NR 565 Midterm Exam Review Latest Test Bank 2025 with
300 Questions and Correct Verified Answers // NR565 / nr
565 Advanced Pharmacology Fundamentals
A nursing student who is preparing to care for a postoperative patient with deep
vein thrombosis asks the nurse why the patient must take heparin rather than
warfarin. Which response by the nurse is correct?
a. "Heparin has a longer half-life."
b. "Heparin has fewer adverse effects."
c. "The onset of warfarin is delayed."
d. "Warfarin prevents platelet aggregation." - ANSWER-c.
A patient is taking digoxin [Lanoxin] and develops a dysrhythmia. The nurse
reports this finding to the prescriber, who will most likely order what?Select all
that apply.
a. Amiodarone
b. Diltiazem
c. Phenytoin [Dilantin]
d. Quinidine
e. Serum electrolytes - ANSWER-c.
e.
A prescriber orders verapamil [Covera-HS] for a patient who is taking digoxin
[Lanoxin] and warfarin. The nurse will expect the prescriber to the dose of .
a. lower; digoxin
b. increase; digoxin
c. lower; warfarin
pg. 1
,d. increase; warfarin - ANSWER-a.
A family nurse practitioner practicing in Maine is hired at a practice across state
lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN's authority will depend on federal regulations. - ANSWER-a.
Which aspects support the APRN's provision for full prescriptive authority? Select
all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards. -
ANSWER-a.
c.
d.
How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
pg. 2
,e. Pharmacy can alter prescriptions when necessary to prevent patient harm. -
ANSWER-b.
c.
d.
A postoperative patient reports pain in the left lower extremity. The nurse notes
swelling in the lower leg, which feels warm to the touch. The nurse will anticipate
giving which medication?
a. Aspirin
b. Clopidogrel [Plavix]
c. Enoxaparin [Lovenox]
d. Warfarin [Coumadin] - ANSWER-c.
A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse
notifies the provider, who orders laboratory work revealing a PT of 42 seconds and
an INR of 3.5. The nurse will expect to administer:
a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
b. phytonadione (vitamin K1) 2.5 mg PO.
c. protamine sulfate 20 mg PO.
d. protamine sulfate 20 mg slow IV push. - ANSWER-a.
A patient is admitted to the emergency department with chest pain. An
electrocardiogram shows changes consistent with an evolving myocardial
infarction. The patient's cardiac enzymes are pending. The nurse caring for this
patient will expect to:
a. administer aspirin when cardiac enzymes are completed.
b. give alteplase [Activase] within 2 hours.
c. give tenecteplase [TNKase] immediately.
pg. 3
, d. obtain an order for an INR. - ANSWER-b.
A nurse is reviewing a medication administration record before administering
medications. Which order will the nurse implement?
a. Furosemide [Lasix] 20 mg QD PO
b. Furosemide [Lasix] 20 mg qd PO
c. Furosemide [Lasix] 20 mg daily
d. Furosemide [Lasix] 20 mg PO daily - ANSWER-d.
A patient is given a new medication and reports nausea within an hour after taking
the drug. The nurse consults the drug information manual and learns that nausea is
not an expected adverse effect of this drug. When the next dose is due, what will
the nurse do?
a. Administer the drug and tell the patient to report further nausea.
b. Hold the drug and notify the provider of the patient's symptoms.
c. Report the symptoms of nausea to the MEDWATCH program.
d. Request an order for an antiemetic to counter this drug's effects. - ANSWER-a.
A nurse is preparing to give an antibiotic to a patient who reports being allergic to
antibiotics. Before giving the medication, what will the nurse do first?
a. Ask whether the patient has taken this antibiotic for other infections
b. Question the patient about allergies to other medications
c. Request an order for a lower dose of the antibiotic
d. Request an order for an antihistamine - ANSWER-a.
