6521 Midterm EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027
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: - CORRECT
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? - CORRECT 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? - CORRECT ANSWER-The
patient's protein deficit will likely increase the levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of
GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of diseases
of the upper GI tract? - CORRECT ANSWER-The parietal cells of the stomach have H2 receptors
but not H1 receptors.
A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the
following will be a priority assessment by the nurse before the patient's first dose? - CORRECT
ANSWER-The amount of alcohol consumption
,In light of her recent high blood pressure readings, a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely
rationale for using two medications to address the patient's hypertension? - CORRECT ANSWER-
Using the two drugs to treat a health problem may create a synergistic effect.
A woman with numerous chronic health problems has been diagnosed with a benign gastric
ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points
should the nurse provide to this patient? - CORRECT ANSWER-"Quitting smoking will
significantly increase the chance that this drug will heal your ulcer."
The APRN should educate a diabetic patient that beta blockers may mask the signs and
symptoms of - CORRECT ANSWER-hypoglycemia
A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? - CORRECT ANSWER-The therapeutic effects and
possible adverse effects
Advanced practice nurse prescribing of scheduled medications is affected most by: - CORRECT
ANSWER-Combined state medical / pharmacy /nursing prescribing board regulations
The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of
metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting
blood sugar of 312 and HBA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg.
What dose and instructions should the APRN provide? - CORRECT ANSWER-Give 19 units of
Lantus subcutaneously prior to bedtime.
A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's
assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension.
The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide
, therapy begins, it will be most important for the nurse to assess the patient's - CORRECT
ANSWER-medication history.
A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she
reports that since she has been on the drug, she can breathe better and her heart rate has been
around 74 beats per minute. nurse weighs the patient and notices that she has gained 10
pounds since the digoxin therapy was started. The patient is concerned that the additional
weight will necessitate an increase in the medication. Which of the following is an appropriate
response by the nurse? - CORRECT ANSWER-"No, the drug dosage will likely stay the same."
A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which
of the following findings would alert the nurse to the need for close monitoring? - CORRECT
ANSWER-Need for additional bronchodilation
A patient has a history of tonic-clonic seizures that have been successfully treated with
phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by - CORRECT
ANSWER-decreasing the influx of sodium into neurons.
A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He
has been prescribed theophylline by his family doctor. What effect will the patient's smoking
status have on the therapeutic use of theophylline? - CORRECT ANSWER-The patient may
require higher doses of theophylline than a nonsmoker
A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and
has been prescribed a new medication to treat the spasms. She has a poorly documented
allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to
ensure that prescribed medication does not experience an allergic reaction? - CORRECT
ANSWER-Post an allergies notice on the front of the chart and document the allergies in the
appropriate area of the patient's record
QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027
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: - CORRECT
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? - CORRECT 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? - CORRECT ANSWER-The
patient's protein deficit will likely increase the levels of the free drug in his blood.
A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of
GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of diseases
of the upper GI tract? - CORRECT ANSWER-The parietal cells of the stomach have H2 receptors
but not H1 receptors.
A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the
following will be a priority assessment by the nurse before the patient's first dose? - CORRECT
ANSWER-The amount of alcohol consumption
,In light of her recent high blood pressure readings, a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely
rationale for using two medications to address the patient's hypertension? - CORRECT ANSWER-
Using the two drugs to treat a health problem may create a synergistic effect.
A woman with numerous chronic health problems has been diagnosed with a benign gastric
ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points
should the nurse provide to this patient? - CORRECT ANSWER-"Quitting smoking will
significantly increase the chance that this drug will heal your ulcer."
The APRN should educate a diabetic patient that beta blockers may mask the signs and
symptoms of - CORRECT ANSWER-hypoglycemia
A patient has been prescribed a drug that can be self-administered at home. Which of the
following would be the most important information for the nurse to relate to the patient
concerning self-administration of a drug? - CORRECT ANSWER-The therapeutic effects and
possible adverse effects
Advanced practice nurse prescribing of scheduled medications is affected most by: - CORRECT
ANSWER-Combined state medical / pharmacy /nursing prescribing board regulations
The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of
metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting
blood sugar of 312 and HBA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg.
What dose and instructions should the APRN provide? - CORRECT ANSWER-Give 19 units of
Lantus subcutaneously prior to bedtime.
A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's
assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension.
The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide
, therapy begins, it will be most important for the nurse to assess the patient's - CORRECT
ANSWER-medication history.
A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she
reports that since she has been on the drug, she can breathe better and her heart rate has been
around 74 beats per minute. nurse weighs the patient and notices that she has gained 10
pounds since the digoxin therapy was started. The patient is concerned that the additional
weight will necessitate an increase in the medication. Which of the following is an appropriate
response by the nurse? - CORRECT ANSWER-"No, the drug dosage will likely stay the same."
A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which
of the following findings would alert the nurse to the need for close monitoring? - CORRECT
ANSWER-Need for additional bronchodilation
A patient has a history of tonic-clonic seizures that have been successfully treated with
phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by - CORRECT
ANSWER-decreasing the influx of sodium into neurons.
A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He
has been prescribed theophylline by his family doctor. What effect will the patient's smoking
status have on the therapeutic use of theophylline? - CORRECT ANSWER-The patient may
require higher doses of theophylline than a nonsmoker
A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and
has been prescribed a new medication to treat the spasms. She has a poorly documented
allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to
ensure that prescribed medication does not experience an allergic reaction? - CORRECT
ANSWER-Post an allergies notice on the front of the chart and document the allergies in the
appropriate area of the patient's record
