NURS676 MIDTERM EXAM2026-2027
b b
question COMPLETE WITHANSWERS
b b
Course NURSb676bAdvancedbPharmacologyb-
• QUIZb1
1outbofb1points
bAbpatientbcomesbtobthebclinicbaskingbforbhelpbtobquitbdrinkingbalcohol.bShebhasbab21-
yearb historybofbheavybdrinkingb andbisbworriedb aboutb developingb cirrhosisb ofbtheb liver.bTheb patientb
agreesb tobtakebdisulfiramb (Antabuse).b Theb nurseb willb teachb theb patientb thatb theb combinationb of
b alcoholb andbAntabuseb willb causebwhichb ofbthebfollowing?
RESPONSE:b Nausea
• QUIZb2
0boutbofb1points
Youbdecidebtobstartbyourbpt,Ms.bRodrigues,bonspironolactoneb(Aldactone)bSObmgbPObdaily.b AsbthebN
P,byoub willb instructb theb patientb tob callb theb clinicb ifb whichb symptomsb areb experienced?
RESPONSE:b Increasedbirritability,b abdominalb cramping,bandblowerbextremitybweakness.
• QUIZb3
1outbofb1points
, Abclinicb NursebPractitionerb isbplanningbcarebforbab68-year-
oldbmanwhob hasbbeenonbomeprazoleb(Prilosec)b therapyb forb heartburnb forb someb time.b Regardingb the
b patient'sb safety,b whichb ofb thebfollowingb wouldb beb ab priorityb nursingbaction?
CORRECTbANSWER:b Coordinatebbonebdensitybtestingbforbthebpatient.
• Quizb4
Ob outbofb 1points
Yourb patientb isb onb Atorvastatinb 40b mgb daily,b andb presentsb forb theirb routineb followb upbappointm
ent.b Theyb complainb ofb extremebfatigue,b musclebaches,bandbdarkbcoloredb urine.bWhatb isbyourb best
b coursebofbactionbgivenb presentation?
RESPONSE:b Obtainbabliverfunctionbtest
• QUIZb 5
Ob outbofb 1points
Thebfirstb drugsbtypicallyb usedbtobtreatthebsymptomsb ofanballergicb reactionorballergicb rhinitisb are:bRESP
ONSE:bintranasalbH1antihistamines.
• QUIZb6
0boutbofb1points
Glucocorticoidsbaffectthebmetabolismbofbcarbohydrates,b protein,bandfats.bRESPONS
E:bFalse
• QUIZb7
1outbofb1points
Mr.Lastingerbwasprescribedbwarfarinsodium(Coumadin).
Youadvisehimtob avoideatinglargeb
amountsbofbleafybgreenbvegetablesbbecause:
RESPONSE:bThebhighvitaminbKblevelswilbIdecreasebthebINR
• QUIZb8
1outbofb1points
Theb nursebpractitionerb hasbprescribedb elementalb ironb6bmg/kg/dayb inbthreeb dividedb dosesb forb abto
ddlerb diagnosedb withb iron-
deficiencyb anemia.b Whatb instructionsb wouldb theb familyb nursebpractitionerb includebforb theb parent
s?
, CORRECTb ANSWER:b Givebthemedicationthroughb astrawbtobdecreasebthebstainingofb theteeth.
• @QSNb9
1outbofb1points
Ab femaleb patientb isbtakingb 0.125b mgbofb digoxinb dailyb forb heartb failure.b Atb ab recentb clinicb visitb she
b reportsthatbsincebshebhasbbeenonthebdrug,bshebcanb breathebbetterbandbherbheartbratebhasbbeenbaro
undb 74b beatsb perb minute.bTheb nursebweighsb theb patientb andb noticesb thatb sheb hasb gainedb 10bpo
undsb sinceb theb digoxinb therapyb wasb started.b Theb patientb isbconcernedb thatb theb additionalbweig
htb willb necessitateb anb increaseb inbtheb medication.b Whichb ofb theb followingb isb anb appropriatebCO
RRECTbANSWERbbythebnurse?
CORRECTbANSWER:b "No,bthebdrugdosagebwilllikelybstaybthebsame."
• @QSNblO
0boutbofb1points
Abmalebpatientbistob beginbglyburideb (Diabeta)bforbtypeb2bdiabetes.b Beforebthebdrugtherapyb begins,b abpri
orityb actionb bybtheb nurseb willb bebtob assessb theb patient's
CORRECTbANSWER:b potassiumblevel.
