NURS 676 I Page |1
NURS 676 Advanced Pharmacology
Midterm Exam Answers 2025-Latest
Questions And Answers 100% Original
(WCU) Accurate Summer- Fall Term
The nurse is assessing a pt who will be starting antihypertensive therapy w/ an ACE inhibitor. Which
condition, if present in the pt, would be a reason for cautious use?
A. Asthma
B. RA
C. Hyperthyroidism
D. Renal insufficiency –
P a g e 1 | 114
, NURS 676 I Page |2
Correct Answer :D. Renal insufficiency
A pt has a new prescription for transdermal nitroglycerin patches. The nurse teaches the pt that these
patches are most appropriately used for which reason?
A. To relieve exertional angina
B. To prevent palpitations
C. To prevent the occurrence of angina
D. To stop an episode of angina –
Correct Answer :C. To prevent the occurrence of angina
A nurse w/ adequate knowledge about the administration of IV nitroglycerin will recognize that which
statement is correct?
A. The IV form is given by IV push injection
B. B/c the IV forms are short-lived, the dosing must be q2hr
C. IV nitroglycerin must be protected from exposure to light through use of special tubing
D. IV nitroglycerin can be given via gravity drip infusions –
Correct Answer :C. IV nitroglycerin must be protected from exposure to light through use of special
tubing
Which statement by the pt reflects the need for additional pt education about the calcium channel
blocker diltiazem (Cardizem)?
A. "I can take this drug to stop an attack of angina"
B. "I understand that food and antacids alter the absorption of this oral drug"
C. "When the long-acting forms are taken, the drug cannot be crushed"
D. "This drug may cause my BP to drop, so I need to be careful when getting up" –
Correct Answer :A. "I can take this drug to stop an attack of angina"
P a g e 2 | 114
, NURS 676 I Page |3
While assessing a pt with angina who is to start beta blocker therapy, the nurse is aware that the
presence of which condition may be a problem if these drugs are used? Select all that apply.
A. Diabetes mellitus
B. Essential tremors
C. Exertional angina
D. Asthma
E. HTN –
Correct Answer :A. Diabetes mellitus
D. Asthma
A 68 yo male pt has been taking the nitrate isosorbide dinitrate (Isordil) for 2 years for angina. He
recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra).
Which response would the nurse most likely hear from the prescriber?
A. "He will have to be switched to isosorbide mononitrate if he wants to take sildenafil"
B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a contraindication exists"
C. "I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one dose"
D. "These drugs are compatible w/ each other, and so I'll write a prescription" –
Correct Answer :B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a
contraindication exists"
The nurse is reviewing drug interactions w/ a male pt who has a prescription for isosorbide dinitrate
(Isordil) as treatment for angina symptoms. Which substances listed below could potentially result in a
drug interaction? Select all that apply.
A. A glass of wine
B. Thyroid replacement hormone
C. Tadalafil (Cialis), an erectile dysfunction drug
D. Metformin (Glucophage), an antidiabetic drug
P a g e 3 | 114
, NURS 676 I Page |4
E. Carvedilol (Coreg), a beta blocker –
Correct Answer :A. A glass of wine
C. Tadalafil (Cialis), an erectile dysfunction drug
E. Carvedilol (Coreg), a beta blocker
A pt w/ angina has been given a prescription for a calcium channel blocker. The nurse knows that this
class of drugs is used to treat which type of angina?
A. Effort
B. Unstable
C. Cresendo
D. Vasospastic –
Correct Answer :D. Vasospastic
When teaching the pt about signs and symptoms of cardiac glycoside toxicity, the nurse should alert
the pt to watch for which of these? Select all that apply.
A. Dizziness
B. Visual changes such as halos around lights
C. Headaches
D. Increased urine output
E. Dark stools –
Correct Answer :A. Dizziness
B. Visual changes such as halos around lights
C. Headaches
During assessment of a pt who is receiving digoxin, the nurse monitors for findings that would indicate
an increased possibility of toxicity, such as
P a g e 4 | 114
NURS 676 Advanced Pharmacology
Midterm Exam Answers 2025-Latest
Questions And Answers 100% Original
(WCU) Accurate Summer- Fall Term
The nurse is assessing a pt who will be starting antihypertensive therapy w/ an ACE inhibitor. Which
condition, if present in the pt, would be a reason for cautious use?
