NUR 635 Midterm Exam Questions And Correct Verified Answers New
Updated Version 2026
A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before
knowing she was pregnant might have harmed the fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termination of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center. - answer-a. Ask the patient what she
took and when she learned she was pregnant.
A patient has just given birth to a baby boy with a cleft palate. The nurse will review the patient's
medication history with special emphasis on drugs taken during which period?
a. Before she became pregnant
b. During the first trimester
c. During the second trimester
d. During the third trimester - answer-b. During the first trimester
A patient at 26 weeks' gestation presents to the labor and delivery unit in preterm labor. The practitioner
orders terbutaline to be administered subcutaneously. On initial assessment, the patient's blood pressure is
180/99 mm Hg, and a urine dipstick test indicates +3 protein. The patient is aIso reporting visual disturbances.
Why should the nurse contact the practitioner to clarify whether terbutaline is appropriate for this patient?
A. Terbutaline is contraindicated in pregnancies at 26 weeks' gestation.
B. Terbutaline is contraindicated in patients with severe preeclampsia.
C. Terbutaline is more effective as a maintenance tocolytic than as a first-line tocolytic.
D. Terbutaline is limited to first-line tocolytics. - answer-B. Terbutaline is contraindicated in patients with
severe preeclampsia.
Terbutaline is ordered for preterm labor in a patient at 30 weeks' gestation. Ten minutes earlier, she received
an initial dose of terbutaline 0.25 mg subcutaneously. The nurse completes an assessment. The
,patient's heart rate is 110 bpm, the FHR is classified as Category I (normal) but is elevated 10 bpm above
normal baseline, and the patient is reporting new-onset headache, nervousness, and flushing. What should
the nurse do?
A. Reassure the patient that her symptoms are not from the terbutaline.
B. Notify the practitioner that the patient is having a possible allergic reaction to the medication.
C. Continue to monitor the patient closely and explain that these are normal adverse reactions to
terbutaline.
D. Tell the patient that she is experiencing normal preterm labor symptoms. - answer-C. Continue to
monitor the patient closely and explain that these are normal adverse reactions to terbutaline.
A nurse is administering terbutaline 0.25 mg subcutaneously as ordered by the practitioner. The patient's
heart rate is 150 bpm, her blood pressure is 88/55 mm Hg, and she is shaking and complaining of chest
discomfort. Which order can the nurse anticipate receiving?
A. Continue the administration of terbutaline; these are normal adverse reactions.
B. Administer propranolol.
C. Administer a bolus with IV fluids.
D. Start administering magnesium sulfate. - answer-B. Administer propranolol.
Terbutaline is labeled for use as a bronchodilator. It is used on an unlabeled basis to suppress preterm labor.
What is the classification and mechanism of action of terbutaline?
A. Terbutaline is an alpha-adrenergic agonist that works by relaxing smooth muscle, including the
uterus, when the alpha-adrenergic receptor agonists are stimulated.
B. Terbutaline is a beta-adrenergic agonist that works by relaxing smooth muscle, including the uterus,when
the beta-adrenergic receptor agonists are stimulated.
C. Terbutaline is a beta-adrenergic agonist that works by expanding smooth muscle, including the
uterus, when the beta-adrenergic receptor agonists are stimulated.
D. Terbutaline is an alpha-adrenergic agonist that works by contracting smnooth muscle, including the uterus,
when the alpha-adrenergic receptor agonists are stimulated. - answer-B. Terbutaline is a beta-adrenergic
agonist that works by relaxing smooth muscle, including the uterus, when the beta-adrenergic receptor
agonists are stimulated.
