NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
NURS 676 LATEST MIDTERM EXAM 2023-
r r r r r
2024 VERSION 2(COMPLIED FROM REAL EXAM) GRADED A+ WI
r r r r r r r r
TH ANSWERS
r
QUIZ/@r1
1routrofr1rpoints
QUIZr1
Ar77-year-
oldrman'srchronicrheartrfailurerisrbeingrtreatedrwithrarregimenrofrquinaprilr(Accupril)randrfurosemider(Lasix).
rWhichrofrtherfollowingrassessmentrfindingsrwouldrsuggestrthatrtherlooprdiureticrisrcontributingrtorartherapeu
ticreffect?
STUDENTrFEEDBACK:
Therman'srchestrsoundsrarerclearrandrhisrankleredemarisrlessened.QUIZ/@r2
1routrofr1rpoints
QUIZr1
ArNurserPractitionerrisrcaringrforrarpatientrwhorisrtakingrdigoxinrandrarlooprdiuretic.rWhichrofrtherfollowingrw
ouldrbermostrimportantrforrtherNurserPractitionerrtormonitor?
STUDENTrFEEDBACK:
Potassiumrlevels
QUIZ/@r3
1routrofr1rpoints
QUIZr1
Anrexpectedroutcomerforrarpatientrwhorhasrjustrtakenrsublingualrnitroglycerinrshouldrbe
STUDENTrFEEDBACK:
,NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
increasedrheartrraterandrdecreasedrbloodrpressure.r
QUIZ/@r4
1routrofr1rpoints
QUIZr1
,NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
ArpatientrtakingrMetforminr(Glucophage)risrscheduledrforrarcardiacrcath.rTherpatientrasksrwhyrhercan'trtaker
hisrmetforminrtherdayrofrthertest.rWhatrisrthermostrappropriaterreply?
STUDENTrFEEDBACK:
Yourcanrdeveloprlacticracidosisrifryourtakermetforminrandrarergivenrdye.r Yourshouldrhaverarserumrcreatininerd
rawnrbeforerrestartingrthermedication.
QUIZ/@r5
1routrofr1rpoints
QUIZr1
Therparentsrofrar7-year-
oldrboyrwhorhasrjustrbeenrdiagnosedrwithrallergicrasthmararerbeingrtaughtraboutrtheirrson'srmedicationrregi
menrbyrthernurse.rThernurserisrcurrentlyrteachingrtherparent'sraboutrtherappropriateruserofrar"rescuerdrug"r
forracuterexacerbationsrofrtheirrson'srasthma.rWhatrdrugrshouldrthernursersuggestsrtherparentsrtoruserinrthe
sersituations?
STUDENTrFEEDBACK:
Albuterolr
QUIZ/@6
1routrofr1rpoints
QUIZr1
Arpatientrhasrrecentlyrbeenrprescribedrardrugrthatrtreatsrhisrhypertensionrbyrblockingrthersympatheticrrecept
orsrinrhisrsympatheticrnervousrsystem.rThisractionrisrcharacteristicrof
STUDENTrFEEDBACK:
anradrenergicrantagonist.r
QUIZ/@r7
1routrofr1rpoints
QUIZr1
, NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
Arfemalerpatient,rager36,risrprescribedrinhaledrcorticosteroidr(ICS)rforrdailyruse.rWhichrofrtherfollowingradvers
ereffectsrshouldrthernursercloselyrmonitorrforrinrthisrpatient?
STUDENTrFEEDBACK:
OropharyngealrCandidaralbicansrinfectionr
QUIZ/@r8
1routrofr1rpoints
QUIZr1
Ar62-year-
oldrmanrisradmittedrtortherhospitalrwithrardiagnosisrofrchestrpain.rHerhasranrorderrforr0.3rmgrofrsublingualrni
troglycerinrprnrforrchestrpain.rWhichrofrtherfollowingractionsrshouldrthernurserdorfirstrwhenrhercomplainsr
ofrchestrpain?
STUDENTrFEEDBACK:
Administerrartabletrunderrhisrtonguerandrrepeatrtheractionrinr5randr10rminutesrifrtherpainrhasrnotrsubsided
QUIZ/@r9
0 outrofr1rpoints
InQUIZr1
Mr.rLacunarisranr83-year-oldrresidentrofrarlong-
termrcarerfacilityrwhorhasrardiagnosisrofrmoderaterAlzheimerrdisease.rMr.rLacuna'srphysicianrrecentlyrpresc
ribedroralrrivastigmine,rbutrherwasrunablertortoleratertherdrugrduertoritsrgastrointestinalreffects.rAsrarresult,r
herhasrbeenrorderedrthertransdermalrpatchrformrofrthermedication.rWhenradministeringrthisrformrofrrivasti
gmine,rthernursershould
STUDENTrFEEDBACK:
teachrMr.rLacunaraboutrtherimportancerofrrotatingrsitesrwhenrherappliesrtherpatch.rQUIZ/
@r10
1 outrofr1rpoints
QUIZr1
Itrisrdeterminedrthatrarpatient,rwhorisrinrarhepaticrcoma,rneedsrarlaxative.rLactuloserisrprescribed.rWhichrofrt
herfollowingrshouldrthernursermonitorrtorassessrtherefficacyrofrtherlactulosertherapy?
