NR 565 MIDTERMF EXAM|| NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS MIDTERM EXAM|| L ATEST VERSION

1F|FP a g e


NR 565 MIDTERM EXAM|| NR 565 ADVANCED PHAR
F F F F F F F



MACOLOGY FUNDAMENTALS MIDTERM EXAM|| L F F F F



ATEST VERSION 2024- F F



2025 FULLY COVERED WITH ALL QUESTIONS AND
F F F F F F F



CORRECT ANSWERS 100%|| ASSURED PASS!! F F F F




A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-
F F F F F F F F F F F F


mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vit
F F F F F F F F F F F F


al signs remain stable. What is the nurse's next step?
F F F F F F F F F




a. Apply a nitroglycerin transdermal patch.
F F F F F




b. Continue dosing at 10-minute intervals.
F F F F F




c. Give a second dose of nitroglycerin in 5 minutes.
F F F F F F F F F




d. Request an order for intravenous nitroglycerin. - ANSWER: c.
F F F F F F F F F




A patient with stable exertional angina has been receiving a beta blocker. Before givi
F F F F F F F F F F F F F


ng the drug, the nurse notes a resting heart rate of 55 beats/minute. Which is an appro
F F F F F F F F F F F F F F F F


priate nursing action? F F




a. Administer the drug as ordered, because this is a desired effect.
F F F F F F F F F F F




b. Withhold the dose and notify the provider of the heart rate.
F F F F F F F F F F F




c. Request an order for a lower dose of the medication.
F F F F F F F F F F




d. Request an order to change to another antianginal medication. - ANSWER: a.
F F F F F F F F F F F F




A nursing student is helping to care for a patient who takes verapamil for stable angi
F F F F F F F F F F F F F F F


na. The nurse asks the student to explain the purpose of verapamil in the treatment of
F F F F F F F F F F F F F F F


this patient. Which statement by the student indicates a need for further teaching?
F F F F F F F F F F F F F




a. "It relaxes coronary artery spasms."
F F F F F




b. "It reduces peripheral resistance to reduce oxygen demands."
F F F F F F F F




c. "It reduces the heart rate, AV conduction, and contractility."
F F F F F F F F F

,2F|FP a g e


d. "It relaxes the peripheral arterioles to reduce afterload." - ANSWER: a.
F F F F F F F F F F F




A patient with angina who is taking ranolazine [Ranexa] has developed a respiratory
F F F F F F F F F F F F F


infection and a dysrhythmia. The provider has ordered azithromycin [Zithromax] for
F F F F F F F F F F


Fthe infection and amlodipine for the dysrhythmia. A nursing student caring for this p
F F F F F F F F F F F F F


atient tells the nurse that the patient's heart rate is 70 beats/minute, and the blood pres
F F F F F F F F F F F F F F F


sure is 128/80 mm Hg. The nurse asks the student to discuss the plan for this patient's
F F F F F F F F F F F F F F F F


Fcare. Which action is correct?
F F F F




a. Observe the patient closely for signs of respiratory toxicity.
F F F F F F F F F




b. Question the order for azithromycin [Zithromax].
F F F F F F




c. Report the patient's increase in blood pressure to the provider.
F F F F F F F F F F




d. Request an order for a different calcium channel blocker. - ANSWER: b.
F F F F F F F F F F F F




A patient with new-
F F F


onset exertional angina has taken three nitroglycerin sublingual tablets at 5-
F F F F F F F F F F


minute intervals, but the pain has intensified. The nurse notes that the patient has a h
F F F F F F F F F F F F F F F


eart rate of 76 beats/minute and a blood pressure of 120/82 mm Hg. The electrocardi
F F F F F F F F F F F F F F


ogram is normal. The patient's lips and nail beds are pink, and there is no respiratory
F F F F F F F F F F F F F F F F


distress. The nurse will anticipate providing:
F F F F F




a. an angiotensin-converting enzyme (ACE) inhibitor.
F F F F F




b. intravenous nitroglycerin and a beta blocker.
F F F F F F




c. ranolazine (Ranexa) and quinidine.
F F F F




d. supplemental oxygen and intravenous morphine. - ANSWER: b.
F F F F F F F F




A nurse is providing teaching for a patient with stable angina who will begin taking n
F F F F F F F F F F F F F F F


itroglycerin. Which statement by the patient indicates understanding of the teaching
F F F F F F F F F F


