NR 6521 MIDTERM-PHARM EXAM 2024-2025
NR 6521 MIDTERM-PHARM EXAM 2024-2025
1. A patient is being tx for respiratory infection. He is a recovering alcoholic and has
impaired liver function. The nurse will instruct the pt to be cautious when taking -elixir
2. A patient is in the clinic for seasonal allergic rhinitis. Loratadine Claritin is prescribed. Which of
the following statements wil the nurse include in education -will the drug make you drowsy
before you drive
3. A 72 yo female pt is prescribed ipratropium aerosol for Pulm emphysema. The nurse will instruct
her to test spray MDI 3xs to prevent -Paradoxic acute bronchospasm
4. A nurse is providing ed. To a 56 yo man who is admitted to the ED with acute asthma a. The
nurse 1st assessment reveals pt’s hx of pne, drink coffee, and high cal. Diet. Albuterol is
prescribed.-the important consideration is that the pt has a high coffee intake.
5. A nurse providing d/c planning for 45 yo woman with prescription for PO albuterol .-nurse will
question coffee intake
6. A female pt. age 36 is prescribed ICS for daily use. Which of the following adverse effects
should the nurse closely monitor for in pt? -oropharyngeal candida albicans infection.
7. A pt with bronchil asthma is prescribed a sustating-release prep of theophylline. To help min. AE
of the drug which should nurse suggest? -take on empty stomach 1 hour before or 2 hours after
meals
8. A female pt calls the clinic and reports that since she has been take dextromethorphan( robitussin)
she hase benn drowsy/dizzy. The nurse questions? – the amount of grapefruit or orange juice she
has during the day
NR 6521 MIDTERM-PHARM EXAM 2024-2025
, NR 6521 MIDTERM-PHARM EXAM 2024-2025
9. After a recen hx of sob that has become increasing , a woman prescribed ipratropium by MDI
while workup. Wht pt teaching should nurse give?- make sure that you take at scheduled times,
regardless of feeling sob.
10. Which of the following will a nurse infor pt about common SE of guaifenesin? Gastrointestinal
distress
11. Female pt has been taking prednisone for asthma for 1 mo. Nurse will teach her to gradually
decrease dose to avoid -adrenal insufficiency
12. A 20 yo woman calls clinic @ 5pm and reports to the nurse that she forgot to take her morning
allegra/fexofenading. She usually takes her evening dose. Wants to know what to do. -nurse
instructs to forget am and take pm dose.
13. The parents of 7yo has been dx with allergic asthma is being taught med regimen. Nurse is
teaching parents about appropriate rescue drug for acut exacerbations . what drug should the
nurse suggests the parents to use in these situations? -albuterol
14. A nurse is assigned to a pt who is receiving iv aminophylline. The nurse is aware that iv infusion
rate should be -no more than 25mg/min
15. A male pt is to begin tx for pne with albuterol(ven)inhaler the nurse will advise the pt that he
willmost likely experience which of the following common AE? -throat irritation
16. A 47 yo woman has been dx with open-angle glaucoma. Pilocarpine drops are prescribed. The
nurse assess and reveals that the pt has worn soft contacts for 15 yrs. Nurse instructs pt to –
remove contact lenses before applying drops
17. A 53 yo man has been tx for severe asthma for sev. Yrs with prednisone. Pa initiated alt. day
therapy. Pt tells nurse he rather take med every day to prevent confusion. Which is best response?
-the schedule allows rest periods so that AE are decreased but anti-inflammatory effects cont.
18. A 24 yo factory work has been prescribed guaifenesin for the first time. Which of the following
will be a priority assess by nurse before pt 1st dose? -amount of alcohol consumption
NR 6521 MIDTERM-PHARM EXAM 2024-2025
, NR 6521 MIDTERM-PHARM EXAM 2024-2025
19. A 57 yo male pt has been prescribed doxorubin for small cell lug cancer is told to avoid aspirin -
may promote bleeding
20. A 72 yo man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the
following findings alert need for close monitoring? -enlarged prostate gland
21. A female pt has been take zafirlukast for a week and is experiencing diarrhea. Nurse should
instruct her to do?- drink plenty of fluids
22. A 60 yo man c/o of a chronic, noproductive cough. States he has to relief that coughs q 2-3 min
and is worn out. Dextromethorphan is prescribed for him. He as how long will it take for med to
work? -nurse advise him therapeutic effects in 15-30 minutes.
23. A woman has a long hx of seasonal allergies that are typically accompanies by rhinorrhea, red
eyes and freq sneezing . sneezing bc- a CNS reflex that is initiated by receptors in the nasal
cavities.
24. A 70 yr old woman has a complex med and current drug regi that include ca and vit d
supplements for osteoporosis, metformin for type 2dm phenelzine 25.
26. A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for
many years. The man is now in the process of moving to a long-term care facility and a nurse is
creating a plan of care. The nurse understands the potential a C. Risk for Falls
27. A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis,
malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of
weakness and suffered a fracture to her femoral head. The woman's subsequen C. her history of
emphysema.
28. An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells
the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing.
