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Pharmacology Practice Questions: Advanced Pharmacology Week, Exams of Pharmacology

Virginia State University (VSU)Pharmacology

A series of multiple-choice questions related to advanced pharmacology concepts. It covers topics such as medication management, patient education, ethical considerations, and the role of nurse practitioners in prescribing medications. The questions are designed to assess understanding of key principles and clinical applications of pharmacology.

Typology: Exams

2024/2025

Available from 10/31/2024

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Advanced Pharmacology Week
1Questions with Answers
1. The primary care NP sees a patient covered by Medicaid, writes a prescription for a
medication, and is informed by the pharmacist that the medication is “off-formulary.”
The NP should: (Points : 2)
inform the patient that an out-of-pocket expense will be necessary.
write the prescription for a generic drug if it meets the patient’s
needs.
call the patient’s insurance provider to advocate for this
particular drug.
contact the pharmaceutical company to see if medication samples are
available.
Question 2.2. A patient asks a primary care nurse practitioner (NP) about using
over-the- counter medications to treat an upper respiratory infection with symptoms
of cough, fever, and nasal congestion. The NP should: (Points : 2)
recommend a cough preparation that also contains acetaminophen.
suggest using single-ingredient products to treat each symptom
separately.
recommend a product containing antitussive, antipyretic,
and decongestant
ingredients.
tell the patient that over-the-counter medications are usually not
effective in manufacturer-recommended doses.
Question 3.3. A patient has recurrent symptoms and tells the primary care NP that
she can’t remember to take her medication all the time. The NP should: (Points : 2)
give her shortened regimens of the drug to facilitate
compliance.
provide written information about her condition
and the medication.
administer the medication in the clinic to ensure that she takes the drug.
ask her about her lifestyle, her schedule, and her understanding of her
condition.
Question 4.4. A woman who began taking a COCP 2 months ago calls the primary
care NP to report having nausea every day. She takes a pill at the same time
each morning. The NP should tell her to: (Points : 2)
try taking the pill in the evening each
day.
come to the clinic for a urine
pregnancy test.
take the pill on an empty
stomach with water.
stop taking the pill for 7 days and then restart.
Question 5.5. A primary care NP will begin practicing in a state in which the
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Advanced Pharmacology Week

1 Questions with Answers

1. The primary care NP sees a patient covered by Medicaid, writes a prescription for a medication, and is informed by the pharmacist that the medication is “off-formulary.” The NP should: (Points : 2) inform the patient that an out-of-pocket expense will be necessary. write the prescription for a generic drug if it meets the patient’s needs. call the patient’s insurance provider to advocate for this particular drug. contact the pharmaceutical company to see if medication samples are available. Question 2. 2. A patient asks a primary care nurse practitioner (NP) about using over-the- counter medications to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The NP should: (Points : 2) recommend a cough preparation that also contains acetaminophen. suggest using single-ingredient products to treat each symptom separately. recommend a product containing antitussive, antipyretic, and decongestant ingredients. tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses. Question 3. 3. A patient has recurrent symptoms and tells the primary care NP that she can’t remember to take her medication all the time. The NP should: (Points : 2) give her shortened regimens of the drug to facilitate compliance. provide written information about her condition and the medication. administer the medication in the clinic to ensure that she takes the drug. ask her about her lifestyle, her schedule, and her understanding of her condition. Question 4. 4. A woman who began taking a COCP 2 months ago calls the primary care NP to report having nausea every day. She takes a pill at the same time each morning. The NP should tell her to: (Points : 2) try taking the pill in the evening each day. come to the clinic for a urine pregnancy test. take the pill on an empty stomach with water. stop taking the pill for 7 days and then restart. Question 5. 5. A primary care NP will begin practicing in a state in which the

governor has opted out of the federal facility reimbursement requirement. The NP should be aware that this defines how NPs may write prescriptions: (Points : 2) without physician supervision in private practice. as CRNAs without physician supervision in a hospital setting. in any situation but will not be reimbursed for this by government insurers.

