Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal
woman. In order to help prevent gastrointestinal distress, the nurse will advise the
patient to - ANSWER-
Answer: stand or sit upright for at least 30 minutes after taking alendronate. –
ANSWER

Question 9: A male patient is experiencing climacteric symptoms secondary to androgen
deficiency. His physician has prescribed testosterone. The nursing assessment reveals
that the patient has had a myocardial infarction. The combination of testosterone
therapy and a history of myocardial infarctionwould place that patient at a significantly
higher risk of – ANSWER

Answer: Heart Attack - ANSWER-
Question 10: A Nurse Practitioner is instructing a 19-year-old female patient on the use
of fluconazole for candida vaginitis. A teaching priority will be to – ANSWER

Answer: use an alternative form of birth control, if taking an oral contraceptive. -
ANSWER-
Question 11: A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug

Answer: first thing in the morning. - ANSWER-

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