NURS 6521N MIDTERM - ADVANCED
PHARMACOLOGY ACTUAL EXAM WITH
VERIFIED DETAILED ANSWERS (100%
CORRECT) NEW!/ A+ GRADE ASSURED
1. A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is
now receiving IV medications on a regular basis. What is the
best nursing intervention to minimize the adverse effects of
this drug therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
D
2. A patient is in the clinic after 6 weeks of taking riluzole
(Rilutek) for a recent diagnosis of amyotrophic lateral sclerosis.
The nurse will prioritize assessment for which of the following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
,D
3. Which of the following patients demonstrates the clearest
indication for treatment with prednisone?
A) A 66-year-old woman whose history of smoking has
culminated in a diagnosis of emphysema
B) A 70-year-old man whose rheumatoid arthritis has not
responded to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise
have been attributed to leukemia
D) A 50-year-old woman who is being treated for hypertension
with a diuretic and an ACE inhibitor
B
4. A nurse has been administering a drug to a patient
intramuscularly (IM). The physician discontinued the IM dose
and wrote an order for the drug to be given orally. The nurse
notices that the oral dosage is considerably higher than the
parenteral dose and understands that this is due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
D
5. A cardiac care nurse is monitoring a patient who is receiving
lidocaine (Xylocaine) per IV infusion pump for an acute
ventricular arrhythmia associated with an acute MI. Which of
,the following patient manifestations would cause the nurse to
notify the physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
A
6. A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure.
Nesiritide (Natrecor) has been ordered. When preparing for
administration of the drug, the nurse will
A) add the reconstituted vial of medication to a 1,000 mL IV
bag.
B) shake the vial vigorously to mix the medication for
reconstitution.
C) administer the initial IV bolus over approximately 60
seconds.
D) use the reconstituted solution within a 36-hour period.
C
7. A patient has been prescribed lithium therapy. Which of the
following signs and symptoms will the nurse tell the patient to
report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
B
, 8. A nurse is caring for a patient who has just been diagnosed
with Parkinson disease. The patient does not understand how
the medication ordered, carbidopa-levodopa, is going to help
her condition. Which of the following is the correct response by
the nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength
and limb function for several months."
B) "This drug will change the immune processes in your body to
help decrease the tissue damage."
C) "Carbidopa-levodopa increases the activity of dopamine in
your body, which will decrease your symptoms."
D) "Your drug therapy will reduce excessive reflex activity
causing your muscle spasms and will allow for muscle
relaxation."
C
9. A patient is taking flavoxate hydrochloride (Urispas) to help
control an overactive bladder. On a follow-up visit to the clinic,
the nurse will question the patient about which of the
following?
A) Chronic diarrhea
B) Dental hygiene practices
C) Headaches
D) Diet
B
10. A nurse notes new drug orders for a patient who is already
getting several medications. Which of the following is the most
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