A nurse is caring for an infant after a surgical procedure. After ensuring that the ordered dose is
appropriate for the infant's age and weight, the nurse administers a narcotic analgesic intravenously.When
assessing the infant 15 minutes later, the nurse notes respirations of 22 breaths/minute and a
,heart rate of 110 beats/minute. The infant is asleep in the parent's arms and does not awaken when vital
signs are assessed. The nurse understands that these findings are the result of:
a. an allergic reaction to the medication.
b. immaturity of the blood-brain barrier in the infant.
c. toxic effects of the narcotic, requiring naloxone as an antidote.
d. unexpected side effects of medications in infants. - answer-b. immaturity of the blood-brain barrier in the
infant.
A nurse is concerned about renal function in an 84-year-old patient who is taking several medications.What
will the nurse assess?
a. Creatinine clearance
b. Sodium levels
c. Potassium levels
d. Serum creatinine - answer-a. Creatinine clearance
Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollmentin medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians. - answer-a. More patients will have
access to health care.
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. Administer the drug as
ordered, because this is a desired effect.
, 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 76beats/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. intravenous nitroglycerin and a beta
blocker.
Which finding would indicate that terazosin has been effective for a patient with BPH?
a. Decreased prostate size
b. Increased urinary frequency
c. Improved urinary hesitation
d. Decreased serum PSA levels - answer-c. Improved urinary hesitation
A nurse is teaching the parent of a child with spastic quadriplegia about intrathecal baclofen [Lioresal].Which
statement by the parent indicates a need for further teaching?
a. "I can expect my child to be more drowsy when receiving this medication."
b. "I should not notice any change in my child's muscle strength."
C.,"I will contact the provider if my child is constipated or cannot urinate."
d. "If my child has a seizure, I should stop giving the medication immediately." - answer-d. "If my child has a
seizure, I should stop giving the medication immediately."
A 25-year-old patient has been newly diagnosed with Parkinson disease, and the prescriber is considering using
pramipexole [Mirapex]. Before beginning therapy with this drug, the nurse will ask the patient about:
a. any history of alcohol abuse or compulsive behaviors.
b. any previous history of hypertension.
c. difficulty falling asleep or staying asleep.
d. whether any family members have experienced psychoses. - answer-a. any history of alcohol abuse or
compulsive behaviors.
Updated Version 2026
A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before
knowing she was pregnant might have harmed the fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termination of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center. - answer-a. Ask the patient what she
took and when she learned she was pregnant.
A patient has just given birth to a baby boy with a cleft palate. The nurse will review the patient's
medication history with special emphasis on drugs taken during which period?
a. Before she became pregnant
b. During the first trimester
c. During the second trimester
d. During the third trimester - answer-b. During the first trimester
A patient at 26 weeks' gestation presents to the labor and delivery unit in preterm labor. The practitioner
orders terbutaline to be administered subcutaneously. On initial assessment, the patient's blood pressure is
180/99 mm Hg, and a urine dipstick test indicates +3 protein. The patient is aIso reporting visual disturbances.
Why should the nurse contact the practitioner to clarify whether terbutaline is appropriate for this patient?
A. Terbutaline is contraindicated in pregnancies at 26 weeks' gestation.
B. Terbutaline is contraindicated in patients with severe preeclampsia.
C. Terbutaline is more effective as a maintenance tocolytic than as a first-line tocolytic.
D. Terbutaline is limited to first-line tocolytics. - answer-B. Terbutaline is contraindicated in patients with
severe preeclampsia.
Terbutaline is ordered for preterm labor in a patient at 30 weeks' gestation. Ten minutes earlier, she received
an initial dose of terbutaline 0.25 mg subcutaneously. The nurse completes an assessment. The
,patient's heart rate is 110 bpm, the FHR is classified as Category I (normal) but is elevated 10 bpm above
normal baseline, and the patient is reporting new-onset headache, nervousness, and flushing. What should
the nurse do?
A. Reassure the patient that her symptoms are not from the terbutaline.
B. Notify the practitioner that the patient is having a possible allergic reaction to the medication.
C. Continue to monitor the patient closely and explain that these are normal adverse reactions to
terbutaline.