• @QSNb ll
1outbofb1points
,
Theb pointbinbtimebontheb drugbconcentrationb curvebthatb indicatesbthebfirstb signbofatherapeuticb effect
isbthe
b
CORRECTbANSWER:b onsetofaction
• @QSNb12
0boutbofb1points
Metforminb (Glucophage)b actsb by:bCORREC
TbANSWER:bEnhancingbinsulinbsecretion
• @QSNb13
1outbofb1points
Somebfirst-
generationb antihistaminesb arebused:bCORRECT
b ANSWER:btobpreventbmotionbsickness
• @QSNb14
b b
question COMPLETE WITHANSWERS
b b
Course NURSb676bAdvancedbPharmacologyb-
• QUIZb1
1outbofb1points
bAbpatientbcomesbtobthebclinicbaskingbforbhelpbtobquitbdrinkingbalcohol.bShebhasbab21-
yearb historybofbheavybdrinkingb andbisbworriedb aboutb developingb cirrhosisb ofbtheb liver.bTheb patientb
agreesb tobtakebdisulfiramb (Antabuse).b Theb nurseb willb teachb theb patientb thatb theb combinationb of
b alcoholb andbAntabuseb willb causebwhichb ofbthebfollowing?
RESPONSE:b Nausea
• QUIZb2
0boutbofb1points
Youbdecidebtobstartbyourbpt,Ms.bRodrigues,bonspironolactoneb(Aldactone)bSObmgbPObdaily.b AsbthebN
P,byoub willb instructb theb patientb tob callb theb clinicb ifb whichb symptomsb areb experienced?
RESPONSE:b Increasedbirritability,b abdominalb cramping,bandblowerbextremitybweakness.
• QUIZb3
1outbofb1points
, Abclinicb NursebPractitionerb isbplanningbcarebforbab68-year-
oldbmanwhob hasbbeenonbomeprazoleb(Prilosec)b therapyb forb heartburnb forb someb time.b Regardingb the
b patient'sb safety,b whichb ofb thebfollowingb wouldb beb ab priorityb nursingbaction?
CORRECTbANSWER:b Coordinatebbonebdensitybtestingbforbthebpatient.
• Quizb4
Ob outbofb 1points
Yourb patientb isb onb Atorvastatinb 40b mgb daily,b andb presentsb forb theirb routineb followb upbappointm
ent.b Theyb complainb ofb extremebfatigue,b musclebaches,bandbdarkbcoloredb urine.bWhatb isbyourb best
b coursebofbactionbgivenb presentation?
RESPONSE:b Obtainbabliverfunctionbtest
• QUIZb 5
Ob outbofb 1points
Thebfirstb drugsbtypicallyb usedbtobtreatthebsymptomsb ofanballergicb reactionorballergicb rhinitisb are:bRESP
ONSE:bintranasalbH1antihistamines.
• QUIZb6
0boutbofb1points
Glucocorticoidsbaffectthebmetabolismbofbcarbohydrates,b protein,bandfats.bRESPONS
E:bFalse
• QUIZb7
1outbofb1points
Mr.Lastingerbwasprescribedbwarfarinsodium(Coumadin).
Youadvisehimtob avoideatinglargeb
amountsbofbleafybgreenbvegetablesbbecause:
RESPONSE:bThebhighvitaminbKblevelswilbIdecreasebthebINR
• QUIZb8
1outbofb1points
Theb nursebpractitionerb hasbprescribedb elementalb ironb6bmg/kg/dayb inbthreeb dividedb dosesb forb abto
ddlerb diagnosedb withb iron-
deficiencyb anemia.b Whatb instructionsb wouldb theb familyb nursebpractitionerb includebforb theb parent
s?
, CORRECTb ANSWER:b Givebthemedicationthroughb astrawbtobdecreasebthebstainingofb theteeth.
• @QSNb9
1outbofb1points
Ab femaleb patientb isbtakingb 0.125b mgbofb digoxinb dailyb forb heartb failure.b Atb ab recentb clinicb visitb she
b reportsthatbsincebshebhasbbeenonthebdrug,bshebcanb breathebbetterbandbherbheartbratebhasbbeenbaro
undb 74b beatsb perb minute.bTheb nursebweighsb theb patientb andb noticesb thatb sheb hasb gainedb 10bpo
undsb sinceb theb digoxinb therapyb wasb started.b Theb patientb isbconcernedb thatb theb additionalbweig
htb willb necessitateb anb increaseb inbtheb medication.b Whichb ofb theb followingb isb anb appropriatebCO
RRECTbANSWERbbythebnurse?
CORRECTbANSWER:b "No,bthebdrugdosagebwilllikelybstaybthebsame."
• @QSNblO
0boutbofb1points
Abmalebpatientbistob beginbglyburideb (Diabeta)bforbtypeb2bdiabetes.b Beforebthebdrugtherapyb begins,b abpri
orityb actionb bybtheb nurseb willb bebtob assessb theb patient's
CORRECTbANSWER:b potassiumblevel.
• @QSNb ll
1outbofb1points
,
Theb pointbinbtimebontheb drugbconcentrationb curvebthatb indicatesbthebfirstb signbofatherapeuticb effect
isbthe
b
CORRECTbANSWER:b onsetofaction
• @QSNb12
0boutbofb1points
Metforminb (Glucophage)b actsb by:bCORREC
TbANSWER:bEnhancingbinsulinbsecretion
• @QSNb13
1outbofb1points
Somebfirst-
generationb antihistaminesb arebused:bCORRECT
b ANSWER:btobpreventbmotionbsickness
• @QSNb14
