NURS 6521-Advanced Pharmacology FINAL
EXAM 2024 ALL CORRECT QUESTIONS AND
ANSWERS with Expert Feedback RATED A+.
Question 1
1 out of 1 points
A 62-year-old man has been prescribed extended-release lovastatin. The nurse will instruct the
patient to take the medication
Selected Answer: B.
at bedtime.
Correct Answer: B.
at bedtime.
Response Patients who are prescribed extended-release lovastatin should take the
Feedback: medication at bedtime, without food, to be most effective. This is because
most cholesterol synthesis occurs during this time. Immediate-release
lovastatin should be taken after the evening meal. It would not be appropriate
to take lovastatin in the afternoon or the early morning.
Question 2
1 out of 1 points
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?
Selected D.
Answer: Administer a tablet under his tongue and repeat the action in 5 and 10
minutes if the pain has not subsided
Correct D.
Answer: Administer a tablet under his tongue and repeat the action in 5 and 10
minutes if the pain has not subsided
Response The initial action by the nurse should be sublingual administration of the drug
Feedback: by placing one tablet under the patient's tongue and repeating the action in 5
and 10 minutes if necessary. Asking the patient to relax is important and
should be done, but administering the tablets would need to be done first. The
nurse would not call the physician if the pain has subsided by the third tablet.
, If the pain has not subsided, the patient is considered to be having an acute MI,
and it would be urgent to call the physician. Nitroglycerin does not come in
oral form; therefore, it would not be swallowed.
Question 3
1 out of 1 points
A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the
following would be most important for the nurse to monitor?
Selected Answer: D.
Potassium levels
Correct Answer: D.
Potassium levels
Response Although it is important to monitor the patient's ECG, it is more important to
Feedback: closely monitor potassium levels when the patient is taking a drug that
promotes the loss of potassium, such as thiazide or loop diuretics.
Hypokalemia increases the effect of digoxin and increases the risk for digoxin
toxicity. The patient's sodium levels and liver enzyme levels may need to be
monitored periodically, but not as closely as potassium levels.
Question 4
1 out of 1 points
A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following
patients would the nurse most likely administer a lower-than-normal maintenance dose of
digoxin?
Selected Answer: D.
A 79-year-old male with cardiomegaly
Correct Answer: D.
A 79-year-old male with cardiomegaly
Response The nurse should continue regular administration of the drug because digoxin
Feedback: requires a loading dose before the drug's therapeutic effect is present. It may
take several days for optimal clinical effects to appear. Therefore, seeking an
order to increase the dosage, seeking orders to discontinue digoxin and start
another drug, or insisting that another drug be ordered would not be necessary
at this time.
Question 5
EXAM 2024 ALL CORRECT QUESTIONS AND
ANSWERS with Expert Feedback RATED A+.
Question 1
1 out of 1 points
A 62-year-old man has been prescribed extended-release lovastatin. The nurse will instruct the
patient to take the medication
Selected Answer: B.
at bedtime.
Correct Answer: B.
at bedtime.
Response Patients who are prescribed extended-release lovastatin should take the
Feedback: medication at bedtime, without food, to be most effective. This is because
most cholesterol synthesis occurs during this time. Immediate-release
lovastatin should be taken after the evening meal. It would not be appropriate
to take lovastatin in the afternoon or the early morning.
Question 2
1 out of 1 points
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?
Selected D.
Answer: Administer a tablet under his tongue and repeat the action in 5 and 10
minutes if the pain has not subsided
Correct D.
Answer: Administer a tablet under his tongue and repeat the action in 5 and 10
minutes if the pain has not subsided
Response The initial action by the nurse should be sublingual administration of the drug
Feedback: by placing one tablet under the patient's tongue and repeating the action in 5
and 10 minutes if necessary. Asking the patient to relax is important and
should be done, but administering the tablets would need to be done first. The
nurse would not call the physician if the pain has subsided by the third tablet.
, If the pain has not subsided, the patient is considered to be having an acute MI,
and it would be urgent to call the physician. Nitroglycerin does not come in
oral form; therefore, it would not be swallowed.
Question 3
1 out of 1 points
A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the
following would be most important for the nurse to monitor?
Selected Answer: D.
Potassium levels
Correct Answer: D.
Potassium levels
Response Although it is important to monitor the patient's ECG, it is more important to
Feedback: closely monitor potassium levels when the patient is taking a drug that
promotes the loss of potassium, such as thiazide or loop diuretics.
Hypokalemia increases the effect of digoxin and increases the risk for digoxin
toxicity. The patient's sodium levels and liver enzyme levels may need to be
monitored periodically, but not as closely as potassium levels.
Question 4
1 out of 1 points
A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following
patients would the nurse most likely administer a lower-than-normal maintenance dose of
digoxin?
Selected Answer: D.
A 79-year-old male with cardiomegaly
Correct Answer: D.
A 79-year-old male with cardiomegaly
Response The nurse should continue regular administration of the drug because digoxin
Feedback: requires a loading dose before the drug's therapeutic effect is present. It may
take several days for optimal clinical effects to appear. Therefore, seeking an
order to increase the dosage, seeking orders to discontinue digoxin and start
another drug, or insisting that another drug be ordered would not be necessary
at this time.
Question 5