The nurse will advise the patient that A. there is risk of an extremely high dose available all at
once if the tablet is crushed
NR 6521 MIDTERM-PHARM EXAM 2024-2025
NR 6521 MIDTERM-PHARM EXAM 2024-2025
1. A patient is being tx for respiratory infection. He is a recovering alcoholic and has
impaired liver function. The nurse will instruct the pt to be cautious when taking -elixir
2. A patient is in the clinic for seasonal allergic rhinitis. Loratadine Claritin is prescribed. Which of
the following statements wil the nurse include in education -will the drug make you drowsy
before you drive
3. A 72 yo female pt is prescribed ipratropium aerosol for Pulm emphysema. The nurse will instruct
her to test spray MDI 3xs to prevent -Paradoxic acute bronchospasm
4. A nurse is providing ed. To a 56 yo man who is admitted to the ED with acute asthma a. The
nurse 1st assessment reveals pt’s hx of pne, drink coffee, and high cal. Diet. Albuterol is
prescribed.-the important consideration is that the pt has a high coffee intake.
5. A nurse providing d/c planning for 45 yo woman with prescription for PO albuterol .-nurse will
question coffee intake
6. A female pt. age 36 is prescribed ICS for daily use. Which of the following adverse effects
should the nurse closely monitor for in pt? -oropharyngeal candida albicans infection.
7. A pt with bronchil asthma is prescribed a sustating-release prep of theophylline. To help min. AE
of the drug which should nurse suggest? -take on empty stomach 1 hour before or 2 hours after
meals
8. A female pt calls the clinic and reports that since she has been take dextromethorphan( robitussin)
she hase benn drowsy/dizzy. The nurse questions? – the amount of grapefruit or orange juice she
has during the day
NR 6521 MIDTERM-PHARM EXAM 2024-2025
, NR 6521 MIDTERM-PHARM EXAM 2024-2025
9. After a recen hx of sob that has become increasing , a woman prescribed ipratropium by MDI
while workup. Wht pt teaching should nurse give?- make sure that you take at scheduled times,
regardless of feeling sob.
10. Which of the following will a nurse infor pt about common SE of guaifenesin? Gastrointestinal
distress
11. Female pt has been taking prednisone for asthma for 1 mo. Nurse will teach her to gradually
decrease dose to avoid -adrenal insufficiency
12. A 20 yo woman calls clinic @ 5pm and reports to the nurse that she forgot to take her morning
allegra/fexofenading. She usually takes her evening dose. Wants to know what to do. -nurse
instructs to forget am and take pm dose.
13. The parents of 7yo has been dx with allergic asthma is being taught med regimen. Nurse is
teaching parents about appropriate rescue drug for acut exacerbations . what drug should the
nurse suggests the parents to use in these situations? -albuterol
14. A nurse is assigned to a pt who is receiving iv aminophylline. The nurse is aware that iv infusion
rate should be -no more than 25mg/min
15. A male pt is to begin tx for pne with albuterol(ven)inhaler the nurse will advise the pt that he
willmost likely experience which of the following common AE? -throat irritation
16. A 47 yo woman has been dx with open-angle glaucoma. Pilocarpine drops are prescribed. The
nurse assess and reveals that the pt has worn soft contacts for 15 yrs. Nurse instructs pt to –
remove contact lenses before applying drops
17. A 53 yo man has been tx for severe asthma for sev. Yrs with prednisone. Pa initiated alt. day
therapy. Pt tells nurse he rather take med every day to prevent confusion. Which is best response?
-the schedule allows rest periods so that AE are decreased but anti-inflammatory effects cont.
18. A 24 yo factory work has been prescribed guaifenesin for the first time. Which of the following
will be a priority assess by nurse before pt 1st dose? -amount of alcohol consumption
NR 6521 MIDTERM-PHARM EXAM 2024-2025
, NR 6521 MIDTERM-PHARM EXAM 2024-2025
19. A 57 yo male pt has been prescribed doxorubin for small cell lug cancer is told to avoid aspirin -
may promote bleeding
20. A 72 yo man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the
following findings alert need for close monitoring? -enlarged prostate gland
21. A female pt has been take zafirlukast for a week and is experiencing diarrhea. Nurse should
instruct her to do?- drink plenty of fluids
22. A 60 yo man c/o of a chronic, noproductive cough. States he has to relief that coughs q 2-3 min
and is worn out. Dextromethorphan is prescribed for him. He as how long will it take for med to
work? -nurse advise him therapeutic effects in 15-30 minutes.
23. A woman has a long hx of seasonal allergies that are typically accompanies by rhinorrhea, red
eyes and freq sneezing . sneezing bc- a CNS reflex that is initiated by receptors in the nasal
cavities.
24. A 70 yr old woman has a complex med and current drug regi that include ca and vit d
supplements for osteoporosis, metformin for type 2dm phenelzine 25.
26. A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for
many years. The man is now in the process of moving to a long-term care facility and a nurse is
creating a plan of care. The nurse understands the potential a C. Risk for Falls
27. A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis,
malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of
weakness and suffered a fracture to her femoral head. The woman's subsequen C. her history of
emphysema.
28. An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells
the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing.
The nurse will advise the patient that A. there is risk of an extremely high dose available all at
once if the tablet is crushed
NR 6521 MIDTERM-PHARM EXAM 2024-2025
