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“ADVANCED PHARMACOLOGY - MIDTERM “ TEST BANK NEWEST 2025 ACTUAL EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
A 73-year-old man was diagnosed with Parkinson disease earlier this year and
has begun taking carbidopa-levodopa four times daily in an effort to control
the signs and symptoms of the disease. The nurse should recognize that this
therapeutic effect is achieved by influencing the__
A) uptake of acetylcholine.
B) dopamine receptors in the brain.
C) synthesis of epinephrine.
D) sensitivity of beta-2 receptors.
B) dopamine receptors in the brain.
Levodopa is the precursor to dopamine. Most commonly, clinicians use levodopa as
a dopamine replacement agent for the treatment of Parkinson's disease. It is most
effectively used to control bradykinetic symptoms that are apparent in Parkinson's
disease. Levodopa is typically prescribed to a patient with Parkinson's disease once
symptoms become more difficult to control with other anti-Parkinsonism drugs. The
drug can also be used for postencephalitic Parkinsonism and symptomatic
Parkinsonism due to carbon monoxide intoxication.
A patient is admitted to the emergency department with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min,
titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed.
Before administering the nitroglycerin, the nurse should prioritize which of the
following assessments?
A) Blood pressure
B) Urinary output
C) Heart rate
D) Blood urea nitrogen (BUN)
A) Blood pressure
A patient has been prescribed several drugs and fluids to be given
intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the__
A) heart rate.
B) body weight and height.
C) blood pressure.
D) skin surrounding the potential IV site.
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D) skin surrounding the potential IV site.
Which of the following patients would a nurse determine to be at the greatest
risk for quinidine toxicity?
A) A 30-year-old pregnant woman
B) A 44-year-old man diagnosed with cardiac insufficiency
C) A 50-year-old woman with myasthenia gravis
D) A 55-year-old man diagnosed with complete heart block
D) A 55-year-old man diagnosed with complete heart block
Quinidine is contraindicated in patients with complete AV block, severe
intraventricular conduction defects, left bundle-branch block, or ventricular ectopy.
Quinidine is contraindicated in patients with digitalis-induced AV conduction
disorders
A nurse is assigned to a patient who is taking lithium. Which of the following
drug serum levels would indicate that the patient is at risk for adverse effects
of the drug?
A) 0.3 mEq/L
B) 0.6 mEq/L
C) 1.7 mEq/L
D) 1.2 mEq/L
C) 1.7 mEq/L
A patient experiencing a serious allergic reaction to a bee sting is brought to
the emergency department. The patient's right hand is swollen, red, and
painful. She is extremely upset, short of breath, and the nurse detects
wheezing and stridor. The nurse is ordered to administer epinephrine to
relieve the patient's__
A) pain and swelling around the sting site.
B) discoloration in her hand.
C) acute anxiety.
D) acute bronchospasm.
D) acute bronchospasm.
A nurse is educating a patient who has Parkinson disease and her husband
about the possible adverse effects of carbidopa-levodopa. The nurse should
emphasize the need for the patient and her husband to monitor for any sudden
increase in__
A) involuntary movements.
B) perspiration.
C) appetite or thirst.
D) mobility.
B) perspiration.
The component of the nerve system that governs sweating may be affected in
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people with Parkinson's disease. This can result in excessive sweating i.e.
hyperhidrosis, which is most common when Parkinson's medications wear off.
Sweating can occur at night in persons with Parkinson's disease.
A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's
initial action will be to__
A) wipe off the previous dose from the patient's body.
B) don a pair of gloves.
C) place the ointment on an area free of excessive hair and of unbroken skin.
D) wipe off any medication that is on the outside of the medication container.
B) don a pair of gloves.
A woman with an inflammatory skin disorder has begun taking prednisone in
an effort to control the signs and symptoms of her disease. The nurse who is
providing care for this patient should prioritize which of the following potential
nursing diagnoses in the organization of the patient's care?
A) Fluid Volume Excess
B) Constipation
C) Acute Confusion
D) Impaired Gas Exchange
A) Fluid Volume Excess
Fluid retention is one of prednisone's most famous side effects. "'Moon face' is
common, which is swelling in the face that can occur after you've been on steroids
for a long time
A 38-year-old patient is obese and has abscesses around his inner thigh
muscles. He is receiving IV antibiotics, but no improvement has been seen.
The patient questions the nurse about the most likely cause for the drug
therapy failure. The nurse explains to the patient that the__
A) surface area of the abscesses is not large enough for the drug to have the
desired therapeutic effect.
B) route of administering the medication should not have been IV.
C) distribution of the drug to the area of the abscesses is impaired.
D) distribution of the drug to the thigh muscles is generally impaired, even in
healthy individuals.
