NU 636
Advanced
Pharmacology
Midterm Test Review
2025
1. The nurse is caring for a patient taking a beta blocker for angina. Which adverse effect
would the nurse monitor in the patient?
A) Dry cough
B) Low heart rate
C) High blood pressure
D) Anxiety
2. The nurse is caring for a patient taking simvastatin (Zocor). Which is the primary
purpose of this drug?
A) Increase potassium levels in the blood
B) Decrease the level of LDL in the blood
C) Increase triglyceride levels in the blood
D) Decrease the level of HDL in the blood
3. The nurse is administering somatropin (Humatrope), which is used in the treatment
of which condition?
A) Metabolic syndrome
B) Growth failure
C) Type 2 diabetes
D) Cushing’s syndrome
4. The nurse is reviewing a medication administration record (MAR) for a patient taking
, oral hypoglycemic drugs. Which drug from the patient’s MAR could cause an interaction
with oral hypoglycemic drugs?
A) Vitamin supplements
B) Thyroid replacement drugs
C) Beta blockers
D) Antibiotics
5. While caring for a patient who recently had an acute myocardial infarction, the
nurse notes severe ventricular dysrhythmias on the patient’s cardiac monitor. Which
drug would the nurse anticipate the healthcare provider to order to treat this
dysrhythmia?
A) Diltiazem (Cardizem)
B) Adenosine (Adenocard)
C) Amiodarone (Cordarone)
D) Verapamil (Calan)
6. The nurse should assess the client for which common adverse effect of procainamide?
A) Drowsiness
B) Nystagmus
C) Convulsions
D) Dry mouth
7. The nurse is caring for a patient taking niacin to lower her lipid levels in the blood.
For which adverse effects would the nurse monitor the patient?
A) Hair loss
B) Abdominal discomfort
C) Halos when looking at light
D) Increased appetite
E) Hepatotoxicity
8. The nurse working in the emergency department (ED) is caring for a patient who is
admitted for an acute myocardial infarction (MI). The healthcare provider has ordered
a continuous nitroglycerin drip. Which statement is true about intravenous nitroglycerin
administration?
A) Nonpolyvinylchloride (nonPVC) plastic intravenous bags and tubing must be used
B) Nitroglycerin can be given in the same line as other medications
C) There is not a continuous intravenous form; nitroglycerin is given
D) The nitroglycerin solution will be slightly colored green or blue
9. The nurse is caring for a patient receiving atenolol (Tenormin). Which information does
the nurse need to know about the patient prior to administering this drug?
A) Serum potassium level
, B) Serum albumin level
C) Pulse and blood pressure
D) Daily height and weight
10. The nurse is caring for a patient with heart failure. Which medication will have a
positive inotropic effect?
A) Valsartan (Diovan)
B) Atenolol (Tenormin)
C) Digoxin (Lanoxin)
D) Diltiazem (Cardizem)
11. The nurse is caring for a patient who recently had a myocardial infarction (MI). Which
medications would the nurse anticipate the health care provider will recommend to this
patient as prevention of another MI.
A) Vitamin K and an anti-inflammatory
B) Omega 3 supplement and an iron supplement
C) Omega 3 supplement and a baby aspirin daily
D) Vitamin A and an anticoagulant
12. The nurse is caring for a patient with essential hypertension who is taking a calcium
channel blocker. The nurse would hold the patient’s medication based on which
assessment finding?
A) Patient complains of a nonproductive cough
B) Blood pressure of 128/86
C) An oral temperature pf 102 F
D) Patient complains of dizziness when standing
13. The nurse is discharging an older adult who lives alone and will need to take a diuretic
drug for hypertension. Which would be important for the nurse to emphasize during
the discharge teaching?
A) Stop taking the medication if feeling dizzy, and take potassium
B) The diuretic should be taken with the evening meal
C) Do not take the diuretic if leaving the house for the day
D) Stand slowly and carefully to prevent orthostatic hypotension
14. The nurse is caring for a child taking somatropin (Humatrope). The nurse knows to
monitor the patient for which therapeutic response?
A) Decreased muscle strength
B) Decreased urinary
output C) Increased growth
pattern
D) Increased caloric intake
, 15. The nurse is reviewing a medication administration record (MAR) for a patient and
reads the order, “Give levothyroxine (Synthroid), 20 mcg, PO once every evening.”
Which action should the nurse take?
A) Question the order, because the dose is too high
B) Give the medication as ordered; the order is correct
C) Question the order, because the time of day is incorrect
D) Change the dose to 200 mg, because that is the correct dose
16. The nurse is caring for a patient taking lispro (Humalog) insulin. In which time
frame will the insulin take effect?
