NURS 6521 MID TERM EXAM
User Nancy Doctura
Course NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-Advanced
Pharmacology2019 Winter Qtr 11/25-02/16-PT27
Test
... [Show More] Exam - Week 7
Started 1/12/20 6:10 PM
Submitted 1/12/20 8:10 PM
Due Date 1/13/20 1:59 AM
Status Completed
Attempt
Score
98 out of 100 points
Time
Elapsed
1 hour, 59 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results
Displayed
Submitted Answers, Incorrectly Answered Questions
Question 1
1 out of 1 points
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
Selected
Answer:
nitrate
tolerance.
Question 2
1 out of 1 points
Mr. Nguyen, age 71, will soon be discharged home from the hospital after a
successful coronary artery bypass graft (CABG). During patient education
about his drug regimen, Mr. Nguyen's nurse should prioritize teach about
Selected
Answer:
potential adverse effects of the drugs that Mr. Nguyen will
be taking.
Question 3
1 out of 1 points
The most effective therapy for a patient who is H. pylori positive with a gastric
ulcer is:
Selected
Answer:
Bismuth, Metronidazole, Omeprazole, and
Tetracycline
Question 4
1 out of 1 points
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
Selected
Answer:
hypertension.
Question 5
1 out of 1 points
A female patient has been taking prednisone for her asthma for 1 month. The
nurse will teach her to gradually decrease her dose of prednisone to avoid
Selected
Answer:
adrenal insufficiency.
Question 6
0 out of 1 points
The APRN is treating a 56 year old male with diagnosed atrial fibrillation. He is
complaining of being light headed. His vital signs are BP 100/68 HR 144 RR
22. The best choice of medication to treat this patient is:
Selected
Answer:
3.
Cardiac glycoside such as
Digoxin
Question 7
1 out of 1 points
A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin
(DDAVP). The patient has a history of cardiovascular disease. The nurse will
prioritize the assessment of which of the following?
Selected
Answer:
Electrolyte
levels
Question 8
1 out of 1 points
Which of the following will a Nurse Practitioner inform the patient is one of the
most common adverse effects of guaifenesin (Robitussin)?
Selected
Answer:
Gastrointestinal
distress
Question 9
1 out of 1 points
Which of the following is TRUE about long acting beta agonist use in asthma
patients?
Selected It can be combined with an inhaled corticosteroid to improve
Answer: asthma control
Question 10
1 out of 1 points
A patient with a variety of chronic health problems is being seen by her nurse
practitioner, who is currently reviewing the patient's medication regimen.
Which of the patient's medications should prompt the nurse to teach her to
avoid drinking grapefruit juice?
Selected
Answer:
Atorvastatin (Lipitor)
Question 11
1 out of 1 points
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?
Selected
Answer:
Wear appropriate clothing and sunscreen whenever he is in
direct sunlight
Question 12
1 out of 1 points
A 66-year-old woman has a complex medical history that includes poorlycontrolled
type 1 diabetes, renal failure as a result of diabetic nephropathy
and chronic heart failure (CHF). Her care provider has recently added
spironolactone (Aldactone) to the woman's medication regimen. The nurse
should consequently assess for signs and symptoms of
Selected
Answer:
hyperkalemia.
Question 13
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
Selected
Answer:
Serum potassium
levels
Question 14
1 out of 1 points
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-the-counter laxatives for the past 7 years. The nurse informed the
patient that prolonged use of laxatives
Selected
Answer:
may cause nutrient deficiencies.
Question 15
1 out of 1 points
The Nurse Practitioner is conducting a medication reconciliation of a new resident
of a long-term care facility. The Nurse Practitioner notes that the resident takes
allopurinol on a daily basis for the treatment of gout. What is the primary purpose
of this drug?
Selected
Answer:
To balance urate concentration and prevent
gout attacks
Question 16
1 out of 1 points
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
Selected
Answer:
a CNS reflex that is initiated by receptors in the nasal
cavities.
Question 17
1 out of 1 points
A patient has been prescribed a Scheduled 5 drug, an example of this drug is
Selected
Answer:
Antitussives
Question 18
1 out of 1 points
A Nurse Practitioner is providing discharge planning for a 45-year-old woman who
has a prescription for oral albuterol. The Nurse Practitioner will question the patient
about her intake of which of the following?
Selected
Answer:
Coffe
e
Question 19
1 out of 1 points
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 20
1 out of 1 points
A patient with bronchial asthma is prescribed a sustained-release preparation
of theophylline. To help minimize the adverse effects of the drug, which of the
following should the nurse suggest?
Selected
Answer:
Take it on an empty stomach, 1 hour before or 2 hours
after meals
Question 21
1 out of 1 points
A Nurse Practitioner is caring for a 78-year-old patient with renal insufficiency and
chronic heart failure who is receiving rapid infusions of high-dose furosemide. It
will be a priority for the Nurse Practitioner to monitor for
Selected
Answer:
ototoxicit
y.
Question 22
1 out of 1 points
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 drug therapy for this patient will be
Selected
Answer:
a diuretic.
Question 23
1 out of 1 points
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?
Selected
Answer:
The patient's protein deficit will likely increase the levels of
the free drug in his blood.