STUDENTrFEEDBACK:r
Bloodrammoniarlevels
NURS 676 LATEST MIDTERM EXAM 2023-
r r r r r
2024 VERSION 2(COMPLIED FROM REAL EXAM) GRADED A+ WI
r r r r r r r r
TH ANSWERS
r
QUIZ/@r1
1routrofr1rpoints
QUIZr1
Ar77-year-
oldrman'srchronicrheartrfailurerisrbeingrtreatedrwithrarregimenrofrquinaprilr(Accupril)randrfurosemider(Lasix).
rWhichrofrtherfollowingrassessmentrfindingsrwouldrsuggestrthatrtherlooprdiureticrisrcontributingrtorartherapeu
ticreffect?
STUDENTrFEEDBACK:
Therman'srchestrsoundsrarerclearrandrhisrankleredemarisrlessened.QUIZ/@r2
1routrofr1rpoints
QUIZr1
ArNurserPractitionerrisrcaringrforrarpatientrwhorisrtakingrdigoxinrandrarlooprdiuretic.rWhichrofrtherfollowingrw
ouldrbermostrimportantrforrtherNurserPractitionerrtormonitor?
STUDENTrFEEDBACK:
Potassiumrlevels
QUIZ/@r3
1routrofr1rpoints
QUIZr1
Anrexpectedroutcomerforrarpatientrwhorhasrjustrtakenrsublingualrnitroglycerinrshouldrbe
STUDENTrFEEDBACK:
,NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
increasedrheartrraterandrdecreasedrbloodrpressure.r
QUIZ/@r4
1routrofr1rpoints
QUIZr1
,NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
ArpatientrtakingrMetforminr(Glucophage)risrscheduledrforrarcardiacrcath.rTherpatientrasksrwhyrhercan'trtaker
hisrmetforminrtherdayrofrthertest.rWhatrisrthermostrappropriaterreply?
STUDENTrFEEDBACK:
Yourcanrdeveloprlacticracidosisrifryourtakermetforminrandrarergivenrdye.r Yourshouldrhaverarserumrcreatininerd
rawnrbeforerrestartingrthermedication.
QUIZ/@r5
1routrofr1rpoints
QUIZr1
Therparentsrofrar7-year-
oldrboyrwhorhasrjustrbeenrdiagnosedrwithrallergicrasthmararerbeingrtaughtraboutrtheirrson'srmedicationrregi
menrbyrthernurse.rThernurserisrcurrentlyrteachingrtherparent'sraboutrtherappropriateruserofrar"rescuerdrug"r
forracuterexacerbationsrofrtheirrson'srasthma.rWhatrdrugrshouldrthernursersuggestsrtherparentsrtoruserinrthe
sersituations?
STUDENTrFEEDBACK:
Albuterolr
QUIZ/@6
1routrofr1rpoints
QUIZr1
Arpatientrhasrrecentlyrbeenrprescribedrardrugrthatrtreatsrhisrhypertensionrbyrblockingrthersympatheticrrecept
orsrinrhisrsympatheticrnervousrsystem.rThisractionrisrcharacteristicrof
STUDENTrFEEDBACK:
anradrenergicrantagonist.r
QUIZ/@r7
1routrofr1rpoints
QUIZr1
, NURSr676rAdvancedrPharmacologyr 2023-2024rEXAM
Arfemalerpatient,rager36,risrprescribedrinhaledrcorticosteroidr(ICS)rforrdailyruse.rWhichrofrtherfollowingradvers
ereffectsrshouldrthernursercloselyrmonitorrforrinrthisrpatient?
STUDENTrFEEDBACK:
OropharyngealrCandidaralbicansrinfectionr
QUIZ/@r8
1routrofr1rpoints
QUIZr1
Ar62-year-
oldrmanrisradmittedrtortherhospitalrwithrardiagnosisrofrchestrpain.rHerhasranrorderrforr0.3rmgrofrsublingualrni
troglycerinrprnrforrchestrpain.rWhichrofrtherfollowingractionsrshouldrthernurserdorfirstrwhenrhercomplainsr
ofrchestrpain?
STUDENTrFEEDBACK:
Administerrartabletrunderrhisrtonguerandrrepeatrtheractionrinr5randr10rminutesrifrtherpainrhasrnotrsubsided
QUIZ/@r9
0 outrofr1rpoints
InQUIZr1
Mr.rLacunarisranr83-year-oldrresidentrofrarlong-
termrcarerfacilityrwhorhasrardiagnosisrofrmoderaterAlzheimerrdisease.rMr.rLacuna'srphysicianrrecentlyrpresc
ribedroralrrivastigmine,rbutrherwasrunablertortoleratertherdrugrduertoritsrgastrointestinalreffects.rAsrarresult,r
herhasrbeenrorderedrthertransdermalrpatchrformrofrthermedication.rWhenradministeringrthisrformrofrrivasti
gmine,rthernursershould
STUDENTrFEEDBACK:
teachrMr.rLacunaraboutrtherimportancerofrrotatingrsitesrwhenrherappliesrtherpatch.rQUIZ/
@r10
1 outrofr1rpoints
QUIZr1
Itrisrdeterminedrthatrarpatient,rwhorisrinrarhepaticrcoma,rneedsrarlaxative.rLactuloserisrprescribed.rWhichrofrt
herfollowingrshouldrthernursermonitorrtorassessrtherefficacyrofrtherlactulosertherapy?
STUDENTrFEEDBACK:r
Bloodrammoniarlevels
