Midterm Exam: NURS 6521 / NURS6521
(Latest 2023/ 2024) Advanced Pharmacology
Exam Version 1| 100% Correct| Question and
Verified Answers- Grade A
Q A 70-year-old woman has a complex medical and a current drug regimen that
includes calcium and vitamin D supplements for osteoporosis, metformin
(Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol
(Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting
dextromethorphan for the treatment of a recurrent cough. What component of her
drug regimen contraindicates the use of dextromethorphan?
Answer:
Phenelzine (Nardil).
Q A 79-year-old patient in a long-term care facility is to receive an intravenous fat
emulsion. Which of the following lab values would be a priority for the nurse to
assess before administration?
Answer:
Triglyceride levels.
Q The parents of a 7-year-old boy who has just been diagnosed with allergic asthma
are being taught about their son’s medication regimen by the nurse. The nurse is
currently teaching the parents about the appropriate use of a “rescue drug” for acute
exacerbations of their son’s asthma. What drug should the nurse suggests the
parents to use in these situations?
Answer:
Albuterol.
Q A Nurse Practitioner is instructing a patient who was recently diagnosed with
multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and
the foreman for a construction company. In order to minimize one important adverse
effect of the drug, the nurse will give the patient which of the following instructions?
Answer:
Wear appropriate clothing and sunscreen whenever he is in direct sunlight.
Q During a clinic visit, a patient complains of having frequent muscle cramps in her
legs. The nurse’s assessment reveals that the patient has been taking over-thecounter laxatives for the past 7 years. The nurse informed the patient that prolonged
use of laxatives:
Answer:
may cause nutrient deficiencies.
Q . A homeless man who is well known to care providers at the local hospital has
been admitted to the emergency department after having a seizure outside a mall.
The man is known to be a heavy alcohol user and is malnourished with a very low
body mass index. How are this patient’s characteristics likely to influence possible
treatment with phenytoin?
Answer:
The patient’s protein deficit will likely increase the levels of the free drug in his
blood.
Q A 76-year-old woman has a complex medical history that includes emphysema,
osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her
home as a result of weakness and suffered a fracture to her femoral head. The
woman’s subsequent hip-replacement surgery has been scheduled and the care
team recognizes that the use of isoflurane will be most significantly influenced by:
Answer:
her history of emphysema.
Q .. A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is
currently having problems with not being able to swallow large tablets or capsules.
The man also wears dentures, which makes it even more difficult for him to swallow
medication. He is in the clinic to talk to the nurse about his problem. The nurse will
instruct him to
Answer:
open the capsule and sprinkle the beads in applesauce.
Q A 79-year-old woman with a medical history that includes osteoporosis has
recently moved to a long-term care facility. Medication reconciliation indicates that
the woman has been taking calcitonin, salmon for several years. The nurse should
recognize that the most likely route for the administration of this drug is:
Answer:
intranasal.
Q 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
Answer:
swallow the tablet with milk or food.
Q Advanced practice nurse prescribing of scheduled medications is affected most
by:
Answer:
Individual states laws regarding scheduled medications that can be prescribed
and for how long.
Q A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied
in the morning and removed in the evening. This medication schedule reduces the
potential for:
Answer:
nitrate tolerance.
Q A 60-year-old African American man lives with, a number of chronic health
problems. Genetic factors are likely to influence his etiology and/or treatment
of:
Answer:
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Midterm Exam: NURS 6521 / NURS6521
(Latest 2023/ 2024) Advanced Pharmacology
Exam Version 5| 100% Correct| Question
and Verified Answers- Grade A
Q: A 39 y/o female is diagnosed with Graves disease. She also has a small goiter =. Her
symptoms are not deemed to be severe and propylthiouracil is prescribed. Whare is the most
serious potential adverse effect of this medication?
Hypocalcemia
Renal Failure
Agranulocytosis
Hematouria
Q: Which of the following patients is most likely to benefit from the administration of an
adrenergic agonist?
A man who is in cardiogenic shock following a myocardial infarction
A man who has a diagnosis of primary
A woman who has been admitted with a suspected ischemic stroke
A woman who is in labor and may require a caesarean section
Q: A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure. He
presents with red, painful swelling of the great toe. In addition to treating gout, you recognize
that you may need to:
Increase his HCTZ
Order laboratory studies for diabetes
Change his thiazide antihypertensive medication
Advise him to lose weight
Q: A patient has been prescribed a drug that can be self-administered at home.. Which of
the following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug?
Where to purchase the medication
The cost of the drug
The therapeutic effects and possible adverse effects
The pharmacokinetics of the drug
Q: A patient is recovering from an acute episode of thrombophlebitis and is being treated
with warfarin (Coumadin) 5 mg PO daily. In reviewing medication information, the Nurse
Practitioner would include what information in their teaching?
Maintain close watch on Intake and Output
Do not take a multivitamin supplement
Limit dairy products
Aerobic exercises are the most effective
Q: 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 apply the contact lenses and wait 5 minutes
before applying the drops. remove the contact lenses before applying the drops.
apply the contact lenses and wait 5 minutes before applying the drops.
remove the contact lenses before applying the drops.
apply the drops directly on the contact lenses.
stop wearing the contact lenses during the pilocarpine therapy
Q: A high school student was diagnosed with asthma when he was in elementary school and
has become accustomed to carrying and using his “puffers”. In recent months, he has become
more involved in sports and has developed a habit of administering albuterol up to 10 times
daily. The nurse should teach the student that overuse of albuterol can lead to
permanent liver damage.
rebound bronchoconstriction.
community-acquired pneumonia.
severe anticholinergic effects.
