Download NURS 676: ADVANCED PHARMACOLOGY MIDTERM EXAM (VERSION 2) ||2025-2026|| Qs&As and more Exams Pharmacology in PDF only on Docsity!
NURS 676: ADVANCED PHARMACOLOGY MIDTERM
EXAM (VERSION 2) ||2025-2026|| (COMPILED FROM
REAL EXAM) WITH CORRECT AND VERIFIED
ANSWERS
Question 1 1 out of 1 points Correct A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic iscontributing to a therapeutic effect? Selected Answer: The man's chest sounds are clear and his ankle edema is lessened. Question 2 1 out of 1 points Correct A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of thefollowing would be most important for the Nurse Practitioner to monitor? Selected Answer: Potassium levels Question 3 1 out of 1 points Correct An expected outcome for a patient who has just taken sublingual nitroglycerin should beSelected Answer: increased heart rate and decreased blood pressure. Question 4 1 out of 1 points
Correct A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can'ttake his metformin the day of the test. What is the most appropriate reply? Selected Answer: You can develop lactic acidosis if you take metformin and are given dye. You should have a serum creatinine drawn before restarting the medication. Question 5 1 out of 1 points Correct The parents of a 7 - year-old boy who has just been diagnosed with allergic asthma are being taught abouttheir son's medication regimen by the nurse. The nurse is currently teaching the parent's 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? Selected Answer: Albuterol Question 6 1 out of 1 points Correct A patient has recently been prescribed a drug that treats his hypertension by blocking the sympatheticreceptors in his sympathetic nervous system. This action is characteristic of Selected Answer: an adrenergic antagonist. Question 7
Correct 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? Selected Answer: Blood ammonia levels Question 11 1 out of 1 points Correct 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 Selected Answer: rebound bronchoconstriction. Question 12 1 out of 1 points Correct Which statement is FALSE regarding the treatment of hyperthyroidism? Selected Answer: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females. Question 13 1 out of 1 points Correct
A Nurse Practitioner 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? Selected Answer: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver Question 14 1 out of 1 points Correct 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 recognizethat the patient's compromised renal function will likely Selected Answer: increase the half-life of medications that are metabolized by the kidneys. Question 15 1 out of 1 points Correct A Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine(Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? Selected Answer: History of taking anticoagulant drugs Question 16 1 out of 1 points Correct Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary
Correct A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, apriority action by the nurse will be to assess the patient's Selected Answer: use of alcohol. Question 18 1 out of 1 points Correct A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drugtherapy for this patient will be Selected Answer: a diuretic. Question 19 0 out of 1 points Incorrect The Nurse Practitioner is treating a patient that takes frequent doses of antacids for his heartburn and is also taking an enteric coded aspirin. What instructions should be provided to the patient? Selected Answer: The aspirin is less effective when taken with an antacid so you need to increase the dose. Question 20 1 out of 1 points Correct
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it Selected Answer: inhibits cholesterol syntheses. Question 21 1 out of 1 points Correct A 46 - year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurseunderstands that white Americans usually receive Selected Answer: a higher-than-normal dose of drugs that bind to acid glycoproteins. Question 22 1 out of 1 points Correct The APRN is caring for a patient taking a calcium channel blockers for hypertension. The APRN should monitor the patient for what common side effects of this medication? Selected Answer: peripheral edema, constipation, dizziness Question 23 1 out of 1 points Correct
An oral antidepressant that the patient has been taking daily for several years Question 27 1 out of 1 points Correct The APRN's ability to prescribe controlled substances is regulated by: Selected Answers: DEA State Law Question 28 1 out of 1 points Correct A patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of thefollowing medications can be administered to decrease the nighttime episodes and prevent asthma attacks? Selected Answer: Leukotriene modifiers Question 29 1 out of 1 points Correct
A Nurse Practitioner is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient? Selected Answer: Consider dimensions of the woman's cultural background when planning care. Question 30 1 out of 1 points Correct 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? Selected Answer: Carefully assess the patient for infections Question 31 1 out of 1 points Correct A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise thepatient to be most alert for a potential hypoglycemic reaction? Selected Answer:Late afternoon Question 32 1 out of 1 points Correct
Question 35 1 out of 1 points Correct A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? Selected Answer: A 79 - year-old male with cardiomegaly Question 36 1 out of 1 points Correct 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 bestform of Tylenol to give the child, considering her presentation, would be Selected Answer: suppositor y.Question 37 1 out of 1 points Correct 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 resultedin 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? Selected Answer: "This drug won't cure your disease, but it will help you be able to exercise more and be more comfortable." Question 38 1 out of 1 points
Correct 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 Selected Answer: intranasal. Question 39 1 out of 1 points Correct A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? Selected Answer: Doses of basal insulin twice daily with regular insulin before each mealQuestion 40 1 out of 1 points Correct 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? Selected Answer: "Quitting smoking will significantly increase the chance that this drug will heal your ulcer." Question 41 1 out of 1 points Correct A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes,and frequent sneezing. Sneezes are a result of
a CNS reflex that is initiated by receptors in the nasal cavities. Question 42 1 out of 1 points Correct Which of the following is TRUE about long acting beta agonist use in asthma patients? Selected Answer: It can be combined with an inhaled corticosteroid to improve asthma control Question 43 1 out of 1 points Correct A Nurse Practitioner is caring for a male patient who has a diagnosis of coronary artery disease (CAD). His drug therapy includes lovastatin. Because the patient has a history of severe renal disease, the nursewill assess for which of the following? Selected Answer: Increase in plasma concentration of lovastatin Question 44 1 out of 1 points Correct To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as thepatient regains consciousness, the nurse should Selected Answer:
administer carbohydrates. Question 45 1 out of 1 points Correct A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs,synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction? Selected Answer: Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record Question 46 1 out of 1 points Correct Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selected Answer: To ensure the safety of the publicQuestion 47 1 out of 1 points Correct A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is theaddition of this drug likely to influence the management of the patient's existing drug regimen? Selected Answer: It is unlikely to influence the patient's other medications because gabapentin does not interact withother drugs. Question 48
A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving. All of the following are options to prescribe for the patient now EXCEPT: Selected Answer: Azithromycin (Zithromycin) Question 52 1 out of 1 points Correct A clinic Nurse Practitioner has been assigned a 49 - year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the Nurse Practitioner will be to Selected Answer: monitor the patient's blood pressure. Question 53 1 out of 1 points Correct A Nurse Practitioner receives an order to administer a critically ill patient two drugs immediately (stat).The Nurse Practitioner begins the process by Selected Answer: consulting a drug guide for compatibility. Question 54 1 out of 1 points
Correct Decongestants are recommended to use in which of the following patients? Selected Answer: patients with otitis media Question 55 1 out of 1 points Correct Following an endoscopy, a 66 - year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt toeradicate the patient's H. pylori infection? (Select all that apply.) Selected Answers: Antibiotic sA PPI Question 56 1 out of 1 points Correct In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to Selected Answer: take their medication at the prescribed times. Question 57