?
a. "I should not participate in aerobic exercise while taking this drug."
F F F F F F F F F F F




b. "I should take aspirin daily to reduce my need for nitroglycerin."
F F F F F F F F F F F

,3F|FP a g e


c. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal attac
F F F F F F F F F F F F F F F


k."
d. "I take nitroglycerin to increase the amount of oxygen to my heart." -
F F F F F F F F F F F F F


ANSWER: c.
F F




A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse cor
F F F F F F F F F F F F F F


rectly states, "Nitroglycerin:
F F




a. dilates coronary arteries to increase the blood flow to the heart."
F F F F F F F F F F F




b. increases the oxygen supply to the cardiac muscle."
F F F F F F F F




c. increases ventricular filling to improve cardiac output."
F F F F F F F




d. promotes vasodilation, which reduces preload and oxygen demand." -
F F F F F F F F F


ANSWER: d.
F F




A patient has been receiving heparin while in the hospital to treat deep vein thrombo
F F F F F F F F F F F F F F


ses and will be discharged home with a prescription for enoxaparin [Lovenox]. The
F F F F F F F F F F F F F


nurse provides teaching for the nursing student who asks about the advantages of en
F F F F F F F F F F F F F


oxaparin over heparin. Which statement by the student indicates a need for further te
F F F F F F F F F F F F F


aching?
a. "Enoxaparin does not require coagulation monitoring."
F F F F F F




b. "Enoxaparin has greater bioavailability than heparin."
F F F F F F




c. "Enoxaparin is more cost-effective than heparin."
F F F F F F




d. "Enoxaparin may be given using a fixed dosage." - ANSWER: c.
F F F F F F F F F F F




A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The
F F F F F F F F F F F F


nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate of 9
F F F F F F F F F F F F F F F F F F


8 beats/minute. The patient's most recent aPTT is greater than 90 seconds. The patie
F F F F F F F F F F F F F


nt reports lumbar pain. The nurse will request an order for:
F F F F F F F F F F




a. a repeat aPTT to be drawn immediately.
F F F F F F F




b. analgesic medication.
F F

, 4F|FP a g e


c. changing heparin to aspirin.
F F F F




d. protamine sulfate. - ANSWER: d.
F F F F F




A nursing student who is preparing to care for a postoperative patient with deep vein
F F F F F F F F F F F F F F F


thrombosis asks the nurse why the patient must take heparin rather than warfarin. W
F F F F F F F F F F F F F


hich response by the nurse is correct?
F F F F F F




a. "Heparin has a longer half-life."
F F F F F




b. "Heparin has fewer adverse effects."
F F F F F




c. "The onset of warfarin is delayed."
F F F F F F




d. "Warfarin prevents platelet aggregation." - ANSWER: c.
F F F F F F F




A postoperative patient reports pain in the left lower extremity. The nurse notes swel
F F F F F F F F F F F F F


ling in the lower leg, which feels warm to the touch. The nurse will anticipate giving
F F F F F F F F F F F F F F F F


which medication?
F




a. Aspirin
F




b. Clopidogrel [Plavix]
F F




c. Enoxaparin [Lovenox]
F F




d. Warfarin [Coumadin] - ANSWER: c.
F F F F F




A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse notif
F F F F F F F F F F F F F


ies the provider, who orders laboratory work revealing a PT of 42 seconds and an IN
F F F F F F F F F F F F F F F


R of 3.5. The nurse will expect to administer:
F F F F F F F F




a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
F F F F F F F F F




b. phytonadione (vitamin K1) 2.5 mg PO.
F F F F F F




c. protamine sulfate 20 mg PO.
F F F F F




d. protamine sulfate 20 mg slow IV push. - ANSWER: a.
F F F F F F F F F F