NURS 6521 Midterm Exam Questions and Answers
NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-
Advanced Pharmacology
• Question 1
A patient has been prescribed an oral drug that is known to have a high first-pass effect.
Which of the following measures has the potential to increase the amount of the free drug that
is available to body cells?
Answer: Administering the drug intravenously rather than orally
• Question 2
A nurse works in a private hospital and needs to administer some narcotic drugs to one of her
patients. Which of the following should the nurse consider when administering narcotics to
patients in a hospital setting?
Answer: Narcotics to be used in the hospital are dispensed only with a written
prescription.
,• Question 3
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse
consists mainly of
Answer: nonpharmacologic interventions combined with an exercise program.
• Question 4
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic.
Which of the following would be the nurse's priority assessments?
Answer: Pain intensity, respiratory rate, and level of consciousness
• Question 5
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following
should the nurse anticipate?
Answer: The drug will decrease in effectiveness
• Question 6
A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable
angina and new prescription for nitroglycerin. Which of the following nursing diagnoses
should the nurse prioritize in the planning of this patient's care?
Answer: Acute Pain, Headache, related to adverse effects of drug therapy
• Question 7
, A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which
of the following drug nomenclatures should the nurse use to list the drugs?
Answer: The drugs' generic names
• Question 8
Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is
the primary purpose of this testing process?
Answer: To ensure the safety of the public
• Question 9
During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The
nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the
past 7 years. The nurse informed the patient that prolonged use of laxatives
Answer: may cause nutrient deficiencies.
• Question 10
A home health nurse notes that there have been changes to a patient's oral drug regimen. The
nurse will closely monitor the new drug regimen to
Answer: identify any changes in drug absorption that would change the drug effect.
• Question 11
What critical piece of information is missing from the following medication order:
Amoxicillin 250 mg every 8 hours?
Answer: Route
• Question 12
, A patient has recently been prescribed a drug that treats his hypertension by blocking the
sympathetic receptors in his sympathetic nervous system. This action is characteristic of
Answer: an adrenergic antagonist.
• Question 13
Which of the following will a nurse inform the patient is one of the most common adverse
effects of guaifenesin (Robitussin)?
Answer: Gastrointestinal distress
• Question 14
0 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How
should the nurse best administer this medication?
Answer: Into the patient shoulder muscle using a small-gauge needle
• Question 15
0 out of 1 points
A nurse is providing patient education to a 35-year-old man who has been prescribed
clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate
that the drug will be administered
Answer: orally.
• Question 16
A 49-year-old woman has been diagnosed with myalgia. The physician has recommended
aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will
encourage the patient to
Answer: swallow the tablet with milk or food.
NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-
Advanced Pharmacology
• Question 1
A patient has been prescribed an oral drug that is known to have a high first-pass effect.
Which of the following measures has the potential to increase the amount of the free drug that
is available to body cells?
Answer: Administering the drug intravenously rather than orally
• Question 2
A nurse works in a private hospital and needs to administer some narcotic drugs to one of her
patients. Which of the following should the nurse consider when administering narcotics to
patients in a hospital setting?
Answer: Narcotics to be used in the hospital are dispensed only with a written
prescription.
,• Question 3
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse
consists mainly of
Answer: nonpharmacologic interventions combined with an exercise program.
• Question 4
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic.
Which of the following would be the nurse's priority assessments?
Answer: Pain intensity, respiratory rate, and level of consciousness
• Question 5
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following
should the nurse anticipate?
Answer: The drug will decrease in effectiveness
• Question 6
A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable
angina and new prescription for nitroglycerin. Which of the following nursing diagnoses
should the nurse prioritize in the planning of this patient's care?
Answer: Acute Pain, Headache, related to adverse effects of drug therapy
• Question 7
, A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which
of the following drug nomenclatures should the nurse use to list the drugs?
Answer: The drugs' generic names
• Question 8
Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is
the primary purpose of this testing process?
Answer: To ensure the safety of the public
• Question 9
During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The
nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the
past 7 years. The nurse informed the patient that prolonged use of laxatives
Answer: may cause nutrient deficiencies.
• Question 10
A home health nurse notes that there have been changes to a patient's oral drug regimen. The
nurse will closely monitor the new drug regimen to
Answer: identify any changes in drug absorption that would change the drug effect.
• Question 11
What critical piece of information is missing from the following medication order:
Amoxicillin 250 mg every 8 hours?
Answer: Route
• Question 12
, A patient has recently been prescribed a drug that treats his hypertension by blocking the
sympathetic receptors in his sympathetic nervous system. This action is characteristic of
Answer: an adrenergic antagonist.
• Question 13
Which of the following will a nurse inform the patient is one of the most common adverse
effects of guaifenesin (Robitussin)?
Answer: Gastrointestinal distress
• Question 14
0 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How
should the nurse best administer this medication?
Answer: Into the patient shoulder muscle using a small-gauge needle
• Question 15
0 out of 1 points
A nurse is providing patient education to a 35-year-old man who has been prescribed
clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate
that the drug will be administered
Answer: orally.
• Question 16
A 49-year-old woman has been diagnosed with myalgia. The physician has recommended
aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will
encourage the patient to
Answer: swallow the tablet with milk or food.