Question 24
1 out of 1 points
A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to
manage his hypertension. The nurse would be sure to instruct the patient to
Selected
Answer:
understand the signs and symptoms of hypoglycemia.
Question 25
1 out of 1 points
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 26
1 out of 1 points
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?
Selected
Answer:
Enlarged prostate gland
Question 27
1 out of 1 points
A patient with unstable angina pectoris who is NOT controlled with a nitrate would
likely benefit most from the addition of:
Selected
Answer:
2.
Beta
blocker
Question 28
1 out of 1 points
A 58-year-old man is admitted to the emergency department. A diagnosis of
severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
Selected
Answer:
Digoxin immune
fab
Question 29
1 out of 1 points
A patient is admitted to the emergency department with severe chest pain.
The emergency department physician orders intravenous nitroglycerin 5
mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as
needed. Before administering the nitroglycerin, the nurse should prioritize
which of the following assessments?
Selected
Answer:
Blood pressure
Question 30
1 out of 1 points
An elderly postsurgical patient has developed postoperative pneumonia in the
days following abdominal surgery and is being treated with a number of
medications. Which of the following medications that the nurse will administer
has the slowest absorption?
Selected
Answer:
An oral antidepressant that the patient has been taking
daily for several years
Question 31
1 out of 1 points
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?
Selected
Answer:
Cilia sweep foreign material and mucus upward toward the
trachea and larynx where they can then be swallowed.
Question 32
1 out of 1 points
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
Selected
Answer:
decrease the amount of circulating blood sent through
the kidneys.
Question 33
1 out of 1 points
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
Selected
Answer:
her history of
emphysema.
Question 34
1 out of 1 points
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?
Selected
Answer:
The therapeutic effects and possible adverse effects
Question 35
1 out of 1 points
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?
Selected
Answer:
Give 19 units of Lantus subcutaneously prior to
bedtime.
Question 36
1 out of 1 points
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
Selected
Answer:
"As long as the ritual does not interfere with the patient's
preoperative care, it will be okay."
Question 37
1 out of 1 points
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?
Selected
Answer:
Digoxin
Question 38
1 out of 1 points
A 46-year-old white American has been prescribed a drug that binds to acid
glycoproteins. The nurse understands that white Americans usually receive
Selected
Answer:
a higher-than-normal dose of drugs that bind to acid
glycoproteins.
Question 39
1 out of 1 points
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?
Selected
Answer:
"Yes, but be sure to wait at least 2 hours to take the antacid
after you take the ranitidine."
Question 40
1 out of 1 points
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?
Selected
Answer:
Potassium
levels
Question 41
1 out of 1 points
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?
Selected
Answer:
"Prilosec will help your heartburn but it's not designed to
provide immediate relief of specific episodes of heartburn."
Question 42
1 out of 1 points
What critical piece of information is missing from the following medication
order: Amoxicillin 250 mg every 8 hours?
Selected
Answer:
Route
Question 43
1 out of 1 points
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
Selected
Answer:
use of alcohol.
Question 44
1 out of 1 points
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 45
1 out of 1 points
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?
Selected
Answer:
A bulk-forming (fiber) laxative
Question 46
1 out of 1 points
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?
Selected
Answer:
The woman will be more susceptible to hypotension than a
younger patient.
Question 47
1 out of 1 points
A 24-year-old factory worker has been prescribed guaifenesin for the first
time. Which of the following will be a priority assessment by the nurse before
the patient's first dose?
Selected
Answer:
The amount of alcohol consumption
Question 48
1 out of 1 points
A Nurse Practitioner who provides care in a long-term care facility is documenting a
new resident's medication regimen on the resident's intake admission. The Nurse
Practitioner is documenting the generic, rather than proprietary, names of the
resident's current drugs because
Selected
Answer:
there is a potential for confusion and miscommunication if
proprietary names are used.
Question 49
1 out of 1 points
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily
use. Which of the following adverse effects should the nurse closely monitor
for in this patient?
Selected
Answer:
Oropharyngeal Candida albicans infection
Question 50
1 out of 1 points
A patient has been prescribed an oral drug that is known to have a high firstpass
effect. Which of the following measures has the potential to increase the
amount of the free drug that is available to body cells?
Selected
Answer:
Administering the drug intravenously rather than
orally
Question 51
1 out of 1 points
Mr. Penny, age 67, was diagnosed with chronic angina several months ago
and has been unable to experience adequate relief of his symptoms. As a
result, his physician has prescribed ranolazine (Ranexa). Which of the
following statements is true regarding the use of ranolazine for the treatment
of this patient's angina?
Selected
Answer:
Mr. Penny requires concurrent treatment with a beta blocker,
nitrate, or a calcium channel blocker.
Question 52
1 out of 1 points
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 53
1 out of 1 points
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
Selected
Answer:
open the capsule and sprinkle the beads in applesauce.
Question 54
1 out of 1 points
The APRN should educate a diabetic patient that beta blockers may mask the
signs and symptoms of
Selected
Answer:
hypoglyce
mia
Question 55
1 out of 1 points
A Nurse Practitioner is providing patient education to a 35-year-old man who has
been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy.
The Nurse Practitioner should anticipate that the drug will be administered
Selected
Answer:
transdermal
ly.
Question 56
1 out of 1 points [Show Less]