MSN 571 PHARMACOLOGY FINAL EXAM|2025-
2026|ACTUAL 140Qs&As|GRADE:UNITED STATES
UNIVERSITY
A patient receiving heparin postoperatively to prevent deep vein thrombosis
has a blood pressure of 90/50 mm Hg and a heart rate of 110 beats/minute.
The patient's most recent aPTT is greater than 90 seconds. The patient reports
lumbar pain. The provider will order what interventions initially?
Protamine sulfate, Discontinue heparin
A patient arrives in the emergency department after becoming dehydrated.
Based on the patient's history, the provider determines that isotonic
dehydration has occurred. Which solution will be ordered to treat this patient?
0.9% sodium chloride in sterile water
A patient arrives in the emergency department reporting muscle weakness and
drowsiness. The nurse notes a heart rate of 80 beats/minute, a respiratory rate
of 18 breaths/minute, and a blood pressure of 90/50 mm Hg. The
electrocardiogram reveals an abnormal rhythm. The provider will be most
concerned about the patient's use of what medication?
Antacids
While performing an admission assessment on a patient, the nurse learns that
the patient is taking furosemide, digoxin, and spironolactone. A diet history
reveals the use of salt substitutes. The patient appears confused and dyspneic
,and reports tingling of hands and feet. Which action will the provider take to
provide effective patient care?
Prescribe both an electrocardiogram and serum electrolyte levels
A patient collapses after running a marathon on a hot day and is brought to
the emergency department to be treated for dehydration. The provider will
prescribe which therapy?
Intravenous hypotonic fluids administered in stages
A patient with a history of congestive heart failure is admitted to the hospital.
The admission assessment and interview provides the following information:
The patient is taking a thiazide diuretic and digoxin Admission electrolyte
levels include a sodium level of 142 mEq/L, a chloride level of 95 mEq/L, and a
potassium level of 3 mEq/L. When the provider is notified of this information
what action will be the priority?
Putting a hold on the digoxin and determining measures to normalize the
laboratory values
A patient is brought to the emergency department with a respiratory rate of
32 breaths/minute and a heart rate of 90 beats/minute. While the injuries are
minor, the patient is inconsolable and hysterical. The provider will order what
initial management intervention?
Administration of a gas mixture of 5% carbon dioxide (CO2)
,A patient who is receiving reperfusion therapy has a history of heparin-
induced thrombosis (HIT). The patient has a creatinine clearance of 28
mL/minute. In addition to the fibrinolytic agent, which medication will the
provider prescribe for this patient?
Bivalirudin
A patient who is recovering from a STEMI 3 months prior is in the clinic for a
follow-up evaluation. The patient is taking 81 mg of aspirin, a blocker, and an
ACE inhibitor daily, and uses nitroglycerin as needed for angina. The patient's
BMI is 24.5 kg/m2 and serum LDL is 150 mg/dL. The patient has a blood
pressure of 135/80 mm Hg. What action will the provider take to provide
effective care for the patient?
Order high-dose statin therapy
A patient who has undergone a primary percutaneous coronary intervention
(PCI) with a stent placement is prescribed a daily dose of 81 mg of aspirin and
clopidogrel. The patient asks how long the medications must be taken. What
will the prescriber tell this patient about the medication regimen?
The clopidogrel will be discontinued in 1 year and the aspirin will be given
indefinitely
, A patient diagnosed with STEMI is about to undergo a primary percutaneous
coronary intervention (PCI). Which combination of pharmacotherapeutic
agents will the provider prescribe to augment this procedure?
Heparin, aspirin, and clopidogrel
A provider is evaluating a patient admitted to the emergency department with
an evolving STEMI for possible administration of thrombolytic therapy. Which
information, identified during history taking, would contraindicate this type of
therapy?
The patient has a history of a small cerebral aneurysm.
A patient arrives in the emergency department reporting chest pain that has
lasted longer than 1 hour and is unrelieved by nitroglycerin. The patient's
electrocardiogram reveals elevation of the ST segment. Initial cardiac troponin
levels are negative. The patient is receiving oxygen via nasal cannula. Which
drug will the provider order to be given immediately?
Aspirin 325 mg chewable
What is the most important question a provider should ask a patient before
prescribing abciximab?