Q: 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?
None of the above.
Q: A 70-year-old woman has experienced peripheral edema and decreasing stamina in
recent months and has sought care from her primary care provider. The patient’s subsequent
diagnostic workup has resulted in a diagnosis of chronic heart failure. The woman has been
prescribed digoxin and the nurse has begun patient education. What should the nurse teach
the patient about her new medication?
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Midterm Exam: NURS 6521 / NURS6521 (Latest
2023/ 2024) Advanced Pharmacology Exam
Version 6| 100% Correct| Question and Verified
Answers- Grade A
Q: A teenage boy has undergone a diagnostic workup following several months of persistent, bloody
diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal
pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat
this boy’s diagnosis?
Answer:
Mesalamine
Q: A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the
following might the nurse be responsible for during this stage of drug development?
Answer:
Administering investigational drugs to patients
Q: A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a
regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin
supplements while taking the drug?
Answer:
Vitamin B
Q: An unconscious patient has been brought to the hospital, and the physician has prescribed a lifesaving drug to be administered parenterally. Which of the following methods would be the most
appropriate for the nurse to use when administering the medication?
Answer:
Intravenous infusion.
Q: A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a
priority action by the nurse will be to assess the patient’s
Answer:
use of alcohol.
Q: To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient,
as the patient regains consciousness, the nurse should
Answer:
administer carbohydrates.
Q: A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for
food poisoning. The nurse administers colchicine intravenously in order to
Answer:
avoid aggravating the gastrointestinal tract.
Q: A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and
been treated with haloperidol. Which of the following assessment findings should prompt the care team
to assess the patient for neuroleptic malignant syndrome?
Answer:
The patient develops muscle rigidity and a sudden, high fever.
Q: A patient who has been admitted to the hospital for a mastectomy has stated that she has
experienced adverse drug effects at various times during her life. Which of the following strategies
should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient’s
stay in the hospital?
Answer:
Monitor the patient vigilantly for signs and symptoms of potentially adverse drug
effects
Q: A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse
advise the patient to be most alert for a potential hypoglycemic reaction?
Answer:
Late afternoon
Q: A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will
instruct the patient to avoid which of the following foods?
Answer:
Shrimp
Q: A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The
physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the
lithium dose will likely be given in a
Answer:
lower-than-normal dose.
Q: A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired
liver function. The nurse will instruct the patient to be especially cautious when taking
Answer:
an elixir.
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Midterm Exam: NURS 6521 / NURS6521
(Latest 2023/ 2024) Advanced Pharmacology
Exam Version 7| 100% Correct| Question
and Verified Answers- Grade A
Q A 53-year-old man has been treated for severe asthma for several years with prednisone.
Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse
that he would rather take the medication every day to prevent confusion. Which of the
following would be the best response by the nurse?
Answer: This schedule allows rest periods so that adverse effects are decreased but the
anti-inflammatory effects continue.
Q A 70-year-old man who enjoys good health began taking low-dose aspirin several months
ago based on recommendations that he read in a magazine article. During the man’s most
recent visit to his care provider, routine blood work was ordered and the results indicated
an unprecedented rise in the man’s serum creatinine and blood urea nitrogen (BUN)
levels. How should a nurse best interpret these findings?
Answer: The man may be experiencing nephrotoxic effects of aspirin
Q A nurse who provides care in a busy clinic is aware of the high incidence and prevalence
of hyperlipidemia and the consequent need for antihyperlipidemics in many patients.
Treatment of high cholesterol using statins would be contraindicated in which of the
following patients?
Answer: An obese male client who is a heavy alcohol user and who has cirrhosis of the
liver
Q A woman with numerous chronic health problems has been diagnosed with a benign
gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following
teaching points should the nurse provide to this patient?
Answer: “Quitting smoking will significantly increase the chance that this drug will heal
your ulcer.”
Q 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
Answer: remove the contact lenses before applying the drops.
Q 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?
Answer: Blood ammonia levels
Q A nurse 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
Answer: pharmacodynamics.
Q A nurse has been invited to speak to a support group for persons with movement
disorders and their families. Which of the following statements by the nurse addresses the
chronic nature of these diseases and the relevant drug therapies?
Answer: “Drugs do not cure these disorders; they instead enhance quality of life.”
Q A patient on 5-FU calls the clinic and reports that he has between five and seven loose
bowel movements daily. The nurse will instruct the patient to
Answer: notify the clinic if the stools are black or if there is evidence of blood.
Q An adult patient who has been diagnosed with a rectal tumor is scheduled to begin
treatment with cisplatin. The nurse has conducted patient teaching about the possibility of
nausea and vomiting. In order to reduce the patient’s risk of severe nausea, the nurse
should
Answer: administer a combination of antiemetics prior to the administration of the drug.
Q A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine
sulfate. Which of the following would lead the nurse to suspect that she is experiencing
an allergic reaction?
Answer: Urticaria (hives)
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