NURS 6521N Advanced Pharmacology, NURS 6521N,
Nursing Program, 2026 – Midterm Exam Questions with
Verified Detailed Answers and Pharmacology Review
Material
Introduction
This document contains a comprehensive collection of NURS
6521N midterm examination questions with detailed answers
covering pharmacology, pharmacokinetics, pharmacodynamics,
medication administration, adverse drug reactions, drug
interactions, and disease-specific pharmacotherapy. It also
includes review questions and concise explanations of core
nursing pharmacology concepts such as bioavailability, drug
metabolism, therapeutic index, polypharmacy, and medication
safety.
The material is designed as exam preparation content and
combines scenario-based nursing questions with foundational
pharmacology knowledge. Topics include cardiovascular,
endocrine, respiratory, gastrointestinal, and neurologic
medications commonly tested in advanced nursing
pharmacology courses.
Exam Questions and Answers
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 --- correct precise
answers ---use of alcohol.
,The Nurse Practitioner is performing patient education for a
woman who will soon the Nurse Practitioner if there are any
"bad side effects" that she should be aware begin treatment of
hyperlipidemia with simvastatin (Zocor). The patient has
asked of. Which of the following statements should underlie
the nurse's response? --- correct precise answers ---Most
patients tolerate statins well, with minor muscle aches being
among the most common adverse effects.
A 66-year-old woman has a complex medical history that
includes poorly- controlled 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 ---
correct precise answers ---hyperkalemia.
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? --- correct precise
answers ---Electrolyte levels
A Nurse Practitioner is providing care for a patient who
suffered extensive burns to his extremities during a recent
industrial accident. Topical lidocaine gel has been ordered to
be applied to the surfaces of all his burns in order to achieve
adequate pain control. When considering this order, the Nurse
,Practitioner should be aware that --- correct precise answers
---there is a risk of systemic absorption of the lidocaine
through the patient's traumatized skin.
A Nurse Practitioner receives an order to administer a
critically ill patient two drugs immediately (stat). The Nurse
Practitioner begins the process by --- correct precise answers
---consulting a drug guide for compatibility.
A patient has been admitted to the ICU because of multiple
traumas due to a motor vehicle accident. The physician has
ordered propofol (Diprivan) to be used for maintenance of
sedation. Before administration of propofol, a priority
assessment by the nurse would be to check for a history of ---
correct precise answers ---seizure disorders.
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 --- correct precise answers ---
adrenal insufficiency.
A clinic Nurse Practitioner has been assigned a 49-year-old
female patient who has a history of diabetes. A recent
diagnosis of hypertension has been made, and the patient has
been prescribed a thiazide diuretic and labetalol. The patient
will be scheduled to return to the clinic once a month for the
next 6 months. A priority action by the Nurse Practitioner will
, be to --- correct precise answers ---monitor the patient's
blood pressure.
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? --- correct precise answers ---"Yes,
but be sure to wait at least 2 hours to take the antacid after
you take the ranitidine."
Which of the following statements best defines how a
chemical becomes termed a drug? --- correct precise answers
---A chemical must have a proven therapeutic value or efficacy
without severe toxicity or damaging properties to become a
drug.
A Nurse Practitioner is caring for a 73-year-old man who is
receiving drug therapy. He is beginning to exhibit signs of
decline in his renal system, yet his current serum creatinine
level is normal. The Nurse Practitioner will base the patient's
plan of care on the understanding that there is --- correct
precise answers ---a decrease in the amount of creatinine to
be filtered.
A 46-year-old white American has been prescribed a drug that
binds to acid glycoproteins. The nurse understands that white
Americans usually receive --- correct precise answers ---a
higher-than-normal dose of drugs that bind to acid
Nursing Program, 2026 – Midterm Exam Questions with
Verified Detailed Answers and Pharmacology Review
Material
Introduction
This document contains a comprehensive collection of NURS
6521N midterm examination questions with detailed answers
covering pharmacology, pharmacokinetics, pharmacodynamics,
medication administration, adverse drug reactions, drug
interactions, and disease-specific pharmacotherapy. It also
includes review questions and concise explanations of core
nursing pharmacology concepts such as bioavailability, drug
metabolism, therapeutic index, polypharmacy, and medication
safety.
The material is designed as exam preparation content and
combines scenario-based nursing questions with foundational
pharmacology knowledge. Topics include cardiovascular,
endocrine, respiratory, gastrointestinal, and neurologic
medications commonly tested in advanced nursing
pharmacology courses.
Exam Questions and Answers
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 --- correct precise
answers ---use of alcohol.
,The Nurse Practitioner is performing patient education for a
woman who will soon the Nurse Practitioner if there are any
"bad side effects" that she should be aware begin treatment of
hyperlipidemia with simvastatin (Zocor). The patient has
asked of. Which of the following statements should underlie
the nurse's response? --- correct precise answers ---Most
patients tolerate statins well, with minor muscle aches being
among the most common adverse effects.
A 66-year-old woman has a complex medical history that
includes poorly- controlled 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 ---
correct precise answers ---hyperkalemia.
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? --- correct precise
answers ---Electrolyte levels
A Nurse Practitioner is providing care for a patient who
suffered extensive burns to his extremities during a recent
industrial accident. Topical lidocaine gel has been ordered to
be applied to the surfaces of all his burns in order to achieve
adequate pain control. When considering this order, the Nurse
,Practitioner should be aware that --- correct precise answers
---there is a risk of systemic absorption of the lidocaine
through the patient's traumatized skin.
A Nurse Practitioner receives an order to administer a
critically ill patient two drugs immediately (stat). The Nurse
Practitioner begins the process by --- correct precise answers
---consulting a drug guide for compatibility.
A patient has been admitted to the ICU because of multiple
traumas due to a motor vehicle accident. The physician has
ordered propofol (Diprivan) to be used for maintenance of
sedation. Before administration of propofol, a priority
assessment by the nurse would be to check for a history of ---
correct precise answers ---seizure disorders.
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 --- correct precise answers ---
adrenal insufficiency.
A clinic Nurse Practitioner has been assigned a 49-year-old
female patient who has a history of diabetes. A recent
diagnosis of hypertension has been made, and the patient has
been prescribed a thiazide diuretic and labetalol. The patient
will be scheduled to return to the clinic once a month for the
next 6 months. A priority action by the Nurse Practitioner will
, be to --- correct precise answers ---monitor the patient's
blood pressure.
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? --- correct precise answers ---"Yes,
but be sure to wait at least 2 hours to take the antacid after
you take the ranitidine."
Which of the following statements best defines how a
chemical becomes termed a drug? --- correct precise answers
---A chemical must have a proven therapeutic value or efficacy
without severe toxicity or damaging properties to become a
drug.
A Nurse Practitioner is caring for a 73-year-old man who is
receiving drug therapy. He is beginning to exhibit signs of
decline in his renal system, yet his current serum creatinine
level is normal. The Nurse Practitioner will base the patient's
plan of care on the understanding that there is --- correct
precise answers ---a decrease in the amount of creatinine to
be filtered.
A 46-year-old white American has been prescribed a drug that
binds to acid glycoproteins. The nurse understands that white
Americans usually receive --- correct precise answers ---a
higher-than-normal dose of drugs that bind to acid