A. Asthma
B. RA
C. Hyperthyroidism
D. Renal insufficiency –
P a g e 1 | 114
, NURS 676 I Page |2
Correct Answer :D. Renal insufficiency
A pt has a new prescription for transdermal nitroglycerin patches. The nurse teaches the pt that these
patches are most appropriately used for which reason?
A. To relieve exertional angina
B. To prevent palpitations
C. To prevent the occurrence of angina
D. To stop an episode of angina –
Correct Answer :C. To prevent the occurrence of angina
A nurse w/ adequate knowledge about the administration of IV nitroglycerin will recognize that which
statement is correct?
A. The IV form is given by IV push injection
B. B/c the IV forms are short-lived, the dosing must be q2hr
C. IV nitroglycerin must be protected from exposure to light through use of special tubing
D. IV nitroglycerin can be given via gravity drip infusions –
Correct Answer :C. IV nitroglycerin must be protected from exposure to light through use of special
tubing
Which statement by the pt reflects the need for additional pt education about the calcium channel
blocker diltiazem (Cardizem)?
A. "I can take this drug to stop an attack of angina"
B. "I understand that food and antacids alter the absorption of this oral drug"
C. "When the long-acting forms are taken, the drug cannot be crushed"
D. "This drug may cause my BP to drop, so I need to be careful when getting up" –
Correct Answer :A. "I can take this drug to stop an attack of angina"
P a g e 2 | 114
, NURS 676 I Page |3
While assessing a pt with angina who is to start beta blocker therapy, the nurse is aware that the
presence of which condition may be a problem if these drugs are used? Select all that apply.
A. Diabetes mellitus
B. Essential tremors
C. Exertional angina
D. Asthma
E. HTN –
Correct Answer :A. Diabetes mellitus
D. Asthma
A 68 yo male pt has been taking the nitrate isosorbide dinitrate (Isordil) for 2 years for angina. He
recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra).
Which response would the nurse most likely hear from the prescriber?
A. "He will have to be switched to isosorbide mononitrate if he wants to take sildenafil"
B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a contraindication exists"
C. "I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one dose"
D. "These drugs are compatible w/ each other, and so I'll write a prescription" –
Correct Answer :B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a
contraindication exists"
The nurse is reviewing drug interactions w/ a male pt who has a prescription for isosorbide dinitrate
(Isordil) as treatment for angina symptoms. Which substances listed below could potentially result in a
drug interaction? Select all that apply.
A. A glass of wine
B. Thyroid replacement hormone
C. Tadalafil (Cialis), an erectile dysfunction drug
D. Metformin (Glucophage), an antidiabetic drug
P a g e 3 | 114
, NURS 676 I Page |4
E. Carvedilol (Coreg), a beta blocker –
Correct Answer :A. A glass of wine
C. Tadalafil (Cialis), an erectile dysfunction drug
E. Carvedilol (Coreg), a beta blocker
A pt w/ angina has been given a prescription for a calcium channel blocker. The nurse knows that this
class of drugs is used to treat which type of angina?
A. Effort
B. Unstable
C. Cresendo
D. Vasospastic –
Correct Answer :D. Vasospastic
When teaching the pt about signs and symptoms of cardiac glycoside toxicity, the nurse should alert
the pt to watch for which of these? Select all that apply.
A. Dizziness
B. Visual changes such as halos around lights
C. Headaches
D. Increased urine output
E. Dark stools –
Correct Answer :A. Dizziness
B. Visual changes such as halos around lights
C. Headaches
During assessment of a pt who is receiving digoxin, the nurse monitors for findings that would indicate
an increased possibility of toxicity, such as
P a g e 4 | 114