C) distribution of the drug to the area of the abscesses is impaired.
A patient is prescribed regular doses of epinephrine. Which of the
following nursing diagnoses is related to comfort and would be most ap-
propriate for this patient?
A) Imbalanced Nutrition: Less Than Body Requirements
B) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation
C) Disturbed Sensory Perception
D) Ineffective Tissue Perfusion
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B) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation
A 68-year-old female patient who was diagnosed with hypertension 2 weeks
ago and was prescribed a new hypertension medication has returned to the
clinic for a follow-up visit. The nurse notes that the patient's blood pressure is
unchanged from her last clinic visit. When the patient was asked if she was
taking the new medication on a regular basis, she stated, "I thought that I was
supposed to take the new drug when I had a pounding headache or was in a
stressful situation, not all the time." An appropriate nursing diagnosis for this
patient would be which of the following?
A) Knowledge, deficient due to the lack of understanding of treatment regimen
B) Coping, ineffective due to forgetfulness
C) Confusion, acute concerning drug administration
D) Anxiety due to diagnosis of hypertension
A) Knowledge, deficient due to the lack of understanding of treatment regimen
A nurse is overseeing the care of a young man whose ulcerative colitis is
being treated with oral prednisone. Which of the following actions should the
nurse take in order to minimize the potential for adverse drug effects and risks
associated with prednisone treatment?
A) Avoid OTC antacids for the duration of treatment
B) Advocate for intravenous, rather than oral, administration
C) Teach the patient strategies for dealing with headaches
D) carefully assess the patient for infections
D) carefully assess the patient for infections
Steroid drugs, such as prednisone, work by lowering the activity of the immune
system. The immune system is your body's defense system. Steroids work by
slowing your body's response to disease or injury. Prednisone can help lower certain
immune-related symptoms, including inflammation and swelling
A nurse is performing an admission assessment of an elderly patient who is
being admitted to a medical ward from the emergency department. Which of
the following is an open-ended assessment question?
A) "Have you ever had a bad response to a drug that you've taken?"
B) "Does anyone in your immediate family have a history of drug allergies?"
C) "Are you comfortable with receiving needles?"
D) "What kind of reactions have you had to medications?"
D) "What kind of reactions have you had to medications?"
In order to promote therapeutic drug effects, the nurse should always
encourage patients to
A) take their medication with meals.
B) take their medication at the prescribed times.
“ADVANCED PHARMACOLOGY - MIDTERM “ TEST BANK NEWEST 2025 ACTUAL EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
A 73-year-old man was diagnosed with Parkinson disease earlier this year and
has begun taking carbidopa-levodopa four times daily in an effort to control
the signs and symptoms of the disease. The nurse should recognize that this
therapeutic effect is achieved by influencing the__
A) uptake of acetylcholine.
B) dopamine receptors in the brain.
C) synthesis of epinephrine.
D) sensitivity of beta-2 receptors.
B) dopamine receptors in the brain.
Levodopa is the precursor to dopamine. Most commonly, clinicians use levodopa as
a dopamine replacement agent for the treatment of Parkinson's disease. It is most
effectively used to control bradykinetic symptoms that are apparent in Parkinson's
disease. Levodopa is typically prescribed to a patient with Parkinson's disease once
symptoms become more difficult to control with other anti-Parkinsonism drugs. The
drug can also be used for postencephalitic Parkinsonism and symptomatic
Parkinsonism due to carbon monoxide intoxication.
A patient is admitted to the emergency department with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min,
titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed.
Before administering the nitroglycerin, the nurse should prioritize which of the
following assessments?
A) Blood pressure
B) Urinary output
C) Heart rate
D) Blood urea nitrogen (BUN)
A) Blood pressure
A patient has been prescribed several drugs and fluids to be given
intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the__
A) heart rate.
B) body weight and height.
C) blood pressure.
D) skin surrounding the potential IV site.
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D) skin surrounding the potential IV site.
Which of the following patients would a nurse determine to be at the greatest
risk for quinidine toxicity?
A) A 30-year-old pregnant woman
B) A 44-year-old man diagnosed with cardiac insufficiency
C) A 50-year-old woman with myasthenia gravis
D) A 55-year-old man diagnosed with complete heart block
D) A 55-year-old man diagnosed with complete heart block
Quinidine is contraindicated in patients with complete AV block, severe
intraventricular conduction defects, left bundle-branch block, or ventricular ectopy.
Quinidine is contraindicated in patients with digitalis-induced AV conduction
disorders
A nurse is assigned to a patient who is taking lithium. Which of the following
drug serum levels would indicate that the patient is at risk for adverse effects
of the drug?
