PAST MID-TERM EXAMS 1 - 7: NURS
6521 PHARMACOLOGY, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A 29-year-old pregnant patient is extremely upset about having to
take medication for a pre-existing medical condition. She is
consumed with fear that her baby will be born with a physical
deformity or a congenital anomaly but knows that she has to take
the medication. She talks constantly about this and is unable to
sleep most nights. Which of the following is the most appropriate
nursing diagnosis for this patient is?
Select one:
a. Injury, risk to the fetus r/t adverse effects of maternal drug
therapy
b. Injury, risk to the patient r/t failure to receive needed drug
therapy
c. Anxiety related to the perceived danger of drug therapy to
fetus or infant
d. Noncompliance with drug therapy - CORRECT ANSWERS-
Feedback
The nurse has assessed that the patient is anxious and fearful
that her baby will suffer because of her drug therapy. The nurse
should work with the mother to design a plan of care to help
decrease the mother's anxiety. Even though the other nursing
diagnoses are plausible, the most appropriate nursing diagnosis is
anxiety related to perceived danger of drug therapy to fetus or
infant.
,The correct answer is: Anxiety related to the perceived danger of
drug therapy to fetus or infant
A 65 year old client's laboratory work indicates hypoalbuminemia.
Related to medication therapy, this may result in which of the
following?
Select one:
a. Reduced therapeutic effect
b. Decreased medication metabolism
c. Prolonged half-life
d. Excess free medication and possible toxicity - CORRECT
ANSWERS- Feedback
Decreased levels of albumin lead to decreased binding of
medications. This can result in increased levels of the free
medication.
The correct answer is: Excess free medication and possible
toxicity
A 65-year-old woman has an advanced form of rheumatoid
arthritis. Her treatment includes a regular dosage of
methotrexate. The nurse will advise her to take which of the
following vitamin supplements while taking the drug?
Select one:
a. Vitamin A
b. Vitamin B
c. Vitamin C
,d. Vitamin D - CORRECT ANSWERS- Feedback
Taking vitamin B every day will help decrease the potential for
adverse effects of
methotrexate. This drug is given cautiously to very young and
elderly patients,
because these patients' livers and kidneys cannot adequately
clear the drug.
Vitamin C is contraindicated with most antiarthritic and antigout
drugs because
it decreases the renal excretion of drugs. Supplements of vitamin
A or D would
not be necessary.
The correct answer is: Vitamin B
A 66-year-old woman has experienced a significant decline in her
quality of life as a result of worsening rheumatoid arthritis. Her
physician has prescribed etanercept (Enbrel), a biological DMARD,
and the nurse is responsible for facilitating this new aspect of the
patient's drug regimen. This will involve the administration of...
Select one:
a. daily, outpatient intravenous (IV) therapy
b. daily, oral administration
c. weekly, subcutaneous (SQ) injections
d. weekly administration of an enteric coated tablet - CORRECT
ANSWERS- Feedback
Etanercept is a weekly subcutaneous injection.
, The correct answer is: weekly, subcutaneous (SQ) injections
A 68-year-old female patient who was diagnosed with
hypertension 2 weeks ago and was prescribed a new
hypertension medication has returned to the clinic for a follow-up
visit. The nurse notes that the patient's blood pressure is
unchanged from her last clinic visit. When the patient was asked
if she was taking the new medication on a regular basis, she
stated, "I thought that I was supposed to take the new drug when
I had a pounding headache or was in a stressful situation, not all
the time." An appropriate nursing diagnosis for this patient would
be which of the following?
Select one:
a. Knowledge, deficient r/t lack of understanding of treatment
regimen
b. Coping, ineffective r/t forgetfulness
c. Confusion, acute conerning drug administration
d. Anxiety due to diagnosis of hypertension - CORRECT
ANSWERS- Feedback
Knowledge, Deficient is usually appropriate for a patient who has
a new drug prescription and is not fully aware of why he/she is
taking the drug or how to appropriately take the drug. Coping,
Ineffective relates to a patient who may continually forget to take
a drug for a chronic condition. Anxiety could be appropriate for
someone who has just been diagnosed with hypertension, but the
question does not indicate that the patient is anxious.
