NURS 6521 MIDTERM EXAM 2025-2026
QUESTIONS AND ANSWERS GRADED A+
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to
take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded
appreciably to conventional analgesics. The patient's care provider has begun
treatment with gabapentin (Neurontin). How is the addition of this drug likely to
influence the management of the patient's existing drug regimen?
It is unlikely to influence the patient's other medications because gabapentin does
not interact with other drugs.
Of the following assessment findings should an assisted living facility has begun
taking daily oral Following an assessment by her primary care provider, a 70-year-
old resident of doses of levothyroxine. Which prompt the nurse to withhold a
scheduled dose of levothyroxine?
The resident's apical heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system?
,Cilia sweep foreign material and mucus upward toward the trachea and larynx
where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high
incidence of drug interactions in this population. When educating a group of
seniors about the prevention of drug interactions, the Nurse Practitioner should
encourage them to
consult their care provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which
of the following statements best describe this term?
Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is
having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the Nurse Practitioner's immediate attention?
Increased blood glucose
, A 22 year old patient is transitioning from oral agents to insulin. He will be taking
20 units of lantus at bedtime and regular insulin before meals. What instructions
should the NP provide about the timing and dose of regular insulin?
Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed
15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause
rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma
are being taught about their son's medication regimen by the nurse. The nurse is
currently teaching the parent's about the appropriate use of a "rescue drug" for
acute exacerbations of their son's asthma. What drug should the nurse suggests the
parents to use in these situations?
Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect
by
blocking adrenergic receptors and producing antisympathetic effects.
QUESTIONS AND ANSWERS GRADED A+
In order to promote therapeutic drug effects, the Nurse Practitioner should always
encourage patients to
take their medication at the prescribed times.
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing
increasing neuropathic pain in recent months, a symptom that has not responded
appreciably to conventional analgesics. The patient's care provider has begun
treatment with gabapentin (Neurontin). How is the addition of this drug likely to
influence the management of the patient's existing drug regimen?
It is unlikely to influence the patient's other medications because gabapentin does
not interact with other drugs.
Of the following assessment findings should an assisted living facility has begun
taking daily oral Following an assessment by her primary care provider, a 70-year-
old resident of doses of levothyroxine. Which prompt the nurse to withhold a
scheduled dose of levothyroxine?
The resident's apical heart rate is 112 beats/minute with a regular rhythm
processes protects the lower respiratory system?
,Cilia sweep foreign material and mucus upward toward the trachea and larynx
where they can then be swallowed.
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
at bedtime.
A Nurse Practitioner who provides care for older adults is aware of the high
incidence of drug interactions in this population. When educating a group of
seniors about the prevention of drug interactions, the Nurse Practitioner should
encourage them to
consult their care provider before taking new over-the-counter medications.
A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which
of the following statements best describe this term?
Taking several drugs simultaneously
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is
having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the Nurse Practitioner's immediate attention?
Increased blood glucose
, A 22 year old patient is transitioning from oral agents to insulin. He will be taking
20 units of lantus at bedtime and regular insulin before meals. What instructions
should the NP provide about the timing and dose of regular insulin?
Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed
15 minutes before each meal
decongestants should not be used chronically (>5 days) because they can cause
rebound rhinitis/congestion
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma
are being taught about their son's medication regimen by the nurse. The nurse is
currently teaching the parent's about the appropriate use of a "rescue drug" for
acute exacerbations of their son's asthma. What drug should the nurse suggests the
parents to use in these situations?
Albuterol
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect
by
blocking adrenergic receptors and producing antisympathetic effects.
