Final Exam: NR 567 / NR567 Advanced
Pharmacology for the AGACNP Exam
Review | Weeks 5-8 Covered| Questions and
Verified Answers (2023/ 2024 Update)
Q: You are managing a patient with a dental abscess who is unable to get into the dentist until
next week. The patient is stable for outpatient treatment. This patient also has a penicillin allergy.
Which antibiotic should be prescribed?
Answer: – Linezolid (Zyvox)
Ciprofloxacin (Cipro) Amoxicillin/clavulanate (Augmentin) Clindamycin (Cleocin)
Q: Surgical prophylactic treatment should include which of the following principles?
Answer: Broad antibiotic coverage should be administered to cover all organ systems
Newest and latest generation antibiotics should be used to assure minimize the likelihood of
post-operative infection
The minimum duration for prophylaxis should be three days to decrease resistance patterns
The shortest possible course of the most effective and least toxic antibiotic should be ordered,
ideally as a single dose
Q: Tetracyclines may cause which of the following adverse reactions/side effects?
Answer: Aplastic anemia
Cholestatic jaundice
Crystalluria
Hepatic damage in pregnant females
Q: The results of a Gram stain for a patient who underwent surgical debride- ment for
osteomyelitis show Gram-negative bacteria. Which antibiotic should be initiated?
Answer: Nafcillin (Nafcil)
Vancomycin (Vancocin) Cefepime (Maxipime) Clindamycin (Cleocin)
Q: Amnestic medications used in the treatment of chronic pain
Answer: -Ketamine
-venlafaxine
-Milnacipran
-Imipramine
Q: Medications indicated for shock
Answer: IVF – 30ml/kg/hr
Broad spectrum ATB – Zoysn and Vancomycin
Vasopressin (Norepinephrine)(dobutamine is arguably the inotropic agent of choice when
increased cardiac output is needed)
Q: Alternative indication for glucagon use besides hypoglycemia
Answer: -Intra- venous glucagon is commonly used in the endoscopic retrograde
cholangiopancre- atography procedure to facilitate the relaxation of the sphincter of Oddi.
-sometimes used in the treatment of beta blocker overdose because of the drug’s ability to
increase cAMP production in the heart independent of ²receptor function.
Q: Medications indicated for myocardial infarction (part 1)
Answer: Aspirin. The 911 operator might tell you to take aspirin, or emergency medical
personnel might give you aspirin immediately. Aspirin reduces blood clotting, thus helping
maintain blood flow through a narrowed artery.
Thrombolytics. These drugs, also called clotbusters, help dissolve a blood clot that’s blocking
blood flow to your heart. The earlier you receive a thrombolytic drug after a heart attack, the
greater the chance you’ll survive and have less heart damage.
Antiplatelet agents. Emergency room doctors may give you other drugs known as platelet
aggregation inhibitors to help prevent new clots and keep existing clots from getting larger.
Other blood-thinning medications. You’ll likely be given other medications, such as heparin, to
make your blood less “sticky” and less likely to form clots. Heparin is given by IV or by an
injection under your skin.