NURS 676 MIDTERM EXAM 2025/2026
WEST COAST UNIVERSITY ADVANCED
PHARMACOLOGY SPRING/SUMMER
A 66-year-old type 1 diabetes, woman has a complex renal failure as a poorly-controlled
failure (CHF). Her care provider woman's medication regimen. The nurse should medical
history that includes result of diabetic nephropathy and chronic heart has recently added
spironolactone (Aldactone) to the consequently assess for signs and symptoms of
hyperkalemia.
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?
Coffee
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
inhibits cholesterol syntheses.
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?
Take it on an empty stomach, 1 hour before or 2 hours after meals
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?
Take it on an empty stomach, 1 hour before or 2 hours after meals
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
ototoxicity.
, 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
a diuretic.
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?
The patient's protein deficit will likely increase the levels of the free drug in his blood.
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
understand the signs and symptoms of hypoglycemia.
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?
A 79-year-old male with cardiomegaly
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?
Enlarged prostate gland
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?
Wear appropriate clothing and sunscreen whenever he is in direct sunlight
A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely
benefit most from the addition of:
2. Beta blocker
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?
WEST COAST UNIVERSITY ADVANCED
PHARMACOLOGY SPRING/SUMMER
A 66-year-old type 1 diabetes, woman has a complex renal failure as a poorly-controlled
failure (CHF). Her care provider woman's medication regimen. The nurse should medical
history that includes result of diabetic nephropathy and chronic heart has recently added
spironolactone (Aldactone) to the consequently assess for signs and symptoms of
hyperkalemia.
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?
Coffee
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
inhibits cholesterol syntheses.
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?
Take it on an empty stomach, 1 hour before or 2 hours after meals
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?
Take it on an empty stomach, 1 hour before or 2 hours after meals
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
ototoxicity.
, 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
a diuretic.
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?
The patient's protein deficit will likely increase the levels of the free drug in his blood.
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
understand the signs and symptoms of hypoglycemia.
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?
A 79-year-old male with cardiomegaly
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?
Enlarged prostate gland
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?
Wear appropriate clothing and sunscreen whenever he is in direct sunlight
A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely
benefit most from the addition of:
2. Beta blocker
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?
