NURS 6521 MIDTERM EXAM:
PHARMACY NURS-6521, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A 70-year-old woman has a complex medical and a current drug
regimen that includes calcium and vitamin D supplements for
osteoporosis, metformin (Glucophage) for type 2 diabetes,
phenelzine (Nardil) for depression, and metoprolol (Lopressor)
and furosemide (Lasix) for hypertension. The woman is requesting
dextromethorphan for the treatment of a recurrent cough. What
component of her drug regimen contraindicates the use of
dextromethorphan? - CORRECT ANSWERS- Phenelzine (Nardil)
Federal legislation dictates a lengthy and rigorous process of
testing for new drugs. What is the primary purpose of this testing
process? - CORRECT ANSWERS- To ensure the safety of the
public
A 70-year-old man who enjoys good health began taking low-dose
aspirin several months ago based on recommendations that he
read in a magazine article. During the man's most recent visit to
his care provider, routine blood work was ordered and the results
indicated an unprecedented rise in the man's serum creatinine
and blood urea nitrogen (BUN) levels. How should a nurse best
interpret these findings? - CORRECT ANSWERS- The man may be
experiencing nephrotoxic effects of aspirin
,A Nurse Practitioner who provides care on an acute medicine unit
has frequently recommended the use of nicotine replacement
gum for patients who express a during their admission or
following their discharge. willingness to quit smoking For which of
the following patients would nicotine gum be contraindicated? -
CORRECT ANSWERS- A patient with a history of angina who
experienced a non-ST wave myocardial infarction
A Nurse Practitioner is caring for a patient who has been
diagnosed with hypothyroidism. Levothyroxine (Synthroid) has
been prescribed. Before the drug therapy is started, the nurse will
assess for which of the following? - CORRECT ANSWERS- History
of taking anticoagulant drugs
The APRN is treating a 56 year old male with diagnosed atrial
fibrillation. He is complaining of being light headed. His vital signs
are BP 100/68 HR 144 RR 22. The best choice of medication to
treat this patient is: - CORRECT ANSWERS- 4. Beta blocker such
as Metoprolol
The APRN would use what class of medication to manage COPD? -
CORRECT ANSWERS- Short-acting and long acting inhaled beta2
agonists
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? - CORRECT ANSWERS- Blood
pressure
An unconscious patient has been brought to the hospital, and the
Nurse Practitioner has prescribed a life-saving drug to be
administered parenterally. Which of the following methods would
be the most appropriate for the nurse to use when administering
the medication? - CORRECT ANSWERS- Intravenous infusion.
A Nurse Practitioner has been following a male patient who is
taking hydralazine, clonidine, and a diuretic for hypertension.
After 2 weeks of medication therapy, the patient begins to
complain of numbness and tìngling in his hands and feet. The
Nurse Practitioner suspects that these signs or symptoms are -
CORRECT ANSWERS- signs of peripheral neuritis.
The most effective therapy for a patient who is H. pylori positive
with a gastric ulcer is: - CORRECT ANSWERS- Bismuth,
Metronidazole, Omeprazole, and Tetracycline
A 76-year-old woman has a complex medical history that includes
emphysema, osteoporosis, malnutrition, and hypothyroidism.
Recently, the woman fell outside her home as a result of
weakness and suffered a fracture to her femoral head. The
woman's subsequent hip-replacement surgery has been
scheduled and the care team recognizes that the use of isoflurane
will be most significantly influenced by - CORRECT ANSWERS- her
history of emphysema.
PHARMACY NURS-6521, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A 70-year-old woman has a complex medical and a current drug
regimen that includes calcium and vitamin D supplements for
osteoporosis, metformin (Glucophage) for type 2 diabetes,
phenelzine (Nardil) for depression, and metoprolol (Lopressor)
and furosemide (Lasix) for hypertension. The woman is requesting
dextromethorphan for the treatment of a recurrent cough. What
component of her drug regimen contraindicates the use of
dextromethorphan? - CORRECT ANSWERS- Phenelzine (Nardil)
Federal legislation dictates a lengthy and rigorous process of
testing for new drugs. What is the primary purpose of this testing
process? - CORRECT ANSWERS- To ensure the safety of the
public
A 70-year-old man who enjoys good health began taking low-dose
aspirin several months ago based on recommendations that he
read in a magazine article. During the man's most recent visit to
his care provider, routine blood work was ordered and the results
indicated an unprecedented rise in the man's serum creatinine
and blood urea nitrogen (BUN) levels. How should a nurse best
interpret these findings? - CORRECT ANSWERS- The man may be
experiencing nephrotoxic effects of aspirin
,A Nurse Practitioner who provides care on an acute medicine unit
has frequently recommended the use of nicotine replacement
gum for patients who express a during their admission or
following their discharge. willingness to quit smoking For which of
the following patients would nicotine gum be contraindicated? -
CORRECT ANSWERS- A patient with a history of angina who
experienced a non-ST wave myocardial infarction
A Nurse Practitioner is caring for a patient who has been
diagnosed with hypothyroidism. Levothyroxine (Synthroid) has
been prescribed. Before the drug therapy is started, the nurse will
assess for which of the following? - CORRECT ANSWERS- History
of taking anticoagulant drugs
The APRN is treating a 56 year old male with diagnosed atrial
fibrillation. He is complaining of being light headed. His vital signs
are BP 100/68 HR 144 RR 22. The best choice of medication to
treat this patient is: - CORRECT ANSWERS- 4. Beta blocker such
as Metoprolol
The APRN would use what class of medication to manage COPD? -
CORRECT ANSWERS- Short-acting and long acting inhaled beta2
agonists
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? - CORRECT ANSWERS- Blood
pressure
An unconscious patient has been brought to the hospital, and the
Nurse Practitioner has prescribed a life-saving drug to be
administered parenterally. Which of the following methods would
be the most appropriate for the nurse to use when administering
the medication? - CORRECT ANSWERS- Intravenous infusion.
A Nurse Practitioner has been following a male patient who is
taking hydralazine, clonidine, and a diuretic for hypertension.
After 2 weeks of medication therapy, the patient begins to
complain of numbness and tìngling in his hands and feet. The
Nurse Practitioner suspects that these signs or symptoms are -
CORRECT ANSWERS- signs of peripheral neuritis.
The most effective therapy for a patient who is H. pylori positive
with a gastric ulcer is: - CORRECT ANSWERS- Bismuth,
Metronidazole, Omeprazole, and Tetracycline
A 76-year-old woman has a complex medical history that includes
emphysema, osteoporosis, malnutrition, and hypothyroidism.
Recently, the woman fell outside her home as a result of
weakness and suffered a fracture to her femoral head. The
woman's subsequent hip-replacement surgery has been
scheduled and the care team recognizes that the use of isoflurane
will be most significantly influenced by - CORRECT ANSWERS- her
history of emphysema.
