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NR 565 MIDTERM EXAM|| NR 565 ADVANCED
PHARMACOLOGY FUNDAMENTALS MIDTERM
EXAM|| LATEST VERSION 2024-2025 FULLY
COVERED WITH ALL QUESTIONS AND CORRECT
ANSWERS 100%|| ASSURED PASS!!
A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-
mg sublingual nitroglycerin tablet, but the patient continues to complain of pain.
Vital signs remain stable. What is the nurse's next step?
a. Apply a nitroglycerin transdermal patch.
b. Continue dosing at 10-minute intervals.
c. Give a second dose of nitroglycerin in 5 minutes.
d. Request an order for intravenous nitroglycerin. - ANSWER: c.
A patient with stable exertional angina has been receiving a beta blocker. Before
giving the drug, the nurse notes a resting heart rate of 55 beats/minute. Which is an
appropriate nursing action?
a. Administer the drug as ordered, because this is a desired effect.
b. Withhold the dose and notify the provider of the heart rate.
c. Request an order for a lower dose of the medication.
d. Request an order to change to another antianginal medication. - ANSWER: a.
A nursing student is helping to care for a patient who takes verapamil for stable
angina. The nurse asks the student to explain the purpose of verapamil in the
treatment of this patient. Which statement by the student indicates a need for
further teaching?
a. "It relaxes coronary artery spasms."
b. "It reduces peripheral resistance to reduce oxygen demands."
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c. "It reduces the heart rate, AV conduction, and contractility."
d. "It relaxes the peripheral arterioles to reduce afterload." - ANSWER: a.
A patient with angina who is taking ranolazine [Ranexa] has developed a
respiratory infection and a dysrhythmia. The provider has ordered azithromycin
[Zithromax] for the infection and amlodipine for the dysrhythmia. A nursing
student caring for this patient tells the nurse that the patient's heart rate is 70
beats/minute, and the blood pressure is 128/80 mm Hg. The nurse asks the student
to discuss the plan for this patient's care. Which action is correct?
a. Observe the patient closely for signs of respiratory toxicity.
b. Question the order for azithromycin [Zithromax].
c. Report the patient's increase in blood pressure to the provider.
d. Request an order for a different calcium channel blocker. - ANSWER: b.
A patient with new-onset exertional angina has taken three nitroglycerin sublingual
tablets at 5-minute intervals, but the pain has intensified. The nurse notes that the
patient has a heart rate of 76 beats/minute and a blood pressure of 120/82 mm Hg.
The electrocardiogram is normal. The patient's lips and nail beds are pink, and
there is no respiratory distress. The nurse will anticipate providing:
a. an angiotensin-converting enzyme (ACE) inhibitor.
b. intravenous nitroglycerin and a beta blocker.
c. ranolazine (Ranexa) and quinidine.
d. supplemental oxygen and intravenous morphine. - ANSWER: b.
A nurse is providing teaching for a patient with stable angina who will begin
taking nitroglycerin. Which statement by the patient indicates understanding of the
teaching?
a. "I should not participate in aerobic exercise while taking this drug."
b. "I should take aspirin daily to reduce my need for nitroglycerin."
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c. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal
attack."
d. "I take nitroglycerin to increase the amount of oxygen to my heart." -
ANSWER: c.
A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse
correctly states, "Nitroglycerin:
a. dilates coronary arteries to increase the blood flow to the heart."
b. increases the oxygen supply to the cardiac muscle."
c. increases ventricular filling to improve cardiac output."
d. promotes vasodilation, which reduces preload and oxygen demand." -
ANSWER: d.
A patient has been receiving heparin while in the hospital to treat deep vein
thromboses and will be discharged home with a prescription for enoxaparin
[Lovenox]. The nurse provides teaching for the nursing student who asks about the
advantages of enoxaparin over heparin. Which statement by the student indicates a
need for further teaching?
a. "Enoxaparin does not require coagulation monitoring."
b. "Enoxaparin has greater bioavailability than heparin."
c. "Enoxaparin is more cost-effective than heparin."
d. "Enoxaparin may be given using a fixed dosage." - ANSWER: c.
A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The
nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate
of 98 beats/minute. The patient's most recent aPTT is greater than 90 seconds. The
patient reports lumbar pain. The nurse will request an order for:
a. a repeat aPTT to be drawn immediately.
b. analgesic medication.
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c. changing heparin to aspirin.
d. protamine sulfate. - ANSWER: d.
A nursing student who is preparing to care for a postoperative patient with deep
vein thrombosis asks the nurse why the patient must take heparin rather than
warfarin. Which response by the nurse is correct?
a. "Heparin has a longer half-life."
b. "Heparin has fewer adverse effects."
c. "The onset of warfarin is delayed."
d. "Warfarin prevents platelet aggregation." - ANSWER: c.
A postoperative patient reports pain in the left lower extremity. The nurse notes
swelling in the lower leg, which feels warm to the touch. The nurse will anticipate
giving which medication?
a. Aspirin
b. Clopidogrel [Plavix]
c. Enoxaparin [Lovenox]
d. Warfarin [Coumadin] - ANSWER: c.
A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse
notifies the provider, who orders laboratory work revealing a PT of 42 seconds and
an INR of 3.5. The nurse will expect to administer:
a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
b. phytonadione (vitamin K1) 2.5 mg PO.
c. protamine sulfate 20 mg PO.
d. protamine sulfate 20 mg slow IV push. - ANSWER: a.
