NURS 6521 PHARM MIDTERM QUESTIONS AND ANSWERS| FULLY
SOLVED
Question 1
1 out of 1 points
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. The 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?
Selected Answer: "No, the drug dosage will likely stay the same."
Question 2
1 out of 1 points
A patient with seasonal allergies is exasperated by her recent nasal congestion and has
expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient
that
Selected she must be prepared to show identification when buying a drug that contains
Answer: pseudoephedrine.
Question 3
1 out of 1 points
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?
Selected Answer: The parietal cells of the stomach have H2 receptors but not H1 receptors.
Question 4
1 out of 1 points
Which of the following will a Nurse Practitioner inform the patient is one of the most common
adverse effects of guaifenesin (Robitussin)?
Selected Answer: Gastrointestinal distress
, Question 5
1 out of 1 points
Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her
prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what
effect on her use of nitroglycerin?
Selected Answer: The woman will be more susceptible to hypotension than a younger patient.
Question 6
1 out of 1 points
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the
following statements best describe this term?
Selected Answer: Taking several drugs simultaneously
Question 7
1 out of 1 points
A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are
prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15
years. The nurse will instruct the patient to
Selected Answer: remove the contact lenses before applying the drops.
Question 8
1 out of 1 points
A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse
is providing patient education concerning the drug. An important instruction to the patient
would be to
Selected Answer: omit the dose if the meal does not contain fat.
Question 9
, 1 out of 1 points
The APRN is seeing Mrs. Smith, age 77, who is here for follow up of hypertension, dyslipidemia,
and depression. What should you consider during her follow-up?
Selected Age-related changes in renal function are the main cause of adverse drug
Answer: reactions
Question 10
1 out of 1 points
A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach
her to gradually decrease her dose of prednisone to avoid
Selected Answer: adrenal insufficiency.
Question 11
1 out of 1 points
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?
Selected Answer: The amount of alcohol consumption
Question 12
1 out of 1 points
A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her
recurrent constipation. The woman states that she experiences constipation despite the fact
that she takes docusate on a daily basis and performs cleansing enemas several times weekly.
How should the nurse best respond to this patient's statements?
Selected "Taking too many laxatives can make your bowels dependent on them, making
Answer: you more susceptible to constipation."
Question 13
SOLVED
Question 1
1 out of 1 points
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. The 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?
Selected Answer: "No, the drug dosage will likely stay the same."
Question 2
1 out of 1 points
A patient with seasonal allergies is exasperated by her recent nasal congestion and has
expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient
that
Selected she must be prepared to show identification when buying a drug that contains
Answer: pseudoephedrine.
Question 3
1 out of 1 points
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?
Selected Answer: The parietal cells of the stomach have H2 receptors but not H1 receptors.
Question 4
1 out of 1 points
Which of the following will a Nurse Practitioner inform the patient is one of the most common
adverse effects of guaifenesin (Robitussin)?
Selected Answer: Gastrointestinal distress
, Question 5
1 out of 1 points
Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her
prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what
effect on her use of nitroglycerin?
Selected Answer: The woman will be more susceptible to hypotension than a younger patient.
Question 6
1 out of 1 points
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the
following statements best describe this term?
Selected Answer: Taking several drugs simultaneously
Question 7
1 out of 1 points
A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are
prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15
years. The nurse will instruct the patient to
Selected Answer: remove the contact lenses before applying the drops.
Question 8
1 out of 1 points
A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse
is providing patient education concerning the drug. An important instruction to the patient
would be to
Selected Answer: omit the dose if the meal does not contain fat.
Question 9
, 1 out of 1 points
The APRN is seeing Mrs. Smith, age 77, who is here for follow up of hypertension, dyslipidemia,
and depression. What should you consider during her follow-up?
Selected Age-related changes in renal function are the main cause of adverse drug
Answer: reactions
Question 10
1 out of 1 points
A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach
her to gradually decrease her dose of prednisone to avoid
Selected Answer: adrenal insufficiency.
Question 11
1 out of 1 points
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?
Selected Answer: The amount of alcohol consumption
Question 12
1 out of 1 points
A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her
recurrent constipation. The woman states that she experiences constipation despite the fact
that she takes docusate on a daily basis and performs cleansing enemas several times weekly.
How should the nurse best respond to this patient's statements?
Selected "Taking too many laxatives can make your bowels dependent on them, making
Answer: you more susceptible to constipation."
Question 13
