NUR 6521 ADVANCED PHARMACOLOGY
MIDTERM TEST PAPER 2021/2022 QUESTIONS
WITH SOLUTIONS
◉ increased HR and decrease BP. Answer: An expected outcome for
a patient who has just taken sublingual nitroglycerin should
be
◉ 10 mg. Answer: A patient is to take nifedipine (Procardia) 10 mg
PO tid. How many milligrams will he take per dose?
◉ Nitrate tolerance. Answer: 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 ...
◉ Blood pressure. Answer: 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?
,◉ Dizziness. Answer: 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?
◉ crush the capsule and ask the patient to inhale the vapors.
Answer: 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...
◉ keep the tablets in the original dark bottle.. Answer: A patient is
being discharged home with a prescription for sublingual
nitroglycerin.
The nurse will instruct the patient and family to...
◉ don a pair of gloves. Answer: A nurse has an order to apply
nitroglycerin topically, twice a day. The nurse's initial
action will be to...
◉ have the patient go into his house and sit or lie down. Answer: A
patient calls the clinic and reports that he is having chest pain. The
patient states that
, ì'm scared that I am going to die and I've been pacing up and down
my driveway.ì
After calming the patient, the initial instruction by the nurse would
be to...
◉ The patient's angina may necessitate the use of a calcium channel
blocker. Answer: A recent episode of chest pain while doing yard
work prompted a 70-year-old man to
seek care and he has been subsequently diagnosed with chronic
stable angina. The
nurse should recognize what guiding principle in the treatment of
this patient's angina?
◉ The woman will be more susceptible to hypotension than a young
patient.. Answer: Frequent episodes of exercise-related chest pain
have caused a 79-year-old woman to
use her prescribed nitroglycerin spray several times in recent weeks.
This patient's age will have what effect on her use of nitroglycerin?
◉ Acute Pain, headache, related to adverse effects of drug therapy.
Answer: A nurse is creating a plan of care for a 68-year-old woman
with a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the
following nursing
MIDTERM TEST PAPER 2021/2022 QUESTIONS
WITH SOLUTIONS
◉ increased HR and decrease BP. Answer: An expected outcome for
a patient who has just taken sublingual nitroglycerin should
be
◉ 10 mg. Answer: A patient is to take nifedipine (Procardia) 10 mg
PO tid. How many milligrams will he take per dose?
◉ Nitrate tolerance. Answer: 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 ...
◉ Blood pressure. Answer: 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?
,◉ Dizziness. Answer: 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?
◉ crush the capsule and ask the patient to inhale the vapors.
Answer: 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...
◉ keep the tablets in the original dark bottle.. Answer: A patient is
being discharged home with a prescription for sublingual
nitroglycerin.
The nurse will instruct the patient and family to...
◉ don a pair of gloves. Answer: A nurse has an order to apply
nitroglycerin topically, twice a day. The nurse's initial
action will be to...
◉ have the patient go into his house and sit or lie down. Answer: A
patient calls the clinic and reports that he is having chest pain. The
patient states that
, ì'm scared that I am going to die and I've been pacing up and down
my driveway.ì
After calming the patient, the initial instruction by the nurse would
be to...
◉ The patient's angina may necessitate the use of a calcium channel
blocker. Answer: A recent episode of chest pain while doing yard
work prompted a 70-year-old man to
seek care and he has been subsequently diagnosed with chronic
stable angina. The
nurse should recognize what guiding principle in the treatment of
this patient's angina?
◉ The woman will be more susceptible to hypotension than a young
patient.. Answer: Frequent episodes of exercise-related chest pain
have caused a 79-year-old woman to
use her prescribed nitroglycerin spray several times in recent weeks.
This patient's age will have what effect on her use of nitroglycerin?
◉ Acute Pain, headache, related to adverse effects of drug therapy.
Answer: A nurse is creating a plan of care for a 68-year-old woman
with a recent diagnosis of
unstable angina and new prescription for nitroglycerin. Which of the
following nursing