A) 0.3 mEq/L
B) 0.6 mEq/L
C) 1.7 mEq/L
D) 1.2 mEq/L
C) 1.7 mEq/L
A patient experiencing a serious allergic reaction to a bee sting is brought to
the emergency department. The patient's right hand is swollen, red, and
painful. She is extremely upset, short of breath, and the nurse detects
wheezing and stridor. The nurse is ordered to administer epinephrine to
relieve the patient's__
A) pain and swelling around the sting site.
B) discoloration in her hand.
C) acute anxiety.
D) acute bronchospasm.
D) acute bronchospasm.
A nurse is educating a patient who has Parkinson disease and her husband
about the possible adverse effects of carbidopa-levodopa. The nurse should
emphasize the need for the patient and her husband to monitor for any sudden
increase in__
A) involuntary movements.
B) perspiration.
C) appetite or thirst.
D) mobility.
B) perspiration.
The component of the nerve system that governs sweating may be affected in
, Page 3 of 71
people with Parkinson's disease. This can result in excessive sweating i.e.
hyperhidrosis, which is most common when Parkinson's medications wear off.
Sweating can occur at night in persons with Parkinson's disease.
A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's
initial action will be to__
A) wipe off the previous dose from the patient's body.
B) don a pair of gloves.
C) place the ointment on an area free of excessive hair and of unbroken skin.
D) wipe off any medication that is on the outside of the medication container.
B) don a pair of gloves.
A woman with an inflammatory skin disorder has begun taking prednisone in
an effort to control the signs and symptoms of her disease. The nurse who is
providing care for this patient should prioritize which of the following potential
nursing diagnoses in the organization of the patient's care?
A) Fluid Volume Excess
B) Constipation
C) Acute Confusion
D) Impaired Gas Exchange
A) Fluid Volume Excess
Fluid retention is one of prednisone's most famous side effects. "'Moon face' is
common, which is swelling in the face that can occur after you've been on steroids
for a long time
A 38-year-old patient is obese and has abscesses around his inner thigh
muscles. He is receiving IV antibiotics, but no improvement has been seen.
The patient questions the nurse about the most likely cause for the drug
therapy failure. The nurse explains to the patient that the__
A) surface area of the abscesses is not large enough for the drug to have the
desired therapeutic effect.
B) route of administering the medication should not have been IV.
C) distribution of the drug to the area of the abscesses is impaired.
D) distribution of the drug to the thigh muscles is generally impaired, even in
healthy individuals.
C) distribution of the drug to the area of the abscesses is impaired.
A patient is prescribed regular doses of epinephrine. Which of the
following nursing diagnoses is related to comfort and would be most ap-
propriate for this patient?
A) Imbalanced Nutrition: Less Than Body Requirements
B) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation
C) Disturbed Sensory Perception
D) Ineffective Tissue Perfusion
, Page 4 of 71
B) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation
A 68-year-old female patient who was diagnosed with hypertension 2 weeks
ago and was prescribed a new hypertension medication has returned to the
clinic for a follow-up visit. The nurse notes that the patient's blood pressure is
unchanged from her last clinic visit. When the patient was asked if she was
taking the new medication on a regular basis, she stated, "I thought that I was
supposed to take the new drug when I had a pounding headache or was in a
stressful situation, not all the time." An appropriate nursing diagnosis for this
patient would be which of the following?
A) Knowledge, deficient due to the lack of understanding of treatment regimen
B) Coping, ineffective due to forgetfulness
C) Confusion, acute concerning drug administration
D) Anxiety due to diagnosis of hypertension
A) Knowledge, deficient due to the lack of understanding of treatment regimen
A nurse is overseeing the care of a young man whose ulcerative colitis is
being treated with oral prednisone. Which of the following actions should the
nurse take in order to minimize the potential for adverse drug effects and risks
associated with prednisone treatment?
A) Avoid OTC antacids for the duration of treatment
B) Advocate for intravenous, rather than oral, administration
C) Teach the patient strategies for dealing with headaches
D) carefully assess the patient for infections
D) carefully assess the patient for infections
Steroid drugs, such as prednisone, work by lowering the activity of the immune
system. The immune system is your body's defense system. Steroids work by
slowing your body's response to disease or injury. Prednisone can help lower certain
immune-related symptoms, including inflammation and swelling
A nurse is performing an admission assessment of an elderly patient who is
being admitted to a medical ward from the emergency department. Which of
the following is an open-ended assessment question?
A) "Have you ever had a bad response to a drug that you've taken?"
B) "Does anyone in your immediate family have a history of drug allergies?"
C) "Are you comfortable with receiving needles?"
D) "What kind of reactions have you had to medications?"
D) "What kind of reactions have you had to medications?"
In order to promote therapeutic drug effects, the nurse should always
encourage patients to
A) take their medication with meals.
B) take their medication at the prescribed times.
