This BUNDLE contains two sets of NURS6521 / NURS 6521 Advanced Pharmacology Midterm Exam – Walden University.
NURS6521 Advanced Pharmacology
Midterm Exam
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive
A higher-than-normal dose of drugs that bind to acid
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive
A higher-than-normal dose of drugs that bind to acid glycoproteins.
Which of the following would be an expected outcome in a patient who has been
given atropine during a medical emergency?
Restoration of normal sinus rhythm
A nurse practitioner understands when prescribing a medication that there are
certain questions to address. Check all that apply.
Is there a need for the drug in treating the presenting problem? Is this the best
drug for the presenting problem? Can the patient take the prescribed drug?
The APRN is prescribing a medication that is known to induce hepatic enzymes.
What effect should you anticipate?
Induction increases the rate of metabolism, thereby decreasing serum levels of drug
A 49-year-old woman has been diagnosed with myalgia. The physician has
recommended aspirin. The patient is concerned that the aspirin will upset her
stomach. The nurse will encourage the patient to
Swallow the tablet with milk or food.
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose
is prescribed. Which of the following should the nurse monitor to assess the efficacy
of the lactulose therapy?
Blood ammonia levels
Drugs have a high potential for abuse. There is no routine therapeutic use for these
drugs and they are not available for regular use. They may be obtained for
“investigational use only” by applying to the U.S. Drug Enforcement Agency.
Examples include heroin and LSD. Which scheduled drug is this?
Schedule 1
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on genetic
make-up. This area of study is called
Pharmacodynamics.
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient
with asthma. What instructions would be correct to provide the patient?
“This is a long acting medication for your asthma and should be used once every 12
hours”
A patient with a recent diagnosis of acute renal failure has a long-standing seizure
disorder which has been successfully controlled for several years with antiseizure
medications. The nurse should recognize that the patient’s compromised renal
function will likely
Increase the half-life of medications that are metabolized by the kidneys.
A mother brings her 4-year-old child, who is vomiting and has a temperature of
103°F into the emergency department (ED). The ED physician orders
acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child,
considering her presentation, would be
Suppository.
A 20-year-old woman calls the clinic at 5 PM and reports to the Nurse Practitioner
that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes
her evening dose at 8 PM. She wants to know what she should do. The Nurse
Practitioner will instruct her to
Forget about the morning dose and take the evening dose.
A Nurse Practitioner is the cardiac care unit is preparing to hang an intravenous
who has just been admitted. What is the dose of dofetilide (Tikosyn) for a patient
most likely goal of this intervention?
To convert the patient’s atrial fibrillation to normal sinus rhythm
A patient in need of myocardial infarction sulfinpyrazone for gout. Which of the
following most closely for? prophylaxis has been prescribed will the nurse monitor
the patient
Bleeding
A 33-year-old woman has irritable bowel syndrome (IBS). The physician has
prescribed simethicone the nurse monitor most closely (Mylicon) for her discomfort.
Which of the during the patient’s drug therapy? following will
Increased abdominal pain and vomiting
Which of the following is TRUE about long acting beta agonist use in asthma
patients?
It can be combined with an inhaled corticosteroid to improve asthma control
NURS6521 Advanced Pharmacology
Midterm Exam
A Nurse Practitioner is instructing a patient concerning a newly prescribed drug.
Which of the following should be included to help improve patient compliance and
safety?
Measures to alleviate any discomfort associated with adverse effects
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will advise the
patient to
Avoid prolonged exposure to sunlight.
The APRN would use what class of medication to manage COPD?
Short-acting and long acting inhaled beta2 agonists
A patient in need of myocardial infarction prophylaxis has been prescribed
sulfinpyrazone for gout. Which of the following will the nurse monitor the patient
most closely for?
Bleeding
A Nurse Practitioner receives an order to administer a critically ill patient two
drugs immediately (stat). The Nurse Practitioner begins the process by
Consulting a drug guide for compatibility.
To maximize the therapeutic effect of diphenoxylate HCI with atropine sulfate, the
nurse will instruct the patient to take the medication
Four times a day.
The Nurse Practitioner is performing patient education for a woman who will soon
begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked
the Nurse Practitioner if there are any “bad side effects” that she should be aware
of. Which of the following statements should underlie the nurse’s response?
Most patients tolerate statins well, with minor muscle aches being among the most
common adverse effects.
Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a
diagnosis of moderate Alzheimer disease. Mr. Lacuna’s physician recently
prescribed oral rivastigmine, but he was unable to tolerate the drug due to its
gastrointestinal effects. As a result, he has been ordered the transdermal patch
form of the medication. When administering this form of rivastigmine, the nurse
should
Apply the patch to Mr. Lacuna’s back to reduce the chance that he will remove it.
To minimize the risk of adverse effects of glucagon when given to an unconscious
diabetic patient, as the patient regains consciousness, the nurse should
Administer carbohydrates.
A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine
drops are prescribed. The nurse’s assessment reveals that the patient has worn soft
contact lenses for 15 years. The nurse will instruct the patient to
Remove the contact lenses before applying the drops.
Several months of treatment with a statin accompanied by lifestyle modifications
have failed to appreciably improve a patient’s cholesterol levels. Consequently, the
patient has been prescribed cholestyramine. The nurse should recognize that this
drugs achieves its therapeutic effect by
Oxidizing cholesterol to bile acids.