A) 3 to 5 hours
B) 15 minutes
Advanced
Pharmacology
Midterm Test Review
2025
1. The nurse is caring for a patient taking a beta blocker for angina. Which adverse effect
would the nurse monitor in the patient?
A) Dry cough
B) Low heart rate
C) High blood pressure
D) Anxiety
2. The nurse is caring for a patient taking simvastatin (Zocor). Which is the primary
purpose of this drug?
A) Increase potassium levels in the blood
B) Decrease the level of LDL in the blood
C) Increase triglyceride levels in the blood
D) Decrease the level of HDL in the blood
3. The nurse is administering somatropin (Humatrope), which is used in the treatment
of which condition?
A) Metabolic syndrome
B) Growth failure
C) Type 2 diabetes
D) Cushing’s syndrome
4. The nurse is reviewing a medication administration record (MAR) for a patient taking
, oral hypoglycemic drugs. Which drug from the patient’s MAR could cause an interaction
with oral hypoglycemic drugs?
A) Vitamin supplements
B) Thyroid replacement drugs
C) Beta blockers
D) Antibiotics
5. While caring for a patient who recently had an acute myocardial infarction, the
nurse notes severe ventricular dysrhythmias on the patient’s cardiac monitor. Which
drug would the nurse anticipate the healthcare provider to order to treat this
dysrhythmia?
A) Diltiazem (Cardizem)
B) Adenosine (Adenocard)
C) Amiodarone (Cordarone)
D) Verapamil (Calan)
6. The nurse should assess the client for which common adverse effect of procainamide?
A) Drowsiness
B) Nystagmus
C) Convulsions
D) Dry mouth
7. The nurse is caring for a patient taking niacin to lower her lipid levels in the blood.
For which adverse effects would the nurse monitor the patient?
A) Hair loss
B) Abdominal discomfort
C) Halos when looking at light
D) Increased appetite
E) Hepatotoxicity
8. The nurse working in the emergency department (ED) is caring for a patient who is
admitted for an acute myocardial infarction (MI). The healthcare provider has ordered
a continuous nitroglycerin drip. Which statement is true about intravenous nitroglycerin
administration?
A) Nonpolyvinylchloride (nonPVC) plastic intravenous bags and tubing must be used
B) Nitroglycerin can be given in the same line as other medications
C) There is not a continuous intravenous form; nitroglycerin is given
D) The nitroglycerin solution will be slightly colored green or blue
9. The nurse is caring for a patient receiving atenolol (Tenormin). Which information does
the nurse need to know about the patient prior to administering this drug?
A) Serum potassium level
, B) Serum albumin level
C) Pulse and blood pressure
D) Daily height and weight
10. The nurse is caring for a patient with heart failure. Which medication will have a
positive inotropic effect?
A) Valsartan (Diovan)
B) Atenolol (Tenormin)
C) Digoxin (Lanoxin)
D) Diltiazem (Cardizem)
11. The nurse is caring for a patient who recently had a myocardial infarction (MI). Which
medications would the nurse anticipate the health care provider will recommend to this
patient as prevention of another MI.
A) Vitamin K and an anti-inflammatory
B) Omega 3 supplement and an iron supplement
C) Omega 3 supplement and a baby aspirin daily
D) Vitamin A and an anticoagulant
12. The nurse is caring for a patient with essential hypertension who is taking a calcium
channel blocker. The nurse would hold the patient’s medication based on which
assessment finding?
A) Patient complains of a nonproductive cough
B) Blood pressure of 128/86
C) An oral temperature pf 102 F
D) Patient complains of dizziness when standing
13. The nurse is discharging an older adult who lives alone and will need to take a diuretic
drug for hypertension. Which would be important for the nurse to emphasize during
the discharge teaching?
A) Stop taking the medication if feeling dizzy, and take potassium
B) The diuretic should be taken with the evening meal
C) Do not take the diuretic if leaving the house for the day
D) Stand slowly and carefully to prevent orthostatic hypotension
14. The nurse is caring for a child taking somatropin (Humatrope). The nurse knows to
monitor the patient for which therapeutic response?
A) Decreased muscle strength
B) Decreased urinary
output C) Increased growth
pattern
D) Increased caloric intake
, 15. The nurse is reviewing a medication administration record (MAR) for a patient and
reads the order, “Give levothyroxine (Synthroid), 20 mcg, PO once every evening.”
Which action should the nurse take?
A) Question the order, because the dose is too high
B) Give the medication as ordered; the order is correct
C) Question the order, because the time of day is incorrect
D) Change the dose to 200 mg, because that is the correct dose
16. The nurse is caring for a patient taking lispro (Humalog) insulin. In which time
frame will the insulin take effect?
A) 3 to 5 hours
B) 15 minutes
