MSN571
ADVACNED
PHARMACOLOGY
MIDTERM EXAM
2025
,A 70-year-old man who enjoys good health began taking low-dose aspirin
several months ago based on recommendations that he read in a magazine
article. During the man's most recent visit to his care provider, routine blood
work was ordered and the results indicated an unprecedented rise in the
man's serum creatinine and blood urea nitrogen (BUN) levels. How should a
nurse best interpret these findings?
Selected The man may be experiencing nephrotoxic effects of
Answer: aspirin
• Question 2
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has
a 21-year history of heavy drinking and is worried about developing cirrhosis
of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will
teach the patient that the combination of alcohol and Antabuse will cause
which of the following?
Selected Nausea
Answer:
• Question 3
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
,Selected Serum potassium
Answer: levels
• Question 4
1 out of 1 points
The APRN is prescribing a medication that is known to induce hepatic enzymes.
What effect should you anticipate?
Selected Induction increases the rate of metabolism, thereby
Answer: decreasing serum levels of drug
• Question 5
1 out of 1 points
A patient is being treated for respiratory infection. He is a recovering alcoholic
and has impaired liver function. The nurse will instruct the patient to be
especially cautious when taking
Selected an elixir.
Answer:
• Question 6
1 out of 1 points
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will advise the
patient to
Selected avoid prolonged exposure to sunlight.
Answer:
• Question 7
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for monitoring?
Selected Renal function
Answer:
• Question 8
1 out of 1 points
A 79-year-old patient in a long-term care facility is to receive an intravenous
fat emulsion. Which of the following lab values would be a priority for the
nurse to assess before administration?
Selected Triglyceride levels
Answer:
• Question 9
, 1 out of 1 points
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
Selected swallow the tablet with milk or food.
Answer:
• Question 10
1 out of 1 points
A patient has a history of tonic-clonic seizures that have been successfully
treated with phenytoin (Dilantin) for several years. Phenytoin achieves a
therapeutic effect by
Selected decreasing the influx of sodium into neurons.
Answer:
• Question 11
0 out of 1 points
Following an assessment by her primary care provider, a 70-year-old resident
of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt the
nurse to withhold a scheduled dose of levothyroxine?
Selected The resident had a fall during the night while transferring
Answer: from her bed to her bathroom
• Question 12
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with chronic
muscle spasms and has been prescribed a new medication to treat the
spasms. She has a poorly documented allergy to eggs, synthetic clothes, and
perfumes. What is the priority action of the nurse to ensure that prescribed
medication does not experience an allergic reaction?
Selected Post an allergies notice on the front of the chart and
Answer: document the allergies in the appropriate area of the patient's
record
• Question 13
1 out of 1 points
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient
with asthma. What instructions would be correct to provide the patient?
Selected "This is a long acting medication for your asthma and should
Answer: be used once every 12 hours"
ADVACNED
PHARMACOLOGY
MIDTERM EXAM
2025
,A 70-year-old man who enjoys good health began taking low-dose aspirin
several months ago based on recommendations that he read in a magazine
article. During the man's most recent visit to his care provider, routine blood
work was ordered and the results indicated an unprecedented rise in the
man's serum creatinine and blood urea nitrogen (BUN) levels. How should a
nurse best interpret these findings?
Selected The man may be experiencing nephrotoxic effects of
Answer: aspirin
• Question 2
1 out of 1 points
A patient comes to the clinic asking for help to quit drinking alcohol. She has
a 21-year history of heavy drinking and is worried about developing cirrhosis
of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will
teach the patient that the combination of alcohol and Antabuse will cause
which of the following?
Selected Nausea
Answer:
• Question 3
1 out of 1 points
A Nurse Practitioner is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the Nurse
Practitioner assess before beginning drug therapy?
,Selected Serum potassium
Answer: levels
• Question 4
1 out of 1 points
The APRN is prescribing a medication that is known to induce hepatic enzymes.
What effect should you anticipate?
Selected Induction increases the rate of metabolism, thereby
Answer: decreasing serum levels of drug
• Question 5
1 out of 1 points
A patient is being treated for respiratory infection. He is a recovering alcoholic
and has impaired liver function. The nurse will instruct the patient to be
especially cautious when taking
Selected an elixir.
Answer:
• Question 6
1 out of 1 points
A 45-year-old man who is a construction worker has been diagnosed with
hyperlipidemia and has been prescribed lovastatin. The nurse will advise the
patient to
Selected avoid prolonged exposure to sunlight.
Answer:
• Question 7
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for monitoring?
Selected Renal function
Answer:
• Question 8
1 out of 1 points
A 79-year-old patient in a long-term care facility is to receive an intravenous
fat emulsion. Which of the following lab values would be a priority for the
nurse to assess before administration?
Selected Triglyceride levels
Answer:
• Question 9
, 1 out of 1 points
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
Selected swallow the tablet with milk or food.
Answer:
• Question 10
1 out of 1 points
A patient has a history of tonic-clonic seizures that have been successfully
treated with phenytoin (Dilantin) for several years. Phenytoin achieves a
therapeutic effect by
Selected decreasing the influx of sodium into neurons.
Answer:
• Question 11
0 out of 1 points
Following an assessment by her primary care provider, a 70-year-old resident
of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt the
nurse to withhold a scheduled dose of levothyroxine?
Selected The resident had a fall during the night while transferring
Answer: from her bed to her bathroom
• Question 12
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with chronic
muscle spasms and has been prescribed a new medication to treat the
spasms. She has a poorly documented allergy to eggs, synthetic clothes, and
perfumes. What is the priority action of the nurse to ensure that prescribed
medication does not experience an allergic reaction?
Selected Post an allergies notice on the front of the chart and
Answer: document the allergies in the appropriate area of the patient's
record
• Question 13
1 out of 1 points
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient
with asthma. What instructions would be correct to provide the patient?
Selected "This is a long acting medication for your asthma and should
Answer: be used once every 12 hours"
