NUR 635 ADVANCED PHARMACOLOGY
MIDTERM EXAM LATEST SPRING-SUMMER
UPDATE 2025-2026 GRADED A+ GRAND
CANYON UNIVERSITY (GCU)
Pt on heparin in hospital setting. Why start coumadin 2 days
before dc? - CORRECT ANSWER✔️ Because coumadin needs a
couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1
day. How to prevent? - CORRECT ANSWER✔️ Pts must have
8hrs with no nitroglycerine every days. Hint: At night, remove nitro
patch bc no risk of exertional angina
Underlying cause of angina - CORRECT ANSWER✔️ coronary
disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - CORREC
T
ANSWER✔️ Aspirin is an antiplatelet.. Prevents the existing
plaques from getting bigger. Prevents plaque rupture. Cardio
protective, prevents stroke, MI, CVA
What is prescribed for angina ptsCORRECT
w/DM? -
,ANSWER✔️ ACE inhibitors to protect the kidneys and
nerves
SE of high doses of aspirin? - CORRECT ANSWER✔️
Tinnitus:
ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - CORREC
T
ANSWER✔️ Anti-platelet med. S/sx bleeding: blood in stool or
vomit, excessive bruising, abd pain uterine bld, back pain,
petichae. Interactions with EVERYTHING: OTC, herbals,
supplements
Pts on coumadin? What are we watching for?CORRECT
-
ANSWER✔️ INR to check therapeutic levels. Half life is
long.
Check 12hrs after taking.
What can be caused if pt started onCORRECT
heparin? -
ANSWER✔️ day4, ordering blood work to check platelet
count to
observe for THROMBOCYTOPENIA
coumadin and childbearing agedCORRECT
females -
, ANSWER✔️ Interactions with oral contraceptives-
must have a
back up method during time you're taking coumadin
Pregnancy considerations and coumadin - CORREC
T
ANSWER✔️ Need to monitor anti-Xa levels
biggest food group interaction with coumadin -CORRECT
ANSWER✔️ Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage -
CORRECT ANSWER✔️ Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent lispro,
aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage -
CORRECT ANSWER✔️ Before meals to control postprandial
hyperglycemia Infused
SQ via pump
humulin/regular
intermediate(humalin/
novalin) duration
MIDTERM EXAM LATEST SPRING-SUMMER
UPDATE 2025-2026 GRADED A+ GRAND
CANYON UNIVERSITY (GCU)
Pt on heparin in hospital setting. Why start coumadin 2 days
before dc? - CORRECT ANSWER✔️ Because coumadin needs a
couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1
day. How to prevent? - CORRECT ANSWER✔️ Pts must have
8hrs with no nitroglycerine every days. Hint: At night, remove nitro
patch bc no risk of exertional angina
Underlying cause of angina - CORRECT ANSWER✔️ coronary
disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - CORREC
T
ANSWER✔️ Aspirin is an antiplatelet.. Prevents the existing
plaques from getting bigger. Prevents plaque rupture. Cardio
protective, prevents stroke, MI, CVA
What is prescribed for angina ptsCORRECT
w/DM? -
,ANSWER✔️ ACE inhibitors to protect the kidneys and
nerves
SE of high doses of aspirin? - CORRECT ANSWER✔️
Tinnitus:
ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - CORREC
T
ANSWER✔️ Anti-platelet med. S/sx bleeding: blood in stool or
vomit, excessive bruising, abd pain uterine bld, back pain,
petichae. Interactions with EVERYTHING: OTC, herbals,
supplements
Pts on coumadin? What are we watching for?CORRECT
-
ANSWER✔️ INR to check therapeutic levels. Half life is
long.
Check 12hrs after taking.
What can be caused if pt started onCORRECT
heparin? -
ANSWER✔️ day4, ordering blood work to check platelet
count to
observe for THROMBOCYTOPENIA
coumadin and childbearing agedCORRECT
females -
, ANSWER✔️ Interactions with oral contraceptives-
must have a
back up method during time you're taking coumadin
Pregnancy considerations and coumadin - CORREC
T
ANSWER✔️ Need to monitor anti-Xa levels
biggest food group interaction with coumadin -CORRECT
ANSWER✔️ Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage -
CORRECT ANSWER✔️ Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent lispro,
aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage -
CORRECT ANSWER✔️ Before meals to control postprandial
hyperglycemia Infused
SQ via pump
humulin/regular
intermediate(humalin/
novalin) duration
