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NR 566 FINAL/NR566 ADVANCED PHARMACOLOGY
FOR CARE OF THE FAMILY FINAL EXAM NEWEST
2025 ACTUAL EXAM COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A patient calls the nurse to report that she forgot to take a combination OC pill during the third week of her cycle.She tells the nurse that she missed another pill earlier that
week. The nurse will tell her to:
- continue the pack, skip the inert pills, and use an
- not to worry, because up to 7 days can be missed
- take a pill immediately, continue the pack, and use an
- take a pill now, continue the pack, skip the placebo
additional form of contraception for 7 days.
without an increased risk of pregnancy.
additional form of contraception for 1 month.
pills, and start a new pack on week - ANSWER-ANS: D
Rationale; If one or two pills are missed during the second or third week of a 28-day cycle, the patient should be instructed to take one pill as soon as possible, continue the pack, skip the placebo pills, and 1 / 4
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go straight to a new pack. It is not necessary to use an alternative form of contraception. If three or more pills are missed, the risk of pregnancy increases.
A patient has just purchased a 1-year supply of 28-day- cycle oral contraceptives. She tells the nurse she wishes she had planned things better, because she has calculated that her period will begin during her upcoming honeymoon. What will the nurse suggest?
- She should discard the inert pills and start a new pack
- She should discontinue the oral contraceptives and use
- She should discuss a prescription for an extended-cycle
- She should discuss DMPA (Depo-Provera) injections in
during the honeymoon.
an alternative form of birth control.
product with her provider.
addition to the OC with her
provider. - ANSWER-ANS: A
Rationale; OC users can achieve an extended-cycle schedule by discarding the inert pills and beginning a new pack for up to four cycles. It is not necessary to discontinue OCs. Because this woman has already 2 / 4
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purchased a 1-year supply, using the 28-day-cycle product as described is appropriate. If this woman opts for a long-term product, she should discontinue the OC.
A nurse working in a family planning clinic is preparing to administer a first dose of intramuscular DMPA [Depo- Provera] to a young adult patient. The woman tells the nurse she has just finished her period. What will the nurse do?
- Administer the injection today and counsel backup
- Administer the injection today and tell her that
- Obtain a pregnancy test to rule out pregnancy before
- Schedule an appointment for her to receive the
contraception for 7 days.
protection is immediate.
administering the drug.
injection in 3 weeks. - ANSWER-ANS: D
Rationale; To ensure that patients are not pregnant when they receive DMPA, the first injection should be given during the first 5 days of a normal menstrual period. 3 / 4
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A patient who is taking a combination oral contraceptive begins taking carbamazepine. After several weeks, the patient tells the nurse she has begun experiencing spotting during her cycle. What will the nurse tell her to do?
- Change to condoms instead of oral contraceptives.
- Discuss an oral contraceptive with increased estrogen.
- Request a decreased dose of carbamazepine.
- Stop taking the oral contraceptive immediately. -
ANSWER-ANS: B
Rationale; Carbamazepine induces hepatic cytochrome P450 and thus accelerates the metabolism of oral contraceptives. Spotting is a sign of reduced OC blood levels; patients experiencing this symptom may need an increased estrogen dose. If the dose of OC is not changed, the woman may use condoms along with the OC. Reducing the dose of carbamazepine is not correct. Discontinuing the OC immediately is not correct.
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