1|Page
NUR 635 MIDTERM EXAM |2025-2026 LATEST UPDATED|REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED
SOLUTIONS | ALREADY GRADED A+
What does the NP take into account concerning pharmacokinetics? - (answer)Bioavailability
What statement by the patient tells the RN they understand the education regarding heparin? -
(answer)I need to have my labs drawn in 2-3 days for thrombocytopenia which can occur on day
4 of therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per week during the next 1 to 2
weeks, once a week for the next 1-2 months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the patient understands the use of
warfarin? - (answer)Avoid foods high in Vitamin-K
What education should the NP include when educating patients on erythropoiesis-stimulating
agents? - (answer)They may cause tumors.
,2|Page
The patient understands education regarding iron supplements when the patient states: -
(answer)take on an empty stomach with orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: - (answer)Gliptins act on the incretin
system to increase insulin production indirectly
Diabetics can benefit from GLP-1 agonists because they: - (answer)Decrease gastric absorption
by directly binding to a receptor in pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic. The NP prepares the patient
for: - (answer)Treatment with epoetin alfa
The NP believes the patient has adequate education regarding iron supplements when they
verbalize: - (answer)I need to have a CBC drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of the following EXCEPT: -
(answer)Increasing HR and preload
ACE Inhibitors help patients with HF by:
,3|Page
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal failure
A chronic pain patient calls for refills on regularly prescribed hydrocodone prescription. The
appropriate action of the NP would be to: - (answer)Schedule the patient for an in-person office
visit
What portion of the patient's history should be thoroughly assessed before prescribing
Metronidazole (Flagyl) for a bacterial vaginosis: - (answer)Social history of ETOH intake.
**Worst hangover of your life!
When being prescribed Lithium, the NP educates the patient that all of the following will need to
be closely monitored throughout therapy except: - (answer)Liver function. **While on lithium
therapy, Renal and Thyroid function and Sodium levels need to be monitored!
, 4|Page
You have a 32-week pregnant patient come in complaining of contractions. The NP educates the
patient on the following: - (answer)Treatment with a beta-2 agonist (Terbutaline?)
The patient experiences hallucinations following atropine treatment for bradycardia. The NP will
prescribe: - (answer)Physostigmine (reversal agent that is used to treat antimuscarinic toxicity
and reversible cholinergic medication)
What condition would be appropriate for you to prescribe clonidine ER to an adolescent? -
(answer)Attention Deficit Hyperactivity Disorder (ADHD)
When discontinuing baclofen, what adverse effects do you watch for? - (answer)Hallucinations
Lab work shows a decrease in creatinine clearance after the patient starts taking Memantine. The
NP's appropriate course of action should be to: - (answer)lower the dose of memantine. "renal
dosing"
The patient's caregiver needs more education when she verbalizes which of the following
statements regarding rivastigmine transdermal patches: - (answer)I need to change the patches
every 72 hours (**Rivastigmine patches are changed daily, not every 72 hours**)
NUR 635 MIDTERM EXAM |2025-2026 LATEST UPDATED|REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED
SOLUTIONS | ALREADY GRADED A+
What does the NP take into account concerning pharmacokinetics? - (answer)Bioavailability
What statement by the patient tells the RN they understand the education regarding heparin? -
(answer)I need to have my labs drawn in 2-3 days for thrombocytopenia which can occur on day
4 of therapy.
**INR of 2-3 is appropriate
**PT should be measured daily during the first 5 days, twice per week during the next 1 to 2
weeks, once a week for the next 1-2 months, and everhy 2 to 4 weeks thereafter.
What educated statement by the patient tells the RN that the patient understands the use of
warfarin? - (answer)Avoid foods high in Vitamin-K
What education should the NP include when educating patients on erythropoiesis-stimulating
agents? - (answer)They may cause tumors.
,2|Page
The patient understands education regarding iron supplements when the patient states: -
(answer)take on an empty stomach with orange juice. Vitamin-C helps absorb iron
The NP knows that gliptins help diabetes because they: - (answer)Gliptins act on the incretin
system to increase insulin production indirectly
Diabetics can benefit from GLP-1 agonists because they: - (answer)Decrease gastric absorption
by directly binding to a receptor in pancreatic beta cells
You have a patient with chronic renal failure who becomes anemic. The NP prepares the patient
for: - (answer)Treatment with epoetin alfa
The NP believes the patient has adequate education regarding iron supplements when they
verbalize: - (answer)I need to have a CBC drawn in 4 weeks
ACE Inhibitors help the patient with heart failure by doing all of the following EXCEPT: -
(answer)Increasing HR and preload
ACE Inhibitors help patients with HF by:
,3|Page
**Improve functional status and prolonging life.
**Improve hemodynamics and prevent cardiac remodeling
**Biggest side effects: cough and angioedema.
Other: hypotension, hyperkalemia.
**Do not give to patients with renal stenosis--> can cause renal failure
A chronic pain patient calls for refills on regularly prescribed hydrocodone prescription. The
appropriate action of the NP would be to: - (answer)Schedule the patient for an in-person office
visit
What portion of the patient's history should be thoroughly assessed before prescribing
Metronidazole (Flagyl) for a bacterial vaginosis: - (answer)Social history of ETOH intake.
**Worst hangover of your life!
When being prescribed Lithium, the NP educates the patient that all of the following will need to
be closely monitored throughout therapy except: - (answer)Liver function. **While on lithium
therapy, Renal and Thyroid function and Sodium levels need to be monitored!
, 4|Page
You have a 32-week pregnant patient come in complaining of contractions. The NP educates the
patient on the following: - (answer)Treatment with a beta-2 agonist (Terbutaline?)
The patient experiences hallucinations following atropine treatment for bradycardia. The NP will
prescribe: - (answer)Physostigmine (reversal agent that is used to treat antimuscarinic toxicity
and reversible cholinergic medication)
What condition would be appropriate for you to prescribe clonidine ER to an adolescent? -
(answer)Attention Deficit Hyperactivity Disorder (ADHD)
When discontinuing baclofen, what adverse effects do you watch for? - (answer)Hallucinations
Lab work shows a decrease in creatinine clearance after the patient starts taking Memantine. The
NP's appropriate course of action should be to: - (answer)lower the dose of memantine. "renal
dosing"
The patient's caregiver needs more education when she verbalizes which of the following
statements regarding rivastigmine transdermal patches: - (answer)I need to change the patches
every 72 hours (**Rivastigmine patches are changed daily, not every 72 hours**)
