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☑️ EXAM 3 2025

RN Nursing Exam(s) 42 Questions 🔒 Premium Content

It focuses on key drug classes, therapeutic responses, and the nurse’s role in patient safety and education.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A 70-year-old man presents with long-standing lower urinary tract symptoms from benign prostatic hyperplasia (BPH). He reports severe nocturia and weak stream. Physical exam and prior ultrasound show a markedly enlarged prostate. He wishes to avoid surgery. Which pharmacologic regimen is most appropriate?

A. Watchful waiting with lifestyle changes only
B. Tadalafil monotherapy
C. tamsulosin plus finasteride
D. surgical consult is necessary despite patient's wishes
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Q2: A 58-year-old man with stable angina takes isosorbide mononitrate daily and sublingual nitroglycerin as needed. He requests a prescription for sildenafil for erectile dysfunction. His blood pressure today is 128/76 mmHg and heart rate is 72 bpm. What is the most appropriate response by the nurse practitioner?

A. Prescribe tadalafil instead, as it is safer to use with nitrates
B. Do not prescribe any PDE-5 inhibitor while he is taking nitrates
C. Allow sildenafil use as long as he separates it from nitrate doses by at least 4 hours
D. Advise patient to monitor blood pressure if taking both sildenafil and nitrate
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Q3: Which patient scenario represents an absolute contraindication to GH therapy?

A. A child with untreated hypothyroidism
B. An adolescent with closed epiphyseal growth plates
C. A patient with type 2 diabetes and insulin resistance
D. A woman with HIV-associated lipodystrophy
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Q4: Which glucocorticoid is preferred for routine replacement therapy in adults with primary adrenal insufficiency?

A. Dexamethasone
B. Fludrocortisone
C. Methylprednisolone
D. Hydrocortisone
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Q5: A patient with Cushing's disease is started on ketoconazole. Which of the following monitoring strategies is most important?

A. ECG monitoring for QT prolongation only
B. Liver function tests, especially at initiation and dose increases
C. Cortisol monitoring every 4-6 hours
D. Regular potassium checks
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Exam Details
Total Questions: 42 practice questions
Category: RN Nursing Exam(s)
Subcategory: General Exams
Domain: 🚑Pharmacology
Last Updated: Dec 18, 2025
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