2025–2026 PRE-ASSESSMENT ANSWERS |80 VERIFIED QUESTIONS & A+ CORRECT
RESPONSES| 100% VERIFIED ANSWERS
How will these drug interactions affect this patient?
An elderly patient with a history of asthma and hypertension presents to the emergency department complaining of chest pain and
shortness of breath. The advanced practice registered nurse (APRN) reviews the patient's current medications and notes that
the patient is taking propranolol and inhaled albuterol.
Propranolol can decrease albuterol's therapeutic effect.
A 35-year-old mother who is currently breastfeeding her four-month-old baby comes to a clinic for an evaluation of a sinus
infection. The advanced practice registered nurse needs to prescribe medication that does not pass across the membrane into
the breast milk.
Lipid-soluble
A 42-year-old patient suffering from pain due to cancer comes to a clinic and visits with the advanced practice registered nurse
(APRN). The APRN previously had prescribed morphine to treat the pain. The patient is concerned because her bowel movements
have become irregular and asks the APRN why she is experiencing constipation.
How should the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
, An advanced practice registered nurse is prescribing dobutamine for a patient in cardiogenic shock. Which outcome is expected
when this drug is used?
Increases heart rate
An advanced practice registered nurse (APRN) volunteers one day per month at a local free clinic in the community and is seeing a
43-year-old Caucasian patient with hypertension. The patient's blood pressure is 196/100, and the patient states being prescribed
three blood pressure medications: metoprolol 100 mg bid, losartan 50 mg daily, and clonidine 0.1 mg tid.
The patient states that there is no way to check blood pressure, and upon reviewing all the patient's medications, the APRN notes
that the losartan has not been filled for three months and only 10 pills remain. The patient admits taking half the prescribed dose
so the pills last longer.
Which action should be taken by the APRN?
Enroll the patient in the local Mission prescription assistance program
A 78-year-old woman is diagnosed with chronic open-angle glaucoma. She has a past history of first- degree atrioventricular
block and bradycardia.
Which medication should be avoided by this patient?
Timolol
An advanced practice registered nurse (APRN) is evaluating a patient at a six-month follow-up appointment. The patient is taking
cimetidine 1 g at bedtime, metoprolol 100 mg daily, aspirin 81 mg daily, and metformin 1 g daily. The patient's vitals are BP 160/90,
pulse 110, respirations 12, and temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still elevated. The patient tells the APRN she does not want to take
another pill because she feels she is taking too many.
Which action should the APRN take next?
Change the cimetidine to ranitidine because the original drug may decrease the effectiveness of the
metoprolol
RESPONSES| 100% VERIFIED ANSWERS
How will these drug interactions affect this patient?
An elderly patient with a history of asthma and hypertension presents to the emergency department complaining of chest pain and
shortness of breath. The advanced practice registered nurse (APRN) reviews the patient's current medications and notes that
the patient is taking propranolol and inhaled albuterol.
Propranolol can decrease albuterol's therapeutic effect.
A 35-year-old mother who is currently breastfeeding her four-month-old baby comes to a clinic for an evaluation of a sinus
infection. The advanced practice registered nurse needs to prescribe medication that does not pass across the membrane into
the breast milk.
Lipid-soluble
A 42-year-old patient suffering from pain due to cancer comes to a clinic and visits with the advanced practice registered nurse
(APRN). The APRN previously had prescribed morphine to treat the pain. The patient is concerned because her bowel movements
have become irregular and asks the APRN why she is experiencing constipation.
How should the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
, An advanced practice registered nurse is prescribing dobutamine for a patient in cardiogenic shock. Which outcome is expected
when this drug is used?
Increases heart rate
An advanced practice registered nurse (APRN) volunteers one day per month at a local free clinic in the community and is seeing a
43-year-old Caucasian patient with hypertension. The patient's blood pressure is 196/100, and the patient states being prescribed
three blood pressure medications: metoprolol 100 mg bid, losartan 50 mg daily, and clonidine 0.1 mg tid.
The patient states that there is no way to check blood pressure, and upon reviewing all the patient's medications, the APRN notes
that the losartan has not been filled for three months and only 10 pills remain. The patient admits taking half the prescribed dose
so the pills last longer.
Which action should be taken by the APRN?
Enroll the patient in the local Mission prescription assistance program
A 78-year-old woman is diagnosed with chronic open-angle glaucoma. She has a past history of first- degree atrioventricular
block and bradycardia.
Which medication should be avoided by this patient?
Timolol
An advanced practice registered nurse (APRN) is evaluating a patient at a six-month follow-up appointment. The patient is taking
cimetidine 1 g at bedtime, metoprolol 100 mg daily, aspirin 81 mg daily, and metformin 1 g daily. The patient's vitals are BP 160/90,
pulse 110, respirations 12, and temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still elevated. The patient tells the APRN she does not want to take
another pill because she feels she is taking too many.
Which action should the APRN take next?
Change the cimetidine to ranitidine because the original drug may decrease the effectiveness of the
metoprolol
