Advanced Pharmacology Final Exam (NURS-6521N) with Answers, Exams of Nursing

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NURS-6521N- 55 |ADVANCED PHARMACOLOGY WEEK 11 FINAL

EXAMS|2024| WITH 100% CORRECT ANSWERS WITH

RATIONALE AND GRADED A+ (SUCCESS GUARANTEE)

Quiz 1^1 out^ of^1 points

A 59 - year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? Correct Feedba ck: "You might find that your face becomes flushed or you get a headache after you take Viagra."

Quiz 2^1 out^ of^1 points

A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following Correct Feedba ck: Elevated prothrombin time

• Quiz 3

1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Correct Feedba ck: complete the entire course of drug therapy.

• Quiz 4

1 out of 1 points Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug

Correct Feedba ck: Schedule 2

• Quiz 5 1 out of 1 points A 16 - year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Correct Feedba ck: Take the drug for one full week before coming in contact with allergens
• Quiz 6^1 out^ of^1 points A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Correct Feedba ck: magnesium sulfate toxicity.
• Quiz 7 1 out of 1 points A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? Correct Feedba ck: The patient's bone marrow function is significantly depressed.
• Quiz 8^1 out^ of^1 points After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from Correct Feedba ck: clomiphene.
• Quiz 9

1 out of 1 points A 34 - year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take Correct Feedba ck: antacids not less than 1 hour before or 2 hours after taking INH.

• Quiz 10 1 out of 1 points A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using Correct Feedback: weight.
• Quiz 11 2 out of 1 points An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib? Correct Feedba ck: The patient has chronic heart failure resulting in significant peripheral edema.
• Quiz 12^1 out^ of^1 points A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nursewill include which of the following as a risk associated with finasteride therapy? Correct Feedba ck: Sexual dysfunction related to erectile dysfunction
• Quiz 13 2 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Correct Feedback: after a meal.
• Quiz 14 1 out of 1 points A patient has acquired primary hypogonadism and has been prescribed

testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Correct Feedba ck: place the patch on the back, abdomen, upper arms, or thighs.

• Quiz 15 1 out of 1 points A 66 - year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Correct Feedback: weekly subcutaneous injections.
• Quiz 16 1 out of 1 points A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Correct Feedba ck: food containing iron or calcium.
• Quiz 17 1 out of 1 points A Nurse Practitioner has quized why a patient's physician has prescribed a narrow- spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Correct Feedbac k: The use of broad-spectrum antibiotics can create a risk for a superinfection.
• Quiz 18^1 out^ of^1 points A 3 - year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should Correct Feedback:

o fer a choice between liquid and chewable medications, if f possible.

• Quiz 19^1 out^ of^1 points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Correct Feedback: Nephrotoxicity and hepatotoxicity
• Quiz 20 1 out of 1 points A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure Correct Feedba ck: that serum levels of the drug are being monitored.
• Quiz 21 1 out of 1 points A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? Correct Feedba ck: Drink a lot of water
• Quiz 22 1 out of 1 points A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include Correct Feedba ck: uterine tachysystole.
• Quiz 23 1 out of 1 points

A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? Correct Feedback: Respiratory difficulty

• Quiz 24 1 out of 1 points A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause Correct Feedba ck: ototoxicity or nephrotoxicity.
• Quiz 25 1 out of 1 points A 66 - year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Correct Feedba ck: The patient has unstable angina and uses a nitroglycerin patch
• Quiz 26 A 29 - year-old woman who is morbidly obese has recently begun a 1 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be quized about her intake of Correct Feedba ck: alcohol.

• Quiz 27 2 out of 1 points A 68 - year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Correct Feedba ck: The patient will experience complete bladder emptying
• Quiz 28^1 out^ of^1 points A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39 - year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug? Correct Feedback: Discard the unused portion of the drug.
• Quiz 29 1 out of 1 points A 36 - year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses? Correct Feedba ck: Risk for Injury related to loss of vision or thrombotic events
• Quiz 30 1 out of 1 points A 33 - year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Correct Feedback: Dietary habits
• Quiz 31 1 out of 1 points A Nurse Practitioner is obtaining baseline physical data from a 7 - year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Correct Feedback: electrocardiogram (ECG).

Quiz 32

1 out of 1 points Mr. Lepp is a 63 - year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? Correct Feedba ck: The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.

• Quiz 33^1 out^ of^1 points A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Correct Feedback: Non-Hodgkin's lymphoma
• Quiz 34 1 out of 1 points An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Correct Feedba ck: Prime the IV tubing with an approved IV solution rather than with the drug itself.
• Quiz 35^1 out^ of^1 points A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Correct Feedback:

a baseline complete blood count.

• Quiz 36 1 out of 1 points

A 45 - year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that Correct Feedba ck: body fluids such as urine, saliva, tears, and sputum may become discolored.

• Quiz 38^1 out^ of^1 points A 30 - year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4 - day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? Correct Feedba ck: The use of ciprofloxacin is contraindicated in pregnancy.
• Quiz 39^1 out^ of^1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Correct Feedba ck: Urinary elimination patterns
• Quiz 40 1 out of 1 points A 62 - year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? Correct Feedba ck: The tumor responding to treatment
• Quiz 41 1 out of 1 points A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? Correct Feedback:

2000 mg

• Quiz 42^1 out^ of^1 points

A 56 - year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? Selected "You might find that you get a dry mouth or a headache from this drug, Answer: but this does not mean it has to be discontinued."

