NR565FINALEXAM2025/2026–
ADVANCEDPHARMACOLOGY
- Versions | All Questions with Verified Correct Answers | A+ Graded 1 / 4
1EXAM OVERVIEW
The NR 565 Final Exam for Advanced Pharmacology is a comprehensive assessment designed to evaluate advanced practice nursing students’ mastery of pharmacological principles, fo- cusing on safe and effective prescribing practices.
Key Details:
•Course: NR 565 – Advanced Pharmacology
•Exam Format: Multiple Choice, Case-Based, Select-All-That-Apply (SATA)
•Versions: Version A and Version B
•Number of Questions per Version: 50
•Focus Areas:
–Drug Mechanisms & Interactions –Prescriptive Authority Guidelines –Side Effects and Contraindications –Evidence-Based Dosing –Patient Safety & Monitoring Parameters •Exam Purpose: To assess competency in advanced pharmacological decision-making for clinical practice.•Format: Online or in-person proctored, timed, computer-based testing with random- ized question delivery.Students should prioritize reviewing drug classes, state-specific prescribing laws, and clinical guidelines to excel.
2VERSION A – QUESTIONS AND ANSWERS
2.1QUESTION 1
Which class of antihypertensives is contraindicated during pregnancy?A.Beta blockers B.ACE inhibitors C.Calcium channel blockers D.Alpha-2 agonists
Correct Answer:B. ACE inhibitors
Rationale: ACE inhibitors can cause fetal renal damage and are contraindicated during all trimesters.
2.2QUESTION 2
A patient is prescribed warfarin. Which food should the nurse instruct the patient to limit?A.Oranges
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B.Spinach C.Potatoes D.Apples
Correct Answer:B. Spinach
Rationale: Spinach is high in vitamin K, which can reduce warfarin’s anticoagulant effect.
2.3QUESTION 3
A nurse practitioner is prescribing levothyroxine. Which laboratory value should be moni- tored?A.Serum potassium B.TSH levels C.Blood glucose D.Platelet count
Correct Answer:B. TSH levels
Rationale: TSH levels indicate thyroid function and guide levothyroxine dosing.
2.4QUESTION 4
A patient is receiving vancomycin. Which adverse effect requires immediate action?A.Mild rash B.Tinnitus C.Nausea D.Fatigue
Correct Answer:B. Tinnitus
Rationale: Tinnitus may indicate ototoxicity, a serious adverse effect of vancomycin.
2.5QUESTION 5
Which medication requires monitoring of peak and trough levels?A.Metformin B.Gentamicin C.Lisinopril D.Atorvastatin
Correct Answer:B. Gentamicin
Rationale: Aminoglycosides like gentamicin require peak and trough monitoring to ensure efficacy and prevent toxicity.
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2.6QUESTION 6
A patient with type 2 diabetes is prescribed metformin. Which side effect should the nurse educate the patient about?A.Weight gain B.Gastrointestinal upset C.Hypertension D.Bradycardia
Correct Answer:B. Gastrointestinal upset
Rationale: Metformin commonly causes gastrointestinal side effects like nausea and diarrhea.
2.7QUESTION 7
A nurse practitioner prescribes albuterol for asthma. Which adverse effect should be moni- tored?A.Hypotension B.Tachycardia C.Hypokalemia D.Sedation
Correct Answer:B. Tachycardia
Rationale: Albuterol, a beta-agonist, can cause tachycardia as a side effect.
2.8QUESTION 8
Which medication is most likely to cause serotonin syndrome when combined with fluoxetine?A.Metoprolol B.Tramadol C.Simvastatin D.Omeprazole
Correct Answer:B. Tramadol
Rationale: Tramadol, a serotonin reuptake inhibitor, can cause serotonin syndrome when combined with SSRIs like fluoxetine.
2.9QUESTION 9
A patient is prescribed spironolactone. Which electrolyte imbalance should the nurse moni- tor?A.Hypokalemia B.Hyperkalemia
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