An APRN works in a urology clinic under the supervision of a physician who does
not restrict the types of medications the APRN is allowed to prescribe. State law
pg. 4
300 Questions and Correct Verified Answers // NR565 / nr
565 Advanced Pharmacology Fundamentals
A nursing student who is preparing to care for a postoperative patient with deep
vein thrombosis asks the nurse why the patient must take heparin rather than
warfarin. Which response by the nurse is correct?
a. "Heparin has a longer half-life."
b. "Heparin has fewer adverse effects."
c. "The onset of warfarin is delayed."
d. "Warfarin prevents platelet aggregation." - ANSWER-c.
A patient is taking digoxin [Lanoxin] and develops a dysrhythmia. The nurse
reports this finding to the prescriber, who will most likely order what?Select all
that apply.
a. Amiodarone
b. Diltiazem
c. Phenytoin [Dilantin]
d. Quinidine
e. Serum electrolytes - ANSWER-c.
e.
A prescriber orders verapamil [Covera-HS] for a patient who is taking digoxin
[Lanoxin] and warfarin. The nurse will expect the prescriber to the dose of .
a. lower; digoxin
b. increase; digoxin
c. lower; warfarin
pg. 1
,d. increase; warfarin - ANSWER-a.
A family nurse practitioner practicing in Maine is hired at a practice across state
lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN's authority will depend on federal regulations. - ANSWER-a.
Which aspects support the APRN's provision for full prescriptive authority? Select
all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards. -
ANSWER-a.
c.
d.
How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
pg. 2
,e. Pharmacy can alter prescriptions when necessary to prevent patient harm. -
ANSWER-b.
c.
d.
A postoperative patient reports pain in the left lower extremity. The nurse notes
swelling in the lower leg, which feels warm to the touch. The nurse will anticipate
giving which medication?
a. Aspirin
b. Clopidogrel [Plavix]
c. Enoxaparin [Lovenox]
d. Warfarin [Coumadin] - ANSWER-c.
A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse
notifies the provider, who orders laboratory work revealing a PT of 42 seconds and
an INR of 3.5. The nurse will expect to administer:
a. phytonadione (vitamin K1) 1 mg IV over 1 hour.
b. phytonadione (vitamin K1) 2.5 mg PO.
c. protamine sulfate 20 mg PO.
d. protamine sulfate 20 mg slow IV push. - ANSWER-a.
A patient is admitted to the emergency department with chest pain. An
electrocardiogram shows changes consistent with an evolving myocardial
infarction. The patient's cardiac enzymes are pending. The nurse caring for this
patient will expect to:
a. administer aspirin when cardiac enzymes are completed.
b. give alteplase [Activase] within 2 hours.
c. give tenecteplase [TNKase] immediately.
pg. 3
, d. obtain an order for an INR. - ANSWER-b.
A nurse is reviewing a medication administration record before administering
medications. Which order will the nurse implement?
a. Furosemide [Lasix] 20 mg QD PO
b. Furosemide [Lasix] 20 mg qd PO
c. Furosemide [Lasix] 20 mg daily
d. Furosemide [Lasix] 20 mg PO daily - ANSWER-d.
A patient is given a new medication and reports nausea within an hour after taking
the drug. The nurse consults the drug information manual and learns that nausea is
not an expected adverse effect of this drug. When the next dose is due, what will
the nurse do?
a. Administer the drug and tell the patient to report further nausea.
b. Hold the drug and notify the provider of the patient's symptoms.
c. Report the symptoms of nausea to the MEDWATCH program.
d. Request an order for an antiemetic to counter this drug's effects. - ANSWER-a.
A nurse is preparing to give an antibiotic to a patient who reports being allergic to
antibiotics. Before giving the medication, what will the nurse do first?
a. Ask whether the patient has taken this antibiotic for other infections
b. Question the patient about allergies to other medications
c. Request an order for a lower dose of the antibiotic
d. Request an order for an antihistamine - ANSWER-a.
An APRN works in a urology clinic under the supervision of a physician who does
not restrict the types of medications the APRN is allowed to prescribe. State law
pg. 4
