NR 565 MIDTERM EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 300+ MIDTERM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

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NR 565 MIDTERM EXAM|| NR 565 ADVANCED PHA
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RMACOLOGY FUNDAMENTALS MIDTERM EXAM|| m m m



LATEST VERSION 2024-
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2025 FULLY COVERED WITH ALL QUESTIONS AND
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CORRECT ANSWERS 100%|| ASSURED PASS!!
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A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-
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mg sublingual nitroglycerin tablet, but the patient continues to complain of pain.
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Vital signs remain stable. What is the nurse's next step?
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a. Apply a nitroglycerin transdermal patch.
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b. Continue dosing at 10-minute intervals.
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c. Give a second dose of nitroglycerin in 5 minutes.
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d. Request an order for intravenous nitroglycerin. - ANSWER: c.
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A patient with stable exertional angina has been receiving a beta blocker. Before g
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iving the drug, the nurse notes a resting heart rate of 55 beats/minute. Which is an
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mappropriate nursing action? m m



a. Administer the drug as ordered, because this is a desired effect.
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b. Withhold the dose and notify the provider of the heart rate.
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c. Request an order for a lower dose of the medication.
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d. Request an order to change to another antianginal medication. - ANSWER: a.
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A nursing student is helping to care for a patient who takes verapamil for stable a
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ngina. The nurse asks the student to explain the purpose of verapamil in the treatm
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ent of this patient. Which statement by the student indicates a need for further teac
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hing?
a. "It relaxes coronary artery spasms."
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b. "It reduces peripheral resistance to reduce oxygen demands."
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c. "It reduces the heart rate, AV conduction, and contractility."
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d. "It relaxes the peripheral arterioles to reduce afterload." - ANSWER: a.
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A patient with angina who is taking ranolazine [Ranexa] has developed a respirato
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ry infection and a dysrhythmia. The provider has ordered azithromycin [Zithroma
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x] for the infection and amlodipine for the dysrhythmia. A nursing student caring f
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or this patient tells the nurse that the patient's heart rate is 70 beats/minute, and the
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mblood pressure is 128/80 mm Hg. The nurse asks the student to discuss the plan f
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or this patient's care. Which action is correct?
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a. Observe the patient closely for signs of respiratory toxicity.
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b. Question the order for azithromycin [Zithromax].
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c. Report the patient's increase in blood pressure to the provider.
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d. Request an order for a different calcium channel blocker. - ANSWER: b.
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A patient with new-
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onset exertional angina has taken three nitroglycerin sublingual tablets at 5-
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minute intervals, but the pain has intensified. The nurse notes that the patient has
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a heart rate of 76 beats/minute and a blood pressure of 120/82 mm Hg. The electr
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ocardiogram is normal. The patient's lips and nail beds are pink, and there is no re
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spiratory distress. The nurse will anticipate providing:
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a. an angiotensin-converting enzyme (ACE) inhibitor.
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b. intravenous nitroglycerin and a beta blocker.
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c. ranolazine (Ranexa) and quinidine.
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d. supplemental oxygen and intravenous morphine. - ANSWER: b.
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A nurse is providing teaching for a patient with stable angina who will begin takin
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g nitroglycerin. Which statement by the patient indicates understanding of the teac
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hing?
a. "I should not participate in aerobic exercise while taking this drug."
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b. "I should take aspirin daily to reduce my need for nitroglycerin."
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c. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal att
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ack."
d. "I take nitroglycerin to increase the amount of oxygen to my heart." -
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mANSWER: c. m




A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse
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correctly states, "Nitroglycerin:
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a. dilates coronary arteries to increase the blood flow to the heart."
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b. increases the oxygen supply to the cardiac muscle."
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c. increases ventricular filling to improve cardiac output."
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d. promotes vasodilation, which reduces preload and oxygen demand." -
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mANSWER: d. m




A patient has been receiving heparin while in the hospital to treat deep vein throm
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boses and will be discharged home with a prescription for enoxaparin [Lovenox].
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The nurse provides teaching for the nursing student who asks about the advantage
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s of enoxaparin over heparin. Which statement by the student indicates a need for
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further teaching? m



a. "Enoxaparin does not require coagulation monitoring."
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b. "Enoxaparin has greater bioavailability than heparin."
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c. "Enoxaparin is more cost-effective than heparin."
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d. "Enoxaparin may be given using a fixed dosage." - ANSWER: c.
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A patient is receiving heparin postoperatively to prevent deep vein thrombosis. Th
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e nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rat
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e of 98 beats/minute. The patient's most recent aPTT is greater than 90 seconds. T
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he patient reports lumbar pain. The nurse will request an order for:
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a. a repeat aPTT to be drawn immediately.
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b. analgesic medication.
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c. changing heparin to aspirin.
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d. protamine sulfate. - ANSWER: d.
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A nursing student who is preparing to care for a postoperative patient with deep v
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ein thrombosis asks the nurse why the patient must take heparin rather than warfar
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in. Which response by the nurse is correct?
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a. "Heparin has a longer half-life."
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b. "Heparin has fewer adverse effects."
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c. "The onset of warfarin is delayed."
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d. "Warfarin prevents platelet aggregation." - ANSWER: c.
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A postoperative patient reports pain in the left lower extremity. The nurse notes s
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welling in the lower leg, which feels warm to the touch. The nurse will anticipate
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giving which medication?
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a. Aspirin
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b. Clopidogrel [Plavix]
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c. Enoxaparin [Lovenox]
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d. Warfarin [Coumadin] - ANSWER: c.
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A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse n
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otifies the provider, who orders laboratory work revealing a PT of 42 seconds and
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an INR of 3.5. The nurse will expect to administer:
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a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
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b. phytonadione (vitamin K1) 2.5 mg PO.
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c. protamine sulfate 20 mg PO.
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d. protamine sulfate 20 mg slow IV push. - ANSWER: a.
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