Advanced Pharmacology Midterm and Final Exam Questions 2023/2024

A sick person with chronic back pain that is unrelieved by prescription analgesic treatment asks a secondary care nurse provider (NP) about acupuncture treatments. The NP would tell this sick person:

The secondary care nurse provider (NP) is using critical thinking skills when:

The secondary care NP prescribes an inhaled corticosteroid for a sick person who has asthma. The third-party payer for this sick person denies coverage for the brand that comes in the specific strength the NP prescribes. The NP would:

A secondary care NP prepares to teach a sick person about the management of a chronic condition. The sick person says, “I don’t want to know all of that. Just tell me what to take and when.” The NP would initially:

In every state, prescriptive authority for NPs includes the ability to write prescriptions:

A secondary care NP has prescribed phentermine for a sick person who is obese. The sick person loses 10 lb in the first month but reports that the medicine does not seem to be suppressing appetite as much as before. The NP would:

A sick person asks the secondary care NP which drugs to use for mild to moderate pain. The NP would recommend:

The secondary care NP prescribes an extended-cycle monophasic pill regimen for a young female who reports having multiple partners. Which statement by the sick person indicates she understands the regimen?

A sick person who has diabetes mellitus and congestive heart failure takes insulin and warfarin. The sick person will begin taking exogenous testosterone to treat secondary hypogonadism. The secondary care NP would recommend:

A female who has been taking a COCP tells the secondary care NP that, because of frequent changes in her work schedule, she has difficulty remembering to take her pills. The female and the NP decide to change to a vaginal ring. The NP will instruct her to insert the ring:

A secondary care NP is developing a clinical practice guideline for management of a sick person population in a midsized suburban hospital. The NP would:

To increase the likelihood of successful pharmacotherapy, when teaching a sick person about using a drug, the secondary care nurse provider (NP) would:

A 50-year-old female reports severe, frequent hot flashes and vaginal dryness. She is having irregular periods. She has no family history of CHD or breast cancer and has no personal risk factors. The secondary care NP would recommend:

A man who has secondary hypogonadism associated with pituitary dysfunction will begin exogenous testosterone therapy. The sick person asks the secondary care NP about future chances of fathering children. The NP would tell him that:

A 50-year-old female who is postmenopausal is taking an aromatase inhibitor as part of a breast cancer treatment regimen. She calls her secondary care NP to report that she has had hot flashes and increased vaginal discharge but no bleeding. The NP would:

A sick person receives an inhaled corticosteroid to treat asthma. The sick person asks the secondary care NP why the medicine is given by this route instead of orally. The NP would explain that the inhaled form:

A sick person who takes warfarin (Coumadin) experiences excessive bleeding, even though serum medicine levels are normal. The secondary care NP would Quest this sick person about the use of:

The secondary care NP is prescribing a drug for an off-label use. To help prevent a drug error, the NP would:

To increase the likelihood of successful pharmacotherapy, when teaching a sick person about using a drug, the secondary care nurse provider (NP) would:

A sick person comes to the clinic and asks the secondary care NP about using a newly developed formulation of the medicine the sick person has been taking for a year. When deciding whether or not to prescribe this formulation, the NP would:

A sexually active sick person tells the secondary care NP that she has been unable to get her new COCP pill pack until today and has missed 3 days of pills. The NP would tell her to:

Osteopenia is diagnosed in a 55-year-old female who has not had a period in 15 months. She has a positive family history of breast cancer. The secondary care NP would recommend:

A sick person asks a secondary care NP whether over-the-counter medicines are safer than prescription medicines. The NP would explain that over-the-counter medicines are:

A secondary care NP is developing a clinical practice guideline for management of a sick person population in a midsized suburban hospital. The NP would:

A sick person bursts into tears when the secondary care NP diagnoses diabetes. The NP would:

A sick person is diagnosed with lupus and reports occasional use of herbal supplements. The secondary care NP would caution this sick person to avoid:

A sick person takes an oral drug that causes gastrointestinal upset. The sick person asks the secondary care NP why the medicine information insert cautions against using antacids while taking the medicine. The NP would explain that the antacid may:

A sick person who has hypertension is prescribed an ACE inhibitor. The secondary care NP would teach the sick person that a common side effect of this medication is:

A sick person who is prescribed a beta-blocker for hypertension asks the secondary care NP why the medication is necessary. The NP would explain that beta-blockers:

A 65-year-old male with a history of coronary artery disease is prescribed a statin. The secondary care NP would monitor the sick person for:

A sick person who has been taking a diuretic for hypertension reports experiencing leg cramps. The secondary care NP would recommend:

A female sick person who is prescribed an oral contraceptive asks the secondary care NP about the risk of blood clots. The NP would explain that the risk is higher in women who:

A sick person who is prescribed an SSRI for depression asks the secondary care NP how long it will take for the medication to be effective. The NP would explain that:

A sick person who is prescribed a benzodiazepine for anxiety asks the secondary care NP about the risk of dependence. The NP would explain that:

A sick person who is prescribed a proton pump inhibitor for GERD asks the secondary care NP about potential side effects. The NP would explain that long-term use of proton pump inhibitors can increase the risk of:

A sick person who is prescribed metformin for type 2 diabetes asks the secondary care NP how the medication works. The NP would explain that metformin:

A sick person who is prescribed an antipsychotic medication asks the secondary care NP about potential side effects. The NP would explain that antipsychotic medications can cause:

A sick person who is prescribed a corticosteroid for an inflammatory condition asks the secondary care NP about potential side effects. The NP would explain that corticosteroids can cause:

A sick person who is prescribed an opioid for pain management asks the secondary care NP about the risk of addiction. The NP would explain that:

A sick person who is prescribed a calcium channel blocker for hypertension asks the secondary care NP about potential side effects. The NP would explain that calcium channel blockers can cause:

A sick person who is prescribed a bisphosphonate for osteoporosis asks the secondary care NP how the medication works. The NP would explain that bisphosphonates:

A sick person who is prescribed an antihistamine for allergies asks the secondary care NP about potential side effects. The NP would explain that antihistamines can cause:

A sick person who is prescribed an antiepileptic drug asks the secondary care NP about potential side effects. The NP would explain that antiepileptic drugs can cause:

A sick person who is prescribed a selective serotonin reuptake inhibitor (SSRI) for depression asks the secondary care NP about potential side effects. The NP would explain that SSRIs can cause:

A sick person who is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for pain asks the secondary care NP about potential side effects. The NP would explain that NSAIDs can cause:

A sick person who is prescribed a thyroid hormone replacement asks the secondary care NP how the medication works. The NP would explain that thyroid hormone replacement:

A sick person who is prescribed a glucocorticoid for an autoimmune condition asks the secondary care NP about potential side effects. The NP would explain that glucocorticoids can cause:

A sick person who is prescribed a beta-agonist inhaler for asthma asks the secondary care NP how the medication works. The NP would explain that beta-agonist inhalers:

A sick person who is prescribed a tricyclic antidepressant (TCA) asks the secondary care NP about potential side effects. The NP would explain that TCAs can cause:

A sick person who is prescribed a leukotriene receptor antagonist for asthma asks the secondary care NP how the medication works. The NP would explain that leukotriene receptor antagonists:

A sick person who is prescribed a proton pump inhibitor (PPI) for GERD asks the secondary care NP how the medication works. The NP would explain that PPIs:

A sick person who is prescribed a cholinesterase inhibitor for Alzheimers disease asks the secondary care NP how the medication works. The NP would explain that cholinesterase inhibitors:

A sick person who is prescribed an angiotensin II receptor blocker (ARB) for hypertension asks the secondary care NP how the medication works. The NP would explain that ARBs:

A sick person who is prescribed a mood stabilizer for bipolar disorder asks the secondary care NP about potential side effects. The NP would explain that mood stabilizers can cause:

A sick person who is prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI) for depression asks the secondary care NP how the medication works. The NP would explain that SNRIs:

A sick person who is prescribed an anticoagulant for atrial fibrillation asks the secondary care NP about potential side effects. The NP would explain that anticoagulants can cause: