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NURS 6521 EXAM AND PRACTICE EXAM LATEST 2025
ACTUAL EXAM TEST BANK| COMPLETE 300+
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
ADVANCED PHARMACOLOGY FINAL 2025| BRAND
NEW!!
Which type of medication prescribed to a pregnant patient is more likely to have effects on the fetus?
- Drugs that are highly polar
- Ionized drugs
- Lipid-soluble drugs
- Protein-bound drugs - ANSWER - C
- Lipid-soluble drugs cross the placenta more easily
- Drugs that are highly polar, ionized, or are protein-bound will have
more difficulty crossing
A 5-year old child presents to your primary care clinic and has gray teeth. When taking a medication history, you will ask about previous use of which group of antibiotics?
A. PCN
- Cephalosporins
- Sulfonamides
- Tetracyclines - ANSWER - D 1 / 4
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- Tetracyclines cause discoloration of developing teeth in children,
- The other drugs listed here don't cause this effect
which is an adverse effect unique to this class of antibiotics
You are reviewing an older patient's chart during a routine clinic visit.Which patient information is of most concern to you if they are on multiple protein-bound medications?
- Chronic constipation
- ow serum albumin
- Increased body fat
- Low serum creatinine - ANSWER - B
- Low serum albumin reduces protein binding of drugs & can cause
- The other options are not related to drug protein-binding
levels of free drug to rise, increasing risk of toxicity
What term describes the drug level required for a medication to have a therapeutic effect in a patient?
- Dynamic equilibrium
- Critical concentration
- Selective toxicity
- Active transport - ANSWER - B
- A critical concentration of a drug must be present before a reaction
- Also known as "minimal effective concentration"
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occurs within the cells to bring about the desired therapeutic effect
pg. 3 You have prescribed an IV aminoglycoside for a patient who has a severe infection in her leg. What would be important to monitor this patient for related to this class of antibiotics?
- Renal dysfunction
- Liver dysfunction
- Serum glucose levels
- Visual disturbances - ANSWER - A
- When patients are taking aminoglycosides (i.e. gentamicin), they need
- Usually we follow BUN/creatinine labs and urine output as clinical
to be closely monitored for any signs of renal dysfunction
indicators of worsening kidney function
You have recently graduated from an NP program and are exploring licensure in a variety of states. Prescribing authority is ...
- determined by state law
- the same for PAs and APRNs
- the same in all states
- regulated by the federal government - ANSWER - A
- Individual states determine prescribing authority regulations, so you'll
- The federal government isn't involved in this and there are definitely
need to check these in the state you want to practice in
differences between PA and APRN prescriptive authority laws
Which side effect of clindamycin causes the provider the most concern and may warrant discontinuation of the drug? 3 / 4
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- Diarrhea
- Vomiting
- Nausea
D. HA - ANSWER - A
- Difficile-associated diarrhea (CDAD) is a serious and sometimes
- Typically, the drug is discontinued immediately, cultures are drawn,
life-threatening superinfection associated with clindamycin use
and the C. Diff is treated if confirmed
A patient presents to the ER with a serum drug level of 50 g/mL. The half-life of this drug is 1 hour. With this drug, concentrations above 25 g/mL are considered toxic. How long will it take for the blood level to reach the non-toxic range?
- 30 minutes
- 1 hour
- 2 hours
- 3 hours - ANSWER - B
- Half-life is the time required for the serum concentration of a drug to
- After 1 hour, the serum concentration would be 25 g/mL (which is no
reduce by 50%
longer toxic)
You are treating a patient who has been receiving an IM drug, but will transition to the PO route upon discharge. What is responsible for the increased dosage prescribed for the PO dose of this drug?
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