D. Tell the patient that she is experiencing normal preterm labor symptoms. - answer-C. Continue to
monitor the patient closely and explain that these are normal adverse reactions to terbutaline.
A nurse is administering terbutaline 0.25 mg subcutaneously as ordered by the practitioner. The patient's
heart rate is 150 bpm, her blood pressure is 88/55 mm Hg, and she is shaking and complaining of chest
discomfort. Which order can the nurse anticipate receiving?
A. Continue the administration of terbutaline; these are normal adverse reactions.
B. Administer propranolol.
C. Administer a bolus with IV fluids.
D. Start administering magnesium sulfate. - answer-B. Administer propranolol.
Terbutaline is labeled for use as a bronchodilator. It is used on an unlabeled basis to suppress preterm labor.
What is the classification and mechanism of action of terbutaline?
A. Terbutaline is an alpha-adrenergic agonist that works by relaxing smooth muscle, including the
uterus, when the alpha-adrenergic receptor agonists are stimulated.
B. Terbutaline is a beta-adrenergic agonist that works by relaxing smooth muscle, including the uterus,when
the beta-adrenergic receptor agonists are stimulated.
C. Terbutaline is a beta-adrenergic agonist that works by expanding smooth muscle, including the
uterus, when the beta-adrenergic receptor agonists are stimulated.
D. Terbutaline is an alpha-adrenergic agonist that works by contracting smnooth muscle, including the uterus,
when the alpha-adrenergic receptor agonists are stimulated. - answer-B. Terbutaline is a beta-adrenergic
agonist that works by relaxing smooth muscle, including the uterus, when the beta-adrenergic receptor
agonists are stimulated.
A nurse is caring for an infant after a surgical procedure. After ensuring that the ordered dose is
appropriate for the infant's age and weight, the nurse administers a narcotic analgesic intravenously.When
assessing the infant 15 minutes later, the nurse notes respirations of 22 breaths/minute and a
,heart rate of 110 beats/minute. The infant is asleep in the parent's arms and does not awaken when vital
signs are assessed. The nurse understands that these findings are the result of:
a. an allergic reaction to the medication.
b. immaturity of the blood-brain barrier in the infant.
c. toxic effects of the narcotic, requiring naloxone as an antidote.
d. unexpected side effects of medications in infants. - answer-b. immaturity of the blood-brain barrier in the
infant.
A nurse is concerned about renal function in an 84-year-old patient who is taking several medications.What
will the nurse assess?
a. Creatinine clearance
b. Sodium levels
c. Potassium levels
d. Serum creatinine - answer-a. Creatinine clearance
Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollmentin medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians. - answer-a. More patients will have
access to health care.
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. Administer the drug as
ordered, because this is a desired effect.
, 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 76beats/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. intravenous nitroglycerin and a beta
blocker.
Which finding would indicate that terazosin has been effective for a patient with BPH?
a. Decreased prostate size
b. Increased urinary frequency
c. Improved urinary hesitation
d. Decreased serum PSA levels - answer-c. Improved urinary hesitation
A nurse is teaching the parent of a child with spastic quadriplegia about intrathecal baclofen [Lioresal].Which
statement by the parent indicates a need for further teaching?
a. "I can expect my child to be more drowsy when receiving this medication."
b. "I should not notice any change in my child's muscle strength."
C.,"I will contact the provider if my child is constipated or cannot urinate."
d. "If my child has a seizure, I should stop giving the medication immediately." - answer-d. "If my child has a
seizure, I should stop giving the medication immediately."
A 25-year-old patient has been newly diagnosed with Parkinson disease, and the prescriber is considering using
pramipexole [Mirapex]. Before beginning therapy with this drug, the nurse will ask the patient about:
a. any history of alcohol abuse or compulsive behaviors.
b. any previous history of hypertension.
c. difficulty falling asleep or staying asleep.
d. whether any family members have experienced psychoses. - answer-a. any history of alcohol abuse or
compulsive behaviors.