NR 565 MIDTERM EXAM|| NR 565 ADVANCED
PHARMACOLOGY FUNDAMENTALS MIDTERM
EXAM|| LATEST VERSION 2024-2025 FULLY
COVERED WITH ALL QUESTIONS AND CORRECT
ANSWERS 100%|| ASSURED PASS!!
A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-
mg sublingual nitroglycerin tablet, but the patient continues to complain of pain.
Vital signs remain stable. What is the nurse's next step?
a. Apply a nitroglycerin transdermal patch.
b. Continue dosing at 10-minute intervals.
c. Give a second dose of nitroglycerin in 5 minutes.
d. Request an order for intravenous nitroglycerin. - ANSWER: c.
A patient with stable exertional angina has been receiving a beta blocker. Before
giving the drug, the nurse notes a resting heart rate of 55 beats/minute. Which is an
appropriate nursing action?
a. Administer the drug as ordered, because this is a desired effect.
b. Withhold the dose and notify the provider of the heart rate.
c. Request an order for a lower dose of the medication.
d. Request an order to change to another antianginal medication. - ANSWER: a.
A nursing student is helping to care for a patient who takes verapamil for stable
angina. The nurse asks the student to explain the purpose of verapamil in the
treatment of this patient. Which statement by the student indicates a need for
further teaching?
a. "It relaxes coronary artery spasms."
b. "It reduces peripheral resistance to reduce oxygen demands."
,2|Page
c. "It reduces the heart rate, AV conduction, and contractility."
d. "It relaxes the peripheral arterioles to reduce afterload." - ANSWER: a.
A patient with angina who is taking ranolazine [Ranexa] has developed a
respiratory infection and a dysrhythmia. The provider has ordered azithromycin
[Zithromax] for the infection and amlodipine for the dysrhythmia. A nursing
student caring for this patient tells the nurse that the patient's heart rate is 70
beats/minute, and the blood pressure is 128/80 mm Hg. The nurse asks the student
to discuss the plan for this patient's care. Which action is correct?
a. Observe the patient closely for signs of respiratory toxicity.
b. Question the order for azithromycin [Zithromax].
c. Report the patient's increase in blood pressure to the provider.
d. Request an order for a different calcium channel blocker. - ANSWER: b.
A patient with new-onset exertional angina has taken three nitroglycerin sublingual
tablets at 5-minute intervals, but the pain has intensified. The nurse notes that the
patient has a heart rate of 76 beats/minute and a blood pressure of 120/82 mm Hg.
The electrocardiogram is normal. The patient's lips and nail beds are pink, and
there is no respiratory distress. The nurse will anticipate providing:
a. an angiotensin-converting enzyme (ACE) inhibitor.
b. intravenous nitroglycerin and a beta blocker.
c. ranolazine (Ranexa) and quinidine.
d. supplemental oxygen and intravenous morphine. - ANSWER: b.
A nurse is providing teaching for a patient with stable angina who will begin
taking nitroglycerin. Which statement by the patient indicates understanding of the
teaching?
a. "I should not participate in aerobic exercise while taking this drug."
b. "I should take aspirin daily to reduce my need for nitroglycerin."
,3|Page
c. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal
attack."
d. "I take nitroglycerin to increase the amount of oxygen to my heart." -
ANSWER: c.
A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse
correctly states, "Nitroglycerin:
a. dilates coronary arteries to increase the blood flow to the heart."
b. increases the oxygen supply to the cardiac muscle."
c. increases ventricular filling to improve cardiac output."
d. promotes vasodilation, which reduces preload and oxygen demand." -
ANSWER: d.
A patient has been receiving heparin while in the hospital to treat deep vein
thromboses and will be discharged home with a prescription for enoxaparin
[Lovenox]. The nurse provides teaching for the nursing student who asks about the
advantages of enoxaparin over heparin. Which statement by the student indicates a
need for further teaching?
a. "Enoxaparin does not require coagulation monitoring."
b. "Enoxaparin has greater bioavailability than heparin."
c. "Enoxaparin is more cost-effective than heparin."
d. "Enoxaparin may be given using a fixed dosage." - ANSWER: c.
A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The
nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate
of 98 beats/minute. The patient's most recent aPTT is greater than 90 seconds. The
patient reports lumbar pain. The nurse will request an order for:
a. a repeat aPTT to be drawn immediately.
b. analgesic medication.
, 4|Page
c. changing heparin to aspirin.
d. protamine sulfate. - ANSWER: d.
A nursing student who is preparing to care for a postoperative patient with deep
vein thrombosis asks the nurse why the patient must take heparin rather than
warfarin. Which response by the nurse is correct?
a. "Heparin has a longer half-life."
b. "Heparin has fewer adverse effects."
c. "The onset of warfarin is delayed."
d. "Warfarin prevents platelet aggregation." - ANSWER: c.
A postoperative patient reports pain in the left lower extremity. The nurse notes
swelling in the lower leg, which feels warm to the touch. The nurse will anticipate
giving which medication?
a. Aspirin
b. Clopidogrel [Plavix]
c. Enoxaparin [Lovenox]
d. Warfarin [Coumadin] - ANSWER: c.
A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse
notifies the provider, who orders laboratory work revealing a PT of 42 seconds and
an INR of 3.5. The nurse will expect to administer:
a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
b. phytonadione (vitamin K1) 2.5 mg PO.
c. protamine sulfate 20 mg PO.
d. protamine sulfate 20 mg slow IV push. - ANSWER: a.
