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PHARMACOLOGY MSN 571 EXAM
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
1. A patient who has taken warfarin for a year has now been
prescribed carbamazepine. What additional action will the
provider take to assure the patient's safety? - correct answer -
Increase the dose of warfarin
2. A patient has been receiving iron replacement therapy for 2
days after hip replacement surgery. The provider is alerted to
the following assessment data: Patient's stools appear black.
Patient is pale and reports feeling tired. Patient's heart rate is
98 beats/minute, respirations are 20 breaths/minute, and the
blood pressure is 100/50 mm Hg. What order will the provider
take initially to best assure appropriate care for this patient? -
correct answer -Hemoglobin and hematocrit (H&H)
3. A patient is admitted to the hospital with a diagnosis of vitamin
B12 deficiency, hypoxia and anemia. In addition to oxygen
therapy, what will the provider order to address these
problems? - correct answer -IM cyanocobalamin and folic acid
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4. Which conditions will the provider consider as a therapeutic
use for verapamil? - correct answer -Angina of effort, Cardiac
dysrhythmias, Essential hypertension
5. Amiodarone is prescribed for a patient. Which baseline tests
will the prescriber order before this medication is started? -
correct answer -Chest radiograph, Ophthalmologic
examination, Pulmonary function tests, Thyroid function tests
6. A patient receiving heparin postoperatively to prevent deep
vein thrombosis has a blood pressure of 90/50 mm Hg and a
heart rate of 110 beats/minute. The patient's most recent aPTT
is greater than 90 seconds. The patient reports lumbar pain.
The provider will order what interventions initially? - correct
answer -Protamine sulfate, Discontinue heparin
7. A patient arrives in the emergency department after becoming
dehydrated. Based on the patient's history, the provider
determines that isotonic dehydration has occurred. Which
solution will be ordered to treat this patient? - correct answer -
0.9% sodium chloride in sterile water
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8. A patient arrives in the emergency department reporting
muscle weakness and drowsiness. The nurse notes a heart
rate of 80 beats/minute, a respiratory rate of 18 breaths/minute,
and a blood pressure of 90/50 mm Hg. The electrocardiogram
reveals an abnormal rhythm. The provider will be most
concerned about the patient's use of what medication? - correct
answer -Antacids
9. While performing an admission assessment on a patient, the
nurse learns that the patient is taking furosemide, digoxin, and
spironolactone. A diet history reveals the use of salt
substitutes. The patient appears confused and dyspneic and
reports tingling of hands and feet. Which action will the provider
take to provide effective patient care? - correct answer -
Prescribe both an electrocardiogram and serum electrolyte
levels
10. A patient collapses after running a marathon on a hot day
and is brought to the emergency department to be treated for
dehydration. The provider will prescribe which therapy? -
correct answer -Intravenous hypotonic fluids administered in
stages
11. A patient with a history of congestive heart failure is admitted
to the hospital. The admission assessment and interview
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provides the following information: The patient is taking a
thiazide diuretic and digoxin Admission electrolyte levels
include a sodium level of 142 mEq/L, a chloride level of 95
mEq/L, and a potassium level of 3 mEq/L. When the provider is
notified of this information what action will be the priority? -
correct answer -Putting a hold on the digoxin and determining
measures to normalize the laboratory values
12. A patient is brought to the emergency department with a
respiratory rate of 32 breaths/minute and a heart rate of 90
beats/minute. While the injuries are minor, the patient is
inconsolable and hysterical. The provider will order what initial
management intervention? - correct answer -Administration of
a gas mixture of 5% carbon dioxide (CO2)
13. A patient who is receiving reperfusion therapy has a history
of heparin-induced thrombosis (HIT). The patient has a
creatinine clearance of 28 mL/minute. In addition to the
fibrinolytic agent, which medication will the provider prescribe
for this patient? - correct answer -Bivalirudin
14. A patient who is recovering from a STEMI 3 months prior is
in the clinic for a follow-up evaluation. The patient is taking 81
mg of aspirin, a blocker, and an ACE inhibitor daily, and uses
nitroglycerin as needed for angina. The patient's BMI is 24.5
PHARMACOLOGY MSN 571 EXAM
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
1. A patient who has taken warfarin for a year has now been
prescribed carbamazepine. What additional action will the
provider take to assure the patient's safety? - correct answer -
Increase the dose of warfarin
2. A patient has been receiving iron replacement therapy for 2
days after hip replacement surgery. The provider is alerted to
the following assessment data: Patient's stools appear black.