• Quiz 43^1 out^ of^1 points A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is Correct Feedba ck: an allergic response.
• Quiz 44^1 out^ of^1 points A 29 - year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Correct Feedba ck: Anxiety related to perceived danger of drug therapy to fetus or infant
• Quiz 45^1 out^ of^1 points A 15 - year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in quiz is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Correct Feedba ck: Hypertensive crisis
• Quiz 46

1 out of 1 points A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?

• Quiz 47 1 out of 1 points A 73 - year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also Correct Feedba ck: perform light-weight exercises and go for walks.
• Quiz 48 1 out of 1 points A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? Correct Feedback: Low bone density and a family history of osteoporosis
• Quiz 49 1 out of 1 points A Nurse Practitioner is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Correct Feedback: Salicylates
• Quiz 50 1 out of 1 points A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Correct Feedback: Fetal heart rate (FHR)
• Quiz 51^1 out^ of^1 points A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session?

Correct Feedbac k: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

• Quiz 52^1 out^ of^1 points Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should quiz the physician's order if the patient has a history of Correct Feedba ck: cardiac arrhythmias.
• Quiz 53 1 out of 1 points When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) Correct Feedbac ks: The patient will not develop an infection. The patient will not experience bone pain. The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia. The patient will not retain fluid.
• Quiz 54^2 out^ of^1 points A 67 - year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Correct Feedba ck: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.
• Quiz 55^1 out^ of^1 points A 12 - year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to Correct Feedba ck: both the boy and his mother regarding all medication issued.

• Quiz 56 1 out of 1 points

A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? Correct Feedback: Increased drug distribution resulting from hemodynamic changes

• Quiz 57 1 out of 1 points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Correct Feedback: The peak and trough blood levels
• Quiz 58 1 out of 1 points A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Correct Feedback: Instruct the patient to lie on her left side during the infusion.
• Quiz 59 1 out of 1 points A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will quiz the patient about which of the following? Correct Feedba ck: Dental hygiene practices
• Quiz 60 1 out of 1 points A 60 - year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Correct Feedba ck: By inactivating clotting factors and thus stopping the coagulation cascade
• Quiz 61

1 out of 1 points

A Nurse Practitioner who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to Correct Feedback: immature liver and kidney function in infants and children.

• Quiz 62 1 out of 1 points A Nurse Practitioner is providing patient education to a 13 - year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary? Correct Feedback: "I am on the middle school track team."
• Quiz 63 1 out of 1 points A Nurse Practitioner is explaining to a pregnant 21 - year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Correct Feedbac k: drugs compete with the hormones of pregnancy for albumin- binding sites.
• Quiz 64^1 out^ of^1 points During ongoing assessment of a patient receiving 5 - FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Correct Feedba ck: Consult the prescriber for discontinuation of the drug
• Quiz 65 1 out of 1 points A Nurse Practitioner is working with a 16 - year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Correct Feedback: whether the pregnant woman uses illegal substances.
• Quiz 66

1 out of 1 points

A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? Correct Feedba ck: "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells."

• Quiz 67^1 out^ of^1 points A 20 - year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? Correct Feedba ck: Risk for Injury related to allergic reactions
• Quiz 68 1 out of 1 points A 19 - year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that Correct Feedba ck: trichomoniasis discharge is typically thin and clear.
• Quiz 69 2 out of 1 points A Nurse Practitioner is having difficulty administering a bitter drug to a 5 - year-old child. The nurse should Correct Feedbac k: offer the child a flavored ice chip or ice pop prior to administering the drug.
• Quiz 70^1 out^ of^1 points A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide?

Correct Feedba ck: "Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes."

• Quiz 71

1 out of 1 points A 6 - month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Correct Feedba ck: That the infant's skin has greater permeability than that of an adult

• Quiz 72 1 out of 1 points A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Correct Feedback: A 48 - year-old Caucasian man who has adult-onset diabetes
• Quiz 73 1 out of 1 points Morphine has been prescribed for a 28 - year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Correct Feedback: alcohol.
• Quiz 74 1 out of 1 points An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon quizing, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Correct Feedba ck: Ineffective Family Therapeutic Regimen Management
• Quiz 75 1 out of 1 points A 20 - year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? Correct Feedback:

Cardiova scular complicati ons

• Quiz 76^1 out^ of^1 points A 5 - year-old boy needs an IM injection. The least painful and most effective injection site would be the Correct Feedba ck: ventrogluteal muscle.
• Quiz 77 1 out of 1 points Alendronate (Fosamax) is prescribed for a 67 - year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Correct Feedba ck: stand or sit upright for at least 30 minutes after taking alendronate..
• Quiz 78 1 out of 1 points A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Correct Feedba ck: gynecomastia.
• Quiz 79 2 out of 1 points A Nurse Practitioner is instructing a 19 - year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to Correct Feedbac k: use an alternative form of birth control, if taking an oral contraceptive.