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

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NURS 676 Advanced Pharmacology 2023-2024 EXAMNURS 676 LATEST MIDTERM EXAM 2023-2024 VERSION2(COMPLIED FROM REAL EXAM) GRADED A+ WITH ANSWERSQUIZ/@ 11 out of 1 pointsQUIZ 1A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) andfurosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic iscontributing to a therapeutic effect?STUDENT FEEDBACK:The man's chest sounds are clear and his ankle edema is lessened.QUIZ/@21 out of 1 pointsQUIZ 1A 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?STUDENT FEEDBACK:Potassium levelsQUIZ/@ 31 out of 1 pointsQUIZ 1An expected outcome for a patient who has just taken sublingual nitroglycerin should beSTUDENT FEEDBACK:

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NURS 676 Advanced Pharmacology 2023-2024 EXAMincreased heart rate and decreased blood pressure.QUIZ/@ 41 out of 1 pointsQUIZ 1

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NURS 676 Advanced Pharmacology 2023-2024 EXAMA 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?STUDENT FEEDBACK:You can develop lactic acidosis if you take metformin and are given dye. You should have a serumcreatinine drawn before restarting the medication.QUIZ/@ 51 out of 1 pointsQUIZ 1The 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 theappropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should thenurse suggests the parents to use in these situations?STUDENT FEEDBACK:AlbuterolQUIZ/@61 out of 1 pointsQUIZ 1A patient has recently been prescribed a drug that treats his hypertension by blocking the sympatheticreceptors in his sympathetic nervous system. This action is characteristic ofSTUDENT FEEDBACK:an adrenergic antagonist.QUIZ/@ 71 out of 1 pointsQUIZ 1

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NURS 676 Advanced Pharmacology 2023-2024 EXAMA female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the followingadverse effects should the nurse closely monitor for in this patient?STUDENT FEEDBACK:Oropharyngeal Candida albicans infectionQUIZ/@ 81 out of 1 pointsQUIZ 1A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mgof sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do firstwhen 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 notsubsidedQUIZ/@ 90out of 1 pointsInQUIZ 1Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderateAlzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable totolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermalpatch form of the medication. When administering this form of rivastigmine, the nurse shouldSTUDENT FEEDBACK:teach Mr. Lacuna about the importance of rotating sites when he applies the patch.QUIZ/@ 101out of 1 pointsQUIZ 1It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Whichof 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 EXAMQUIZ/@ 111 out of 1 pointsQUIZ 1A high school student was diagnosed with asthma when he was in elementary school and has becomeaccustomed to carrying and using his "puffers". In recent months, he has become more involved insports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teachthe student that overuse of albuterol can lead toSTUDENT FEEDBACK:rebound bronchoconstriction.QUIZ/@ 121 out of 1 pointsQUIZ 1Which statement is FALSE regarding the treatment of hyperthyroidism?STUDENT FEEDBACK:Methimazole (Tapazole) is the drug of choice for pregnant or lactating females.QUIZ/@ 131 out of 1 pointsQUIZ 1A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence ofhyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of highcholesterol 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 EXAMQUIZ/@ 141 out of 1 pointsQUIZ 1A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which hasbeen successfully controlled for several years with antiseizure medications. The nurse should recognizethat the patient's compromised renal function will likelySTUDENT FEEDBACK:increase the half-life of medications that are metabolized by the kidneys.QUIZ/@ 151 out of 1 pointsQUIZ 1A 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 thefollowing?STUDENT FEEDBACK:History of taking anticoagulant drugsQUIZ/@ 161 out of 1 pointsQUIZ 1Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary arterybypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse shouldprioritize teach aboutSTUDENT FEEDBACK:potential adverse effects of the drugs that Mr. Nguyen will be taking.QUIZ/@ 171 out of 1 points

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NURS 676 Advanced Pharmacology 2023-2024 EXAMQUIZ 1A 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'sSTUDENT FEEDBACK:use of alcohol.QUIZ/@ 181 out of 1 pointsQUIZ 1A 39-year-old African-American male is 25 pounds overweight and has been diagnosed withhypertension after three consecutive above-normal blood pressure readings. The most likely initial drugtherapy for this patient will beSTUDENT FEEDBACK:a diuretic.QUIZ/@190out of 1 pointsInQUIZ 1The Nurse Practitioner is treating a patient that takes frequent doses of antacids for his heartburn and isalso 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/@ 201out of 1 pointsQUIZ 1

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NURS 676 Advanced Pharmacology 2023-2024 EXAMA patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan willinclude a basic explanation of how the drug produces its therapeutic effect. The nurse will explain thatlovastatin lowers cholesterol levels because itSTUDENT FEEDBACK:inhibits cholesterol syntheses.QUIZ/@ 211 out of 1 pointsQUIZ 1A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurseunderstands that white Americans usually receiveSTUDENT FEEDBACK:a higher-than-normal dose of drugs that bind to acid glycoproteins.QUIZ/@ 221 out of 1 pointsQUIZ 1The APRN is caring for a patient taking a calcium channel blockers for hypertension. The APRN shouldmonitor the patient for what common side effects of this medication?STUDENT FEEDBACK:peripheral edema, constipation, dizzinessQUIZ/@ 231 out of 1 pointsQUIZ 1

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NURS 676 Advanced Pharmacology 2023-2024 EXAMA 79-year-old woman who takes several medications for a variety of chronic health problems has beenprescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged thewoman to take the pill at the same time of day that she takes some of her other medications. What isthe most likely rationale for the nurse's advice?STUDENT FEEDBACK:Integrating the new drug into the patient's existing schedule promotes adherence.QUIZ/@ 241 out of 1 pointsQUIZ 1An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for thetreatment of hypertension. The nurse who provides care for this resident should recognize that thischange in the resident's medication regimen make create a risk forSTUDENT FEEDBACK:falls.QUIZ/@251 out of 1 pointsQUIZ 1A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs andsymptoms 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/@261 out of 1 pointsQUIZ 1An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominalsurgery and is being treated with a number of medications. Which of the following medications that thenurse will administer has the slowest absorption?STUDENT FEEDBACK:

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NURS 676 Advanced Pharmacology 2023-2024 EXAMAn oral antidepressant that the patient has been taking daily for several yearsQUIZ/@271 out of 1 pointsQUIZ 1The APRN's ability to prescribe controlled substances is regulated by:STUDENT FEEDBACKs:DEAState LawQUIZ/@ 281 out of 1 pointsQUIZ 1A 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 asthmaattacks?STUDENT FEEDBACK:Leukotriene modifiersQUIZ/@ 291 out of 1 pointsQUIZ 1

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