The correct answer is: Knowledge, deficient r/t lack of
understanding of treatment regimen
6521 PHARMACOLOGY, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A 29-year-old pregnant patient is extremely upset about having to
take medication for a pre-existing medical condition. She is
consumed with fear that her baby will be born with a physical
deformity or a congenital anomaly but knows that she has to take
the medication. She talks constantly about this and is unable to
sleep most nights. Which of the following is the most appropriate
nursing diagnosis for this patient is?
Select one:
a. Injury, risk to the fetus r/t adverse effects of maternal drug
therapy
b. Injury, risk to the patient r/t failure to receive needed drug
therapy
c. Anxiety related to the perceived danger of drug therapy to
fetus or infant
d. Noncompliance with drug therapy - CORRECT ANSWERS-
Feedback
The nurse has assessed that the patient is anxious and fearful
that her baby will suffer because of her drug therapy. The nurse
should work with the mother to design a plan of care to help
decrease the mother's anxiety. Even though the other nursing
diagnoses are plausible, the most appropriate nursing diagnosis is
anxiety related to perceived danger of drug therapy to fetus or
infant.
,The correct answer is: Anxiety related to the perceived danger of
drug therapy to fetus or infant
A 65 year old client's laboratory work indicates hypoalbuminemia.
Related to medication therapy, this may result in which of the
following?
Select one:
a. Reduced therapeutic effect
b. Decreased medication metabolism
c. Prolonged half-life
d. Excess free medication and possible toxicity - CORRECT
ANSWERS- Feedback
Decreased levels of albumin lead to decreased binding of
medications. This can result in increased levels of the free
medication.
The correct answer is: Excess free medication and possible
toxicity
A 65-year-old woman has an advanced form of rheumatoid
arthritis. Her treatment includes a regular dosage of
methotrexate. The nurse will advise her to take which of the
following vitamin supplements while taking the drug?
Select one:
a. Vitamin A
b. Vitamin B
c. Vitamin C
,d. Vitamin D - CORRECT ANSWERS- Feedback
Taking vitamin B every day will help decrease the potential for
adverse effects of
methotrexate. This drug is given cautiously to very young and
elderly patients,
because these patients' livers and kidneys cannot adequately
clear the drug.
Vitamin C is contraindicated with most antiarthritic and antigout
drugs because
it decreases the renal excretion of drugs. Supplements of vitamin
A or D would
not be necessary.
The correct answer is: Vitamin B
A 66-year-old woman has experienced a significant decline in her
quality of life as a result of worsening rheumatoid arthritis. Her
physician has prescribed etanercept (Enbrel), a biological DMARD,
and the nurse is responsible for facilitating this new aspect of the
patient's drug regimen. This will involve the administration of...
Select one:
a. daily, outpatient intravenous (IV) therapy
b. daily, oral administration
c. weekly, subcutaneous (SQ) injections
d. weekly administration of an enteric coated tablet - CORRECT
ANSWERS- Feedback
Etanercept is a weekly subcutaneous injection.
, The correct answer is: weekly, subcutaneous (SQ) injections
A 68-year-old female patient who was diagnosed with
hypertension 2 weeks ago and was prescribed a new
hypertension medication has returned to the clinic for a follow-up
visit. The nurse notes that the patient's blood pressure is
unchanged from her last clinic visit. When the patient was asked
if she was taking the new medication on a regular basis, she
stated, "I thought that I was supposed to take the new drug when
I had a pounding headache or was in a stressful situation, not all
the time." An appropriate nursing diagnosis for this patient would
be which of the following?
Select one:
a. Knowledge, deficient r/t lack of understanding of treatment
regimen
b. Coping, ineffective r/t forgetfulness
c. Confusion, acute conerning drug administration
d. Anxiety due to diagnosis of hypertension - CORRECT
ANSWERS- Feedback
Knowledge, Deficient is usually appropriate for a patient who has
a new drug prescription and is not fully aware of why he/she is
taking the drug or how to appropriately take the drug. Coping,
Ineffective relates to a patient who may continually forget to take
a drug for a chronic condition. Anxiety could be appropriate for
someone who has just been diagnosed with hypertension, but the
question does not indicate that the patient is anxious.
The correct answer is: Knowledge, deficient r/t lack of
understanding of treatment regimen
