NSG 6521 Midterm Exam with Verified
Solutions: Complete Q&A 2025
Which medication education strategy ensures patients achieve therapeutic drug effects?
Take the medication at the prescribed times.
A patient with neuropathic pain unresponsive to standard analgesics is prescribed pregabalin
(Lyrica). What is its impact on other medications?
It is unlikely to interact significantly with other drugs.
A 70-year-old patient on levothyroxine presents with a heart rate of 115 beats per minute. What
action should the nurse take?
Withhold the scheduled dose of levothyroxine.
What is the function of cilia in the lower respiratory system?
Cilia sweep foreign material and mucus upward toward the trachea and larynx.
When initiating treatment with gabapentin (Neurontin), what is a key consideration for diabetes
patients with neuropathic pain?
Gabapentin does not interact with most antidiabetic medications.
1
,What should a Nurse Practitioner prioritize when prescribing drugs with a narrow therapeutic
index?
Monitor serum drug levels regularly.
What clinical sign warrants immediate reassessment of thyroid hormone replacement therapy?
Tachycardia with a regular rhythm exceeding 100 beats per minute.
Which patient education point helps prevent adverse effects of NSAIDs?
Take the medication with food or milk.
A patient reports a persistent dry cough after starting an ACE inhibitor. What is the appropriate
intervention?
Consider switching to an ARB (Angiotensin II Receptor Blocker).
What principle should guide medication management for elderly patients with multiple
comorbidities?
Start low and go slow with medication dosing.
Which type of drug requires close monitoring due to its potential for respiratory depression?
Opioids.
What is the primary goal of using beta-blockers in cardiac patients?
2
, Reduce myocardial oxygen demand.
A patient on warfarin therapy is scheduled for a tooth extraction. What should be done prior to
the procedure?
Check INR levels to ensure they are within a safe range.
Why is metformin contraindicated in patients with impaired renal function?
It increases the risk of lactic acidosis.
Which action demonstrates safe handling of transdermal patches?
Rotate application sites to prevent skin irritation.
How should a nurse respond to a patient showing signs of hypoglycemia while on insulin
therapy?
Administer a rapid-acting carbohydrate source immediately.
A patient on digoxin reports visual disturbances and nausea. What is the nurse’s priority?
Check serum digoxin levels for toxicity.
Which respiratory medication is used for quick relief during an asthma attack?
Short-acting beta-agonists like albuterol.
3
Solutions: Complete Q&A 2025
Which medication education strategy ensures patients achieve therapeutic drug effects?
Take the medication at the prescribed times.
A patient with neuropathic pain unresponsive to standard analgesics is prescribed pregabalin
(Lyrica). What is its impact on other medications?
It is unlikely to interact significantly with other drugs.
A 70-year-old patient on levothyroxine presents with a heart rate of 115 beats per minute. What
action should the nurse take?
Withhold the scheduled dose of levothyroxine.
What is the function of cilia in the lower respiratory system?
Cilia sweep foreign material and mucus upward toward the trachea and larynx.
When initiating treatment with gabapentin (Neurontin), what is a key consideration for diabetes
patients with neuropathic pain?
Gabapentin does not interact with most antidiabetic medications.
1
,What should a Nurse Practitioner prioritize when prescribing drugs with a narrow therapeutic
index?
Monitor serum drug levels regularly.
What clinical sign warrants immediate reassessment of thyroid hormone replacement therapy?
Tachycardia with a regular rhythm exceeding 100 beats per minute.
Which patient education point helps prevent adverse effects of NSAIDs?
Take the medication with food or milk.
A patient reports a persistent dry cough after starting an ACE inhibitor. What is the appropriate
intervention?
Consider switching to an ARB (Angiotensin II Receptor Blocker).
What principle should guide medication management for elderly patients with multiple
comorbidities?
Start low and go slow with medication dosing.
Which type of drug requires close monitoring due to its potential for respiratory depression?
Opioids.
What is the primary goal of using beta-blockers in cardiac patients?
2
, Reduce myocardial oxygen demand.
A patient on warfarin therapy is scheduled for a tooth extraction. What should be done prior to
the procedure?
Check INR levels to ensure they are within a safe range.
Why is metformin contraindicated in patients with impaired renal function?
It increases the risk of lactic acidosis.
Which action demonstrates safe handling of transdermal patches?
Rotate application sites to prevent skin irritation.
How should a nurse respond to a patient showing signs of hypoglycemia while on insulin
therapy?
Administer a rapid-acting carbohydrate source immediately.
A patient on digoxin reports visual disturbances and nausea. What is the nurse’s priority?
Check serum digoxin levels for toxicity.
Which respiratory medication is used for quick relief during an asthma attack?
Short-acting beta-agonists like albuterol.
3
