NRNP 6521 Midterm Exam 2026 – Advanced Nursing Care Study Guide & Practice Questions
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients
to - (answer)take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing
neuropathic pain in recent months, a symptom that has not responded appreciably to conventional
analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the
addition of this drug likely to influence the management of the patient's existing drug regimen? -
(answer)It is unlikely to influence the patient's other medications because gabapentin does not interact
with other drugs.
of the following assessment findings should an assisted living facility has begun taking daily oral
Following an assessment by her primary care provider, a 70-year-old resident of doses of levothyroxine.
Which prompt the nurse to withhold a scheduled dose of levothyroxine? - (answer)The resident's apical
heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system? - (answer)Cilia sweep foreign material and mucus
upward toward the trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the patient to
take the medication - (answer)at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug
interactions in this population. When educating a group of seniors about the prevention of drug
interactions, the Nurse Practitioner should encourage them to - (answer)consult their care provider
before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following
statements best describe this term? - (answer)Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects
from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy.
Which of the following adverse effects would need the Nurse Practitioner's immediate attention? -
(answer)Increased blood glucose
, NRNP 6521 Midterm Exam 2026 – Advanced Nursing Care Study Guide & Practice Questions
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at
bedtime and regular insulin before meals. What instructions should the NP provide about the timing and
dose of regular insulin? - (answer)Take 1 unit of regular insulin for each 10 grams of carbohydrate to be
consumed 15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause - (answer)rebound
rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught
about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about
the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should
the nurse suggests the parents to use in these situations? - (answer)Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her
health problem. Verapamil achieves a therapeutic effect by - (answer)blocking adrenergic receptors and
producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the
patient to be most alert for a potential hypoglycemic reaction? - (answer)Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving., All of
the following are options to prescribe for the patient now EXCEPT: - (answer)Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client may have
drug allergies that have not been previously documented. What statement by the client would confirm
this? - (answer)"I broke out in hives and got terribly itchy when I started a new prescription last year."
A homeless man who is well known to care providers at the local hospital has been admitted to the
emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol
user and is malnourished with a very low body mass index. How are this patient's characteristics likely to
influence possible treatment with phenytoin? - (answer)The patient's protein deficit will likely increase
the levels of the free drug in his blood.
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients
to - (answer)take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing
neuropathic pain in recent months, a symptom that has not responded appreciably to conventional
analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the
addition of this drug likely to influence the management of the patient's existing drug regimen? -
(answer)It is unlikely to influence the patient's other medications because gabapentin does not interact
with other drugs.
of the following assessment findings should an assisted living facility has begun taking daily oral
Following an assessment by her primary care provider, a 70-year-old resident of doses of levothyroxine.
Which prompt the nurse to withhold a scheduled dose of levothyroxine? - (answer)The resident's apical
heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system? - (answer)Cilia sweep foreign material and mucus
upward toward the trachea and larynx where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the patient to
take the medication - (answer)at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug
interactions in this population. When educating a group of seniors about the prevention of drug
interactions, the Nurse Practitioner should encourage them to - (answer)consult their care provider
before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following
statements best describe this term? - (answer)Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects
from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy.
Which of the following adverse effects would need the Nurse Practitioner's immediate attention? -
(answer)Increased blood glucose
, NRNP 6521 Midterm Exam 2026 – Advanced Nursing Care Study Guide & Practice Questions
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at
bedtime and regular insulin before meals. What instructions should the NP provide about the timing and
dose of regular insulin? - (answer)Take 1 unit of regular insulin for each 10 grams of carbohydrate to be
consumed 15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause - (answer)rebound
rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught
about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about
the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should
the nurse suggests the parents to use in these situations? - (answer)Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her
health problem. Verapamil achieves a therapeutic effect by - (answer)blocking adrenergic receptors and
producing antisympathetic effects.
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the
patient to be most alert for a potential hypoglycemic reaction? - (answer)Late afternoon
A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving., All of
the following are options to prescribe for the patient now EXCEPT: - (answer)Amoxicillin/clavulanic acid
The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client may have
drug allergies that have not been previously documented. What statement by the client would confirm
this? - (answer)"I broke out in hives and got terribly itchy when I started a new prescription last year."
A homeless man who is well known to care providers at the local hospital has been admitted to the
emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol
user and is malnourished with a very low body mass index. How are this patient's characteristics likely to
influence possible treatment with phenytoin? - (answer)The patient's protein deficit will likely increase
the levels of the free drug in his blood.
