PHARMACY NURS-6521 EXAM
QUESTIONS AND ANSWERS
2024/2025
Nitrate tolerance - ANS >>A nurse explains to a patient that nitroglycerin patches should be applied in
the morning and removed in the evening. This medication schedule reduces the potential for ...
falls - ANS >>An older adult who lives in a long-term care facility has recently begun taking
losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident
should recognize that this change in the resident's medication regimen make create a risk for
Blood pressure - ANS >>A patient is admitted to the emergency department with severe chest pain. The
emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate
dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before
administering the nitroglycerin, the nurse should prioritize which of the following assessments?
Dizziness - ANS >>A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine
(Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse
attribute to being a common adverse effect of this medication?
crush the capsule and ask the patient to inhale the vapors - ANS >>A 45-year-old man enters the
emergency department complaining of chest pain. The
nurse has an order to administer amyl nitrite. The nurse will...
keep the tablets in the original dark bottle. - ANS >>A patient is being discharged home with a
prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to...
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don a pair of gloves - ANS >>A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's
initial action will be to...
have the patient go into his house and sit or lie down - ANS >>A patient calls the clinic and reports that
he is having chest pain. The patient states that I’m scared that I am going to die and I've been pacing up
and down my driveway. After calming the patient, the initial instruction by the nurse would be to...
The patient's angina may necessitate the use of a calcium channel blocker - ANS >>A recent episode of
chest pain while doing yard work prompted a 70-year-old man to seek care and he has been
subsequently diagnosed with chronic stable angina. The nurse should recognize what guiding principle in
the treatment of this patient's angina?
The woman will be more susceptible to hypotension than a young patient. - ANS >>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?
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not
subsided - ANS >>A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
Acute Pain, headache, related to adverse effects of drug therapy - ANS >>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?
Put your patch on a part of your skin that doesn't have too much hair on it. - ANS >>A man has left his
most recent visit to his primary care provider with a new
prescription for a transdermal nitroglycerin patch. What patient education should the
nurse provide to this patient?
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Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. - ANS
>>Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has
been unable to experience adequate relief of his symptoms. As a result, his physician
has prescribed ranolazine (Ranexa). Which of the following statements is true
regarding the use of ranolazine for the treatment of this patient's angina?
Determine if the drug is going to make you drowsy before you
drive. - ANS >>A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is
prescribed. Which of the following statements will the nurse include when
providing patient education concerning this drug?
Taking too many laxatives can make your bowels dependent on
them, making you more susceptible to constipation. - ANS >>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?
15 to 30 minutes. - ANS >>A 68-year-old man complains of a chronic, nonproductive cough. He states
that
he has to have relief, that he has been coughing every 2 to 3 minutes, and he is
worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will
take for the medicine to work. The nurse will advise him that
he should experience therapeutic effects in
she must be prepared to show identification when buying a drug
that contains pseudoephedrine. - ANS >>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
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