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2023-2024 NURS676 Pharmacology Midterm Exam With Answers (101 Solved Questions)

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM NURS 676 LATEST MIDTERM EXAM 2023-2024 VERSION 2(COMPLIED FROM REAL EXAM) GRADED A+ WITH ANSWERS QUIZ/@ 1 1 out of 1 points QUIZ 1 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 is contributing to a therapeutic effect? STUDENT FEEDBACK: The man's chest sounds are clear and his ankle edema is lessened.QUIZ/@ 2 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK: Potassium levels QUIZ/@ 3 1 out of 1 points QUIZ 1 An expected outcome for a patient who has just taken sublingual nitroglycerin should be STUDENT FEEDBACK:

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM increased heart rate and decreased blood pressure. QUIZ/@ 4 1 out of 1 points QUIZ 1

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can't take his metformin the day of the test. What is the most appropriate reply? STUDENT FEEDBACK: You can develop lactic acidosis if you take metformin and are given dye. You should have a serum creatinine drawn before restarting the medication. QUIZ/@ 5 1 out of 1 points QUIZ 1 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 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? STUDENT FEEDBACK: Albuterol QUIZ/@6 1 out of 1 points QUIZ 1 A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of STUDENT FEEDBACK: an adrenergic antagonist. QUIZ/@ 7 1 out of 1 points QUIZ 1

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM 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? STUDENT FEEDBACK: Oropharyngeal Candida albicans infection QUIZ/@ 8 1 out of 1 points QUIZ 1 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? STUDENT FEEDBACK: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided QUIZ/@ 9 0 out of 1 points InQUIZ 1 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 STUDENT FEEDBACK: teach Mr. Lacuna about the importance of rotating sites when he applies the patch. QUIZ/@ 10 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK: Blood ammonia levels

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM QUIZ/@ 11 1 out of 1 points QUIZ 1 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 STUDENT FEEDBACK: rebound bronchoconstriction. QUIZ/@ 12 1 out of 1 points QUIZ 1 Which statement is FALSE regarding the treatment of hyperthyroidism? STUDENT FEEDBACK: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females. QUIZ/@ 13 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM QUIZ/@ 14 1 out of 1 points QUIZ 1 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 STUDENT FEEDBACK: increase the half-life of medications that are metabolized by the kidneys. QUIZ/@ 15 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK: History of taking anticoagulant drugs QUIZ/@ 16 1 out of 1 points QUIZ 1 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 STUDENT FEEDBACK: potential adverse effects of the drugs that Mr. Nguyen will be taking. QUIZ/@ 17 1 out of 1 points

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM QUIZ 1 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 STUDENT FEEDBACK: use of alcohol. QUIZ/@ 18 1 out of 1 points QUIZ 1 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 STUDENT FEEDBACK: a diuretic. QUIZ/@ 19 0 out of 1 points InQUIZ 1 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? STUDENT FEEDBACK: The aspirin is less effective when taken with an antacid so you need to increase the dose. QUIZ/@ 20 1 out of 1 points QUIZ 1

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM 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 STUDENT FEEDBACK: inhibits cholesterol syntheses. QUIZ/@ 21 1 out of 1 points QUIZ 1 A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive STUDENT FEEDBACK: a higher-than-normal dose of drugs that bind to acid glycoproteins. QUIZ/@ 22 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK: peripheral edema, constipation, dizziness QUIZ/@ 23 1 out of 1 points QUIZ 1

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? STUDENT FEEDBACK: Integrating the new drug into the patient's existing schedule promotes adherence. QUIZ/@ 24 1 out of 1 points QUIZ 1 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 STUDENT FEEDBACK: falls. QUIZ/@ 25 1 out of 1 points QUIZ 1 A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose. What desired outcomes should the nurse associate with this drug order? STUDENT FEEDBACK: Patient will have three to four loose bowel movements each day.QUIZ/@ 26 1 out of 1 points QUIZ 1 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? STUDENT FEEDBACK:

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    NURS 676 Advanced Pharmacology 2023-2024 EXAM An oral antidepressant that the patient has been taking daily for several yearsQUIZ/@ 27 1 out of 1 points QUIZ 1 The APRN's ability to prescribe controlled substances is regulated by: STUDENT FEEDBACKs: DEA State Law QUIZ/@ 28 1 out of 1 points QUIZ 1 A patient is bothered with nighttime episodes of bronchoconstriction related to asthma. Which of the following medications can be administered to decrease the nighttime episodes and prevent asthma attacks? STUDENT FEEDBACK: Leukotriene modifiers QUIZ/@ 29 1 out of 1 points QUIZ 1

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