PHARMACOLOGY FOR CARE OF THE
FAMILY
NURS 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE FAMILY MIDTERM
EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 290
QUESTIONS AND ANSWERS with CORRECT DETAILED
rationales V1 (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 42-year-old African-American man with congestive heart failure has
been prescribed hydralazine-isosorbide. The nurse will closely monitor
for which of the following?
A) Hypertension
B) Hypotension
C) Decrease in body temperature
D) Increased heart rate - ANS :B) Hypotension
Hydralazine is a vasodilator that relaxes and widens blood vessels, while isosorbide is a nitrate
that also dilates blood vessels. These medications work together to reduce the workload on the
heart and improve blood flow. However, the vasodilation caused by these medications can lead
to a drop in blood pressure
A BOMB 1
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
After successful treatment for a myocardial infarction, a 69-year-old
man has developed a ventricular arrhythmia. His care team has opted for
treatment with a Class II antiarrhythmic. The nurse would understand
that this patient is likely to be prescribed
A) acebutolol.
B) lidocaine.
C) amiodarone.
D) verapamil - ANS :C) Amiodarone
an antiarrhythmic medicine that is classified as a Class II medication and is used to treat a
variety of heart rhythm disorders. It does this by intercepting the electrical impulses that are
responsible for the irregular beating of the heart
a patient has been prescribed aminoglutethimide 250mg PO Q6H to increase to 2g daily over
the next several weeks. The nurse should recognize that this patient most likely has a diagnosis
of__
A) Cushing syndrome.
B) Addison disease.
C) diabetes insipidus.
D) an autoimmune condition such as asthma - ANS :A) Cushing syndrome
Aminoglutethimide is a medication used in the treatment of Cushing's syndrome by interfering
with the production of cortisol in the body.
A BOMB 2
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
A patient has a diagnosis of Parkinson disease, and the physician will
prescribe carbidopa-levodopa. Before drug therapy, the patient should be
carefully assessed for the presence of__
A) macular degeneration.
B) closed-angle glaucoma.
C) peptic ulcer disease.
D) diabetes mellitus - ANS :B) closed-angle glaucoma
this medicine has the potential to produce a rise in intraocular pressure, which may result in an
acute episode of closed-angle glaucoma. This is especially true for individuals who have a
history of glaucoma.
A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which
of the following patients would the nurse most likely administer a lower-
than-normal maintenance dose of digoxin?
A) A 25-year-old male with congestive heart failure and atrial fibrillation
B) A 32-year-old female with cardiomegaly
C) A 79-year-old male with cardiomegaly
D) A 42-year-old female with a third heart sound –
ANS :C) A 79-year-old male with cardiomegaly
A BOMB 3
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
In elderly patients with heart failure (in sinus rhythm), a reduced dose should be considered and
given
In which of the following patients would a nurse expect to experience alterations in drug
metabolism?
A) A 35-year-old woman with cervical cancer
B) A 41-year-old man with kidney stones
C) A 50-year-old man with cirrhosis of the liver
D) A 62-year-old woman in acute renal failure
- ANS :C) A 50-year-old man with cirrhosis of the liver
A patient with class-IV CHF has a medication regimen consisting of
metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In
addition to regularly assessing the patient s heart rate, the nurse should
prioritize assessment of the patient's
A) intake and output.
B) blood pressure.
C) cognition.
D) exercie tolerance - ANS :B) blood pressure.
A BOMB 4