Question 10. 10. A patient asks a primary care NP whether over-the-counter drugs are safer than prescription drugs. The NP should explain that over-the-counter drugs are: (Points : 2)

drug. (FDA) . generally safe when label information is understood and followed. safer because over-the-counter doses are lower than prescription doses of the same less safe because they are not well regulated by the Food and Drug Administration not extensively tested, so claims made by manufacturers cannot be substantiated. Question 11. 11. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of medications, it will be important to: (Points : 2) attain the same level of expertise as physicians who currently prescribe medications. learn from the experiences of physicians and develop expertise based on evidence- based practice. maintain collaborative and supervisorial relationships with physicians who will oversee prescribing practices. develop relationships with pharmaceutical representatives to learn about new medications as they are developed. Question 12. 12. A woman who is being treated with radiotherapy for breast cancer asks her primary care nurse practitioner (NP) about using dietary supplements to improve her chance of recovery. The NP should tell her that: (Points : 2) vitamin E is not harmful but has not been shown to change outcomes. no supplements have been shown to alter outcomes or response to therapy. folic acid and other B vitamins may improve ability to tolerate chemotherapy. vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence. Question 13. 13. The primary care nurse practitioner (NP) is using critical thinking skills when: (Points : 2) using standardized protocols to guide patient care. adhering to scientific principles to solve a patient problem. following the practices of seasoned mentors when giving care. analyzing current research and synthesizing new approaches to patient care. Question 14. 14. CRNAs in most states: (Points : 2) must have a Drug Enforcement Administration (DEA) number to practice. must have prescriptive authority to practice. order and administer controlled substances but do not have full prescriptive

Question 15. 15. A patient comes to the clinic and asks the primary care NP about using a newly developed formulation of the drug the patient has been taking for a year. When deciding whether or not to prescribe this formulation, the NP should: (Points : 2) tell the patient that when postmarketing data is available, it will be considered. review the pharmaceutical company promotional materials about the new medication. prescribe the medication if it is less expensive than the current drug formulation. prescribe the medication if the new drug is available in an extended-release form. Question 16. 16. The primary care NP is prescribing a medication for an off-label use. To help prevent a medication error, the NP should: (Points : 2) write “off-label use” on the prescription and provide a rationale. call the pharmacist to explain why the instructions deviate from common use. write the alternative drug regimen on the prescription and send it to the pharmacy. tell the patient to ignore the label directions and follow the verbal instructions given in the clinic. Question 17. 17. A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should: (Points : 2) prescribe estrogen-only therapy. initiate oral contraceptive pills now. discuss using bioidentical HT. plan to use estrogen-progesterone therapy when menopause begins. Question 18. 18. To increase the likelihood of successful pharmacotherapy, when teaching a patient about using a medication, the primary care nurse practitioner (NP) should: (Points : 2) encourage the patient to participate in the choice of the medication. provide education about the medication actions and adverse effects. stress the importance of taking the medication exactly as it is prescribed. give the patient copies of medication package inserts describing the drug use. Question 19. 19. A primary care NP is developing a clinical practice guideline for management of a patient population in a midsized suburban hospital. The NP should: (Points : 2) use an existing guideline from a leading research hospital.

follow the guideline provided by a third-party payer to help ensure reimbursement. review expert opinion and experimental, anecdotal, correlational study data. write the guideline to adhere to long-standing practice protocols already in use.

correct dose, the NP

should understand that the knowledge of how age, race, and gender may affect drug excretion is based on an understanding of: (Points : 2) bioavailability. pharmacokinetics. pharmacodynamics. anatomy and physiology. Question 25. 25. A patient with chronic back pain that is unrelieved by prescription analgesic medications asks a primary care nurse practitioner (NP) about acupuncture treatments. The NP should tell this patient: (Points : 2) biofield therapy has been shown to be more effective than acupuncture. creatine has been shown to be an effective herbal choice to treat back pain. there is no valid research documenting the efficacy of this treatment for pain. most studies that show benefits of alternative therapies are based on observation.