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NURS 6521 MIDTERM EXAM (3 ACTUAL VERSIONS)
LATEST 2024/2025 WITH 300 COMPLETE QUESTIONS
AND 100% CORRECT ANSWERS GRADED A+
WALDEN/ NURS 6521 ADVANCED PHARMACOLOGY
LATEST MIDTERM EXAMS (BRAND NEW!!)
Version 1 A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for - ANSWER-nitrate tolerance.
Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about - ANSWER- potential adverse effects of the drugs that Mr. Nguyen will be taking.
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? - ANSWER-Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided
An expected outcome for a patient who has just taken sublingual nitroglycerin should be - ANSWER-increased HR and decrease BP
A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? - ANSWER-10 mg
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pg. 2 A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for ... - ANSWER-Nitrate tolerance
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? - ANSWER-Blood pressure
A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? - ANSWER-Dizziness
A 45-year-old man enters the emergency department complaining of chest pain.The nurse has an order to administer amyl nitrite. The nurse will... - ANSWER- crush the capsule and ask the patient to inhale the vapors
A patient is being discharged home with a prescription for sublingual nitroglycerin.The nurse will instruct the patient and family to... - ANSWER-keep the tablets in the original dark bottle.
The most effective therapy for a patient who is H. pylori positive with a gastric
ulcer is: - ANSWER-Bismuth, Metronidazole, Omeprazole, and Tetracycline
A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of - ANSWER-hypertension.
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pg. 3 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 - ANSWER- adrenal insufficiency.
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? - ANSWER-Electrolyte levels
Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? - ANSWER- Gastrointestinal distress
Which of the following is TRUE about long acting beta agonist use in asthma patients? - ANSWER-It can be combined with an inhaled corticosteroid to improve asthma control
A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice? - ANSWER-Atorvastatin (Lipitor)
A Nurse Practitioner is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? - ANSWER-Wear appropriate clothing and sunscreen whenever he is in direct sunlight
A 66-year-old type 1 diabetes, woman has a complex renal failure as a poorly- controlled failure (CHF). Her care provider woman's medication regimen. The nurse should medical history that includes result of diabetic nephropathy and 3 / 4
pg. 4 chronic heart has recently added spironolactone (Aldactone) to the consequently assess for signs and symptoms of - ANSWER-hyperkalemia.
A Nurse Practitioner is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following? - ANSWER-Coffee
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it - ANSWER-inhibits cholesterol syntheses.
A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? - ANSWER-Take it on an empty stomach, 1 hour before or 2 hours after meals
A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? - ANSWER-Take it on an empty stomach, 1 hour before or 2 hours after meals
A Nurse Practitioner is caring for a 78-year-old patient with renal insufficiency and chronic heart failure who is receiving rapid infusions of high-dose furosemide. It will be a priority for the Nurse Practitioner to monitor for - ANSWER-ototoxicity.
A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drug therapy for this patient will be - ANSWER-a diuretic.
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