Midterm Exam: NR 567 / NR567 Advanced
Pharmacology for the AGACNP Exam
Review | Weeks 1- 4 Covered| Questions and
Verified Answers (2023/ 2024 Update)
Q: You are managing a patient with a history of coronary artery disease and transient ischemic
attacks. Low-dose aspirin treatment is considered, but the patient has a reported history of aspirin
allergy. Which of the following is the best alternative?
Answer: Dipyridamole (Persantine)
Clopidogrel (Plavix) Acetaminophen (Tylenol) Ketorolac (Toradol)
Q: Which of the following adverse effects is likely when an angiotensin-con- verting enzyme
inhibitor (ACEI) is used with spironolactone therapy?
Answer: Hy- potension
Hyperkalemia Renal insufficiency Proteinuria
Q: All of the following are beneficial effects of beta-blocker therapy for use in patients with
cirrhosis except .
Answer: Diminish portal hypertension
Increase cardiac output
Decrease the incidence of esophageal bleeding
Decrease mortality rate
Q: Reducing cardiovascular events in patients with moderate to severe un- complicated
hypertension is an important consideration when choosing initial therapy. Which of the following
is not recommended as a first-line treatment to reduce cardiovascular events?
Answer: Angiotensin-converting enzyme inhibitors (ACEI) Angiotensin receptor blockers
(ARB)
Beta agonist receptor blockers
Dihydropyridine calcium channel blockers (CCB)
Q: Which medication class would be most advantageous to use in treating a patient with
hypertension and symptomatic benign prostatic hyperplasia (BPH)?
Answer: Thiazide diuretic
Calcium channel blocker
Angiotensin-converting enzyme inhibitor
Alpha-1 blocker
Q: A 49-year-old female is treated with unfractionated heparin post-myocar- dial infarction.
The patient has developed several episodes of epistaxis, and now has + occult blood guaiac
testing per digital rectal exam. Records reveal that she may have received an overdose of the
anticoagulant. Which of the following will counteract the effects of heparin?
Answer: Protamine sulfate
Vitamin K
Aminocaproic acid (Amicar) Dipyridamole (Persantine)
Q: You are considering using an ACE inhibitor to treat a patient with essential hypertension.
Which of the following patient-related contraindications must be investigated and excluded
before prescribing this medication?
Answer: Heart failure Asthma
Coronary artery disease
Pregnancy
Q: What is the most likely adverse response associated with aspirin for prophylaxis in patients
with a high risk of atherosclerotic cardiovascular disease?
Answer: Hepatic necrosis
Vasospastic angina Tachycardia and hypotension Hemorrhagic stroke
Q: Which of the following agents is used for the treatment of neutropenia?