"Do you take any drugs that affect blood clotting?"
2026|ACTUAL 140Qs&As|GRADE:UNITED STATES
UNIVERSITY
A patient receiving heparin postoperatively to prevent deep vein thrombosis
has a blood pressure of 90/50 mm Hg and a heart rate of 110 beats/minute.
The patient's most recent aPTT is greater than 90 seconds. The patient reports
lumbar pain. The provider will order what interventions initially?
Protamine sulfate, Discontinue heparin
A patient arrives in the emergency department after becoming dehydrated.
Based on the patient's history, the provider determines that isotonic
dehydration has occurred. Which solution will be ordered to treat this patient?
0.9% sodium chloride in sterile water
A patient arrives in the emergency department reporting muscle weakness and
drowsiness. The nurse notes a heart rate of 80 beats/minute, a respiratory rate
of 18 breaths/minute, and a blood pressure of 90/50 mm Hg. The
electrocardiogram reveals an abnormal rhythm. The provider will be most
concerned about the patient's use of what medication?
Antacids
While performing an admission assessment on a patient, the nurse learns that
the patient is taking furosemide, digoxin, and spironolactone. A diet history
reveals the use of salt substitutes. The patient appears confused and dyspneic
,and reports tingling of hands and feet. Which action will the provider take to
provide effective patient care?
Prescribe both an electrocardiogram and serum electrolyte levels
A patient collapses after running a marathon on a hot day and is brought to
the emergency department to be treated for dehydration. The provider will
prescribe which therapy?
Intravenous hypotonic fluids administered in stages
A patient with a history of congestive heart failure is admitted to the hospital.
The admission assessment and interview provides the following information:
The patient is taking a thiazide diuretic and digoxin Admission electrolyte
levels include a sodium level of 142 mEq/L, a chloride level of 95 mEq/L, and a
potassium level of 3 mEq/L. When the provider is notified of this information
what action will be the priority?
Putting a hold on the digoxin and determining measures to normalize the
laboratory values
A patient is brought to the emergency department with a respiratory rate of
32 breaths/minute and a heart rate of 90 beats/minute. While the injuries are
minor, the patient is inconsolable and hysterical. The provider will order what
initial management intervention?
Administration of a gas mixture of 5% carbon dioxide (CO2)
,A patient who is receiving reperfusion therapy has a history of heparin-
induced thrombosis (HIT). The patient has a creatinine clearance of 28
mL/minute. In addition to the fibrinolytic agent, which medication will the
provider prescribe for this patient?
Bivalirudin
A patient who is recovering from a STEMI 3 months prior is in the clinic for a
follow-up evaluation. The patient is taking 81 mg of aspirin, a blocker, and an
ACE inhibitor daily, and uses nitroglycerin as needed for angina. The patient's
BMI is 24.5 kg/m2 and serum LDL is 150 mg/dL. The patient has a blood
pressure of 135/80 mm Hg. What action will the provider take to provide
effective care for the patient?
Order high-dose statin therapy
A patient who has undergone a primary percutaneous coronary intervention
(PCI) with a stent placement is prescribed a daily dose of 81 mg of aspirin and
clopidogrel. The patient asks how long the medications must be taken. What
will the prescriber tell this patient about the medication regimen?
The clopidogrel will be discontinued in 1 year and the aspirin will be given
indefinitely
, A patient diagnosed with STEMI is about to undergo a primary percutaneous
coronary intervention (PCI). Which combination of pharmacotherapeutic
agents will the provider prescribe to augment this procedure?
Heparin, aspirin, and clopidogrel
A provider is evaluating a patient admitted to the emergency department with
an evolving STEMI for possible administration of thrombolytic therapy. Which
information, identified during history taking, would contraindicate this type of
therapy?
The patient has a history of a small cerebral aneurysm.
A patient arrives in the emergency department reporting chest pain that has
lasted longer than 1 hour and is unrelieved by nitroglycerin. The patient's
electrocardiogram reveals elevation of the ST segment. Initial cardiac troponin
levels are negative. The patient is receiving oxygen via nasal cannula. Which
drug will the provider order to be given immediately?
Aspirin 325 mg chewable
What is the most important question a provider should ask a patient before
prescribing abciximab?
"Do you take any drugs that affect blood clotting?"
