NURS 6521 / NURS6521 Advanced Pharmacology Midterm
Exam | Question and with 100% Correct Answers | Latest
Question 1
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?
Integrating the new drug into the patient’s existing schedule promotes
adherence.
Combining a new drug with one or more existing drugs mitigates the risk of adverse
effects.
Taking several drugs at one time maximizes recovery time for the liver and kidneys.
Rapid drug clearance fostered when a patient is able to minimize the number of drug
administration times.
Question 2
A Nurse Practitioner is caring for a patient who has recently moved from Vermont to south
Florida. The patient has been on the same antihypertensive drug for 6 years and has had
stable blood pressures and no adverse effects. Since her move, however, she reports “dizzy
spells and weakness” and feels that the drug is no longer effective. . The Nurse Practitioner
suspects that the change in the effectiveness of the drug is related to
the impact of the placebo effect on the patient’s response.
the accumulative effect of the drug if it has been taken for many years.
the impact of the warmer climate on the patient’s physical state.
problems with patient compliance with the drug regimen due to the move.
,Question 3
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into
the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the
fever. The best form of Tylenol to give the child, considering her presentation, would be
liquid.
lozenge.
tablet.
suppository.
Question 4
A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely
benefit most from the addition of:
Sodium channel blocker
Beta blocker
Cardiac glycoside
Either 1 or 2
Question 5
When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug
classifications that would tend to reduce insulin sensitivity are:
Diuretics and calcium channel blockers.
Diuretics and beta blockers.
Calcium channel blockers and ACE inhibitors.
Alpha blockers and ACE inhibitors.
, Question 6
A 49-year-old woman has been diagnosed with myalgia. The physician has recommended
aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will
encourage the patient to
crush the tablet before swallowing.
swallow the tablet whole.
swallow the tablet with milk or food.
avoid drinking milk for 3 hours after swallowing the tablet.
Question 7
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?
Call the physician
Ask the patient to lie back and try to relax
Have the patient swallow a tablet every 5 minutes for 15 minutes
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if
the pain has not subsided
Question 8
After a recent history of shortness of breath that has become increasingly severe, a woman
has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What
patient teaching should the nurse provide to this patient?
“Make sure that you take this at the scheduled times, regardless of whether you feel
short of breath.”
“Most people find that ipratropium cures their lung disease within a few months.”
Exam | Question and with 100% Correct Answers | Latest
Question 1
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?
Integrating the new drug into the patient’s existing schedule promotes
adherence.
Combining a new drug with one or more existing drugs mitigates the risk of adverse
effects.
Taking several drugs at one time maximizes recovery time for the liver and kidneys.
Rapid drug clearance fostered when a patient is able to minimize the number of drug
administration times.
Question 2
A Nurse Practitioner is caring for a patient who has recently moved from Vermont to south
Florida. The patient has been on the same antihypertensive drug for 6 years and has had
stable blood pressures and no adverse effects. Since her move, however, she reports “dizzy
spells and weakness” and feels that the drug is no longer effective. . The Nurse Practitioner
suspects that the change in the effectiveness of the drug is related to
the impact of the placebo effect on the patient’s response.
the accumulative effect of the drug if it has been taken for many years.
the impact of the warmer climate on the patient’s physical state.
problems with patient compliance with the drug regimen due to the move.
,Question 3
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into
the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the
fever. The best form of Tylenol to give the child, considering her presentation, would be
liquid.
lozenge.
tablet.
suppository.
Question 4
A patient with unstable angina pectoris who is NOT controlled with a nitrate would likely
benefit most from the addition of:
Sodium channel blocker
Beta blocker
Cardiac glycoside
Either 1 or 2
Question 5
When prescribing an antihypertensive medication for a type 2 diabetic patient, the drug
classifications that would tend to reduce insulin sensitivity are:
Diuretics and calcium channel blockers.
Diuretics and beta blockers.
Calcium channel blockers and ACE inhibitors.
Alpha blockers and ACE inhibitors.
, Question 6
A 49-year-old woman has been diagnosed with myalgia. The physician has recommended
aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will
encourage the patient to
crush the tablet before swallowing.
swallow the tablet whole.
swallow the tablet with milk or food.
avoid drinking milk for 3 hours after swallowing the tablet.
Question 7
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?
Call the physician
Ask the patient to lie back and try to relax
Have the patient swallow a tablet every 5 minutes for 15 minutes
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if
the pain has not subsided
Question 8
After a recent history of shortness of breath that has become increasingly severe, a woman
has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What
patient teaching should the nurse provide to this patient?
“Make sure that you take this at the scheduled times, regardless of whether you feel
short of breath.”
“Most people find that ipratropium cures their lung disease within a few months.”