Patient is pale and reports feeling tired. Patient's heart rate is
98 beats/minute, respirations are 20 breaths/minute, and the
blood pressure is 100/50 mm Hg. What order will the provider
take initially to best assure appropriate care for this patient? -
correct answer -Hemoglobin and hematocrit (H&H)
3. A patient is admitted to the hospital with a diagnosis of vitamin
B12 deficiency, hypoxia and anemia. In addition to oxygen
therapy, what will the provider order to address these
problems? - correct answer -IM cyanocobalamin and folic acid
, Page | 2
4. Which conditions will the provider consider as a therapeutic
use for verapamil? - correct answer -Angina of effort, Cardiac
dysrhythmias, Essential hypertension
5. Amiodarone is prescribed for a patient. Which baseline tests
will the prescriber order before this medication is started? -
correct answer -Chest radiograph, Ophthalmologic
examination, Pulmonary function tests, Thyroid function tests
6. A patient receiving heparin postoperatively to prevent deep
vein thrombosis has a blood pressure of 90/50 mm Hg and a
heart rate of 110 beats/minute. The patient's most recent aPTT
is greater than 90 seconds. The patient reports lumbar pain.
The provider will order what interventions initially? - correct
answer -Protamine sulfate, Discontinue heparin
7. A patient arrives in the emergency department after becoming
dehydrated. Based on the patient's history, the provider
determines that isotonic dehydration has occurred. Which
solution will be ordered to treat this patient? - correct answer -
0.9% sodium chloride in sterile water
, Page | 3
8. A patient arrives in the emergency department reporting
muscle weakness and drowsiness. The nurse notes a heart
rate of 80 beats/minute, a respiratory rate of 18 breaths/minute,
and a blood pressure of 90/50 mm Hg. The electrocardiogram
reveals an abnormal rhythm. The provider will be most
concerned about the patient's use of what medication? - correct
answer -Antacids
9. While performing an admission assessment on a patient, the
nurse learns that the patient is taking furosemide, digoxin, and
spironolactone. A diet history reveals the use of salt
substitutes. The patient appears confused and dyspneic and
reports tingling of hands and feet. Which action will the provider
take to provide effective patient care? - correct answer -
Prescribe both an electrocardiogram and serum electrolyte
levels
10. A patient collapses after running a marathon on a hot day
and is brought to the emergency department to be treated for
dehydration. The provider will prescribe which therapy? -
correct answer -Intravenous hypotonic fluids administered in
stages
11. A patient with a history of congestive heart failure is admitted
to the hospital. The admission assessment and interview
, Page | 4
provides the following information: The patient is taking a
thiazide diuretic and digoxin Admission electrolyte levels
include a sodium level of 142 mEq/L, a chloride level of 95
mEq/L, and a potassium level of 3 mEq/L. When the provider is
notified of this information what action will be the priority? -
correct answer -Putting a hold on the digoxin and determining
measures to normalize the laboratory values
12. A patient is brought to the emergency department with a
respiratory rate of 32 breaths/minute and a heart rate of 90
beats/minute. While the injuries are minor, the patient is
inconsolable and hysterical. The provider will order what initial
management intervention? - correct answer -Administration of
a gas mixture of 5% carbon dioxide (CO2)
13. A patient who is receiving reperfusion therapy has a history
of heparin-induced thrombosis (HIT). The patient has a
creatinine clearance of 28 mL/minute. In addition to the
fibrinolytic agent, which medication will the provider prescribe
for this patient? - correct answer -Bivalirudin
14. A patient who is recovering from a STEMI 3 months prior is
in the clinic for a follow-up evaluation. The patient is taking 81
mg of aspirin, a blocker, and an ACE inhibitor daily, and uses
nitroglycerin as needed for angina. The patient's BMI is 24.5
