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:
download pdf at https://learnexams.com/search/study?query=
Midterm Exam: NURS 6521 / NURS6521
(Latest 2023/ 2024) Advanced Pharmacology
Exam Version 2| Question and Verified
Answers- Grade A
Q: The lower respiratory system utilizes a number of different mechanisms that confer
protection and maintain homeostasis. Which of the following physiological processes protects
the lower respiratory system?
Answer:
Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can
then be swallowed.
Q: A Nurse Practitioner has administered a medication to a patient with hypertension. The
prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most
likely
Answer:
decrease the amount of circulating blood sent through the kidneys.
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 hipreplacement 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 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?
Answer:
The therapeutic effects and possible adverse effects
Q: The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of
metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a
fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient on Lantus 0.2
unit/kg. What dose and instructions should the APRN provide?
Answer:
Give 19 units of Lantus subcutaneously prior to bedtime.
Q: A Native American man who lives a traditional lifestyle is scheduled to have heart surgery.
The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient
goes to surgery. The nurse’s response to this request should be
Answer:
“As long as the ritual does not interfere with the patient’s preoperative care, it will be okay.”
Q: A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to
assess the patient’s drug history to determine if the patient is taking which of the following
drugs?
Answer:
Digoxin
Q: A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins.
The nurse understands that white Americans usually receive
Answer:
a higher-than-normal dose of drugs that bind to acid glycoproteins.
Q: A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric
discomfort and asks whether she can take an antacid. Which of the following is an appropriate
response by the nurse?
Answer:
“Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.”
Q: A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which
of the following would be most important for the Nurse Practitioner to monitor?
Answer:
Potassium levels
Q: A 60-year-old man has scheduled a follow-up appointment with his primary care provider
stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient
states, “I take it as soon as I feel heartburn coming on, but it doesn’t seem to help at all.” How
should the nurse best respond to this patient’s statement?
Answer:
“Prilosec will help your heartburn but it’s not designed to provide immediate relief of specific
episodes of heartburn.”
Q: What critical piece of information is missing from the following medication order:
Amoxicillin 250 mg every 8 hours?
Answer:
Route
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: A Nurse Practitioner is overseeing the care of a young man whose ulcerative colitis is being
treated with oral prednisone. Which of the following actions should the Nurse Practitioner take
in order to minimize the potential for adverse drug effects and risks associated with prednisone
treatment?
Answer:
Carefully assess the patient for infections
Q: Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a
healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced
occasional constipation in recent months. What remedy should be the nurse’s first suggestion?
Answer:
A bulk-forming (fiber) laxative
download pdf at https://learnexams.com/search/study?query=
Midterm Exam: NURS 6521 / NURS6521
(Latest 2023/ 2024) Advanced Pharmacology
Exam Version 4| Question and Verified
Answers- Grade A
Q: A patient has been prescribed a Scheduled 5 drug, an example of this drug is
Answer:
Antitussives
Q: A child is prescribed an inhaled corticosteroid agent to decrease respiratory inflammation
related to exposure to an animal. The patient’s parent administers a higher than prescribe dose of
the medication for 5 days. What should the APRN monitor the child for?
Answer:
adrenal insufficiency
Q: An older adult who lives in a long-term care facility has recently begun taking losartan
(Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should
recognize that this change in the resident’s medication regimen make create a risk for
Answer:
falls.
Q: Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use
her prescribed nitroglycerin spray several times in recent weeks. This patient’s age will have
what effect on her use of nitroglycerin?
Answer:
The woman will be more susceptible to hypotension than a younger patient.
Q: A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle
accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation.
Before administration of propofol, a priority assessment by the nurse would be to check for a
history of
Answer:
seizure disorders.
Q: 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
Answer:
oxidizing cholesterol to bile acids.
Q: A Nurse Practitioner who provides care for older adults is aware of the high incidence of
drug interactions in this population. When educating a group of seniors about the prevention of
drug interactions, the Nurse Practitioner should encourage them to
Answer:
consult their care provider before taking new over-the-counter medications.
Q: Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is
the primary purpose of this testing process?
Answer:
To ensure the safety of the public
Q: A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma.
Which of the following findings would alert the nurse to the need for close monitoring?
Answer:
Enlarged prostate gland
Q: 0 out of 1 points
A patient is taking cholestyramine. The Nurse Practitioner will assess for which of the following
common adverse effects of the drug?
Answer:
Abdominal pain
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:
hypertension.
download pdf at https://learnexams.com/search/study?query=
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?
download pdf at https://learnexams.com/search/study?query=
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.
download pdf at https://learnexams.com/search/study?query=
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)
download pdf at https://learnexams.com/search/study?query=