MSN 571 PHARMACOLOGY MIDTERM
EXAM 2 LATEST VERSIONS ( VERSION
A & B) ALL 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
A patient diagnosed with chronic pain calls to request an
oxycodone (Oxycontin) refill. Which action should the
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prescriber take initially? Ans: Arrange to schedule an
appointment with the patient.
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A metered-dose albuterol inhaler is prescribed for asthma
management. The patient reports feeling jittery sometimes
when taking the medication, and does not feel that the
medication is always effective. Which action will the provider
take to best minimize patient risks and maximize medication
effectiveness? Ans: Auscultate the patient's lung sounds and
obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis.
Which patient history finding would be most concerning to the
provider? Ans: The patient drinks two glasses of wine every
night.
The provider prepares a patient with newly diagnosed type 1
diabetes for hospital discharge. Which action by the provider
will best support the patient's ability to effectively manage
medication therapy? Ans: Asking the patient to demonstrate
how to measure and administer insulin
A patient reports that a medication prescribed for recurrent
migraine headaches is not working. Which action is the
prescriber's priority when addressing the patient's concern?
, 2
Ans: Ask the patient about the number and frequency of
tablets taken.
The drug manual states that older adult patients are at
increased risk for hepatotoxicity. Which action is most
important when prescribing this medication to an 80-year-old
patient? Ans: Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium.
Which action is most important for the provider to take in
order to determine if the therapeutic level is maintained? Ans:
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Order periodic laboratory testing.
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Which factor best supports an increase for full prescriptive
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authority for both advanced practice registered nurses (APRNs)
and physician assistants (PAs)? Ans: More patients will have
access to health care.
A pediatric patient prescribed ampicillin for streptococcal
pharyngitis reports new onset of a pruritic, dull red,
maculopapular rash on the chest and neck. Which action is
most important for the provider to take to minimize this
patient's risk for injury? Ans: Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the
patient's commitment to adherence to any type of medication
therapy? Ans: Providing medication education that the patient
can easily understand
Which patient statement suggests to the provider that the
patient's nonadherence with their medication plan is related to
dissatisfaction with the therapy? Ans: "I've been taking this
medication for well over a week and I lost only a half a pound."
How can the prescriber's regular collaboration with a
pharmacist improve positive outcomes for patients? Ans:
, 3
Pharmacists have additional information on drug interactions.
The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility
formulary.
Which statements made by the prescriber demonstrate an
understanding of effective medication education? Ans: "This
medication needs to be stored in the refrigerator. "Take 3
tablets daily: 1 with breakfast, 1 with lunch, and one with
dinner." "You need to take the medication as we discussed
until all the tablets are gone." "Call the office immediately if
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you begin experiencing any itching, headache, or difficulty
breathing."
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The patient who has been prescribed lithium for a diagnosis of
bipolar disorder asks why blood tests are required on a regular
basis. Which provider responses demonstrate an
understanding of why the patient requires a variety of
laboratory tests? Ans: "We need to monitor how your thyroid is
functioning." "We need to monitor kidney function while you
are on this drug. This medication can cause you to lose
sodium, so we need to measure sodium levels."
When prescribing lovastatin, what will a provider advise to
decrease the risk of developing muscle toxicity? Ans:
Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what
intervention does the provider take to decrease risk to the
patient? Ans: Monitor the patient's plasma drug levels at
regular intervals.
A patient reports that a medication no longer effectively
alleviates symptoms. What process informs the provider's
response to the patient's concerns? Ans: Desensitization of
receptor sites results from continual exposure to the drug.